Accident and Sickness Program for Exchanges (ASPE) Health Benefits Plan Program
Closed Solicitation Posted
- Solicitation number
- 19AQMM25R0153
- Agency
-
Office of Acquisition Management
Department of State
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
- Place of performance
- Washington, District of Columbia, United States
- Points of contact
Notice details come from SAM.gov. Updated .
About this opportunity
The Department of State's Bureau of Educational and Cultural Affairs is procuring comprehensive third-party administrator services for the Accident and Sickness Program for Exchanges (ASPE), a self-funded health benefits program supporting over 24,000 international exchange program participants worldwide. The solicitation seeks a contractor to provide health benefits management including emergent healthcare, mental health and crisis support, 24/7 multilingual assistance, global pharmacy services, emergency medical evacuation and repatriation, telehealth services, and digital engagement tools. Key requirements include maintaining a global healthcare provider network, processing claims, managing participant enrollment, ensuring HIPAA compliance, and providing comprehensive reporting and data analytics. The government will evaluate proposals using a Best Value Tradeoff approach considering technical approach, key personnel qualifications, past performance, and pricing, with technical ratings ranging from Outstanding to Unacceptable. Proposals are due October 3, 2025, by 5:00 PM Eastern Standard Time, with offerors required to submit a 50-page technical proposal and detailed business proposal.
This opportunity does not utilize any set-aside designations and is open to all qualified contractors. The contract structure includes a base year with four one-year option periods, though specific award values are not disclosed in the available documentation. The selected contractor will manage health benefits for approximately 24,000 exchange program participants across domestic and international locations, requiring 24/7/365 support capabilities and multilingual services. Performance will be monitored through a comprehensive Quality Assurance Surveillance Plan with rigorous performance standards including 100% compliance requirements for timely reporting, claims processing, emergency response, and data security. The primary place of performance is Washington, DC, though the global nature of the exchange programs requires worldwide service delivery capabilities and provider network management across multiple countries.
Notice text
The United States Department of State (DoS), Bureau of Educational and Cultural Affairs (ECA), Executive Office (EX), administers the Accident and Sickness Program for Exchanges (ASPE) as a self-funded, short-term, limited-duration health benefits policy. The ASPE program is a crucial element in supporting the health, safety, security, and welfare of participants on domestic and international ECA-funded exchange programs, ensuring they have access to necessary medical care, mental health & crisis support services, and medical evacuation and repatriation services for emergent accidents and sicknesses that may present while actively participating in these programs in their host countries. The scope of the ASPE program Third Party Administrator (TPA) role includes health benefits management for emergent healthcare, mental health and crisis management issues, mental health and crisis support hotline and services, global pharmacy services, healthcare consultation, emergency medical evacuation and repatriation services, provider network management, 24-hour multilingual support, digital engagement tools, serving as an interlocutor between ECA, exchange program participants and healthcare, mental health, crisis support entities, and medical evacuation and repatriation services, coordination of benefits when participants carry other healthcare coverage, and participant feedback collection. The TPA will be responsible for the effective implementation and administration of these services, ensuring seamless, 24/7/365 health support for over 24,000 participants worldwide.
Files
| File | Type | Posted |
|---|---|---|
| 19AQMM25R0153 Amendment 0001.pdf | ||
| 19AQMM25R0153.pdf | ||
| Attachment 002 - Pricing Table.xlsx | XLSX spreadsheet | |
| 19AQMM25R0153.pdf | ||
| Attachment 004 - Past Performance Questionnaire.docx | DOCX document | |
| Attachment 005 - Data Requirements and Misc Notes.xlsx | XLSX spreadsheet | |
| Attachment 003 - Quality Assurance Surveillance Plan (QASP).docx | DOCX document | |
| Attachment 001 - Statement of Work (SOW).docx | DOCX document |
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