Health insurance services for Embassy Locally Employed Staff (LES) and their eligible family members

The U.S. Embassy in Sarajevo is soliciting proposals for comprehensive health insurance services for its Locally Employed Staff and their eligible family members in Bosnia and Herzegovina. The contract is structured with one base year and four option years, providing a total potential performance period of up to 60 months, with a possible six-month extension. Coverage must include inpatient, outpatient, emergency, ambulance, maternity, pediatric, mental health, dental, reproductive, and HIV/AIDS care. The selected contractor must provide bilingual benefit brochures, monthly claims reports, and proof of reinsurance from an A-rated insurer. Award will be made to the lowest priced, technically acceptable, and responsible offeror. Technical acceptability is determined by a binary evaluation of the vendor's ability to meet minimum benefit reimbursement levels and provide an acceptable management approach. Key requirements include a primary point of contact with at least two years of insurance industry experience who is proficient in English. Contract administration involves monthly or quarterly task orders to manage enrollment, with a specific 15/30 rule for processing additions and removals of covered individuals. Invoices are submitted via email in PDF format to the Embassy's Financial Management Office.