SF30-_A001_QUS_ANS-FOR_WEBSITE-SIGNED.pdf

SIN650-17-R-0033 A001

Block 14 (Continuation Page)

The purpose of this amendment is to correct Block 3 of SF33; “SOLICITATION NO.”;

to be read as;

1.) SOLICITATION NO. – SOLICITATION,OFFER AND AWARD of SF33 :

SOLICITATION NO. - SIN650-17-R-0033

2.) L.3.) SECTION L

INSTRUCTIONS, CONDITIONS AND NOTICES TO OFFERORS:

The purpose of this amendment is to correct Section L of paragraph L.3.;

“DELIVERY OF PROPOSALS AND EXCEPTIONS TO SOLICITATION”; to be read as;

L.3. DELIVERY OF PROPOSALS AND EXCEPTIONS TO SOLICITATION. The offeror shall submit the complete offer at newdelhibids@state.gov by 1700 hours on or before May 30, 2017. Any deviation, exceptions, or conditional assumptions taken with respect to any of the instructions or requirements of this solicitation shall be identified and explained/justified in the appropriate volume of the offer.

3.) The purpose of this amendment 0001 is to correct Section J attachment to the following:

From Exhibit A and Exhibit B:

SECTION J

LIST OF EXHIBITS/ATTACHMENTS

Exhibit A – USG EMPLOYEE STATISTICS

U.S. Embassy, India:

Estimated 1747employees.

To now read;

Exhibit A – USG EXMPLOYEES AND THEIR DEPENDENTS STATISTICS

MISSION INDIA EMPLOYEES INFORMATION –

AS OF APRIL 30, 2017

AGE (YEARS) FEMALE MALE TOTAL

20 – 34 91 256 347 mailto:newdelhibids@state.gov

35 – 40 129 232 361

41 – 45 71 274 345

46 – 55 96 432 528

56 – 60 22 149 171

TOTAL 409 1343 1752

MISSION INDIA EMPLOYEES SPOUSE

INFORMATION

20 – 34 254 31 285

35 – 45 554 138 692

46 – 55 361 109 470

56 – 60 27 23 50

61 - ABOVE 1 16 17

TOTAL 1197 317 1514

MISSION INDIA EMPLOYEES DEPENDENT

CHILDREN INFORMATION

0 – 10 357 354 711

11 – 20 589 613 1202

21 – 23 306 332 638

TOTAL 1252 1299 2551

Exhibit B - ORE EMPLOYEES RIDER

ORE EMPLOYEES INFORMATION – AS OF APRIL

30, 2017

20 – 34 0 7 7

35 – 45 4 6 10

46 – 55 2 6 8

56 – 60 1 4 5

61 – 63 0 1 1

TOTAL 7 24 31

ORE EMPLOYEES SPOUSE INFORMATION

20 – 34 7 0 7

35 – 45 7 2 9

46 – 55 6 1 7

56 – 60 1 0 1

61 – ABOVE 0 0 0

TOTAL 21 3 24

ORE EMPLOYEES DEPENDENT CHILDREN

INFORMATION

0 – 10 9 3 12

11 – 20 4 4 8

21 – 23 7 9 16

TOTAL 20 16 36

TABLE REPRESENTING PARENT’s AGE

Age ( years) Male Female Total

60-65 500 600 1100

65-75 400 500 900

75-85 350 450 800

85-95 80 120 20

Total 1330 1670 3000

--------------------------------------------END AMEND 001_----------------------------------------

ANNEXURE A

Questions and Answers

1. QUESTION - Please provide information by gender within age ranges on the employees of the group / ORE/ PARENTS or any other group to be included as a rider including their spouses and dependents. This is commonly provided and is not confidential and together with information about claims is the preliminary basis for any quotation of the cost of insurance.

ANSWER. See attachment 001 on the changes to Section J.

QUESTION 1.B) - Please provide information by gender within age ranges on PARENTS BY GENDER WITHIN AGE RANGES

ANSWER. See attachment 001 on the changes to Section J.

2. QUESTION - We note you have provided certain claims and premium information in your cover letter. Please tell us do these number related to

Health insurance, to life insurance or both?

Answer. - See paragraph B.1. “HEALTH INSURANCE SERVICES” from Section

B, of this solicitation. It indicates that the solicitation is only for Health

Insurance services.

QUESTION - Please provide the last three full years and the current partial year of loss data by year of account for health insurance and another table for life insurance including:

a. three + years premium paid

b. three + years number of incurred claims

c. three + years amount of incurred claims

d. three + years total membership on June 30. Member ship is the total number of employees + spouses+ dependents.

ANSWER. a), b), and c)– Please refer to the cover letter attached with the solicitation. The required information on last three full years and the current partial year of loss data by year of account for health insurance is provided in the cover letter. Since the requirement is for Health Insurance services, no table / information are required on Life insurance services.

ANSWER. – d) Please see answer of question 1 B) for information.

3. QUESTION - We would like to know if you have been informed of

Catastrophic cases presented last year, such as: Hemodynamics, Open

Heart Surgery, Orthopedic Mayor Surgeries, Organ Transplant, Traumatic

Accident, Cancer and Oncology Cases (Radio and Chemotherapy), and hospitalizations with more than 10 days.

ANSWER - Yes, we are always monitoring such cases where the hospitalization limit can be exhausted.

4. QUESTION - Does this solicitation number S-IN650-17-R-0033 contain requirements similar to the current contract?

ANSWER – Yes, this solicitation contains requirement similar to the current contract except paragraph B.1.1. Point 3- Issuance of Cashless Photo ID cards - and point 4 Cashless Hospitalization-GIPSA Clause under SECTION

B of this solicitation.

5. QUESTION - Have there been any claims in excess of $10,000 within the last year? If yes please indicate the number and amounts of such claims.

Answer – Please refer to paragraph C.1.1 EMPLOYEE AND DEPENDENT

HEALTH SERVICES BENEFITS under SECTION C, the annual limit for hospitalization as per the contract is Rs. 400,000/- approximately USD

6,000/-. Although post received some of the cases where employee claims exceeded $10,000 , the reimbursement was made for

Rs. 400,000/- approximately USD 6,000/- .

6. QUESTION - Are there dependent children to be covered who are studying outside the country? If yes please provide the country and number of dependent children studying there.

ANSWER - Please refer to paragraph C.1.3.2 Location of Employment under SECTION C of this solicitation, for the complete information.

7 QUESTION - Would the plan cover employees only or dependents as well?

ANSWER – Please refer to paragraph C.1.3 Eligible Participants under

SECTION C of this solicitation, for the complete information.

8. QUESTION - Are the employees currently covered? if so, which insurer and when is the renewal date?

ANSWER - Yes the employees and their eligible family members are covered. United India Insurance Corporation Limited is the present insurer

You can retrieve addition from information from the FOIA (Freedom of information by contacting the U. S. Department of State, Office of Global

Information Services (A/GIS), SA-2, Washington, D.C. 20522-8100

9. QUESTION - Would it be possible to receive claims information of the past 3 years?

ANSWER – Please refer to page 1 of cover letter of this solicitation for the complete information on claims of past 3 years.

10. QUESTION - Is there any specific requirements we should be aware of such as: payment terms, claims procedures, specific insurers we should not contact?

ANSWER – Please read the complete solicitation.

11. QUESTION - Complete census including gender and Dates of birth if possible.

ANSWER – Please refer to answer of question 1 A) and 1 B)

12 QUESTION - Total Premium paid at inception ( Excl. S Tax).

ANSWER – Please refer to page 1 of cover letter of this solicitation for the complete information on claims of past 3 years.

13 QUESTION - Clarification required on ORE Employees policy.

ANSWER – Please refer to paragraph C.1.3.3 - Participants Covered Under a Rider, under SECTION C of this solicitation, for the complete information

14 QUESTION - Medicines procured may be allopathic, ayurvedic, unani, homeopathy or any other form of treatment including those that suppress opportunistic infections, such as tuberculosis and toxoplasmosis for employees who have HIV/AIDS. --- Ayurvedic Treatment can be discuss to include subject to hospitalization in Government hospitals only but

HIV/AIDS cannot be included.

ANSWER - Please refer to paragraph C.1. - HEALTH INSURANCE SERVICES under SECTION C of this solicitation - The Contractor shall insure that health care under this contract does not exclude HIV/AIDS care, unless exclusion has been authorized by HR/OE/CMD

15 QUESTION - Since Parents are required to include on Voluntary basis as per

Tender. So can we impose capping?

ANSWER – See local prevailing practices for Group Medical Claims Policy in India and paragraph C.1.3.3. – Participants Covered Under a Rider, point C.1.3.3.2 under section C in the solicitation, for the complete information.

16 QUESTION – whether premium will be paid annually?

ANSWER – Please refer to paragraph G.4.2. Frequency of Payments, Section G of this solicitation, for the complete information.

17 QUESTIONS – what is the estimate number of spouse and their children ?

ANSWER – See attachment 001 on the changes to Section J.

18 QUESTION – what is the age band of employees?

ANSWER – See attachment 001 on the changes to Section J.

19 QUESTION – Coverage of dependent children (Out of India ) of employees based in India.

ANSWER – Please see answer of question 6; refer to paragraph C.1.3.2

Location of Employment under SECTION C of this solicitation, for the complete information

20 QUESTION – In your solicitation dental treatment is covered under

OPD/Domiciliary but at one place it is mentioned Dentures claim only due to injury?

ANSWER - Dental treatment is treated under OPD and dentures are not payable. In case of an accident the cost of dentures will also be covered.

21 QUESTION – Please apprise us whether you have taken any insurance policy for this coverage earlier. If Yes, please share with us the name of the company, TPA and what is the period of insurance ?

ANSWER – Refer to answer 8; Additional information can inquired from the

FOIA (Freedom of information by contacting the U. S. Department of

State, Office of Global Information Services (A/GIS), SA-2, Washington, D.C. 20522-8100

22 QUESTION – Please share claim paid amount in expiring policy for last 3 years for employee, spouse, their children and parents?

ANSWER - Please see answer of question 9 for claim paid. Parents are not eligible family members of the employee and so are not covered under the policy.

23 QUESTION – What is the room rent / ICU limit in expiring policy, limit of ambulance charges as per standard terms?

ANSWER - In the current policy there are no room rent/ICU or ambulance charge limits but in the current solicitation it will be paid as per the GIPSA packages.

24 QUESTION – What is covered in Domiciliary coverage?

ANSWER - Please refer to paragraph C.1.1 EMPLOYEE AND DEPENDENT

HEALTH SERVICES BENEFITS in the solicitation- Out-patient treatment is covered in domiciliary coverage.

25 QUESTION – Do you want to cover treatment for HIV/AIDS ?

ANSWER - Please see answer to question 12.

26 QUESTION – Whether this insurance contract is for 5 years ?

ANSWER - Please refer to paragraph F.2 – Period of performance, Section F in the solicitation. The RFQ indicates that the contract is for 5 years, base plus four one-year period options to renew.

27 QUESTION – Does domiciliary cover required for parents also ? if yes, then limit for Parents would be same as Rs.30,000.

ANSWER – Per local prevailing practice for Group Medical Claims policy in

India, no domiciliary coverage is provided.