Questions_and_Answers.pdf

U.S. Embassy Belgrade, Serbia

Solicitation S-RB100-17-R-0005

Health insurance services for local employees of the U.S.

Embassy in Belgrade, Serbia

Questions & Answers

As of May 23, 2017

1. Question: Please confirm the Price tables in Section B include the employees listed under

Exhibit A, B & C. Section B2.3 lists number of employees as 320 (70+250) whereas employees listed in Section J adds up to 319 (308 + 7 + 4). Please clarify the discrepancy.

Answer: The number of employees in the pricing table is the number of currently enrolled employees rounded to the nearest number and represents an estimation of the number of employees who will enroll.

2. Question: Employee and spouse census that includes age. Date of Birth is NOT required, age is sufficient.

Answer: Please see the tables at the end of this document.

3. Question: Salary information is provided but not any other reference to requirement for life insurance, please confirm that you do not need life insurance?

Answer: No life insurance is required under this solicitation.

4. Question: Claims history for health Insurance for the current year and EACH of the last 5 years – 2016, 2015, 2014, 2013, 2012.

Answer: There are no data for 2012, the contract started in 2013, please see the tables at the end of this document.

5. Question: Premium history for health Insurance for the current year and EACH of the last 5 years - 2016, 2015, 2014, 2013, 2012.

Answer: There are no data for 2012, the contract started in 2013, please see the tables at the end of this document.

6. Question: Average insured member counts for EACH of the last 5 years - 2016, 2015, 2014, 2013, 2012.

7. Question: Advise if 2017 benefit schedule for health insurance is the same as the benefit schedule currently being requested under SRB10017R0005; and if not advise us on the differences.

Answer: Yes, the current benefit level is identical to the benefit level being requested under

SRB10017R0005.

8. Question: Are any major illnesses (Hemodynamics, Open Heart Surgery, Orthopedic Major

Surgeries, Organ Transplant, Traumatic Accident, Cancer and Oncology Cases) being treated? If

Yes, please provide number (we do not need the names or identification, we just need to know the total number of people hospitalized to assess the risk).

Answer: Yes, please see the tables at the end of this document.

9. Question: Are there any large losses (in excess of $10,000) within the last year to date?

Answer: Yes, please see the table at the end of this document.

10. Question: Are there any HIV/AIDs cases. If yes, please provide number.

Answer: No.

11. Question: When is this plan likely to commence?

Answer: We expect that services under the new contract will commence in July 2017 but a delay of up to three months is possible.

12. Question: Please provide the last three full years and the current partial year of loss data by year of account including:

a. three + years premium billed

b. three + years number of incurred claims

c. three + years amount of incurred claims

d. three + years total membership on the last day of the contract year. Membership is the total number of employees + spouses + dependents.

PREMIUMS & CLAIMS HISTORY

2017 2016 2015 2014 2013

Number Total EUR Number

Total

EUR

Number

Total

EUR

Number

Total

EUR

Number

Total

EUR

Claims history 2,744 39,681 13,957 248,830 13,395 248,691 10,624 173,544 11,535 230,161

Premium history x 97,756 x 196,441 x 156,885 x 172,978 x 105,855

Number of losses in excess of EUR

10,000

0 X 0 X 1 X 1 X 2 X

HIV/AIDs cases 0 X 0 X 0 X 0 X 0 X

Major illnesses treated* 11 X 65 X 51 X 22 X 10 X

Total Members 867 X 846 X 791 X 795 X 775 X

* Catastrophic cases presented last year, such as: Hemodynamics, Open Heart Surgery, Orthopedic Major Surgeries, Organ

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

Periods covered start January 7 and end on January 6 the next calendar year except for 2017 which ends on July 6. Data for 2017 include claims filed before May 1, 2017.

REGULAR EMPLOYEES

EMPLOYEES

Age (years) FEMALE MALE TOTAL

18-34 5 16 21

35-45 37 71 108

46-55 27 89 116

56-60 7 25 32

61-65 0 12 12

TOTAL 76 213 289

EMPLOYEE SPOUSES BY GENDER WITHIN AGE RANGES

18-34 14 0 14

35-45 87 19 106

46-55 49 16 65

56-65 21 2 23

66+ 0 0 0

TOTAL 171 37 208

DEPENDENT CHILDREN BY GENDER WITHIN AGE RANGES

0-10 78 68 146

11-18 47 69 116

19-22 (if a full time student) 26 25 51

TOTAL 151 162 313

STAFF ON RIDERS

18-34 0 3 3

35-45 2 4 6

46-55 2 1 3

56-60 1 0 1

61-65 1 0 1

TOTAL 6 8 14

RIDER

EMPLOYEE SPOUSES BY GENDER WITHIN AGE RANGES

Age (years) FEMALE MALE TOTAL

18-34 3 1 4

35-45 2 0 2

46-55 0 0 0

56-65 0 1 1

66+ 0 0 0

TOTAL 5 2 7

RIDER

DEPENDENT CHILDREN BY GENDER WITHIN AGE RANGES

Age (years) FEMALE MALE TOTAL

0-10 4 0 4

11-18 3 2 5

19-22 (if a full time student) 1 0 1

TOTAL 8 2 10