Section_C_H_Briefing.pptx

SECTION C&H

DESCRIPTION/SPECIFICATION/WORK STATEMENT

Beijing Human Resources Office August 2, 2017

PART I - HEALTH INSURANCE

The medical coverage purchased under this contract is a medical benefit supplemental to coverage provided by the local social security plan.

Proposals that contain more benefits (even if there is no increase in cost) or fewer benefits than stated in the solicitation may be deemed technically unacceptable.

Hospitalization 100%

Outpatient 90%

Annual physical exam 90% with ceiling of RMB 650 per person per year for both dependent and employee for physical exam

社保结算以后，社保范围内的住院费用100%报销，门诊90% ；体检员工去医院做体检，之后按90%报销，上限是650人民币，保险公司也可以帮我们制定一个650元的体检套餐，员工可以在这两者之间选择。

CarrollSR (C) -

PART I - HEALTH INSURANCE

Reimbursement for employee eye examinations and treatment, and prescription eyeglasses or contact lenses. With a 60 USD ceiling for two lenses per patient per year, and no reimbursement for frames, nonprescription lenses, or tinting.

参保人员每年可以报销两副镜片，包括隐形眼镜，50%的比例，上限是60美金。镜架不可报销

PART I - HEALTH INSURANCE

Dental Service 50% Dental Care: Dentists’ fees, x-rays, examination and treatment, fillings, extractions, cleaning, fillings, false teeth, crowns and bridges. Orthodontia treatment covered only if treatment begins before age 15, unless required as the result of an accident. Maximum of 4 years of orthodontia treatment per patient.

Contractor paid 50% with a ceiling of 1000USD per year.

牙科比较特殊，社保范围外的一些项目，比如根管治疗，假牙，齿冠，齿桥等也可以报销，而且整体报销比率是50%，每年每人上限1000美金。除以外上海情况，牙齿矫正必须是15周岁之前的参保人员。

PART I - HEALTH INSURANCE

The insurance company will reimburse covered expenses up to a separate limit of USD 10,000 per employee per contract year.

接种疫苗90， 子女预防针是50

PART II GROUP LIFE INSURANCE

Amount of Natural Death Insurance:

The employee’s estate will receive an amount equal to 20 times of basic salary in the event the employee dies of natural causes.

Amount of Accidental Death.

The employee's estate or employee will receive an amount equal to 24 times the amount of monthly basic salary.

PART II GROUP LIFE INSURANCE

Partial and Total Disability Coverage is NOT covered

Eligible Participants Locally hired employees and ORE staff working for Chief of Mission and Consul General Employee’s spouse Employee’s dependents must be unmarried, economically dependent upon the employee, and reside with the employee unless away at school.

until the end of the contract year in which he/she reaches age 18, or age 24 if a full time student.

中国境内，目前有北京大使馆，广州，上海，沈阳，成都，武汉领馆以及一个深圳办公室。

Eligible Participants An eligible child is defined as the employee’s natural child, adopted child, stepchild, or foster child. The child must be unmarried, economically dependent upon the employee, and reside with the employee unless away at school.

An eligible child will be covered until the end of the contract year in which he/she reaches age 18, or age 24 if a full time student.

Medical Insurance Claims and Records The contractor must pick up employees’ medical claims and answer employees’ inquiries regarding their processed claims at the Embassy and each of the Consulates once a month, during the working hours 8:00 a.m. to 17:00 p.m. Monday through Friday.

The Consulates include Chengdu, Guangzhou, Shanghai, Shenyang and Wuhan.

Medical Insurance Claims and Records The Contractor shall settle the claims no later than two weeks from the date the claim is submitted to the Contractor.

The Contractor shall maintain medical insurance files for each covered individual.

For details please see Section C and Section H

Thank you for you listening!

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