First_Set_of_Questions_and_Answers_Health_Insurance_SHK30015R0001.pdf

U.S. Consulate General Hong Kong

First Set of Questions

Solicitation Number SHK30015R0001- Group Health Insurance Services

The claims data provided in response to this question is provided for informational purposes and under no circumstances shall it be construed to change any terms or conditions or requirements within the solicitation.

In addition, for any answer provided regarding claims data incurred under the existing contract, please be advised that the benefits levels are not the same nor may this data be indicative of future claims. Therefore, it is each offeror’s decision on whether to use or not to use this information. However, under no circumstances shall the U.S. Government be liable for this data or shall it become the basis for a request to adjust the premium rates once the contract is awarded. Rather, offerors are advised any adjustments to contract premium rates shall be in accordance with the Price Adjustment clause B.4.

Q1: Please kindly advise the following details:

The Name of Company :

Business Nature :

Number of Staff :

Existing Plan (Y/N) : If yes, please provide your existing benefit schedule, claim report for past

10 months, indicates the Hospital, Supplementary Major Medical, Clinical & Dental claims amount & member's census (e.g. age, sex, plan number...etc).

Period of Insurance :

Contact Person & Number :

A1: The name of the contractor currently providing the health services for the Consulate is Blue Cross

(Asia-Pacific) Insurance Limited and no additional information will be provided regarding the current contractor. In addition, prospective offerors are advised there have been numerous changes in the benefits and requirements set forth in this contract versus the Government’s requirements in the current solicitation.

Therefore, each offeror should carefully review the benefits and requirements in the solicitation in developing their proposed firm fixed price premiums, and not focus on the current contract due to the number of changes.

The number of employees and dependents under the current contract are the same as set forth in Section J –

List of Exhibits/Attachments, Exhibit A – Employees and Dependent Statistics. (Page 16). However, this number can fluctuate during the contract period of performance, and it has.

The period of performance of the current contract will expire July 31, 2015

Claims experience for the past 10 months (April 1, 2014 to January 31, 2015).

Employees:

Coverage Total Claim Incurred Total Claim Paid

Inpatient & Outpatient Combined HK$1,012,558.92 HK$735,990.00

Family Plan:

Coverage Claim Incurred Total Claim Paid

Inpatient & Outpatient Combined HK$328,192.20 HK$283,002.00