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Health Insurance Claims Administration

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Federal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

AI Contract Overview

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This subcontract for Health Insurance Claims Administration supports prime contractors on Department of State projects in Freetown, Sierra Leone. The primary objective is to perform administrative functions for insurance plans, which includes adjudicating medical claims according to policy guidelines and managing the interface between insured employees and the insurance carrier. The service provider will utilize claims adjudication software and member management portals to deliver processed claims reports and comprehensive customer support for policyholders. This effort is managed through the US Embassy Freetown under NAICS code 524292.

General Info

Health insurance claims administration and adjudication for Department of State projects in Sierra Leone.

Agency

Department Of State → US Embassy FreetownView Agency

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsView NAICS

Place of Performance

Freetown, SL-W, SLE

Set-Aside

NONE

Documents

This scope was carved out of 19SL2026R0001.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Health Insurance Synopsis

AI Contract Breakdown

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Timeline

PostedJan 14

subcontract

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Organization & Contact Information

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AgencyDepartment Of State → US Embassy Freetown

ContactsNo contacts available

OfficeN/A

Organization / Agency

Department Of State → US Embassy Freetown

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Office AddressN/A

ContactsNo contact information available

Full Description

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Performs administrative functions of insurance plans for prime contractors on Department of State projects in Sierra Leone. Adjudicates medical claims based on policy guidelines, manages the interface between insured employees and the insurance carrier, and provides customer support for policyholders. Utilizes claims adjudication software and member management portals. Delivers processed claims reports and member service support.

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Health Insurance Synopsis

Solicitation # 19SL2026R0001

The Department of State, through the American Embassy in Freetown, Sierra Leone, is preparing a pre-solicitation for contract 19SL2026R0001 to provide medical insurance services for approximately 209 locally hired employees and 591 eligible dependents. The government intends to award a firm fixed price contract to the lowest priced technically acceptable offeror who is a responsible service provider. All financial proposals must be submitted in Sierra Leone Leones. The anticipated performance period includes a twelve-month base period with four one-year option periods, with the place of performance located at the U.S. Embassy in Freetown. The formal solicitation is expected to be released on SAM.gov in March 2026, with an anticipated closing date of April 27, 2026. Prospective offerors must be registered in the System for Award Management database prior to contract award in accordance with FAR provision 52.204-7. Electronic responses will be permitted. The primary point of contact for this procurement is Contracting Officer Rose Weckenmann.

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