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Insurance Global Medical Coverage (GMC) for Local Staff

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19CG5026R0008Federal

Contract Overview

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

AI Contract Overview

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The U.S. Embassy in Kinshasa, Democratic Republic of the Congo, is soliciting proposals for a comprehensive group health insurance contract to cover approximately 351 locally employed staff members and their eligible dependents under three enrollment categories: Self-Only, Self-Plus-One, and Self-Plus-Family. The contractor must provide 100% coverage for essential health services including hospitalization, emergency care, outpatient services, obstetric and newborn care, pediatric services, prescription drugs, preventive and chronic disease management, mental health and substance abuse treatment, rehabilitative and habilitative services, reproductive health, and out-of-country medical treatment and travel. Additional benefits include up to USD 3,200 annually for dental care, USD 300 every two years for optical care, USD 1,500 per ear every three years for hearing aids, and up to USD 10,000 annually per individual for HIV/AIDS treatment. Each covered individual has an annual maximum benefit of USD 47,000. The contractor must establish a direct-billing network of at least ten approved medical facilities in Kinshasa, operate a pre-authorization system with 24-hour standard response and two-hour emergency response times, and provide a bilingual web-based claims portal and mobile application supporting English and French. The contract is structured as a fixed-price with economic price adjustment, indefinite-delivery/indefinite-quantity (IDIQ) vehicle with a one-year base period, four one-year option periods, and a single six-month extension option, allowing a maximum performance duration of 5.5 years. Task orders may be issued from October 1, 2026, through March 31, 2032. Offerors must be registered with both the Democratic Republic of Congo’s Autorité de Régulation et de Contrôle des Assurances (ARCA) and the U.S. System for Award Management (SAM), and must meet all technical requirements to be considered. Evaluation will follow a lowest-priced, technically acceptable, responsible (LPTA) approach, with award potentially made without discussions. Proposals must be submitted electronically in three structured volumes by July 25, 2026, at 17:00 WAT to kinshasabid@state.gov. The contract mandates strict compliance with reporting obligations, including monthly performance reports, claims settlement within five business days for at least 90% of claims, a claims denial rate of

General Info

Health insurance contract for 351 staff and dependents in Kinshasa with USD 47K annual cap, HIV/AIDS coverage, dental, optical, and direct-billing network required.

Agency

Department Of State → Usembassy KinshasaView Agency

NAICS

524114 - Direct Health and Medical Insurance Carriers View NAICS

Place of Performance

Kinshasa, CD-KN, COD

Set-Aside

NONE

Documents

(1)

RFP 19CG5026R0008 Insurance Global Medical Coverage for Local Staff

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Timeline

PhaseSolicitation
Posted

Solicitation

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Organization & Contact Information

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AgencyDepartment Of State → Usembassy Kinshasa
Contacts2 people available
OfficeWASHINGTON, DC, 20520, USA
Organization / Agency
Department Of State → Usembassy Kinshasa
View Agency Profile
Office AddressWASHINGTON, DC, 20520, USA
Contacts
Vernetta Wheeler
contact@example.gov
Annie Ntula
contact@example.gov

Full Description

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The U.S. Embassy Kinshasa, Democratic Republic of Congo, seeks proposals from qualified insurance providers to deliver comprehensive group health insurance coverage for locally employed (LE) staff of the U.S. Mission in Kinshasa and their eligible dependents.


Scope of Work: The contractor shall provide health insurance services covering approximately 351 enrolled individuals (employees and dependents) across three enrollment categories: Self-Only, Self-Plus-One, and Self-Plus-Family. Coverage must meet or exceed the following minimum benefit levels:


  • Hospitalization & Emergency Services: 100%
  • Outpatient Services: 100%
  • Obstetric & Newborn Care: 100%
  • Pediatric Services: 100%
  • Prescription Drugs: 100%
  • Preventive, Wellness & Chronic Disease Management: 100%
  • Mental Health & Substance Abuse Care: 100%
  • Dental Care: Up to USD 3,200 per individual per contract year
  • Optical Care: Up to USD 300 per individual every two years
  • Hearing Aids: Up to USD 1,500 per ear per three-year period
  • Rehabilitative & Habilitative Services: 100%
  • Reproductive Health: 100%
  • HIV/AIDS: Up to USD 10,000 per individual per contract year
  • Out-of-Country Medical Treatment & Travel: 100%
  • Annual Maximum Benefit: USD 47,000 per covered individual per contract year

The contractor must also maintain a pre-authorization system (standard responses within 24 hours; emergency responses within 2 hours), a web-based digital claims portal and mobile application with English and French language support, and a direct-billing network of at least ten (10) approved medical facilities in Kinshasa.


Contract Type & Period of Performance: This is a fixed-price with economic price adjustment, indefinite-delivery/indefinite-quantity (IDIQ) contract. The base period of performance is one (1) year, with four (4) one-year option periods and one (1) six-month extension option, for a maximum total duration of 5.5 years. Task orders may be issued from October 1, 2026 through March 31, 2032.


Eligibility Requirements: Offerors must be registered with the Autorité de Régulation et de Contrôle des Assurances (ARCA) of the Democratic Republic of Congo and must be registered in the System for Award Management (SAM) at sam.gov.


Award Basis: Award will be made to the lowest-priced, technically acceptable, responsible offeror. The Government may award based on initial proposals without discussions.


Proposals Due: July 25, 2026, at 17:00 (WAT) Submit To: kinshasabid@state.gov Pre-Proposal Conference: July 10, 2026, 10:00 WAT – Four Points Sheraton Hotel, 1A Avenue Mbuji-Mayi, Kinshasa, DRC

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