Spreadsheet for Central Asia and Afghanistan GMC Insurance.xlsx

XLSX spreadsheet 31 KB Posted Dec 15, 2020

Attached to: Health Insurance for South Central Asia (SCA) Region Locally Employed Staff
Solicitation number: 19AQMM21R0015
Issued by: Department of State Office of Acquisition Management

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Other files

File	Type	Posted
Question Set 4.docx	DOCX document	Apr 28, 2021
19AQMM21R0015 - A0001 - add Exh B.1.pdf	PDF	Apr 19, 2021
19AQMM21R0015.pdf	PDF	Apr 7, 2021
Hospitals List.docx	DOCX document	Apr 7, 2021
Responses to Vendor Questions RFP 19AQMM21R0015 Set 2.xlsx	XLSX spreadsheet	Apr 1, 2021
Responses to Vendor Questions RFP 19AQMM21R0015.xlsx	XLSX spreadsheet	Mar 11, 2021
19AQMM21R0015 DRAFT RFP Central Asia and Afghanistan Global Medical Coverage Insurance.docx	DOCX document	Dec 15, 2020
DRAFT RFP Central Asia and Afghanistan Post Demographic Exhibits.docx	DOCX document	Dec 15, 2020

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Afghanistan B.2 Weekly Rates

AFGHANISTAN

B.2.3
Base Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	129		0
b. Self Plus One	30		0
c. Family (3 or more individual)	481		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.4
First Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	129		0
b. Self Plus One	30		0
c. Family (3 or more individual)	481		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.5
Second Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	129		0
b. Self Plus One	30		0
c. Family (3 or more individual)	481		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.6
Third Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	129		0
b. Self Plus One	30		0
c. Family (3 or more individual)	481		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.7
Fourth Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	129		0
b. Self Plus One	30		0
c. Family (3 or more individual)	481		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B 2.8
Grand Total of Base plus All Option Years

Base Year Total	0
First Option Year Total	0
Second Option Year Total	0
Third Option Year Total	0
Fourth Option Year Total	0

Grand Total of Base plus All Option Years 0

Turkmenistan B.2 Weekly Rates

TURKMENISTAN

B.2.3
Base Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	35		0
b. Self Plus One	45		0
c. Family (3 or more individual)	200		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.4
First Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	35		0
b. Self Plus One	45		0
c. Family (3 or more individual)	200		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.5
Second Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	35		0
b. Self Plus One	45		0
c. Family (3 or more individual)	200		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.6
Third Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	35		0
b. Self Plus One	45		0
c. Family (3 or more individual)	200		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.7
Fourth Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	35		0
b. Self Plus One	45		0
c. Family (3 or more individual)	200		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B 2.8
Grand Total of Base plus All Option Years

Base Year Total	0
First Option Year Total	0
Second Option Year Total	0
Third Option Year Total	0
Fourth Option Year Total	0

Grand Total of Base plus All Option Years 0

Tajikistan B.2 Weekly Rates

TAJIKISTAN
B.2.3
Base Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	20		0
b. Self Plus One	19		0
c. Family (3 or more individual)	302		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.4
First Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	20		0
b. Self Plus One	19		0
c. Family (3 or more individual)	302		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.5
Second Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	20		0
b. Self Plus One	19		0
c. Family (3 or more individual)	302		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.6
Third Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	20		0
b. Self Plus One	19		0
c. Family (3 or more individual)	302		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.7
Fourth Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	20		0
b. Self Plus One	19		0
c. Family (3 or more individual)	302		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B 2.8
Grand Total of Base plus All Option Years

Base Year Total	0
First Option Year Total	0
Second Option Year Total	0
Third Option Year Total	0
Fourth Option Year Total	0

Grand Total of Base plus All Option Years 0

Uzbekistan B.2 Weekly Rates

UZBEKISTAN

B.2.3
Base Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	37		0
b. Self Plus One	14		0
c. Family (3 or more individual)	266		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.4
First Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	37		0
b. Self Plus One	14		0
c. Family (3 or more individual)	266		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.5
Second Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	37		0
b. Self Plus One	14		0
c. Family (3 or more individual)	266		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.6
Third Option Year of Contract
	Bi-Weekly Rates Per Premium
Category		Rate per Premium	Extended Bi-Weekly Total
a. Self	37		0
b. Self Plus One	14		0
c. Family (3 or more individual)	266		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.7
Fourth Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	37		0
b. Self Plus One	14		0
c. Family (3 or more individual)	266		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B 2.8
Grand Total of Base plus All Option Years

Base Year Total	0
First Option Year Total	0
Second Option Year Total	0
Third Option Year Total	0
Fourth Option Year Total	0

Grand Total of Base plus All Option Years 0

Kyrgyzstan B.2 Weekly Rates

KYRGYZSTAN

B.2.3
Base Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	72		0
b. Self Plus One	45		0
c. Family (3 or more individual)	172		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.4
First Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	72		0
b. Self Plus One	45		0
c. Family (3 or more individual)	172		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.5
Second Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	72		0
b. Self Plus One	45		0
c. Family (3 or more individual)	172		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.6
Third Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	72		0
b. Self Plus One	45		0
c. Family (3 or more individual)	172		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.7
Fourth Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	72		0
b. Self Plus One	45		0
c. Family (3 or more individual)	172		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B 2.8
Grand Total of Base plus All Option Years

Base Year Total	0
First Option Year Total	0
Second Option Year Total	0
Third Option Year Total	0
Fourth Option Year Total	0

Grand Total of Base plus All Option Years 0

Kazakhstan B.2 Weekly Rates

KAZAKHSTAN

B.2.3
Base Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	135		0
b. Self Plus One	133		0
c. Family (3 or more individual)	270		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.4
First Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	135		0
b. Self Plus One	133		0
c. Family (3 or more individual)	270		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.5
Second Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	135		0
b. Self Plus One	133		0
c. Family (3 or more individual)	270		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.6
Third Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	135		0
b. Self Plus One	133		0
c. Family (3 or more individual)	270		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B.2.7
Fourth Option Year of Contract
	Bi-Weekly Rates Per Premium
Category	Estimated Number of Premiums*	Rate per Premium	Extended Bi-Weekly Total
a. Self	135		0
b. Self Plus One	133		0
c. Family (3 or more individual)	270		0
d. Subtotal			0
Total Price for Base Year (d x 26)**			0
*estimated number of premiums does not include any Riders (B.1.1)
**does not include any premiums for Riders.
B 2.8
Grand Total of Base plus All Option Years

Base Year Total	0
First Option Year Total	0
Second Option Year Total	0
Third Option Year Total	0
Fourth Option Year Total	0

Grand Total of Base plus All Option Years 0

Sheet1

File details come from the government source that posted it. Updated Dec 15, 2020.