Attachment_C-Prvoyance_Pricing.xlsx

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Health Insurance Services for U. S. Mission in France
Solicitation number
SFR63016R0011
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C Prévoyance Prices-Base

ATTACHMENT C - PRICES/CONTRIBUTIONS FOR PREVOYANCE (DEATH & DISABILITY)
CLINCurrent MembersContributionTotal Contribution for one contract YearRetention Amount per Year*Total Amount for one contract year
Daily rate (Indemnités Journalières en cas de d'incapacité/invalidité)Permanent and partial Disability (Invalidité permanente partielle et invalidité permanente totale)Death (Décès)
Category A - Employees Affiliated to French Social Security
Total amount of Tranche A per Year, €Total amount of Tranche B per Year, €% of ____AmountFlat Rate / Month% of ____Amount% of ____Amount€€€
Basic Option-Employees affiliated to Social Security
PASS ceiling 2017 in €39,228
P001Non-cadres1505,291,058362,867Not
P002Cadres1616,315,7082,962,367Applicable

High Option-Employees affiliated to Social Security

P003Non-cadres401,464,59992,977Not
P004Cadres431,686,8041,005,677Applicable

Category B - Employees Non-Affiliated to French Social Security

Basic Option-Employees non-affiliated to Social Security

P005Non-cadres000Not
P006Cadres139,22846,413Applicable

High Option-Employees non-affiliated to Social Security

P007 Non-cadres 0 0 0

P008 Cadres 1 39,228 33,245

B.3.1 Base Year- Estimated Grand Total

* Retention amount shall remain unchanged throughout the whole period of contract. Offeror shall enter a value not a percentage

Solicitation: S-FR630-17-R-0013 Attachement C - Base Year Page: &P of & 1

C Prévoyance Prices-Opt Yr 1

ATTACHMENT C - PRICES/CONTRIBUTIONS FOR PREVOYANCE (DEATH & DISABILITY)
CLINCurrent MembersContributionTotal Contribution for one contract YearRetention Amount per YearTotal Amount for one contract year
Daily rate (Indemnités Journalières en cas de d'incapacité/invalidité)Permanent and partial Disability (Invalidité permanente partielle et invalidité permanente totale)Death (Décès)
Category A - Employees Affiliated to French Social Security
Total amount of Tranche A per Year, €Total amount of Tranche B per Year, €% of ____AmountFlat Rate / Month% of ____Amount% of ____Amount€€€
Basic Option-Employees affiliated to Social Security
Taux 2011Taux 2011
P001Non-cadres1505,291,058362,867Not
P002Cadres1616,315,7082,962,367Applicable

High Option-Employees affiliated to Social Security

P003Non-cadres401,464,59992,977Not
P004Cadres431,686,8041,005,677Applicable

Category B - Employees Non-Affiliated to French Social Security

Basic Option-Employees non-affiliated to Social Security

P005Non-cadres000Not
P006Cadres139,22846,413Applicable

High Option-Employees non-affiliated to Social Security

P007Non-cadres000
P008Cadres139,22833,245

B.3.2 First Option Year- Estimated Grand Total

* Retention amount shall remain unchanged throughout the whole period of contract. Offeror shall enter a value not a percentage

Solicitation: S-FR630-17-R-0013 Attachement C - Option Year 1 Page: &P of & 1

C Prévoyance Prices-Opt Yr 2

ATTACHMENT C - PRICES/CONTRIBUTIONS FOR PREVOYANCE (DEATH & DISABILITY)
CLINCurrent MembersContributionTotal Contribution for one contract YearRetention Amount per YearTotal Amount for one contract year
Daily rate (Indemnités Journalières en cas de d'incapacité/invalidité)Permanent and partial Disability (Invalidité permanente partielle et invalidité permanente totale)Death (Décès)
Category A - Employees Affiliated to French Social Security
Total amount of Tranche A per Year, €Total amount of Tranche B per Year, €% of ____AmountFlat Rate / Month% of ____Amount% of ____Amount€€€
Basic Option-Employees affiliated to Social Security
Taux 2011Taux 2011
P001Non-cadres1505,291,058362,867Not
P002Cadres1616,315,7082,962,367Applicable

High Option-Employees affiliated to Social Security

P003Non-cadres401,464,59992,977Not
P004Cadres431,686,8041,005,677Applicable

Category B - Employees Non-Affiliated to French Social Security

Basic Option-Employees non-affiliated to Social Security

P005Non-cadres000Not
P006Cadres139,22846,413Applicable

High Option-Employees non-affiliated to Social Security

P007Non-cadres000
P008Cadres139,22833,245

B.3.3 Second Option Year- Estimated Grand Total

* Retention amount shall remain unchanged throughout the whole period of contract. Offeror shall enter a value not a percentage

Solicitation: S-FR630-17-R-0013 Attachement C - Option Year 2 Page: &P of & 1

C Prévoyance Prices-Opt Yr 3

ATTACHMENT C - PRICES/CONTRIBUTIONS FOR PREVOYANCE (DEATH & DISABILITY)
CLINCurrent MembersContributionTotal Contribution for one contract YearRetention Amount per YearTotal Amount for one contract year
Daily rate (Indemnités Journalières en cas de d'incapacité/invalidité)Permanent and partial Disability (Invalidité permanente partielle et invalidité permanente totale)Death (Décès)
Category A - Employees Affiliated to French Social Security
Total amount of Tranche A per Year, €Total amount of Tranche B per Year, €% of ____AmountFlat Rate / Month% of ____Amount% of ____Amount€€€
Basic Option-Employees affiliated to Social Security
Taux 2011Taux 2011
P001Non-cadres1505,291,058362,867Not
P002Cadres1616,315,7082,962,367Applicable

High Option-Employees affiliated to Social Security

P003Non-cadres401,464,59992,977Not
P004Cadres431,686,8041,005,677Applicable

Category B - Employees Non-Affiliated to French Social Security

Basic Option-Employees non-affiliated to Social Security

P005Non-cadres000Not
P006Cadres139,22846,413Applicable

High Option-Employees non-affiliated to Social Security

P007Non-cadres000
P008Cadres139,22833,245

B.3.4 Third Option Year- Estimated Grand Total

* Retention amount shall remain unchanged throughout the whole period of contract. Offeror shall enter a value not a percentage

Solicitation: S-FR630-17-R-0013 Attachement C - Option Year 3 Page: &P of & 1

C Prévoyance Prices-Opt Yr 4

ATTACHMENT C - PRICES/CONTRIBUTIONS FOR PREVOYANCE (DEATH & DISABILITY)
CLINCurrent MembersContributionTotal Contribution for one contract YearRetention Amount per YearTotal Amount for one contract year
Daily rate (Indemnités Journalières en cas de d'incapacité/invalidité)Permanent and partial Disability (Invalidité permanente partielle et invalidité permanente totale)Death (Décès)
Category A - Employees Affiliated to French Social Security
Total amount of Tranche A per Year, €Total amount of Tranche B per Year, €% of ____AmountFlat Rate / Month% of ____Amount% of ____Amount€€€
Basic Option-Employees affiliated to Social Security
Taux 2011Taux 2011
P001Non-cadres1505,291,058362,867Not
P002Cadres1616,315,7082,962,367Applicable

High Option-Employees affiliated to Social Security

P003Non-cadres401,464,59992,977Not
P004Cadres431,686,8041,005,677Applicable

Category B - Employees Non-Affiliated to French Social Security

Basic Option-Employees non-affiliated to Social Security

P005Non-cadres000Not
P006Cadres139,22846,413Applicable

High Option-Employees non-affiliated to Social Security

P007Non-cadres000
P008Cadres139,22833,245
B.3.5Fourth Option Year- Estimated Grand Total
* Retention amount shall remain unchanged throughout the whole period of contract. Offeror shall enter a value not a percentage
B.3.6Base + Four Option Years- Estimated Grand Total
B.3. 7 GRAND ESTIMATED TOTAL FOR MEDICAL (B.2.2.6) AND PREVOYANCE (B.3.6) FOR A 5 YEAR CONTRACT PERIOD

Solicitation: S-FR630-17-R-0013 Attachement C - Option Year 4 Page: &P of & 1

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