Final_LES_Insurance.pdf

SOLICITATION, OFFER AND AWARD 1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)

RATING PAGE OF PAGES

1 /68

2. CONTRACT (Proc. Inst. Ident.) NO.

3. SOLICITATION NO.

SSN100-16-R-0002

4. TYPE OF SOLICITATION

[ ] SEALED BID (IFB)

[x] NEGOTIATED (RFP)

5. DATE ISSUED

June 3, 2016

6. REQUISITION/PURCHASE NO.

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than item 7) General Services Office American Embassy 27 Napier Road, Singapore 258508

Phone: Fax:

The Contracting Officer American Embassy 27 Napier Road, Singapore 258508

NOTE: In sealed bid solicitation "offer" and "offeror” mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and see Section L copies for furnishing the supplies or services in the Schedule will be received at the place specified, in the depository located in 27 Napier Road, Singapore 258508 until July 8, 2016 local time 1630hrs .

(date) (hour) CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L. Provision No. 52.215-1. All offers are subject to all items and conditions contained in this solicitation.

10. FOR

INFORMATION CALL:

A. NAME

ERIC G. FLAXMAN

B. TELEPHONE (NO COLLECT CALLS)

(65) 6476-9108

(65) 6476-9304

C. E-MAIL ADDRESS

FlaxmanEG@state.gov

11. TABLE OF CONTENTS

() SEC. DESCRIPTION PAGE(S) () SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

A SOLICITATION/CONTRACT FORM 1 I CONTRACT CLAUSES 35-45

B SUPPLIES OR SERVICE AND PRICES/COSTS 2- PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH.

C DESCRIPTION/SPECS/WORK STATEMENT 14-24 J LIST OF ATTACHMENTS 45

D PACKAGING AND MARKETING 25 PART IV - REPRESENTATIONS AND INSTRUCTIONS

E INSPECTION AND ACCEPTANCE 26-27 K REPRESENTATIONS, CERTIFICATIONS, AND 46-57

F DELIVERIES OR PERFORMANCE 28 OTHER STATEMENTS OF OFFERORS

G CONTRACT ADMINISTRATION 29-30 L INSTRS., COND., AND NOTICES TO OFFERORS 58-65

H SPECIAL CONTRACT REQUIREMENTS 31-34 M EVALUATION FACTORS FOR AWARD 66-68

OFFER (Must be fully completed by offeror) NOTE: ITEM 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (120 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See section I, Clause No 52.232-8)

10 CALENDAR DAYS

20 CALENDAR DAYS

30 CALENDAR DAYS

CALENDAR DAYS

14. ACKNOWLEDGMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the solicitation and related documents ) numbered and dated:

15A. NAME CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED

AND

ADDRESS

OF

OFFEROR

TO SIGN OFFER (Type or print)

15B. TELEPHONE NO. (Include area code)

15C. CHECK IF REMITTANCE ADDRESS [ ] IS

DIFFERENT FROM ABOVE - ENTER SUCH

ADDRESS

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEM NUMBERED

20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

[ ] 10 U.S.C. 2304(c)( ) [ ] 41 U.S.C. 253(c)( )

23. SUBMIT INVOICES TO ADDRESS SHOWN

IN

(4 copies unless otherwise specified)

ITEM

24. ADMINISTRATION BY (If other than Item 7)

CODE

25. PAYMENT WILL BE MADE BY CODE

26. NAME OF CONTRACTING OFFICER (Type or print)

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

IMPORTANT - Award will be made on this form, or on the Standard Form 26, or by other authorized official written notice.

NSN 7540-01-152-8064 STANDARD FORM 33 (REV 9-97)

PREVIOUS EDITION NOT USABLE Prescribed by GSA

SOLICITATION No. SSN100-16-R-0002

SECTION B

PART I: PRICE - HEALTH INSURANCE

B.1. HEALTH INSURANCE SERVICES

The Contractor shall provide the Health Insurance services to employees of the Government of the United States of America in Singapore as described in Section C and the Exhibits in Section J. The groups of employees who shall be provided this insurance are listed in C.1.3 (medical) and C.2.3 (life). This insurance shall be provided in accordance with Section C and the Exhibits in Section J.

B.1.1. Official Residence Expense (ORE) Staff are included under this contract only as a rider;

the Contractor shall bill the Chief of Mission and Deputy Chief of Mission (for ORE Staff), and the Embassy Association (for EAEs) at the rates specified below. See Section G for billing procedures.

B.2. PRICES

B.2.1 GOODS AND SERVICES TAX (GST).

The Contractor shall include GST as a separate charge on the Invoice and as a separate line item in Section B for each year of performance. Seven percent (7% GST) shall be applied if the Contractor is GST registered, and this amount must be included as a separate line item within the invoice consistent with the Section G, invoicing requirements. If the Contractor is not GST registered, the GST dollar amount shall be “$0”and each invoice shall include a “$0” for GST

U.S. Firms. U.S. firms are eligible to be paid in U.S. dollars. U.S. firms desiring to be paid in U.S.

dollars should submit their offer in U.S. dollars and clearly identify they are proposing in US dollars. A U.S. firm is defined as a company which operates as a corporation incorporated under the laws of a state within the United States.

Foreign Firms. Any firm, which is not a U.S. firm, is a foreign firm. Any firm that does not meet the above definition of U.S. firm shall submit its prices and receive payment in local currency. Each Offeror shall state the currency (local currency or US$), and foreign firms may only submit in local currency.

The Contractor shall be paid in the currency that is stated in this section. Also, see Section M, FAR

52.225-17 EVALUATION OF FOREIGN CURRENCY OFFERS (FEB 2000).

B.2.2 This is a fixed price with economic price adjustment requirements type contract under which will be issued firm, fixed-price task orders. Other than allowable price adjustments under B.4., the contract price cannot be adjusted on account of fluctuations in the currency exchange rate. Nor will the contract price be adjusted on account of fluctuations in the currency exchange rate. The fixed prices/premium rates for the health insurance services as specified in Section C are as follows:

Prices quoted below are in __________________(currency)

B.2.3. Base Year of Contract

Semi Annual Rates per Plan

Category/Plan

Estimated Number of Plan

Rate per Plan

Semi annual Total

a. Single Employees ( Self Only) 35

b. Employee + spouse or child 32

c. Family Plan (Employee+spouse + children) 51

d. Subtotal (a + b + c)

e. GST (7%) for d

f. Total Price for Base Year ([d+e]x2)

B.2.4. First Option Year

c. Family Plan (Employee+spouse + children) 51

d. Subtotal (a + b + c)

e. GST (7%) for d

f. Total Price for First Option Year ([d+e]x2)

B.2.5. Second Option Year

c. Family Plan (Employee+spouse + children) 51

d. Subtotal (a + b + c)

e. GST (7%) of d

f. Total Price for Second Option Year ([d+e]x2)

B.2.6. Third Option Year

Semi-annual

c. Family Plan (Employee+spouse + children) 51

d. Subtotal (a + b + c)

f. Total Price for Third Option Year ([d+e]x2)

B.2.7. Fourth Option Year

Category

Semi-annual

c. Family Plan (Employee + spouse + children) 51

d. Subtotal (a + b + c)

f. Total Price for Fourth Option Year ([d+e]x2)

B.2.8. Grand Total of Base and All Option Years

Base Year Total

First Option Year

Second Option Year

Third Option Year

Fourth Option Year

Grand Total of Base and All Option Years

B.3 ADMINISTRATIVE RETENTION AMOUNTS

B.3.1 If the Contractor requests a price adjustment under B.4 below, the Contractor must present cost experience data that includes the retention amount. For purposes of any economic price adjustment, this retention amount is a fixed amount that is a part of the premium amounts in B.2. This retention amount will not be adjusted for any reason.

The retention amount is part of the premium and may include, but not be limited to, such costs as overhead and general and administrative costs. It will also include any profit. Essentially, it includes all costs except the actual portion of the premium intended to fund claims paid to the health care provider/claimant. B.3.2 sets forth the retention amounts per premium paid for each category of premium and for each period of performance.

NOTE TO OFFEROR: Fill in the fixed semi annual retention amounts for each period of performance and for each category of premium. This fixed amount must be expressed in the currency in which the premium amount is proposed. The fixed retention amount shall NOT be expressed in terms of a percentage of the premium.

B.3.2.1 Semi Annual Retention Amounts per separate plan for single employee, employee+spouse and family plan.

Period of Performance Single Employees

Plan Employee + spouse Plan

Family Plan

Base Period

First Option Year

Second Option Year

B.4. ECONOMIC PRICE ADJUSTMENT-HEALTH INSURANCE PREMIUMS

B.4.1. Premium Adjustment Based on Experience - For health insurance, prices may be adjusted upward or downward based on the experience rating of the Mission(s) covered by this contract, and it specifically excludes all riders in B.1.1. No adjustment will be allowed during the first twelve months. After such time, the Contractor or the Government may request an adjustment in premiums on an annual basis. Adjustments are not retroactive to previous contract terms. Before any such adjustment is made, the Contractor agrees to provide the Government a balance sheet showing three main components for the time period: (1) receipts (premiums received) minus the retention amount, (2) number of insurance plans and (3) claims paid. This information shall be provided per type of premium, ie per line item. The retention amount is not subject to adjustment. The Government reserves the right to have an independent third party review the balance sheet and claims and make recommendations regarding the appropriateness of the requested adjustment. Any adjustment shall be subject to mutual agreement of the parties and shall result in a written modification to the contract. Mutually agreed to adjustments shall be effective thirty days after complete information is received by the Government. Any failure to reach agreement under this clause shall be subject to the procedures in the Disputes clause.

B.4.2. Premium Adjustment Based on Laws - The rates may also be adjusted during the performance period of the contract as a result of laws enacted by the host Government, if such change in the laws has a direct impact on the cost to the Contractor to perform this contract at the contracted rate. In that event, the Contracting Officer may enter into negotiations with the Contractor to modify the contract to adjust the premium rate. The Contractor agrees to provide all documentation necessary to support any requested adjustment.

B.4.2.1 Employee Pool – This clause is only in effect if the Contractor included details in its offer regarding a pooling arrangement, of which this contract is a part.

Before any adjustment is made under this price adjustment clause, the Contractor must include in its proposal for adjustment, details setting forth how the pool impacts the request for equitable adjustment.

PART II: PRICE - GROUP LIFE INSURANCE

B.5. GROUP LIFE INSURANCE SERVICES

The Contractor shall provide the Group Life Insurance services described herein to employees of the Government of the United States of America in Singapore. The groups of employees who shall be provided this insurance are listed in C.2.3. This insurance shall be provided in accordance with Section C and the Exhibits in Section J.

B.5.1. Official Residence Expense (ORE) Staff are included under this contract only as a rider;

the Contractor shall bill the Chief of Mission and Deputy Chief of Mission (for ORE Staff), separately, at the rates specified below. See Section G for billing procedures.

B.6. GROUP LIFE INSURANCE RATES

This is a fixed-price with economic-price-adjustment-requirements type contract under which the Government will issue firm-fixed price task orders. Other than allowable price adjustments under B.8., the contract price cannot be adjusted on account of fluctuations in the currency exchange rate. The fixed prices/premium rates Singapore Dollars per one thousand of salary to provide life insurance, accidental death and dismemberment and partial and total disability coverage are as follows:

Prices quoted below are in __________________(currency)

B.6.1. Base Year of Contract Type of Insurance Annual Sum

Assured (S$) Semi-annual Premium rate (per $1,000)

Semi-Annual Premium

a. Basic Life Coverage:

36 months 20,420,424.00

b. Accidental Death & dismemberment Coverage:

37 months

20,987,658.00

c. Total Disability Coverage 42 months

23,823,828.00

d. Partial Disability Coverage 32 months

18,151,488.00

e. GST (7% for c and d)

f. Semi annual total for Base Year (a+b+c+d+e)

g. Total for Base Year (f x 2)

B.6.2. First Option Year of Contract

Assured (S$)

Semi-annual Premium rate (per $1,000)

Semi-Annual Premium

a. Basic Life Coverage:

36 months 20,420,424.00

b. Accidental Death & dismemberment Coverage:

Year (a+b+c+d+e)

g. Total for Second Option Year (f x 2)

B.6.3. Second Option Year of Contract

Assured (S$) Semi-annual Premium rate (per $1,000)

Semi-Annual Premium

a. Basic Life Coverage:

36 months 20,420,424.00

b. Accidental Death & dismemberment Coverage:

Year (a+b+c+d+e)

g. Total for First Option Year (f x 2)

B.6.4. Third Option Year of Contract

Assured (S$) Semi-annual Premium rate (per $1,000)

Semi-Annual Premium

a. Basic Life Coverage:

36 months 20,420,424.00

b. Accidental Death & dismemberment Coverage:

Year (a+b+c+d+e)

g. Total for Third Option

B.6.5. Fourth Option Year of Contract

Assured (S$)

Semi-annual Premium rate (per $1,000)

Semi-Annual Premium

a. Basic Life Coverage:

36 months 20,420,424.00

b. Accidental Death & dismemberment Coverage:

Year (a+b+c+d+e)

g. Total for Fourth Option

B.6.6. Grand Total of Base and All Option Years (currency)

Base Year Total

First Option Year

Second Option Year

Grand Total of Base and All Option Years

B.7 ADMINISTRATIVE RETENTION AMOUNTS

B.7.1 If the Contractor requests a price adjustment under B.8 below, the Contractor must present cost experience data that includes the retention amount. For purposes of any economic price adjustment, this retention amount is a fixed amount that is a part of the premium amounts in B.6. This retention amount will not be adjusted for any reason.

The retention amount is part of the premium and may include, but not be limited to, such costs as overhead and general and administrative costs. It will also include any profit. Essentially, it includes all costs except the actual portion of the premium intended to fund claims paid to the claimant.

B.7.2. sets forth the retention amounts per premium paid for Basic Life and Accidental Death and Dismemberment, Partial and Total Disability Coverage for each period of performance.

NOTE TO OFFEROR: Fill in the fixed retention amounts for each period of performance and for each category of premium. This fixed amount must be expressed in the currency in which the premium amount is proposed. The fixed retention amount shall NOT be expressed in terms of a percentage of the premium.

B.7.2 Retention Amounts per Separate Premium Paid per S$1,000 of annual assured sum:

Period of Performance

Basic Life

Accidental Death and

Dismemberment

Total Disability Coverage

Partial Disability Coverage

Base Period

First Option Year

Second Option Year

B.8 ECONOMIC PRICE ADJUSTMENT (EPA)-LIFE INSURANCE PREMIUMS

B.8.1. Premium Adjustment Based on Experience: For life insurance, prices may be adjusted upward or downward based on the experience rating of the Mission(s) covered by this contract, .

and it specifically excludes all riders in B.1.1. No adjustment will be allowed during the first twelve months. After such time, the Contractor or the Government may request an adjustment in premiums on an annual basis. Adjustments are not retroactive to previous contract terms. Before any such adjustment is made, the Contractor agrees to provide the Government a balance sheet showing three main components for the time period: (1) receipts (premiums received) minus the retention amount, (2) number of insurance plans and (3) claims paid. The information shall be provided per type of premium, ie per line item. The retention amount is not subject to adjustment. The Government reserves the right to select an independent third party to review the balance sheet and claims and make recommendations regarding the appropriateness of the requested adjustment. Any adjustment shall be subject to mutual agreement of the parties and shall result in a written modification to the contract. Mutually agreed to adjustments shall be effective thirty days after complete information is received by the Government. Any failure to reach agreement under this clause shall be subject to the procedures in the Disputes clause.

B.8.2. Premium Adjustment Based on Law: The rates may also be adjusted during the performance period of the contract as a result of laws enacted by the host Government, if such change in the laws has a direct impact on the cost to the Contractor to perform this contract at the rate contracted for herein. In that event, the Contracting Officer may enter into negotiations with the Contractor to modify the contract to adjust the premium rate. The Contractor agrees to provide all documentation necessary to support any requested adjustment.

SECTION C

DESCRIPTION/SPECIFICATION/WORK STATEMENT

PART I - HEALTH INSURANCE

C.1. HEALTH INSURANCE SERVICES

The Government of the United States of America requires Health Insurance coverage for its employees as further described in C.1.2 in Singapore. The Government has determined that the prevailing practice by employers in Singapore is to provide for their employees health insurance protection and that the cost of such insurance protection is usually borne 100% by the U.S.

Government. Health insurance protection will be representative of locally prevailing compensation practice as further described in C.1.2. The specific health benefit coverage under this contract is set forth in Section C and the Exhibits in Section J.

C.1.1 Employee and Dependent Health Services Benefits

The Contractor shall reimburse covered medical expenses incurred, subject to the stated limits in this section. Payment will be made for reasonable and customary expenses of covered benefits.

The medical treatment must be prescribed or provided by a physician or nurse licensed in Singapore. Coverage of expenses (or reimbursement of claims to employees) shall be made in Singapore Dollars (S$) only.

Proposals that contain more benefits (even if there is no increase in cost) or fewer benefits than stated in the solicitation may be deemed technically unacceptable.

C.1.1.1. In-patient Hospitalization

(1) 100% coverage of daily Room & Board expenses for a ward room or semi-private room Maximum Daily S$300 Number of Days Per Illness 120 days

(2) 100% coverage of Room and Board expenses for a private room, not to exceed 100% of the cost of a semi-private room.

Maximum Daily S$300 Number of Days Per Illness 120 days

(3) 100% of hospital medical expenses (for lab tests, x-rays, operating room expenses, medicines & other hospital services):

Maximum Per Illness S$ 5,000

(4) 100% of Intensive Care Unit:

Maximum Per Illness S$10,000 Maximum Number of Days Per Illness 60 days

(5) 100% Doctors' Fees while hospitalized:

Per Day Per Illness S$100 Maximum Number of Days Per Illness 90 days

(6) 100% coverage of surgeon’s Fees while hospitalized

Per Illness S$ 7,100

(7) Maternity Expenses when hospitalized:

Normal Delivery S$ 1,300 Caesarean Delivery S$ 1,700 Miscarriage S$ 1,000

C.1.1.2 Professional Services and Treatment:

(1) 100% coverage of doctors’ and surgeons’ Fees at a hospital on an outpatient basis Per Illness S$900

(2) 100% coverage of Outpatient Specialist Consultation Per Year S$1,000

(3) 100% coverage of Outpatient Diagnostics and Laboratory Tests Per Year S$1,000

(4) 100% of Government Polyclinics Maximum Per Illness S$1,000

(5) 100% of Outpatient Private (General Practitioner) Clinics Maximum Per visit S$900

(6) 100% coverage of Pre- and Post-Hospitalization Surgical Specialist Consultations and Diagnostic/Laboratory Tests Maximum Per Illness S$ 1,900

(7) 100% coverage of Emergency Out-Patient Treatment Maximum Per visit S$ 2,500

(8) 100% coverage of routine Annual Physical Examination Employee Only Per Year S$ 250

C.1.1.3. Prescription Drugs and Medicines: 100% coverage of expenses when hospitalized, and 100% coverage of expenses with a maximum of S$900 per illness when not hospitalized, of the cost of medicines and drugs for which a prescription is legally required.

Expenses incurred for medicines, vitamins, cold remedies, etc., that are available over the counter without a prescription will not be reimbursed even if prescribed by a physician.

C.1.1.4 [ RESERVED ]

C.1.1.5 Obstetrical Care: Obstetrical care is not a covered expense

C.1.1.6 Family Planning: Family Planning is not a covered expense

C.1.1.7 Hearing Aids: Hearing aids and related examinations are not covered.

C.1.1.8 Optical Care: Optical care is not a covered expense including eye examination and treatment, prescription eyeglass or contact lenses, eyeglass frames, nonprescription lenses or tinting.

C.1.1.9 Dental Care: 100% coverage of expenses with a maximum of S$300 for dental services including dentists' fees, x-rays, examination and treatment, cleaning, fillings, extractions, false teeth, crowns, and bridges. Orthodontia treatment is not covered expense.

C.1.1.10 Psychiatric Treatment. Psychiatric treatment is not a covered expense.

C.1.1.11 Physical Therapy: 100% coverage of physical therapy with a maximum of S$700 per year.

C.1.1.12 Medical Expenses Incurred Out of Country. Medical expenses incurred out of country is not a covered expense.

C.1.1.13 Transportation for Out of Country Treatment. Transportation for out of country is not a covered expense.

C.1.1.14 HIV/AIDS. Coverage for HIV/AIDS acquired by any means including medications to suppress opportunistic infections for employees who have HIV/AIDS is not a covered expense.

C.1.1.15 Annual Maximum Limit - The maximum annual reimbursement per patient contract year is S$68,000 per patient per contract year.

C.1.2 Health Benefits Conditions and Limitations

There is no reimbursement for elective cosmetic surgery; spa cures; rejuvenation cures; massage;

exercise therapy; long term rehabilitative therapy; eyeglass frames; non-medical hospital charges such as telephones or television; home help, family help, or similar household assistance; fees of persons who are not licensed physicians or nurses; or services or supplies which have not been prescribed or approved by a physician or nurse.

There is no reimbursement for expenses that will be reimbursed or paid directly under a host country medical program or workers' compensation program; the U.S. workers’ compensation program; or post’s LES workers’ compensation program.

There is no reimbursement for expenses related to an illness or injury that is a result of an unlawful action on the part of the patient; the practice of a dangerous sport; excessive or illegal use of alcohol or drugs; a self-inflicted wound; or service in the armed forces of any country.

No coverage of will be made for expenses incurred after an employee leaves the service of the U.S. Embassy.

There is no reimbursement for medical expenses incurred outside of the Republic of Singapore.

There is no reimbursement for round trip transportation expenses to travel out of country for medical treatment.

C.1.3 Eligible Participants

C.1.3.1 Eligible Employees - The employees eligible for the health insurance services include the following:

C.1.3.1.1 All current active employees of the United States Government, employed within the geographic boundaries of the Republic of Singapore paid under the Local Compensation Plan, and certified by the Contracting Officer. Covered employees include

C.1.3.1.2. Foreign Service Nationals (FSNs) working on full time or part-time basis under non-temporary direct hire appointments, Personal Services Agreements (PSAs) and Personal Services Contracts (PSCs) and paid under the terms of the Local compensation plan;

C.1.3.1.3. Locally hired U.S. citizens employed under direct hire appointments, PSAs, and PSCs.

C.1.3.2 Location of Employment

The individuals covered by C.1.3.1 must be employed within the geographic boundaries of Singapore by the following agencies:

1. Department of State (DOS),

2. U.S. Commercial Service (USCS),

3. Department of Homeland Security - Immigration & Customs Enforcement (ICE), Customs & Border Protection (CBP), Container Security Initiative (CSI).

4. Federal Aviation Administration (FAA)

5. Office of Defense Cooperation (ODC),

6. Defense Threat Reduction Agency (DTRA)

7. Defense Attache Office (DAO),

8. Agricultural Affairs Office (AAO)

9. Transport Security Administration (TSA)

10. Department of Treasury

11. Naval Medical Research Center – Asia (NMRC-A)

12. Any agency that employs Locally Employed Staff employees who fall under the eligibility definition of C.1.3.

C.1.3.3 Participants Covered Under a Rider

C.1.3.3.1 All current active employees of the Chief of Mission and the Deputy Chief of Mission assigned to their respective official Government residences and paid under an ORE account (see separate rider, Exhibit B). All costs for ORE employees are the responsibility of the employing officer, not the U.S. Government.

C.1.3.3.2 [ RESERVED ]

C.1.4 Individuals Not Eligible for Coverage

Not eligible are those working under temporary appointments; those working under a PSC or PSA that is time limited to less than one year; non-personal services contract personnel and their employees, supplied by an independent contractor licensed to do business in Singapore who provides services to other local organizations as well as to the U.S. Mission; employees of USAID institutional contractors; Peace Corps personal services contractors as indicated in MS 743; and Recreation Association employees.

C.1.5 Other Eligible Participants

Covered dependents include the participating employee’s spouse and children.

A limit of one legal spouse per employee is covered.

An eligible child is defined as the employee’s natural child, adopted child, stepchild, or foster child. An eligible child will be covered until the end of the contract year in which the child turns age 25 if he/she is unmarried and economically dependent and primarily resides with the employee unless away at school.

There is no age limit for an eligible child who is physically or mentally handicapped so as to be unable to live independently. There is no limit on the number of children covered per employee.

Parents, grandparents, siblings, and other relatives are not eligible dependents.

C.1.6. Eligibility

C.1.6.1. Term of Eligibility and Effective Date

Each current active eligible employee is enrolled for health benefits under this contract upon award and thereafter during the performance period of this contract. Each new eligible employee will be enrolled upon entering on duty with the United States Government. An employee is considered active ("on the rolls") whenever such employee is on approved leave, whether paid or unpaid.

During a period of Leave Without Pay (LWP) or unpaid leave that is one pay period or less, coverage under the insurance contract will continue. The Government will pay the total premium cost to the Contractor. The employee’s share of the premium will be collected through payroll deduction in that or the subsequent pay period.

C.1.6.2. Period of Ineligibility

Employees and their dependents are not entitled to health benefits during any period of employment for which premiums are not paid.

Additionally, employee's dependents are not entitled to health benefits during any period of employment during which the employee was not eligible to participate.

During a period of extended (beyond one pay period) of Leave Without Pay (LWP) or unpaid leave, the employee is responsible for the full cost of the insurance premiums for self and dependents. The Mission will pay the premiums directly to the Contractor, and will collect the full cost from the employee on a quarterly basis. Alternatively, the employee may elect to have coverage cease if that employee prefers not to pay the premium.

C.1.7. BROCHURE REQUIREMENT

C.1.7.1. The Contractor shall provide a document (brochure/pamphlet/other written document) in English that sets forth a complete listing of the health insurance benefits to be provided under this contract. This brochure shall be provided in sufficient quantities so that each covered employee receives a copy. The Contractor shall furnish all copies of the brochures to the COR, who will ensure that appropriate distribution is made.

C.1.7.2. The Contractor shall provide the document described in C.1.7.1 to the COR not later than 14 days after date of contract award.

C.1.7.3. The Contractor assumes full responsibility for ensuring that the document described in C.1.7.1 accurately reflects the requirements of the contract, as implemented by the Contractor’s technical proposal. In all cases, the contract shall take precedence. Should the COR discover that the brochure contains inaccuracies, the Contractor will be notified in writing;

however, failure on the part of the Government to notice any inaccuracies shall in no way limit, revise or otherwise affect the requirement under this contract for the Contractor to fully comply with all contract terms.

PART II: GROUP LIFE INSURANCE

C.2.0 GROUP LIFE INSURANCE

The Government of the United States of America requires group life insurance coverage for its employees, as further described in C.2.2, in Singapore. The Government has determined that the prevailing practice by employers in Singapore is that group life insurance coverage is representative of locally prevailing compensation practice and that the cost of such insurance protection is usually borne 100% by the employer . Therefore, the Government desires to adopt such locally prevailing practice as part of its compensation plan for its employees as further described in C.2.2. The specific group insurance coverage under this contract is set forth in this part of Section C and the Attachments in Section J.

C.2.1. Group Life Insurance Coverage

The amount of group life insurance coverage is as follows and is applicable 24 hours a day:

C.2.1.1 Amount of Employee Life Insurance.

The following benefit will be paid to the employee’s named beneficiaries or estate upon the death of the employee:

• Natural Death: 36 times of last earned monthly basic salary with a maximum of S$2.0 M.

C.2.1.2 Amount of Accidental Death and Dismemberment Coverage.

The employee's estate or employee will receive an amount equal as follows, in addition to the life insurance benefit in C.2.1.1, in the event the employee is killed in an accident.

• Accidental or work related death/disability: 37 times of last earned monthly basic salary with a maximum of S$2.0 M.

C.2.1.3 Partial and Total Disability Coverage

(1) Disability Benefit (Total disability): 42 times of last earned monthly basic salary with a maximum of S$2.0M

(2) Disability Benefit (Partial disability): 32 times of last earned monthly basic salary with a maximum of S$1.7M

C.2.2 Life Insurance Benefits Conditions and Limitations

Conditions and limitations on the entitlement to life insurance benefits under this contract are as follows:

No benefits shall be payable if an employee's death or other insurance event was caused directly or indirectly by war. War shall be defined as declared or non-declared war or any martial operations or invasion, hostile acts of foreign powers, rebellion, riot, civil war, uprising, mutiny, operations by military or usurpatory authorities, martial law or state of siege or any other similar event or reason for declaring martial law or war. A terrorist attack shall not be considered war.

No benefit shall be payable under this contract if the employee's bodily injuries have been caused directly or indirectly and totally or partially by:

1. violating the law or in resisting detention or arrest,

2. participation in competitions involving the use of wheeled vehicles, horses, boats or water skis,

3. an accident resulting from the employee being under the influence of alcohol, drugs or other toxic substance unless administered by a physician. Death as a result of a disease or physical or mental infirmities and medical or surgical treatment thereof (except pyogenic infection due to an accidental cut or wound) shall be considered a natural and not an accidental death.

C.2.3. Eligible Participants

C.2.3.1 Eligible Employees. The employees eligible for the group life insurance coverage include the following:

C.2.3.1.1 All current active employees of the United States Government, employed within the geographic boundaries of Singapore, paid under the Local Compensation Plan, and certified by the Contracting Officer. Covered employees include:

C.2.3.1.2. Foreign Service Nationals (FSNs) employed under direct hire appointments, Personal Services Agreements (PSAs) and Personal Services Contracts (PSCs);

C.2.3.1.3. Locally hired U.S. citizens employed under direct hire appointments, PSAs, and PSCs.

C.2.3.2 Location of Employment

C.2.3.2 The individuals covered by C.2.3.1 must be employed within the geographic boundaries of Singapore by:

1. Department of State (DOS),

2. U.S. Commercial Service (USCS),

3. Department of Homeland Security - Immigration & Customs Enforcement (ICE), Customs & Border Protection (CBP), Container Security Initiative (CSI).

4. Federal Aviation Administration (FAA)

5. Office of Defense Cooperation (ODC),

6. Drug Enforcement Agency (DEA),

7. Defense Attache Office (DAO),

8. Agricultural Affairs Office (AAO)

9. Transport Security Administration (TSA)

10. Department of Treasury

11. Naval Medical Research Center – Asia (NMRC-A)

12. Any agency that employs Locally Employed staff employees who fall under the eligibility definition of C.2.3.

C.2.3.3 Participants Covered Under a Rider

C.2.3.3.1 All current active employees of the Chief of Mission and the

Deputy Chief of Mission assigned to their respective official Government residences and paid under an ORE account (see separate rider, Exhibit B). All costs for ORE employees are the responsibility of the employing officer, not the U.S. Government.

C.2.3.3.2 [ RESERVED ]

C.2.4 Individuals Not Eligible for Coverage

C.2.4.1. New employees who have reached the age of 70 years old prior to entering on duty with the U.S. Government will not be eligible for life insurance coverage.

C.2.4.2 Individuals not eligible for coverage under this contract are nonpersonal services contract personnel; employees working on a temporary basis; employees with an intermittent, seasonal, or WAE (when actually employed) schedule; and any other individual not falling within one of the categories of employees described in this clause.

C.2.4.3. Dependents are not covered.

C.2.5. Other Eligible Participants NONE

C.2.6 Eligibility and Effective Date

C.2.6.1. Term of Eligibility and Effective Date

Each current active eligible employee is enrolled for life insurance and disability benefits under this contract upon award and thereafter during the performance period of this contract. Each new eligible employee will be enrolled upon entering on duty with the United States Government. An employee is considered active ("on the rolls") whenever such employee is on approved leave, whether paid or unpaid.

During a period of Leave Without Pay (LWP) or unpaid leave that is one pay period or less, coverage under the insurance contract will continue. The USG will pay the total premium cost to the Contractor. The employee’s share of the premium will be collected through payroll deduction in that or the subsequent pay period.

C.2.6.2. Period of Ineligibility

Employees are not entitled to life insurance and disability benefits hereunder during any period of employment for which premiums are not paid.

During a period of extended (beyond one pay period) of Leave Without Pay

(LWP) or unpaid leave, the employee is responsible for the full cost of the insurance premiums. The Mission will pay the premiums directly to the Contractor, and will collect the full cost from the employee on a quarterly basis. Alternatively, the employee may elect to have coverage cease if that employee prefers not to pay the premium.

C.2.7. Brochure Requirement

C.2.7.1. The Contractor shall provide a document (brochure/pamphlet/other written document) in English that sets forth a complete listing of the life insurance benefits to be provided under this contract. This brochure shall be provided in sufficient quantities so that each covered employee receives a copy. The Contractor shall furnish all copies of the brochures to the COR, who will ensure that appropriate distribution is made.

C.2.7.2. The document described in C.2.7.1 shall be provided to the COR not later than 14 days after date of contract award.

C.2.7.3. The Contractor assumes full responsibility for ensuring that the document described in C.2.7.1 accurately reflects the requirements of the contract, as implemented by the Contractor’s technical proposal. In all cases, the contract shall take precedence. Should the COR discover that the brochure contains inaccuracies, the Contractor will be notified in writing;

however, failure on the part of the Government to notice any inaccuracies shall in no way limit, revise or otherwise affect the requirement under this contract for the Contractor to fully comply with all contract terms.

C.3. DEFINITION

FMO The Financial Management Officer or the paying office for all U.S. Government Agencies except AID.

COR Contracting Officer's Representative (Human Resources Officer at post).

Customary and reasonable treatment A diagnostic test or medical treatment which is usually performed in the community where the individual is being treated.

Dependent See Section C.1.5. for definition.

Disability, Total and Permanent A physical or mental impairment which precludes the individual from performing ordinary motor or bodily functions and which requires separation from employment. If the impairment is the result of a previous impairment, it shall be considered a continuation of the prior impairment.

Employee An individual employed by the U.S. Government, under a direct-hire appointment, personal services contract, or personal services agreement, as further defined in Section C.1.3 for health insurance and C.2.3 for life insurance. This may also include an ORE Staff and/or EAE employee, if this category of individual is listed as participating under a rider in C.1.3.3 for health insurance and C.2.3.3 or life insurance.

Employer The United States Government or in the case of ORE, the Chief of

Mission/Deputy Chief of Mission.

Government means the Government of the United States of America unless otherwise identified.

GSO General Services Officer in charge of the General Services Office at post. This officer is usually the Contracting Officer for this contract.

Hospital An institution established and operated for the care and treatment of sick and injured persons. It provides 24-hour nursing care and has diagnostic, laboratory, treatment, and surgical facilities. Any institution which does not meet this definition is not considered a hospital.

Hospital Patient An individual who has been admitted to a hospital, is assigned a bed, and is given diagnostic tests or receives treatment for a disease or an injury.

Maximum Benefit The total amount that will be paid to any one covered individual for covered medical expenses or life insurance/disability benefit.

Customary and Reasonable Treatment A diagnostic test or medical treatment which is usually performed in the community where the individual is being treated.

Physician An individual who has graduated from an accredited medical school and is licensed to practice medicine in the jurisdiction in which the contract is to be performed. If the individual is a medical specialist, then he or she is Board Certified in that specialty.

Salary Monthly salary is one-twelfth of the employee’s annual basic salary, exclusive of premium pay, allowances, bonuses, or any other separate payments

Surgical procedure Any invasive medical procedure by manual or instrument operation undertaken for diagnosis or treatment of a diseased patient.

SECTION D

PACKAGING AND MARKING

(RESERVED)

SECTION E

INSPECTION AND ACCEPTANCE

E.1. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates the following clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address:

http://www.acquisition.gov/far/ or http://farsite.hill.af.mil/vffara.htm

These addresses are subject to change. If the Federal Acquisition Regulation (FAR) is not available at the locations indicated above, use the Department of State Acquisition website at http://www.statebuy.state.gov/ to see the links to the FAR. You may also use an internet “search engine” (for example, Google, Yahoo, Excite) to obtain the latest location of the most current

FAR.

The following Federal Acquisition Regulation clause(s) is/are incorporated by reference:

CLAUSE TITLE AND DATE

52.246-4 INSPECTION OF SERVICES - FIXED PRICE (AUG 1996)

E.2. QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

This plan is designed to provide an effective surveillance method to promote effective Contractor performance. The QASP provides a method for the Contracting Officer's Representative (COR) to monitor Contractor performance, advise the Contractor of unsatisfactory performance, and notify the Contracting Officer of continued unsatisfactory performance. The Contractor, not the Government, is responsible for management and quality control to meet the terms of the contract.

The role of the Government is to conduct quality assurance to ensure that contract standards are achieved.

Performance Objective

PWS

Paragraph Performance Threshold Services

Performs all the insurance services set forth in the Performance Work Statement (PWS)

C.1.0 thru C.3.0

All required services are performed and no more than two

(2) customer complaints is received per month

E.2.1 Surveillance. The COR will receive and document all complaints from Government personnel regarding the services provided. If appropriate, the COR will send the complaints to the Contractor for corrective action.

http://www.acquisition.gov/far/ http://farsite.hill.af.mil/vffara.htm http://www.statebuy.state.gov/

E.2.2 Standard. The performance standard is that the Government receives no more than two(2) customer complaint per month. The COR shall notify the Contracting Officer of the complaints so that the Contracting Officer may take appropriate action to enforce the inspection clause (FAR 52.246-4, Inspection of Services – Fixed Price (AUG 1996) or the appropriate Inspection of Services clause), if any of the services exceed the standard.

E.2.3 Procedures

(a) If any Government personnel observe unacceptable services, either incomplete work or required services not being performed, they should immediately contact the COR.

(b) The COR will complete appropriate documentation to record the complaint.

(c) If the COR determines the complaint is invalid, the COR will advise the complainant. The COR will retain the annotated copy of the written complaint for his/her files.

(d) If the COR determines the complaint is valid, the COR will inform the Contractor and give the Contractor additional time to correct the defect, if additional time is available. The COR shall determine how much time is reasonable.

(e) The COR shall, as a minimum, orally notify the Contractor of any valid complaints.

(f) If the Contractor disagrees with the complaint and challenges the validity of the complaint, the Contractor will notify the COR. The COR will review the matter to determine the validity of the complaint.

(g) The COR will consider complaints as resolved unless notified otherwise by the complaint.

(h) Repeat customer complaints are not permitted for any services. If a repeat customer complaint is received for the same deficiency during the service period, the COR will contact the Contracting Officer for appropriate action under the Inspection clause.

SECTION F

DELIVERIES OR PERFORMANCE

F.1. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address:

http://www.acquisition.gov/far/ or http://farsite.hill.af.mil/vffara.htm

These addresses are subject to change. If the Federal Acquisition Regulation (FAR) is not available at the locations indicated above, use the Department of State Acquisition website at http://www.statebuy.state.gov/ to see the links to the FAR. You may also use an internet “search engine” (for example, Google, Yahoo, Excite) to obtain the latest location of the most current

FAR.

The following Federal Acquisition Regulation clauses are incorporated by reference:

CLAUSE TITLE AND DATE

52.242-15 STOP WORK ORDER (AUG 1989)

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

F.2 PERIOD OF PERFORMANCE. The performance period of this contract is one year beginning 45 days following contract award with four one-year options to renew.

F.3 OPTIONS

F.3.1. The Government may extend this contract in accordance with the option clause at Section I, clause I.2, FAR Clauses Incorporated by Full Text (FAR 52.217-9, Option to Extend the Term of the Contract), which also specifies the total potential duration of the contract.

F.3.2. The Government may exercise the option set forth at Section I, "FAR 52.217-8, Option to Extend Services".

F.4 REPORTS AND OTHER DELIVERABLES

All reports and other deliverables required under this contract shall be delivered to the following address:

The Human Resources Officer American Embassy 27 Napier Road, Singapore 258508 or via email to the COR (address to be provided on award) http://www.acquisition.gov/far/

SECTION G

CONTRACT ADMINISTRATION DATA

G.1. 652.242-70 CONTRACTING OFFICER’S REPRESENTATIVE (COR) (AUG 1999)

(a) The Contracting Officer may designate in writing one Government employee, by name or position title, to take action for the Contracting Officer under this contract. This designee shall be identified as a Contracting Officer’s Representative (COR). Such designation shall specify the scope and limitations of the authority so delegated; provided, that the designee shall not change the terms or conditions of the contract, unless the COR is a warranted Contracting Officer and this authority is delegated in the designation.

(b) The COR for this contract is the Human Resources Officer.

G.2 COR DUTIES

G.2.1 The COR is responsible for inspection and acceptance of services. These duties include review of Contractor invoices, including the supporting documentation required by the contract. The COR may provide technical advice, substantive guidance, inspections, invoice approval, and other purposes as deemed necessary under the contract.

G.2.2 In addition, the COR shall maintain updated list of employees and dependents insured, which will supersede the initial list provided under this contract and as reported to the insurer without prejudice to the ineligibility clause.

G.2.3. The COR has the additional responsibility of maintaining the eligible listing of employees and dependents for insurance coverage.

G.2.4 The COR may not change the terms and conditions of the contract. While the COR is authorized to provide the Contractor with updated listings of eligible employees and dependents, only the Contracting Officer may modify existing task orders or issue new task orders, reflecting these changes, since only the Contracting Officer can obligate funding and commit the Government.

G.3. Payment

Local and international firms shall be paid in local currency. US. firms shall be paid in US currency, if they propose in U.S. currency; otherwise they shall be paid in local currency.

G.4 SUBMISSION OF INVOICES AND PAYMENT

G.4.1. Invoices shall be submitted in an original copy to the following address (designated billing office only for the purpose of submitting invoices):

American Embassy (FMO) 27 Napier Road

Singapore 258508

G.4.2. Frequency of Payments. All funds under this contract will be obligated by issuance of task orders, as described in H.3. Each task order will fund a specific period of time and number of employees, and the task orders will be issued at the frequency described in H.3.

Contractor may submit invoices semi-annually for payment to be made at the beginning of each 6 month period for which insurance coverage is provided in accordance with FAR 32.404.

G.4.3. U.S. Government Employees. The Government shall make payments directly to the Contractor for all Government employees.

G.4.4 ORE Staff. The Chief of Mission and/or Deputy Chief of Mission will make payment directly to the Contractor for the entire premium amount of the ORE staff, whether or not the ORE employee is contributing to the premium amount.

G.4.5. EAE Staff. [RESERVED]

G.5 REFUNDS TO THE GOVERNMENT

If at any time during performance of the contract the Government finds that the Contractor has been overpaid because the number of employees and/or dependents covered has decreased, the Contracting Officer may either allow that overpayment to be credited to the Government’s account or require that the Contractor refund the overpayment. If the Contracting Officer requests a refund, the Contractor shall make that refund to the Government within 14 calendar days of receipt of the request.

G.6 GOODS AND SERVICES TAX

See Section B.2.1.

SECTION H

SPECIAL CONTRACT REQUIREMENTS

H.1 SECURITY. On occasion, a Contractor employee may require entry into U.S.

Government-owned or -operated facilities.