The health and life solicitation 191V1026R001.docx
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- Health and life solicitation
- Solicitation number
- 191V1026R0001
- Issued by
-
Department of State
About this file
This is a Request for Proposals (RFP) for health and life insurance services for locally employed staff at the U.S. Embassy in Abidjan, Cote d'Ivoire. The Embassy seeks comprehensive health insurance coverage including hospitalization, emergency services, outpatient care, prescription drugs, dental, optical, hearing aids, mental health services, and HIV/AIDS treatment, with specific coverage percentages and annual maximums detailed in the solicitation. Life insurance coverage includes basic life insurance equal to one times annual salary and accidental death and dismemberment coverage at 1.3 times annual salary for eligible locally employed staff. The estimated contract covers approximately 298 employees and their dependents across multiple U.S. government agencies operating in Cote d'Ivoire, including the Department of State, CDC, MCC, Defense Attaché Office, and others.
Proposals are due July 3, 2026, before 12:00 Noon local time, with a pre-proposal conference scheduled for June 8, 2026, at 9:00 AM at the Embassy. Interested offerors must register in SAM (System for Award Management) prior to proposal submission and must submit SF-33, pricing schedules, retention amounts, representations and certifications, IRS Form W-14, and proof of SAM registration. The contract is a fixed-price with economic price adjustment type, with a base performance period of one year beginning September 6, 2026, plus four one-year option periods, with a minimum obligation of $10,000 and maximum not to exceed $5,000,000. The Government intends to award based on lowest acceptable price without discussions unless companies fall within a competitive range. Payment will be made in FCFA (West African CFA francs) and the Contractor must include Value Added Tax as a separate line item. Proposals must be in English, submitted in a sealed envelope marked "Proposal Enclosed," and sent to the Contracting Officer at American Embassy Abidjan, with contact Assy Traore Bintou at (225) 27 2249 4390 or Traorebx@state.gov.
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U.S. Embassy Abidjan Date:6/3/2026 American Embassy Abidjan Riviera Golf BP 730 Abidjan Cidex 03 Abidjan, Cote d’Ivoire
Dear Prospective Offeror:
Subject: Request for Proposals number - 191V1026R0001: LE Staff Health and Life Insurance Solicitation
The Embassy of the United States of America invites you to submit a proposal for locally employed staff life insurance coverage. The Embassy encourages prospective offerors to offer off-the-shelf plans that meet at least the minimum benefit levels required in this solicitation.
The U.S. Government intends to award a contract to the responsible company submitting an acceptable offer at the lowest price. We intend to award a contract based on initial proposals, without holding discussions, although we may hold discussions with companies in the competitive range if there is a need to do so.
The Embassy intends to conduct a pre-proposal conference at the site, The pre-proposal conference will be held on June 8, 2026, at 9:00am (local time) at the US Embassy Abidjan. Prospective offerors should contact Assy Traore Bintou – (225) 27 2249 4390 – Traorebx@state.gov by June 5, 2026, for additional information or to arrange entry to the building.
Proposals are due on July 3, 2026, before 12:00 Noon. No proposals will be accepted after this time. Proposals must be in English and incomplete proposals will not be accepted.
Your proposal must be submitted in a sealed envelope marked "Proposal Enclosed” to the below address.
American Embassy Abidjan Riviera Golf Attn: Contracting Officer LE Staff Health and Life Insurance Solicitation # 191V1026R0001
In order for a quotation to be considered, you must also complete and submit the following:
| 1. | SF-33 |
| 2. | Section B, Pricing Schedule. |
| 3. | Section B, Retention Amounts in B.3 and B.7. |
| 4. | Section K, Representations and Certifications; and |
| 5. | Additional information as required in Section L. |
6. The Offeror should submit a completed IRS Form W-14, found at www.irs.gov/w14, to ensure compliance with FAR 52.229-11.
7. Proof of SAM Registration
Offerors shall be registered in the SAM (System for Award Management) database at https://www.sam.gov prior to submittal of their offer/proposal as prescribed under FAR 4.1102. Failure to be registered at time of proposal submission may deem the offeror’s proposal to be considered non-responsible and no further consideration will be given. Therefore, offerors are highly encouraged to register immediately if they are interested in submitting a response to this requirement.
Sincerely,
| Rindala Wagner |
| Contracting Officer |
Enclosure:
| SOLICITATION, OFFER AND AWARD |
| 1. THIS CONTRACT IS A RATED ORDER |
UNDER DPAS (15 CFR 350)
| RATING |
| PAGE OF PAGES |
3 | 87
2. CONTRACT (Proc. Inst. Ident.) NO.
3. SOLICITATION NO.
191V1026R0001
4. TYPE OF SOLICITATION
[ ] SEALED BID (IFB)
[x] NEGOTIATED (RFP)
5. DATE ISSUED
06/03/2026
6. REQUISITION/PURCHASE NO.
PR15834270
7. ISSUED BY CODE
8. ADDRESS OFFER TO (If other than item 7)
American Embassy BP 730 Abidjan Cidex 03 Phone: +(225) 27-2249-4390 Fax: +(225) 27 2249-4221
NOTE: In sealed bid solicitation "offer" and "offeror” mean "bid" and "bidder".
SOLICITATION
9. Sealed offers in original and 01 copies for furnishing the supplies or services in the Schedule will be received at the place specificed, in the depository located in until July 3, 2026 local time 12:00 Noon .
CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L. Provision No. 52.215-1. All offers are subject to all tems and conditions contained in this solicitation.
| 10. FOR INFORMATION |
| CALL: |
| A. NAME |
Assy-Traore Bintou
B. TELEPHONE (NO COLLECT CALLS)
+(225) 27 2249-4390
C. E-MAIL ADDRESS
TraoreBX@state.gov
11. TABLE OF CONTENTS
| (x) |
| SEC. |
| DESCRIPTION |
| PAGE(S) |
| (x) |
| SEC. |
| DESCRIPTION |
| PAGE(S) |
| PART I - THE SCHEDULE |
| PART II - CONTRACT CLAUSES |
| X |
| A |
| SOLICITATION/CONTRACT FORM |
| 3 |
| X |
| I |
| CONTRACT CLAUSES |
| 36-55 |
| X |
| B |
| SUPPLIES OR SERVICE AND PRICES/COSTS |
| 4-14 |
| PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH. |
| X |
| C |
| DESCRIPTION/SPECS/WORK STATEMENT |
| 15-27 |
| X |
| J |
| LIST OF ATTACHMENTS |
| 56-59 |
| X |
| D |
| PACKAGING AND MARKETING |
| 28 |
| PART IV - REPRESENTATIONS AND INSTRUCTIONS |
| X |
| E |
| INSPECTION AND ACCEPTANCE |
| 28-29 |
| X |
| K |
| REPRESENTATIONS, CERTIFICATIONS, AND |
| 60-77 |
| X |
| F |
| DELIVERIES OR PERFORMANCE |
| 30 |
OTHER STATEMENTS OF OFFERORS
| X |
| G |
| CONTRACT ADMINISTRATION |
| 31-32 |
| X |
| L |
| INSTRS., COND., AND NOTICES TO OFFERORS |
| 78-85 |
| X |
| H |
| SPECIAL CONTRACT REQUIREMENTS |
| 33-35 |
| X |
| M |
| EVALUATION FACTORS FOR AWARD |
| 84-87 |
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 offer) 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 14
(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
Procurement and Contracting Office
26. NAME OF CONTRACTING OFFICER (Type or print) Rindala Wagner
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
JAMES ZADROGA 9/11 VICTIMS HEALTH AND COMPENSATION ACT OF 2010 NOTICE: UNLESS A WAIVER OR EXCEPTION APPLIES, PAYMENTS SUBSEQUENT TO THIS PROCUREMENT ARE SUBJECT TO AN EXCISE TAX OF 2% PERSUANT TO 26 U.S.C. 5000C.
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 Côte d’Ivoire 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, retirees and Embassy Association Employees (EAE) 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 Value Added Tax.
The Contractor shall include VAT as a separate charge on the Invoice and as a separate line item in Section B.
B.2.2 This is a fixed price with economic price adjustment requirements type contract. The fixed prices/premium rates for the health insurance services as specified in Section C are as follows:
MINIMUM AND MAXIMUM AMOUNTS
During the Base Year of the contract, and during the option year that might be exercised, the United States Government (USG) shall place orders totaling a minimum of $10,000.00 This reflects the contract minimum guarantee for each period of performance. The amount of all orders, for base and all option years shall not exceed $5,000,000.00 This reflects the contract maximum.”
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.
B.3.2 Bi-Weekly Retention Amounts per separate premium paid per single employee and per family plan.
| Period of Performance |
| Single Employees (Self Only) |
| Employee plus one (two individuals) |
| Family (three or more individuals) |
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 Côte d’Ivoire. The groups of employees who shall be provided with 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 and Embassy Association Employees (EAE) and Peace Corp Personal Service Contracts (PSC) 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), the Embassy Association (for EAEs) 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. The fixed prices/premium rates (in FCFA) per one thousands of salary to provide life insurance, accidental death and dismemberment coverage are as follows:
B.6.1. Base Year of Contract
Bi-Weekly Rates per Employee
| Type of Insurance |
| Number of employees |
| Premium (per 1,000 of Salary) |
| Estimated Payroll (Bi-Weekly in Thousands) |
in FCFA Bi-Weekly Total
| a. Basic Life |
| 298 |
185,630,729
| b. Accidental Death & Dismemberment |
| 298 |
185,630,729
c. Subtotal (a + b )
d. Total Price for Base Year (c x 26)
B.6.2. Option Year 1 of Contract
Bi-Weekly Rates per Employee
| Type of Insurance |
| Number of employees |
| Premium (per 1,000 of Salary) |
| Estimated Payroll (Bi-Weekly in Thousands) |
in FCFA Bi-Weekly Total
| a. Basic Life |
| 298 |
185,630,729
| b. Accidental Death & Dismemberment |
| 298 |
185,630,729
c. Subtotal (a + b )
d. Total Price for Base Year (c x 26)
B.6.3. Option Year 2 of Contract
Bi-Weekly Rates per Employee
| Type of Insurance |
| Number of employees |
| Premium (per 1,000 of Salary) |
| Estimated Payroll (Bi-Weekly in Thousands) |
in FCFA Bi-Weekly Total
| a. Basic Life |
| 298 |
185,630,729
| b. Accidental Death & Dismemberment |
| 298 |
185,630,729
c. Subtotal (a + b )
d. Total Price for Base Year (c x 26)
B.6.4. Option Year 3 of Contract
Bi-Weekly Rates per Employee
| Type of Insurance |
| Number of employees |
| Premium (per 1,000 of Salary) |
| Estimated Payroll (Bi-Weekly in Thousands) |
in FCFA Bi-Weekly Total
| a. Basic Life |
| 298 |
185,630,729
| b. Accidental Death & Dismemberment |
| 298 |
185,630,729
c. Subtotal (a + b )
d. Total Price for Base Year (c x 26)
B.6.5. Option Year 4 of Contract
Bi-Weekly Rates per Employee
| Type of Insurance |
| Number of employees |
| Premium (per 1,000 of Salary) |
| Estimated Payroll (Bi-Weekly in Thousands) |
in FCFA Bi-Weekly Total
| a. Basic Life |
| 298 |
185,630,729
| b. Accidental Death & Dismemberment |
| 298 |
185,630,729
c. Subtotal (a + b )
d. Total Price for Base Year (c x 26)
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 each category of premium and for each period of performance.
B.7.2. Retention Amounts per Separate Premium Paid per Employee:
| Period of Performance |
| Basic Life |
| Accidental Death and Dismemberment |
| Partial and Total Disability Coverage |
Base Period
First Option Year
Second Option Year
Third Option Year
Fourth 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 Cote d’Ivoire. The Government has determined that the prevailing practice by employers in Cote d’Ivoire is to provide for their employees health insurance protection and that the cost of such insurance protection is usually borne by both the employee and the employer as follows:
For active employees who are regularly scheduled to work 30 or more hours per week: the USG will pay 90% of the premium cost for employees and dependent coverage and the employee will pay 10% of the premium.
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.
The Contractor shall insure that health care under this contract does not exclude HIV/AIDS care, unless exclusion has been authorized by HR/OE/CM.
C.1.1 Employee and Dependent Health Services Benefits
The health benefits under this contract are as follows. The benefit levels set forth in the statement of work the minimum benefit levels acceptable for post’s health insurance contract. Post may accept offers of higher benefit levels as long as post complies with the applicable acquisition regulations.
Reimbursements or payments shall be made for the following covered benefits, subject to reasonable and customary costs in the locality where treatment was provided.
C.1.1.1. Hospitalization: (treatment in the hospital for inpatient care): 100% Services and supplies provided during hospitalization, including services provided by a licensed healthcare provider, bed & board (semi-private accommodations), operating room, recovery room, intensive care, imaging and diagnostic testing, general hospital nursing care, physical therapy, as well as drugs and medicines administered while in-patient. When private accommodations are provided, coverage will be limited to the cost of a semi-private room unless otherwise covered in an off-the-shelf plan.
C.1.1.2 Emergency Services (trips to emergency room): 100% Services provided for conditions that could lead to serious disability or death if not immediately treated, such as accidents or sudden illness.
C.1.1.3. Ambulance: 80% Minimum Coverage Professional ground transport to move a patient from the place where s/he is injured or becomes ill to the nearest hospital able to provide treatment or to move a patient from one medical facility to another.
C.1.1.4 Outpatient Services: 80% Minimum Coverage Services provided by a certified healthcare provider on an ambulatory or outpatient basis (without being admitted to a hospital), including surgeon’s fees and other medical services that may be provided in a hospital, clinic, doctor’s office, medical facility, etc. Examples include, but are not limited to:
- Annual physical examinations
- Specialist consultations and treatment, including second surgical opinion
- Minor surgical interventions
- Chemotherapy and radiation treatments
- Immunizations recommended by local authorities and/or the World Health Organization
- Diagnostic tests and diagnostic imaging.
The maximum limit for expenses reimbursed under section C.1.1.4 is CFA 24,624,000 per patient per contract year.
C.1.1.5 Obstetric and Newborn Care: Inpatient: 100% Coverage; Outpatient: 80% Minimum Coverage Care and services that women receive during pregnancy (prenatal care), throughout labor and delivery, and post-delivery, and outpatient care for newborn babies. Hospitalization during pregnancy and/or delivery will be covered as Hospitalization (treatment in the hospital for inpatient care). All other treatments will be considered Outpatient Services.
C.1.1.6 Pediatric Services: Inpatient: 100% Coverage; Outpatient: 80% Minimum Coverage Primary and preventive routine care services for covered dependent children, including, but not limited to: physical examination, developmental assessment, laboratory tests, and immunizations recommended by local authorities or the World Health Organization.
C.1.1.7 Prescription Drugs: Inpatient: 100% Coverage; Outpatient: 80% Minimum Coverage Medications prescribed by a certified health care provider that are medically necessary. Examples include, but are not limited to: prescription antibiotics to treat an infection; medication used to treat an ongoing condition, such as high cholesterol; prophylaxis; or contraceptive medication.
C.1.1.8 Preventive and Wellness and Chronic Disease Management: 80% Minimum Coverage Counseling or preventive care designed to prevent or detect medical conditions and care for chronic conditions such as asthma and diabetes. Examples include, but not limited to: physicals, immunization, and cancer screenings.
C.1.1.9 Hearing Aids:
Examinations and Treatment: 80% Minimum Coverage
Hearing Aid Apparatus: Limited to one apparatus per ear. The maximum coverage is USD 1,500 per covered individual per three-year period. 80% Minimum Coverage; with applicable cap.
C.1.1.10 Optical:
Examinations and Treatment: 80% Minimum Coverage
Prescription lenses and frames or contact lenses: The maximum coverage is USD 300 per covered individual every two years. 80% Minimum Coverage; with applicable cap
C.1.1.11 Dental:
Examinations and Treatment: Dentist’s fees, x-rays, examinations and treatment, cleanings, fillings, extractions, false teeth, crowns, and bridges. The maximum coverage is USD 3,200 per covered individual per contract year. 80% Minimum Coverage; with annual cap.
Orthodontia: Treatment is covered only if treatment begins before age 18, or if required as the result of an accident. A maximum of four years of orthodontia treatment will be covered per covered individual. The maximum coverage is USD 2,400 lifetime limit. 80% Minimum Coverage; with contract lifetime cap.
C.1.1.12 Reproductive Health: 80% Minimum Coverage Prescribed contraceptive devices, preventive care and routine examinations, voluntary sterilization, and diagnosis and treatment of conditions which may cause infertility. Assisted reproductive technology (ART), fertility treatments, and reversal of sterilization are not covered (see Exclusions to Coverage).
C.1.1.13 Mental Health and Substance Abuse Care: 50% Minimum Coverage Inpatient and outpatient care provided to evaluate, diagnose and treat a mental health condition or substance abuse disorder. This includes behavioral health treatment, counseling, and psychotherapy. Services must be provided by a licensed psychiatrist, psychoanalyst, psychologist, or psychiatric social worker. Inpatient care for alcohol and substance abuse must be carried out at a facility licensed for detoxification and rehabilitation.
C.1.1.14 Rehabilitative and Habilitative Services and Devices: 50% Minimum Coverage Rehabilitative services (e.g., recovering skills, such as speech therapy after a stroke or physical therapy after an accident) and habilitative services (e.g., developing skills, such as speech therapy for children) that help develop skills needed for everyday life. Devices to help gain or recover mental or physical skills lost due to injury, disability or a chronic condition, and devices needed for habilitative reasons.
C.1.1.15 HIV/AIDS:
Medications to suppress opportunistic infections (such as tuberculosis or toxoplasmosis for covered individuals who have HIV/AIDS). Brief courses of anti-retroviral drugs during childbirth to prevent the transmission of HIV/AIDS to the child. Generally, excludes medication for the long-term suppression of HIV/AIDS through the combination of anti-retroviral drugs in locations with inadequate local healthcare infrastructures.
Note to Contracting Officer: Post should consider electing this option if HIV/AIDS treatment is not covered as prevailing practice by local medical insurance providers, or is prohibitively expensive.
100% up to USD 10,000 per contract year per covered individual
C.1.1.16 Out-of-Country Medical Treatment:
Medical expenses incurred out-of-country will be covered, but coverage will be the same and subject to the same total maximum annual limit as for medical expenses incurred in-country.
C.1.1.17 Out-of-Country Medical Travel:
Transportation for out-of-country medical treatment will be a covered expense for LE Staff and eligible family members. To be considered a covered expense, the attending certified health care provider must certify in advance that the treatment is medically necessary and unavailable locally. 80% of covered individual’s transportation expenses by the least expensive, appropriate means of transportation to the nearest city with adequate medical facilities will be covered. 80% of the transportation expenses of an attendant will also be covered, but only if the covered individual's attending certified health care provider certifies that an attendant for the patient is necessary, (e.g., a parent in the case of a patient who is a minor, or a family member to make medical decisions in the case of a patient who is unwell or unconscious). All coverage for transportation for out-of-country medical treatment is subject to the total maximum annual limit. Transportation to a neighboring country without the attending certified health care provider certifying that the treatment is medically necessary and unavailable locally will not be covered.
C.1.1.18 180 Day Coverage For Dependents After Employee’s Death:
At the time of a covered employee’s death, his/her eligible dependents covered under post’s medical plan are eligible to continue receiving the same level of medical coverage for up to 180 days. This optional benefit is subject to availability of funds at post and no extensions are permitted.
C.1.1.19 Annual Maximum Limit – The maximum annual reimbursement per patient per contract year, not including expenses covered under C.1.1.4, is CFA 24,624,000 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; non-medical hospital charges (e.g., telephone, television, etc.); home help, family help, or similar household assistance; fees of persons who are not certified health care providers; advanced reproductive technology (e.g., in-vitro fertilization, intra-cellular sperm injection, artificial insemination, microsurgical epididymal sperm aspiration, testicular sperm extraction, cryopreservation, etc.); or services or supplies which have not been prescribed or approved by a certified health care provider. Exclusions to coverage may be amended if provided in an off-the-shelf plan and is the lowest-cost and technically acceptable. Removal of any exclusions require prior authorization.
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 LE Staff 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 reimbursement will be made for expenses incurred after an employee leaves the service of the U.S. Mission unless the employee enrolls as a retired employee.
C.1.3 Eligible Participants
C.1.3.1 Eligible Employees - 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 Cote d’Ivoire paid under the Local Compensation Plan, and certified by the Contracting Officer. Covered employees include
C.1.3.1.2. Foreign Service Nationals (FSNs) employed under direct hire appointments, Personal Services Agreements (PSAs) and Personal Services Contracts (PSCs);
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 Cote d’Ivoire by:
DOS- U.S. Department of State CDC- Center for Deases Control MCC-Millennium Challenge Corporation DAO-Defense Attaché Office
GAC- PEPFAR
USM- United States Military FCS-Foreign Commercial Service INL- Int Narcotics and Law enforcement
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 All current active employees of the Employee Association at Embassy/Consulate Embassy/Consulate Abidjan (see separate rider, Exhibit C). All costs for EAEs are the responsibility of the Employee Association, not the U.S. Government.
C.1.4. Individuals not Eligible for Coverage .
Individuals not eligible for coverage under this contract are non-personal 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.1.5. Other Eligible Participants
Covered dependents include the participating employee’s spouse and children. A limit of one spouse per employee is covered. An eligible child is defined as the employee’s natural child, adopted child, stepchild, or foster child. The child must be unmarried, economically dependent upon the employee, and reside with the employee unless away at school. An eligible child will be covered until the end of the contract year in which he/she reaches age 26 if a full time student. There is no age limit for a 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.
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 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.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 French and 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 30 days after date of contract award. The Contractor shall provide additional brochures for new employees within ten (10) days of the COR’s request.
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. 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 Côte d’Ivoire. The Government has determined that the prevailing practice by employers in Côte d’Ivoire is that group life insurance coverage is representative of locally prevailing compensation practice and that the cost of such insurance protection is usually borne by the employer on a 100%. 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:
C.2.1.1 Amount of Employee Life Insurance.
In the event of the employee’s natural death, an amount equal to one (1) time the employee’s annual basic salary will be paid to the employee’s beneficiary or estate
C.2.1.2 Amount of Accidental Death and Dismemberment Coverage.
In the event of the employee’s accidental death or dismemberment, an amount equal to 1.3 times the employee’s annual basic salary will be paid to the employee’s beneficiary or estate.
This payment is made in lieu of, not in addition to the payment in C.2.1.1.
Disability Benefit: not covered; provided through local social security
Funeral Benefits: not covered; provided through local social security
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. Suicide will not be covered.
C.2.3. Eligible Participants
Eligible employees are Locally Employed (LE) Staff who are (1) working on a full-time or part-time basis under non-temporary direct-hire appointments and under personal services agreements/contracts that are not time limited to less than one year and (2) paid under the terms of the Local Compensation Plan.
Official Residence Expense (ORE) and Employee Association (EA) employees may be covered under a rider to the contract. The employing officer, not the USG, is responsible for the employer's share of the premium costs for an ORE employee.
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 Côte d’Ivoire, 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 Cote d’Ivoire by:
DOS- U.S. Department of State CDC- Center for Deases Control MCC-Millennium Challenge Corporation DAO-Defense Attaché Office
GAC- PEPFAR
USM- United States Military FCS-Foreign Commercial Service INL- Int Narcotics and Law enforcement
C.2.3.3 Participants Covered Under a Rider
Reserved
C.2.4 Individuals not Eligible for Coverage
Not eligible are LE Staff working under temporary appointments; those working under a PSA or PSC that is time limited to less than one year; those with an intermittent (When Actually Employed (WAE)) workweek schedule; non-personal services contract personnel and their employees, supplied by an independent contractor licensed to do business in Cote d’Ivoire who provide services to other local organizations as well as to the U.S. Mission; and Peace Corps personal services contractors as indicated in MS 743.
C.2.5. Other Eligible Participants
Reserved
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 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 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 French & 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 30 days after date of contract award. The Contractor shall provide additional brochures for new employees within ten days of the COR’s request.
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.3.0. DEFINITIONS
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 one or more 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. In addition, the full text of a clause may be accessed electronically at: Acquisition.gov this address is subject to change.
If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the FAR. You may also use an Internet “search engine” (for example, Google, Yahoo or 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 one (1) customer complaint 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.
E.2.2 Standard. The performance standard is that the Government receives no more than one (1) 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)
This contract incorporates one or more 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. In addition, the full text of a clause may be accessed electronically at: Acquisition.gov this address is subject to change.
If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the FAR. You may also use an Internet “search engine” (for example, Google, Yahoo or 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 base period with four one-year options to renew beginning on September 06, 2026 .
F.3 OPTIONS
(a) 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.
(b) 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:
Human Resources Officer American Embassy, Abidjan Côte d’Ivoire
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 shall be made in FCFA
G.4 SUBMISSION OF INVOICES AND PAYMENT
G.4.1. Invoices for U.S. Government employees shall be submitted in an original and three (3) copies to the following address (designated billing office only for the purpose of submitting invoices):
The Financial Management Officer Budget and Fiscal Office American Embassy, Abidjan E-mail: AbidjanFMOinvoices@state.gov Payments at Beginning of Covered Period
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.
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