Insurance Global Medical Coverage (GMC) for Local Staff
Closed Solicitation Posted
This opportunity was awarded. See the award notice from .
- Solicitation number
- 19CG5026R0008
- Agency
-
Department of State
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- Place of performance
- Kinshasa Congo (Kinshasa)
- Points of contact
-
- Vernetta Wheeler kinshasabid@state.gov +243815560151
Notice details come from SAM.gov. Updated .
About this opportunity
The Department of State seeks proposals from qualified insurance providers to deliver comprehensive group health insurance coverage for approximately 351 locally employed staff and dependents at the U.S. Embassy in Kinshasa, Democratic Republic of Congo, with proposals due August 3 at 17:00 WAT. Amendment 0001, issued July 24, extends the original July 25 deadline and clarifies premium payment timing under DRC Insurance Code Article 16.
Place of performance is Kinshasa, Democratic Republic of Congo. The NAICS code is 524114, Direct Health and Medical Insurance Carriers; PSC code is G009, Social- Non-Government Insurance Programs.
This is a fixed-price with economic price adjustment IDIQ contract. The base period is one year, followed by four one-year option periods and one six-month extension option, for a maximum total duration of 5.5 years. Task orders may issue from October 1, 2026 through March 31, 2032. Baseline covered lives total 351 (28 self-only, 32 self-plus-one, 291 self-plus-family), with potential growth to 2,316 premiums across the performance period.
Minimum benefit levels include 100% coverage for hospitalization, emergency services, outpatient services, obstetric and newborn care, pediatric services, prescription drugs, preventive care, mental health services, and rehabilitative services. Capped benefits include dental care (up to $3,200 per individual per year), optical care (up to $300 per individual every two years), hearing aids (up to $1,500 per ear per three-year period), and HIV/AIDS treatment (up to $10,000 per individual per year). Annual maximum benefit is $47,000 per covered individual per contract year.
The contractor must maintain a direct-billing network of at least ten approved medical facilities in Kinshasa, establish a pre-authorization system with 24-hour standard and 2-hour emergency response times, and provide a web-based digital claims portal and mobile application with English and French language support. Only ARCA-licensed insurance underwriting entities may serve as prime contractors; third-party administrators may participate in joint ventures if the licensed underwriter bears the insurance risk. The government intends to award to the responsible company submitting an acceptable offer at the lowest price, potentially without discussions unless companies fall within a competitive range.
Notice text
The U.S. Embassy Kinshasa, Democratic Republic of Congo, seeks proposals from qualified insurance providers to deliver comprehensive group health insurance coverage for locally employed (LE) staff of the U.S. Mission in Kinshasa and their eligible dependents.
Scope of Work: The contractor shall provide health insurance services covering approximately 351 enrolled individuals (employees and dependents) across three enrollment categories: Self-Only, Self-Plus-One, and Self-Plus-Family. Coverage must meet or exceed the following minimum benefit levels:
- Hospitalization & Emergency Services: 100%
- Outpatient Services: 100%
- Obstetric & Newborn Care: 100%
- Pediatric Services: 100%
- Prescription Drugs: 100%
- Preventive, Wellness & Chronic Disease Management: 100%
- Mental Health & Substance Abuse Care: 100%
- Dental Care: Up to USD 3,200 per individual per contract year
- Optical Care: Up to USD 300 per individual every two years
- Hearing Aids: Up to USD 1,500 per ear per three-year period
- Rehabilitative & Habilitative Services: 100%
- Reproductive Health: 100%
- HIV/AIDS: Up to USD 10,000 per individual per contract year
- Out-of-Country Medical Treatment & Travel: 100%
- Annual Maximum Benefit: USD 47,000 per covered individual per contract year
The contractor must also maintain a pre-authorization system (standard responses within 24 hours; emergency responses within 2 hours), a web-based digital claims portal and mobile application with English and French language support, and a direct-billing network of at least ten (10) approved medical facilities in Kinshasa.
Contract Type & Period of Performance: This is a fixed-price with economic price adjustment, indefinite-delivery/indefinite-quantity (IDIQ) contract. The base period of performance is one (1) year, with four (4) one-year option periods and one (1) six-month extension option, for a maximum total duration of 5.5 years. Task orders may be issued from October 1, 2026 through March 31, 2032.
Eligibility Requirements: Offerors must be registered with the Autorité de Régulation et de Contrôle des Assurances (ARCA) of the Democratic Republic of Congo and must be registered in the System for Award Management (SAM) at sam.gov.
Award Basis: Award will be made to the lowest-priced, technically acceptable, responsible offeror. The Government may award based on initial proposals without discussions.
Proposals Due: August 3, 2026, at 17:00 (WAT) Submit To: kinshasabid@state.gov Pre-Proposal Conference: July 10, 2026, 10:00 WAT – Four Points Sheraton Hotel, 1A Avenue Mbuji-Mayi, Kinshasa, DRC
Files
Notice history
| Notice | Type | Posted |
|---|---|---|
| Insurance Global Medical Coverage LE Staff Kinshasa | Award Notice | |
| This notice | Solicitation | |
| Insurance Global Medical Coverage (GMC) for Local Staff | Pre-Solicitation |
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