LE Staff Health Insurance Services
ID: 19KE5025R0001Type: Solicitation
Overview

Buyer

STATE, DEPARTMENT OFSTATE, DEPARTMENT OFAMERICAN EMBASSY NAIROBIWASHINGTON, DC, 20520, USA

NAICS

Direct Health and Medical Insurance Carriers (524114)

PSC

SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS (G007)
Timeline
    Description

    The U.S. Embassy in Nairobi, Kenya, is soliciting proposals for health insurance services for its locally employed staff under Solicitation Number 19KE5025R0001. The contract aims to provide comprehensive health insurance coverage, including hospitalization, outpatient services, emergency care, and preventive treatments, with specific pricing structures and compliance with local laws. This procurement is crucial for ensuring quality healthcare for embassy staff and their dependents while maintaining fiscal responsibility. Proposals are due by June 9, 2025, at 9:00 a.m. East African time, and interested parties should contact Leslie Marks at marksLE@state.gov or Eric Kamau at KamauEM@state.gov for further information.

    Point(s) of Contact
    Files
    Title
    Posted
    The US Embassy in Nairobi hosted a pre-proposal conference on May 9, 2025, concerning the solicitation for health insurance services (Solicitation Number: 19KE5025R0001). The meeting aimed to ensure transparency and clarity in the procurement process for prospective vendors, with 23 representatives from 11 companies present. Key discussions included submission requirements through SAM.gov, the structure of proposals, pricing, and a detailed outline of the service expectations. Vendors were informed that proposals must cover a five-year term with specific pricing structures, and all invoices must not include VAT. Important aspects such as retention amounts and premium calculations were emphasized, explaining how premiums relate to employee coverage. The solicitation details included guidelines for addressing inquiries, the evaluation factors, and proper completion of required documents. Numerous clarifications were sought by vendors, particularly concerning premium categories and claims data, with the Embassy committing to provide additional information as needed. The conference underscored the Embassy's dedication to a fair procurement process while ensuring vendors understand the critical requirements for proposal submission and evaluation.
    The document is an amendment to a solicitation issued by the U.S. Embassy in Nairobi, Kenya, specifically for solicitation number 19KE5025R0001, with an effective date of April 30, 2025. The primary purpose of the amendment is to extend the submission deadline for offers to June 3, 2025, at 9:00 AM, and to reschedule the pre-solicitation meeting to May 9, 2025, at 9:00 AM. The amendment stipulates that all other terms and conditions from the original solicitation remain unchanged. It emphasizes the importance of acknowledging receipt of this amendment to avoid potential rejection of offers. The contracting officer for the amendment is Leslie Marks, who must receive signatures from contractors confirming their understanding and agreement to the changes made in the solicitation. Overall, this amendment aims to provide clarification and extend timelines for involved parties, ensuring compliance with federal procurement processes.
    The document outlines an amendment to a solicitation for health insurance services at the U.S. Embassy in Nairobi, Kenya, effective May 27, 2025. It corrects pricing tables and updates sections related to eligibility, claims estimates, and coverage limits, including a change eliminating USAID as an eligible agency. The solicitation due date is extended to June 9, 2025. The contract offers health insurance for U.S. employees and eligible dependents, specifying fixed premiums for various family categories in Kenyan Shillings (KES) and clarifying that the U.S. Government will not reimburse Value Added Tax (VAT). Additional details include coverage provisions for mental health, rehabilitative services, and out-of-country treatment, as well as a maximum annual reimbursement limit. The document also provides insights into employee demographics and past claims data, emphasizing meticulous administrative guidelines surrounding the contract's pricing structure. This amendment is part of the federal RFP processes aimed at ensuring that contract terms remain clear and comprehensive for potential bidders while adhering to government procurement regulations.
    The file outlines the clarifications provided during the pre-proposal meeting for solicitation 19KE5025R0001 concerning health insurance for U.S. government employees and their dependents. Key topics include estimated populations, claims data, and insurance benefits. Section B clarifies family categories, emphasizing that demographic data will assist bidders in pricing premiums accurately, while Section J provides insights on employee demographics. Additionally, various questions address aspects of the solicitation, such as the definitions of benefits, exclusions, and annual maximum limits. For instance, outpatient services have a cap of KES 800,000 per individual, affecting total coverage. There are discussions on the applicability of certain benefits, the treatment of claims, and insurance coverage for conditions like HIV/AIDS. The solicitation specifies pricing structures, indicating that certain categories of employees, such as ORE and Peace Corps contractors, will follow separate billing procedures. The information outlined is crucial for bidders in ensuring compliance with the solicitation requirements while submitting competitive proposals for managing health insurance services effectively.
    The U.S. Embassy in Nairobi, Kenya, invites proposals for health insurance coverage for its locally employed staff through Request for Proposals Number 19KE5025R0001. The contract will be awarded to the responsible company offering the lowest acceptable price. Proposals are due by May 6, 2025, with a pre-proposal conference scheduled for April 24, 2025. Offerors must adhere to specific submission requirements and are encouraged to register in the System for Award Management (SAM). The required health insurance must provide comprehensive coverage, including hospitalization, outpatient services, emergency services, preventive care, and various treatments with defined annual maximum limits. The proposal must also outline pricing, administrative retention amounts, and economic price adjustments. The contract covers eligible employees and their dependents, excluding certain temporary positions and independent contractors. The document emphasizes the necessity for compliance with local laws and regulations, and the expected standards of service for managing claims and reimbursements. The Embassy seeks an efficient and responsive partner to ensure quality health care for its staff while maintaining transparency and fiscal responsibility throughout the procurement process.
    Lifecycle
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