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LES Health and Life Insurance Plans
Solicitation number
SSN10016R0002
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QUESTIONS AND ANSWERS

Note to Offerors:

The information contained within these questions and answers is provided for information purposes and under no circumstances shall it be construed to change any terms and conditions or requirements within the solicitation. If any answer does address a change in the solicitation, it will reference an Amendment. In addition, for any answer provided regarding the claims data incurred under the existing contract, please be advised that this data may not be indicative of future claims and could change. Also, offerors are advised that there are changes in requirements in this solicitation which were not in the previous contract.

Therefore, it is each offeror’s decision on whether to use or not to use this information. However, under no circumstances shall the U.S. Government be liable for this data or shall it become basis for a request to adjust the premium rates once the contract is awarded. Rather, offerors are advised any adjustments to contract premium rates shall be in accordance with the Price Adjustment clauses B.4 and B.8 of the contract awarded.

Q1. Premium history for life & health insurance for the current year and last 5 years - 2016 (till now), 2015, 2014, 2013, 2012, and 2011

Premium Coverage Period
Life (SGD)
AD&D including GST (SGD)
GST only (SGD)
November 1 2010 - October 31, 2011
$ 29,079.52
$ 4,963.48
$ 324.71
November 1 2011 - October 31, 2012
$ 29,233.10
$ 4,985.03
$ 326.12
November 1 2012 - October 31, 2013
$ 29,162.09
$ 4,971.24
$ 325.22
November 1 2013 - October 31, 2014
$ 29,815.81
$ 5,093.94
$ 333.25
November 1 2014 - October 31, 2015
$ 30,552.19
$ 5,298.17
$ 346.61
November 1 2015 - April 30, 2016
$ 16,420.06
$ 2,787.15
$ 182.34

For Health premium, see Answer to Q3.

Q2. Did the Premium history for life & health insurance above include the VAT? If it did then what % VAT was included in the historical health premiums?

See answer to Q1. Under Singapore law, GST (local VAT) is payable by the U.S. Government for health premiums, AD&D. Currently, GST is 7%. GST is not payable for Life insurance.

Q3. Claims history for health insurance in SGD and number of claims (counts) for the current year 2016 (till now), 2015, 2014, 2013, 2012, and 2011.

Premium Coverage Period
Health Total incuding GST (SGD)
GST only (SGD)

CLAIMS (SGD)

November 1 2010 - October 31, 2011
$ 164,168.92
$ 10,740.02
$97,193.30
November 1 2011 - October 31, 2012
$ 167,220.85
$ 10,939.68
$194,186.88
November 1 2012 - October 31, 2013
$ 182,787.27
$ 11,958.05
$201,335.82
November 1 2013 - October 31, 2014
$ 201,716.74
$ 13,196.42
$187,896.71
November 1 2014 - October 31, 2015
$ 209,195.22
$ 14,643.65
$187,898.22
November 1 2015 - April 30, 2016
$ 108,920.28
$ 7,624.41
$110,238.77

Q4. Are there any large claims (in excess of $10,000) within the last year to date. If Yes, please provide number (please note we are not seeking protected private information, we do not need the names or identification; we just need to know the total number of claims in excess of $10,000 to assess the risk and price accordingly).

One medical claim of Sing$10,152.06 and one death insurance claim of Sing$44,486 were paid.

Q5. Advise if 2015 HEALTH benefit schedule is the same as the benefit schedule currently being requested under SSN100-16-R-0002; and if not, advise us on the differences.

Prospective offerors are advised there are changes in the benefits and requirements set forth in this solicitation versus the Government’s requirements in the current solicitation. Therefore, offerors should carefully review the benefits and requirements in this solicitation and not focus on the current contract which will be irrelevant on award of a new contract resulting from this solicitation.

Q6. 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 the number of instances for each major illness (we do not need the names or identification, we just need to know the number of instances for each major illness to assess the risk).

The specific illness diagnosis for an employee will not be released. However, there have been two instances of an employee diagnosed with one of the major illnesses identified above, and the claims information provided in response to Q.3, include the claims submitted for these illnesses.

Q7. Are there any persons who are currently hospitalized? 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).

None Q8. Are there any pregnant employees/spouses. If Yes, please provide number (please note we are not seeking protected private information, we do not need the names or identification, we just need to know the total number of people who are pregnant to assess the risk to price accordingly).

The Embassy does not have this information.

Q9. Are there any HIV/AIDs cases. If Yes, please provide number (please note we are not seeking protected private information, we do not need the names or identification; we just need to know the total number of people who are currently being treated for HIV/AIDs to assess the risk and price accordingly).

HIV/AID is not covered under the solicitation. See Section C.1.1.14.

Q10. Please advise whether any of the persons covered are required to carry firearms and if so, please indicate them appropriately in Exhibit A.

NONE

Q11. Are any persons not actively at work? If Yes, indicate in Exhibit A or just let us know the total number (please note we are not seeking protected private information, we do not need the names or identification; we just need to know the total number of people who are not actively at work to assess the risk and price accordingly).

Currently, one LE staff is on Long Term Sick Leave.

Q12. Are there any Disabled Lives? If Yes, indicate in Exhibit A or just let us know the total number (please note we are not seeking protected private information, we do not need the names or identification; we just need to know the total number of disabled people to assess the risk and price accordingly).

One Q13. Detailed claims experience including fields below for the past 3 years

Claim no
Claimant
Employee/dependent
Amount incurred
Amount payable
Incurred date
Paid date
Benefit type
Panel/non panel
provider
Diagnosis

The details of each claim cannot be released. Refer to the answer to Question 3.

Q14. Claims extraction date

The date of each claim cannot be released

Q15. Past 3 years headcount and benefit changes, if any

Nov 2013 to October 2014115
Nov 2014 to October 2015117
Nov 2015 to April 2016118

For benefit changes, refer to the answer provided for Q5.

Q16. Headcount plan mix for medical plans

EE Type
Plan 1
Plan 2

Employee only

Employee&Spouse/ Employee&children

Employee&Family

All employees and dependents receive the same medical benefits set forth in the solicitation and there are not separate or different plants. See Section B.2. Price tables for Base and Option years for the specific participant categories.

Q17. Past 3 years of claims experience for GTL

Death claim of S$44,486 was paid in 2015.

File details come from the government source that posted it. Updated .