Question and answers HRMHP2011.doc

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Medical Health Insurance for US Mission India
Solicitation number
SIN-650-11-R-0005
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Date: June 3, 2011 Ref: S-IN650-11-R-0005 – Medical Health Insurance services solicitation

Enclosed please find answers to questions in conjunction with the subject solicitation:

Q = Question, A = Answer

Q1. Name of last year’s insurer vendor?

A1. United India Insurance Company Ltd.

Q2. What is the Expiry date of existing policy?

A. September 30, 2011

Q3. Does the policy cover parents and /or children?

A3. The policy does not cover parents. Spouse and children are covered.

Q4. What are the benefits opted in the existing policy. Any additional benefit or limit being opted in renewal of the policy.

A4. As stated in the solicitation. There is no change of benefits from our existing policy being opted in the renewal of the policy.

Q5. In the said claims, bifurcation of claims in Group Mediclaim and in Domiciliary benefits is required.

A5. Yes, bifurcation of claims is required as the policy has Domiciliary Limit as well as Hospitalization Limit.

Q6. They needed list of employees with number of children, parents and their age groups.

A6. As requested attached is the date of birth of employees country-wide. The work-sheet does not cover ORE employees.

Spouses, children and parents data is not available.

Q7. Premiums paid verses Actual reimbursements for the FY-2010-2011 i.e. April 2010 to March 31, 2011 A7. Premium paid from April 1, 2010 through March 31, 2011 is Rs 39,973,016 (excluding ORE premium). Reimbursement is not yet complete therefore complete data is not available.

Q8. Time Limit for the submission of documents so that claims can be processed.

A8. Please refer to the solicitation clause C.1.2.2. a. Condition. Claims should be submitted to the Contractor within 45 days of incurring the expenses.

Q9. Is any preference given for Third Party Administration?

A9. There is no preference given for the Third Party Administration (TPA).

Q10.Do the bidders have to quote on the basis of per person or per family?

A10. The bidders have to quote on the basis of per Employee. The plan covers Self and dependents (spouse and children).

Q11. What would be the time frame to submit the EPA?

A11. There is no time-frame for invoking the EPA (Procurement to confirm).

Q12. Is the domiciliary and hospitalization coverage stated in the solicitation per person or on floater basis for employee and his /her family?

A12. Domiciliary and hospitalization coverage is on floater basis for employee and his/her family.

Q13. Please clarify the term “Option Years”.

A13. Offerors are asked to furnish prices for a 12-month base year contract and for subsequent option years on pages 3 thru 5, in section B. Offerors will be quoting for a potential five-year contract. After successful completion of base year contract, option years will be exercised based on performance. This is totally at the discretion of USG.

Q14. How the retention amount is to be decided . Will it be applicable from 2nd yr onwards only.

A14. The retention amount which is the administrative cost for each employee has to be decided and quoted by the contractor. The price has to be quoted for the base year plus for the four option years. This retention amount is not subject to adjustment.

Q15. What is employee pool. How does it effect the premium and policy.

A15. The Contractor may form a resource pool of all the insured persons including American Embassy Employees. This will allow the contractor to offset negative claims ratio, if any, for American Embassy employees. Before an adjustment is made under the Economic Prices Adjustment (EPA) clause, the Contractor must include in its proposal for adjustment, details on how the pool impacts the request for equitable adjustment.

Q16. Following are supposed to be covered in OPD treatment only:- Doctor's visit unless it is part of hospitalization pre and post treatment. Yes.

Outpatient services: Yes.

Optical Services: Routine/General check-ups are not payable.

Rehabilitative therapies: Yes, unless the treatment is not covered under exclusions (e.g. Alcohol related).

Psychiatric treatment: Yes (If the patient is not hospitalized for psychiatric treatment).

Q17. In dentures - normally the treatment cost is paid only. Policy do not provide for cost of dentures. Are they required to be covered.

A17. Dentures are not covered unless necessitated due to an accident or as a part of any illness.

_1368610125.xls

DOB

DATE OF BIRTH OF EMPLOYEES

S.NO Date of Birth

1 4/3/65

2 10/2/73

3 3/1/73

4 8/22/55

5 10/12/67

6 8/13/67

7 8/21/70

8 12/8/73

9 3/2/64

10 7/4/84

11 1/10/65

12 7/2/67

13 7/25/60

14 10/10/66

15 7/15/54

16 2/12/69

17 7/1/73

18 5/5/71

19 2/7/54

20 12/27/65

21 7/18/64

22 9/17/54

23 5/4/63

24 3/15/77

25 1/9/57

26 7/11/71

27 4/15/1976

28 10/13/78

29 3/15/52

30 2/6/75

31 5/15/55

32 3/25/77

33 3/6/60

34 6/19/71

35 1/6/78

36 3/10/80

37 7/15/59

38 8/8/66

39 1/1/78

40 9/5/70

41 1/15/73

42 3/3/60

43 6/10/64

44 5/10/78

45 11/7/64

46 7/9/68

47 5/15/72

48 6/5/72

49 12/7/54

50 1/5/61

51 4/10/55

52 4/20/54

53 1/1/69

54 3/13/84

55 7/25/66

56 12/24/61

57 2/1/69

58 3/13/59

59 4/2/63

60 8/10/55

61 5/3/72

62 11/12/68

63 6/17/69

64 2/7/89

65 6/2/68

66 7/1/52

67 4/22/68

68 8/1/78

69 1/6/73

70 11/10/72

71 12/12/69

72 9/1/52

73 7/30/62

74 2/20/83

75 8/7/72

76 6/1/72

77 8/29/74

78 12/1/70

79 12/12/69

80 1/4/89

81 5/5/74

82 8/10/81

83 6/28/80

84 6/6/79

85 8/20/66

86 7/1/65

87 12/5/72

88 7/1/70

89 11/13/68

90 12/13/68

91 5/9/62

92 8/29/62

93 8/10/62

94 7/1/74

95 8/5/73

96 10/30/70

97 1/24/58

98 1/22/68

99 6/25/62

100 3/16/63

101 9/2/63

102 7/1/73

103 1/1/73

104 10/12/62

105 5/10/58

106 7/4/72

107 3/6/70

108 7/15/86

109 2/5/52

110 7/13/66

111 12/5/68

112 1/30/54

113 8/20/54

114 1/1/55

115 11/3/65

116 9/3/66

117 3/8/72

118 5/2/54

119 3/15/68

120 8/10/57

121 1/15/54

122 7/1/74

123 4/4/79

124 9/5/61

125 1/1/57

126 7/5/68

127 2/10/71

128 8/1/66

129 7/10/58

130 11/1/67

131 9/20/70

132 10/15/62

133 10/11/64

134 10/10/66

135 7/10/67

136 7/10/68

137 7/14/64

138 3/16/54

139 1/1/62

140 1/4/71

141 6/1/72

142 6/25/67

143 7/1/72

144 1/2/58

145 6/6/57

146 4/10/80

147 8/2/79

148 2/20/58

149 7/1/63

150 12/20/68

151 3/23/74

152 12/30/59

153 8/22/65

154 1/3/66

155 2/5/63

156 1/26/67

157 7/8/76

158 12/23/74

159 5/15/63

160 6/26/84

161 3/4/77

162 8/5/74

163 7/7/59

164 6/10/59

165 7/10/68

166 8/1/73

167 11/10/71

168 5/1/71

169 1/1/63

170 1/2/73

171 3/2/82

172 2/15/81

173 11/22/66

174 12/5/58

175 11/21/84

176 10/9/72

177 11/30/80

178 2/5/61

179 1/14/81

180 8/20/62

181 11/12/62

182 3/17/84

183 11/21/62

184 8/1/67

185 12/17/65

186 8/14/68

187 11/11/52

188 2/14/58

189 8/1/80

190 8/28/63

191 6/15/67

192 4/9/66

193 1/1/62

194 4/1/61

195 12/5/66

196 5/12/68

197 5/5/73

198 1/2/60

199 12/23/76

200 5/10/71

201 7/20/62

202 5/28/79

203 4/23/58

204 3/14/69

205 6/1/56

206 2/21/70

207 6/1/77

208 6/20/76

209 1/10/66

210 3/2/70

211 3/30/76

212 5/1/59

213 4/28/79

214 6/1/60

215 12/12/55

216 7/2/82

217 8/20/79

218 5/12/63

219 10/3/54

220 4/15/63

221 6/15/53

222 12/31/65

223 5/1/72

224 6/28/64

225 10/26/83

226 9/3/75

227 1/3/61

228 1/2/73

229 2/4/60

230 4/12/74

231 5/22/76

232 4/10/55

233 6/24/59

234 10/23/82

235 9/23/87

236 3/4/82

237 6/10/87

238 11/16/74

239 05/23/80

240 06/04/66

241 07/08/1979

242 8/20/79

243 5/30/57

244 11/14/69

245 6/2/71

246 8/20/76

247 8/18/60

248 1/1/53

249 10/2/74

250 7/3/68

251 6/8/71

252 10/2/58

253 1/10/66

254 9/9/68

255 12/25/61

256 5/8/59

257 3/15/74

258 8/25/54

259 12/9/58

260 9/14/52

261 4/13/52

262 9/2/61

263 12/17/62

264 1/18/78

265 8/7/82

266 3/15/62

267 1/25/63

268 5/2/70

269 7/1/58

270 10/29/81

271 2/2/60

272 1/8/53

273 8/31/52

274 4/20/68

275 6/5/77

276 3/1/77

277 10/15/56

278 12/16/70

279 5/17/83

280 1/23/74

281 4/24/88

282 8/21/83

283 11/20/75

284 10/20/1967

285 4/17/60

286 8/29/67

287 12/13/62

288 6/7/63

289 5/1/58

290 1/26/53

291 3/3/66

292 8/4/75

293 1/5/62

294 6/10/65

295 10/5/62

296 4/6/65

297 10/11/73

298 6/29/61

299 1/1/56

300 1/9/76

301 6/2/66

302 3/2/66

303 5/31/64

304 6/27/58

305 9/27/55

306 3/26/70

307 8/18/67

308 8/8/81

309 7/19/57

310 12/15/63

311 4/7/59

312 2/1/62

313 7/5/59

314 2/1/75

315 5/15/70

316 2/1/68

317 2/4/66

318 2/1/59

319 9/8/71

320 1/28/69

321 6/6/60

322 5/15/67

323 3/1/57

324 11/24/62

325 8/25/70

326 2/3/65

327 1/21/65

328 10/11/87

329 1/21/59

330 5/1/60

331 7/1/62

332 7/11/59

333 4/30/77

334 10/8/71

335 7/7/59

336 2/7/62

337 6/10/80

338 11/30/54

339 2/12/68

340 7/31/61

341 6/4/72

342 8/1/64

343 9/30/55

344 8/10/64

345 5/8/85

346 8/5/72

347 4/30/82

348 5/12/70

349 2/4/65

350 11/7/77

351 2/9/86

352 1/1/69

353 5/3/73

354 11/5/60

355 5/20/64

356 1/1/62

357 7/15/66

358 1/5/65

359 3/10/55

360 4/9/59

361 11/12/56

362 5/16/64

363 5/1/52

364 1/7/58

365 2/8/60

366 10/20/57

367 8/10/71

368 6/20/61

369 3/28/84

370 6/7/72

371 12/18/53

372 10/6/68

373 8/15/68

374 3/5/75

375 1/9/59

376 1/1/70

377 1/26/65

378 1/1/72

379 8/27/70

380 5/4/74

381 8/12/70

382 3/14/61

383 6/2/72

384 8/28/66

385 5/1/66

386 1/5/60

387 3/22/62

388 5/10/60

389 12/27/52

390 1/2/63

391 2/21/56

392 5/6/62

393 3/3/58

394 5/21/62

395 12/17/60

396 4/13/54

397 2/20/57

398 8/8/67

399 3/1/78

400 6/18/56

401 1/4/59

402 5/15/60

403 12/13/60

404 12/30/68

405 8/10/59

406 10/13/64

407 8/5/70

408 8/18/73

409 6/15/67

410 2/11/71

411 11/17/53

412 8/15/64

413 4/12/62

414 5/15/59

415 5/4/60

416 12/28/81

417 4/6/57

418 2/5/78

419 3/3/73

420 5/30/76

421 12/9/66

422 8/14/78

423 1/4/77

424 3/13/52

425 6/29/76

426 10/29/74

427 10/21/71

428 10/15/60

429 8/12/54

430 3/14/78

431 3/4/70

432 3/14/62

433 5/22/59

434 1/15/56

435 7/1/70

436 6/15/70

437 1/13/55

438 10/8/57

439 11/5/79

440 2/7/55

441 12/26/65

442 9/24/72

443 3/10/64

444 1/16/59

445 8/3/64

446 6/27/54

447 1/1/58

448 8/20/60

449 4/23/65

450 2/2/74

451 2/23/52

452 6/21/65

453 12/16/57

454 10/5/56

455 2/21/64

456 1/3/65

457 3/31/86

458 6/20/80

459 4/5/73

460 9/27/77

461 6/25/73

462 2/14/67

463 11/1/59

464 6/18/72

465 3/20/71

466 3/25/77

467 5/15/77

468 5/25/76

469 3/22/56

470 10/3/67

471 5/31/75

472 12/5/83

473 10/5/60

474 1/1/70

475 7/1/75

476 5/25/64

477 3/17/50

478 1/14/63

479 4/13/74

480 7/4/53

481 5/5/54

482 11/6/77

483 2/8/80

484 6/15/72

485 12/2/79

486 5/21/82

487 12/15/54

488 9/2/64

489 11/30/73

490 12/11/74

491 12/9/75

492 11/1/56

493 1/1/85

494 8/8/80

495 12/31/85

496 12/18/61

497 10/26/80

498 6/16/74

499 5/13/71

500 9/8/86

501 11/22/80

502 11/26/79

503 6/18/82

504 1/25/82

505 7/22/78

506 2/10/85

507 5/5/61

508 10/12/63

509 4/9/78

510 2/4/62

511 5/12/54

512 9/8/54

513 3/5/64

514 6/18/61

515 10/1/53

516 11/13/76

517 11/19/73

518 5/10/72

519 6/9/68

520 1/1/76

521 2/15/69

522 7/1/76

523 4/5/69

524 5/14/86

525 4/5/57

526 11/7/77

527 5/15/77

528 3/16/86

529 5/3/84

530 12/14/84

531 8/25/79

532 12/31/80

533 5/15/78

534 9/20/56

535 8/15/54

536 8/2/72

537 4/20/63

538 12/20/78

539 4/4/60

540 12/30/65

541 8/20/62

542 10/22/65

543 8/6/60

544 5/26/68

545 8/16/70

546 2/5/73

547 11/14/72

548 5/21/54

549 9/22/57

550 8/7/77

551 2/5/64

552 7/1/66

553 2/14/65

554 8/22/72

555 3/3/62

556 7/26/80

557 1/7/73

558 1/6/69

559 3/26/78

560 11/15/62

561 6/27/71

562 11/1/71

563 7/31/72

564 8/11/72

565 6/19/77

566 1/1/70

567 12/3/58

568 12/8/60

569 3/4/56

570 11/14/66

571 10/5/54

572 8/19/67

573 7/1/63

574 1/10/64

575 1/3/78

576 5/2/66

577 7/15/67

578 9/15/62

579 3/18/74

580 6/30/65

581 10/2/72

582 1/25/69

583 11/1/61

584 7/16/70

585 4/2/65

586 12/31/68

587 3/23/67

588 9/22/72

589 11/26/74

590 10/15/58

591 3/3/53

592 1/18/63

593 12/6/59

594 7/24/62

595 11/22/64

596 6/10/53

597 5/20/76

598 9/20/82

599 4/15/64

600 3/4/54

601 1/1/62

602 7/1/69

603 10/13/67

604 5/20/74

605 5/15/65

606 12/28/77

607 5/24/72

608 10/3/64

609 8/20/72

610 3/14/53

611 8/19/71

612 12/12/66

613 5/5/59

614 3/15/75

615 7/1/80

616 4/28/66

617 11/10/64

618 11/10/61

619 9/6/73

620 1/5/62

621 3/14/80

622 1/17/59

623 3/19/72

624 4/21/73

625 4/15/72

626 5/28/70

627 1/7/66

628 5/12/67

629 4/15/66

630 10/23/56

631 4/23/80

632 1/2/67

633 1/30/56

634 12/20/61

635 11/15/59

636 7/15/74

637 4/10/67

638 10/10/59

639 2/7/84

640 8/28/61

641 1/10/71

642 3/30/85

643 10/21/69

644 11/10/81

645 1/1/60

646 1/19/79

647 8/16/74

648 10/15/72

649 12/4/63

650 9/28/59

651 1/27/61

652 1/14/62

653 2/4/79

654 8/5/64

655 2/20/72

656 9/5/51

657 2/10/72

658 4/7/73

659 5/3/65

660 1/20/57

661 6/1/54

662 7/18/70

663 7/2/74

664 3/16/72

665 4/3/68

666 11/29/82

667 10/28/73

668 10/12/73

669 12/11/74

670 5/11/60

671 10/4/70

672 9/9/82

673 4/13/79

674 6/3/69

675 5/13/81

676 4/22/72

677 9/9/69

678 2/28/81

679 12/4/70

680 1/31/82

681 7/8/73

682 6/30/84

683 7/11/88

684 4/17/77

685 1/22/58

686 9/6/73

687 12/29/67

688 7/13/78

689 3/30/78

690 10/9/59

691 10/5/85

692 6/4/80

693 11/2/75

694 5/10/69

695 5/16/53

696 2/23/79

697 8/5/67

698 8/22/66

699 11/4/66

700 6/15/61

701 10/10/61

702 8/24/54

703 03/18/61

704 7/5/75

705 8/15/56

706 11/29/71

707 8/27/66

708 6/1/65

709 11/16/75

710 1/5/74

711 9/28/73

712 4/3/61

713 8/26/70

714 10/5/76

715 6/14/79

716 5/20/72

717 5/29/67

718 5/30/61

719 1/8/67

720 5/31/70

721 11/20/59

722 4/29/71

723 10/13/75

724 3/19/78

725 10/29/69

726 6/3/71

727 1/1/81

728 3/20/68

729 12/3/54

730 5/26/70

731 7/15/76

732 1/9/73

733 11/19/77

734 9/22/82

735 4/6/85

736 5/15/78

737 2/14/79

738 5/28/60

739 7/3/65

740 7/7/71

741 5/12/68

742 3/18/71

743 11/26/82

744 2/17/83

745 12/15/75

746 11/18/81

747 5/16/66

748 1/8/73

749 4/13/66

750 8/7/69

751 5/28/73

752 4/1/71

753 4/22/78

754 7/15/79

755 7/4/67

756 5/21/77

757 1/10/86

758 2/19/83

759 3/23/78

760 4/19/80

761 11/3/79

762 7/6/79

763 4/15/87

764 1/1/52

765 4/1/81

766 10/17/78

767 4/17/82

768 3/4/81

769 8/26/64

770 10/18/73

771 1/29/80

772 2/5/82

773 12/6/77

774 12/10/68

775 5/8/68

776 10/10/75

777 10/8/64

778 11/27/73

779 4/27/68

780 5/22/73

781 12/19/65

782 1/13/82

783 5/6/70

784 1/3/70

785 1/3/78

786 12/18/66

787 7/16/74

788 12/25/81

789 11/2/80

790 12/19/81

791 1/27/83

792 8/18/85

793 2/18/86

794 5/26/82

795 12/11/83

796 9/11/75

797 1/18/85

798 12/11/81

799 8/25/85

800 10/4/82

801 11/23/86

802 7/27/62

803 8/24/60

804 11/2/73

805 03/06/957

806 5/31/67

807 10/28/74

808 11/10/64

809 8/1/77

810 9/25/72

811 9/7/82

812 5/17/77

813 4/22/78

814 9/26/59

815 9/12/70

816 10/25/72

817 5/17/67

818 6/8/77

819 3/15/64

820 4/15/66

821 12/1/62

822 5/8/83

823 9/15/78

824 4/22/74

825 8/25/81

826 9/2/81

827 2/12/76

828 9/20/74

829 5/30/68

830 5/4/75

831 1/13/78

832 1/14/71

833 7/23/71

834 1/30/78

835 3/16/76

836 2/1/78

837 2/25/84

838 7/4/78

839 11/13/68

840 9/7/83

841 11/29/82

842 12/12/63

843 2/1/55

844 2/4/60

845 10/25/61

846 2/1/71

847 2/9/54

848 5/11/54

849 12/24/59

850 10/22/60

851 7/29/65

852 11/8/67

853 12/4/68

854 6/9/75

855 9/20/79

856 2/18/54

857 2/26/59

858 01/17/1965

859 09/09/1966

860 05/04/1968

861 08/30/1975

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866 11/24/59

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