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| The fixed prices / premium rates for the health insurance services as specified in Section 1.IV are as follows: | |
| C.2 | BASE YEAR | February 1, 2016 through January 31, 2017 | | | |
| CLIN | Category | Rate Employee / Month | Total, Employee / Year | Estimated Number of Employees | Estimated Total |
| 001 | Employees, Medical | | - 0 | 53 | - 0 |
| 002 | Employees, Dental | - 0 | 53 | - 0 |
| 003 | Defense Base Act Insurance (if not applicable, add '0') | | | |
| Total Estimated Price | | Base Year | 0.00 |
| C.3 | FIRST OPTION YEAR | February 1, 2017 through January 31, 2018 | | | |
| CLIN | Category | Rate Employee / Month | Total, Employee / Year | Estimated Number of Employees | Estimated Total |
| 1001 | Employees, Medical | | - 0 | 53 | - 0 |
| 1002 | Employees, Dental | - 0 | 53 | - 0 |
| 1003 | Defense Base Act Insurance (if not applicable, add '0') | | | |
| Total Estimated Price | First Option Year | | 0.00 |
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| C.4 | SECOND OPTION YEAR | February 1, 2018 through January 31, 2019 | | | |
| CLIN | Category | Rate Employee / Month | Total, Employee / Year | Estimated Number of Employees | Total |
| 2001 | Employees, Medical | | - 0 | 53 | - 0 |
| 2002 | Employees, Dental | - 0 | 53 | - 0 |
| 2003 | Defense Base Act Insurance (if not applicable, add '0') | | | |
| Total Estimated Price | Second Option Year | | 0.00 |
| C.5 | THIRD OPTION YEAR | February 1, 2019 through January 31, 2020 | | | |
| CLIN | Category | Rate Employee / Month | Total, Employee / Year | Estimated Number of Employees | Total |
| 3001 | Employees, Medical | | - 0 | 53 | - 0 |
| 3002 | Employees, Dental | | - 0 | 53 | - 0 |
| 3003 | Defense Base Act Insurance (if not applicable, add '0') | | | | |
| Total Estimated Price | | Third Option Year | | 0.00 |
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| C.6 | FOURTH OPTION YEAR | February 1, 2020 through January 31, 2021 | | | |
| CLIN | Category | Rate Employee / Month | Total, Employee / Year | Estimated Number of Employees | Estimated Total |
| 4001 | Employees, Medical | | - 0 | 53 | - 0 |
| 4002 | Employees, Dental | - 0 | 53 | - 0 |
| 4003 | Defense Base Act Insurance (if not applicable, add '0') | | | |
| Total Estimated Price | Fourth Option Year | | 0.00 |
| C.7 | ESTIMATED TOTALS | | |
| | Base Year | 0.00 |
| | First Option Year | 0.00 |
| | Second Option Year | 0.00 |
| | Third Option Year | 0.00 |
| | Fourth Option Year | 0.00 |
| | Estimated Contract Total | 0.00 |
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&"Arial,Bold"SGE50015R0025 Third Country National (TCN) Health Insurance &"Arial,Bold"Baghdad, Iraq Attachment 2
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