Health Insurance for Locally Employed Staff (LES), U. S. Embassy Skopje, North Macedonia

The U.S. Department of State's Regional Procurement Support Office (RPSO) Frankfurt is seeking proposals for comprehensive health insurance services for Locally Employed Staff (LES) at the U.S. Embassy in Skopje, North Macedonia. The solicitation covers a five-year contract period consisting of one base year and four option years, providing health insurance coverage for eligible employees and their dependents from multiple agencies including the Department of State, Department of Justice, Department of Defense, and Peace Corps. The insurance must include hospitalization, emergency services, outpatient care, prescription drugs, dental, optical, mental health services, and out-of-country medical treatment, with reimbursement rates ranging from 50% to 100% depending on service type and an annual maximum reimbursement cap of $10,000 per covered individual. The contract is structured as a firm fixed-price Indefinite Delivery, Indefinite Quantity (IDIQ) arrangement with potential for economic price adjustments. Following two amendments that extended deadlines and provided vendor question responses, proposals are now due by August 20, 2025, at 12:00 PM Central European Time, with offerors required to acknowledge receipt of all amendments using Standard Form SF-30.

This opportunity has no set-aside designation and is open to all eligible contractors, with no current incumbent contractor identified in the documentation. The maximum total ordering limit for the contract is $3,850,000 over the five-year period, covering three enrollment categories: Self Only (30 individuals), Self Plus One (47 individuals), and Family (148 individuals), totaling approximately 225 covered individuals. The contract will commence on October 30, 2025, and performance will take place in North Macedonia, specifically serving the U.S. Embassy Skopje and its locally employed staff. Historical claims data shows annual healthcare expenditures ranging from approximately $135,618 to $524,283 over the past five years, with the most recent period projecting claims of approximately $503,517. The demographic composition includes 72 female and 154 male employees, with the majority concentrated in the 46-55 age range, plus their eligible spouses, dependent children, and grandfathered opposite-sex partners.