Direct Health and Medical Insurance Carriers
ID: 19MX5326R0001Type: Solicitation
Overview

Buyer

STATE, DEPARTMENT OFSTATE, DEPARTMENT OFUS EMBASSY MEXICOWASHINGTON, DC, 20520, USA

NAICS

Direct Health and Medical Insurance Carriers (524114)

PSC

SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS (G007)

Set Aside

No Set aside used (NONE)
Timeline
    Description

    The U.S. Department of State, through the U.S. Embassy in Mexico City, is soliciting proposals for health insurance coverage for its locally employed staff and their eligible family members in Mexico. The contract aims to provide comprehensive health benefits, including hospitalization, outpatient care, and specialized treatments, with a focus on meeting defined minimum coverage requirements. This procurement is crucial for ensuring the well-being of U.S. Government employees and their dependents stationed in Mexico, with a contract term consisting of a base year and four optional one-year extensions. Interested offerors must submit their proposals by January 7, 2026, and are encouraged to direct any inquiries to Morgan L. Osborne at MexicoCityGSOSolicitations@groups.state.gov by November 24, 2025.

    Files
    Title
    Posted
    This amendment to solicitation 19MX5326R0001, issued by the U.S. Embassy Mexico City, aims to incorporate an updated list of Peace Corps employees as Exhibit J. This includes a detailed roster of USG employees and their dependents, specifying gender, type (such as rider, spouse, or child), and age. The document outlines methods for acknowledging receipt of the amendment, emphasizing that failure to do so by the specified deadline may lead to the rejection of offers. It also clarifies procedures for changing previously submitted offers in light of the amendment. The amendment modifies Section J of the original solicitation, replacing the previous list of exhibits and adding a new section J.11 for Exhibit J. This ensures that all terms and conditions of the original document, as modified, remain in full force and effect.
    The U.S. Embassy in Mexico City issued Request for Proposals (RFP) number 19MX5326R0001, inviting offers for health insurance coverage for its locally employed staff. The Embassy seeks off-the-shelf plans meeting minimum benefit levels and intends to award a contract to the responsible company with the lowest-priced, acceptable offer. A pre-proposal conference is scheduled for November 18, 2025, at 13:00 local time, and prospective offerors can contact MexicoCityGSOSolicitations@groups.state.gov for details. Proposals, in English, are due by January 7, 2026, at 12:00 local time, and must include SF-33, Section B (Pricing), proof of active SAM registration, Section K (Representations and Certifications), and IRS Form W-14 if applicable. Questions must be submitted to Morgan L. Osborne via email by November 24, 2025, before 12:00 local time. The solicitation uses yellow highlighting to denote critical instructions and mandatory elements.
    This government file, part of federal RFP 19MX5326R0001 for Direct Health and Medical Insurance, addresses various technical and administrative questions from prospective offerors. Key technical clarifications include the process for obtaining claims reports (requiring an email request due to security concerns), the ability to propose greater benefits than minimum requirements (referencing section L.4.3.1.2), and details on policy adjustments (only to the necessary policy). The document also clarifies coverage for physical examinations (clinical diagnosis and preventive), vaccines (local authorities and WHO lists), hearing aids (medically necessary), and international coverage (including the USA). Administrative questions cover the deadline for submissions (November 24th), the expected service start date (March 1, 2026), tax exemption for U.S. companies (no VAT), and the permissibility of brokers participating (contract awarded to a single company responsible for coordination). The RFP emphasizes adherence to minimum benefit requirements, with proposals falling short potentially deemed unacceptable.
    RFP 19MX5326R0001 outlines requirements for health insurance services for U.S. Government employees and their dependents in Mexico, including those at the Embassy and Consulates. The contract is a fixed-price with economic price adjustment, offering coverage categories like Single, Single Plus One, and Family. Payments can be in USD or MXN, with specific VAT rules for U.S. and local firms. The scope of services includes comprehensive health benefits, such as hospitalization, emergency services, outpatient care, and specialized treatments like obstetric, pediatric, dental, and mental health care, with defined minimum coverages, deductibles, and co-insurance caps. The RFP also details exclusions, eligibility criteria, and provisions for riders like Official Residence Expense and Peace Corps staff. Administrative requirements include specific invoicing procedures, payment frequencies (quarterly, semi-annual, or annual), and refund policies. The contract emphasizes a Quality Assurance and Surveillance Plan (QASP) to monitor performance, requiring the contractor to provide brochures, quarterly presentations, and a 24/7 customer support system with a dedicated account manager. Network access, including a list of Tier AA Hospitals and providers, must be maintained and updated regularly, ensuring direct payment agreements with health providers. Security standards and ordering procedures via task orders are also specified.
    This document is a Standard Form 33, "Solicitation, Offer, and Award," for a federal government Request for Proposal (RFP) or Invitation for Bid (IFB). It outlines the terms and conditions for potential offerors to submit proposals for supplies or services. Key sections include instructions to offerors, contract clauses, descriptions of supplies/services, pricing, packaging, inspection, delivery, and contract administration data. It also details information for contacting the issuing office, important dates for offer submission, and specifies that the contract is a Rated Order under the Defense Priorities and Allocations System (DPAS). The form provides sections for the offeror to complete their proposal details, including discounts and acknowledgment of amendments, and for the government to record the award information, such as accepted items, amount, and contracting officer details.
    The U.S. Embassy in Mexico City held a Pre-Proposal Conference on November 18, 2025, for a Health Insurance Services Solicitation. The conference, attended by fifteen representatives from seven companies and U.S. Government staff, aimed to clarify requirements and the solicitation process, which will be governed by Federal Acquisition Regulations (FAR). Key discussions included the purpose of the solicitation, clarification of Contract Line Item Numbers (CLINs), proper inclusion of IVA/VAT, retention amounts, and the structure of the base and option years. The requiring office outlined minimum coverage requirements in Section C, emphasizing that proposals must detail claims payment methods (reimbursement vs. direct payment) and meet all minimum benefits to be technically acceptable. Additional benefits can be proposed but will not affect technical acceptability beyond meeting the minimums. The solicitation is a Lowest Priced Technically Acceptable (LPTA) process. All inquiries must be directed through official channels, and offerors must register with SAM.gov. The deadline for questions is November 24, 2025, and proposals are due by January 7, 2026. All amendments and Q&A will be posted on sam.gov.
    The provided government file appears to be a dataset containing information about individuals identified as 'EMPLOYEE' and their family members ('Spouse' and 'Child'). Each entry includes a unique identifier (e.g., EMPLOYEE1), gender, a 'Type' designation (S, S1, or F), age, and a location code (e.g., MX, MAT, CJ). The file lists 318 employees and their associated family members, detailing their demographics and locations. The purpose of this document seems to be an organizational record of personnel and their families, likely for internal government use such as human resources, benefits administration, or demographic analysis across various locations.
    Lifecycle
    Title
    Type
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