Exhibit_B_-_ORE_Staff_Rider.pdf
PDF 23 KB Posted
- Attached to
- Health Insurance Services
- Solicitation number
- STC10014R0001-1
- Issued by
-
Department of State US Embassy Abu Dhabi
About this file
Exhibit B
View the file
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Text version
LES Health Insurance Services
STC10014R0001
Exhibit B
ORE Staff Rider
Official Residence Employees (ORE) and their eligible dependents are eligible to fully participate in the medical insurance plan for American Embassy, Abu Dhabi, if the following conditions are met:
1. Insurance provider will bill employer (Ambassador, Deputy Chief of Mission
(DCM) or Consul General) directly.
2. All current active employees of the Ambassador, DCM and Consul General assigned to their respective official Government residences and paid under an
ORE account are eligible. All cost for ORE employees and their eligible dependents are the responsibility of the employing officer, not the U.S.
Government.
3. The ORE employees and their eligible dependents shall be identified under a separate task order. The COR will make subsequent additions or deletions to this list in writing. All such revisions shall be consolidated and a new task order will be issued by the Contracting Officer.
4. The Ambassador, DCM or Consul General has the discretion to include their
ORE staff in the medical insurance plan, that fact will be specified in the individual ORE employment contract(s).
ORE Staff insurance benefits coverage and levels will be the same as coverage and levels outlined in the American Embassy Medical Plan.
Number of All Insured OREStaff Members Abu Dhabi Dubai Total
7 0 7
Number of Employees 4 0 4
Number of Employees (Male) 1 0 1
Number of Employees (Female) 3 0 3
Number of Employees (Married) 3 0 3
Number of Employees (Single) 1 0 1
Number of Spouses 1 0 1
Number of Spouses (Male) 0 0 0
Number of Spouses (Female) 1 0 1
Number of Children 2 0 2
Number of Children (Male) 0 0 0
Number of Children (Female) 2 0 2
Total of All ORE Insured Members 7 0 7
File details come from the government source that posted it. Updated .