Front_Copy_LES_Insurance.docx

SOLICITATION, OFFER AND AWARD

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)

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

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

OTHER STATEMENTS OF OFFERORS

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

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

FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED

AND

ADDRESS

OF

OFFEROR

TO SIGN OFFER (Type or print)

15B. TELEPHONE NO. (Include area code)

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEM NUMBERED

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.

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

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

Semi Annual Rates per Plan

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

Semi Annual Rates per Plan

Category/Plan

Estimated Number of Plan

Rate per Plan

Semi annual Total

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 Rates per Plan

Category/Plan

Estimated Number of Plan

Rate per Plan

Semi-annual Total

d. Subtotal (a + b + c)

e. GST (7%) of d

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

B.2.7. Fourth Option Year

Semi Annual Rates per Plan

Category

Estimated Number of Plan

Rate per Plan

Semi-annual Total

d. Subtotal (a + b + c)

e. GST (7%) of d

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.

Base Period

First Option Year

Second Option Year

Third Option Year

Fourth 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

(per $1,000) Semi-Annual Premium

a. Basic Life Coverage:

36 months 20,420,424.00

c. Total Disability Coverage 42 months 23,823,828.00

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

(per $1,000) Semi-Annual Premium

a. Basic Life Coverage:

20,420,424.00

c. Total Disability Coverage

23,823,828.00

e. GST (7% for c and d)

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

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

B.6.3. Second Option Year of Contract

(per $1,000) Semi-Annual Premium

a. Basic Life Coverage:

20,420,424.00

c. Total Disability Coverage

23,823,828.00

e. GST (7% for c and d)

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

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

B.6.4. Third Option Year of Contract

(per $1,000) Semi-Annual Premium

a. Basic Life Coverage:

20,420,424.00

c. Total Disability Coverage

23,823,828.00

e. GST (7% for c and d)

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

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

B.6.5. Fourth Option Year of Contract

(per $1,000) Semi-Annual Premium

a. Basic Life Coverage:

20,420,424.00

c. Total Disability Coverage

23,823,828.00

e. GST (7% for c and d)

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

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

Base Year Total

First Option Year

Second Option Year

Third Option Year

Fourth 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

Base Period

First Option Year

Second Option Year

Third Option Year

Fourth Option Year