Combine Solicitation – Group Health and Life Insurance Service
Notice Type: Combine Solicitation
Posted Date:
Office Address:
Subject: Group Health and Life Insurance Service
Classification Code: Q - Medical services
Solicitation Number: SMU-300-16-Q-0001
Contact:
Setaside: N/AN/A
Place of Performance (address): US EMBASSY MUSCATStreet #32, Building #38 Jamait Ad Duwal Arabiyya Street,
Place of Performance Country: OM
Description:
Near Eastern Posts
U.S. Embassy
SECTION A Health & Life Insurance Services-Solicitation SMU-300-16-Q-0001 Page 3 SECTION B PART I: PRICE - HEALTH INSURANCE B.1. HEALTH INSURANCE SERVICES The Contractor shall provide the
* Providing the insurance
* Maintaining adequate reserves to pay claims, including accounting procedures
* Administering and prompt payment of insured claims for reimbursement
* Procedures for reviewing claims (including where and how claims will be processed and settled)
* Description of the system for tracking utilization of services by claimants by diagnostic or other actuarial categories/profiles and comparing them against regional or national norms Health & Life Insurance Services-Solicitation SMU-300-16-Q-0001 Page 62
* Availability of central point of contact and phone number for employees to call regarding claims or information
* Providing periodic reporting and accounting of financial results of the plan, including reporting formats
* Procedures and rates for converting from group insurance to individual insurance policies
* The overall management of the contract. L.4.3.2.1. Experience and Past Performance List all contracts and subcontracts your company has held over the past three years for the same or similar work. Provide the following information for each contract and subcontract: (a) Customer's name, address, and the telephone numbers of previous contractors for whom similar insurance and services were provided; (b) Contract number and type of contract; (c) Date and place of performance of the contract and delivery dates and period of performance; (d) Scope of the contract, i.e., types of insurance provided and range of population covered, as well as total dollar amount; (e) Brief description of the performance requirements; (f) Comparability to the work required under this solicitation; (g) Brief discussion of any major technical problems and their resolutions. L.4.3.2.2 Licensing Information The offeror shall include a notarized copy of the most current license/certificate/-accreditation, which demonstrates that the offeror is licensed/certified/accredited or otherwise authorized by the Government of Sultanate of
* Adequate financial resources or the ability to obtain them;
* Ability to comply with the required performance period, taking into consideration all existing commercial and governmental business commitments;
* Satisfactory record of integrity and business ethics;
* Necessary organization, experience, and skills or the ability to obtain them;
* Necessary equipment and facilities or the ability to obtain them; and
* Be otherwise qualified and eligible to receive an award under applicable laws and regulations. M.3. AWARD SELECTION M.3.1. General. The award selection will go to the lowest priced, technically acceptable, responsible offeror. As described in FAR 52.215-1, "Instructions to Offerors - Competitive Acquisition," which is incorporated by reference in Section L, award may be made based upon initial offers, without discussions. The offeror must also be licensed/certified/accredited. M.3.2. Profit Sharing Credit Plan In the event of equal proposals and in the event that one offeror presents an acceptable Profit Sharing Credit plan, the offeror proposing the most generous plan, in terms of benefit to the Government will receive the award. This profit sharing credit plan will be part of the resultant contract. M.4. FIXED PRICES Health & Life Insurance Services-Solicitation SMU-300-16-Q-0001 Page 69 Offerors must propose fixed prices for the coverage identified in Section B - SERVICES AND PRICES. Proposals that do not include fixed prices cannot be evaluated for the total requirement and will be rejected. M.5. TECHNICAL EVALUATION Offers will be evaluated on: (i) Meeting each of the individual mandatory requirements/minimums for health insurance coverage specified in Section C through H and the Exhibit(s). The Government may reject, as technically, unacceptable proposals that: (a) Fail to provide the minimum benefits required by the solicitation; or (b) Offer additional benefits not required by the solicitation (even though there is no increase in the price). (ii) The demonstration that the offeror is licensed/certified/accredited or otherwise authorized by the government of Sultanate of
Link/URL: https://www.fbo.gov/notices/6383e35eeb44cead54655559d558c76b
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