Solicitation notice for Health & Life Insurance for LES, U. S. Mission, Sultanate of Oman

Form / Attachment / Pricing Sheet

This document is a claims analysis report from MetLife, providing a breakdown of insurance claims over several policy periods (2020-21, 2021-22, 2022-23, 2023-24, and 2024-25). It details paid amounts and claim counts across various categories such as Outpatient, InPatient, Psychiatric Treatment, Maternity, Dental, Optical, and Other Services. The report also segments data by age groups and provides an overall snapshot including average lives, number of claimants, claims per member, and cost per claim.

• Policy Information: Policy number (60304-) and incurred date ranges.
• Claim Categories: Breakdown by service type (Outpatient, InPatient, etc.) for Employees, Spouse, and Child.
• Age-Based Analysis: Paid amounts and claim counts categorized by age groups (Under 21 to 70 and above).
• Overall Snapshot: Summary statistics for specific policy periods, including Paid Claims, Average Lives, Number of Claimants, PPO vs. Cash utilization, Members vs. Dependents, Claims Per Member, and Cost Per Claim.
• Paid Claims by Month: Graphical representation of paid claims over a 12-month period.
• Paid Claims by Subgroup: Breakdown of paid claims by specific policy names (e.g., EMBASSY OF UNITED STATES OF AMERICA).

This report provides historical claims data which can be crucial for bidders to understand the scope and potential costs associated with health insurance benefits. It allows for an assessment of utilization patterns, cost drivers, and the demographic distribution of claims, which can inform pricing strategies and service offerings for related opportunities.

Solicitation / RFP / RFQ

This solicitation is for customized Group Life and Health Insurance services for employees of the U.S. Embassy in the Sultanate of Oman. The government intends to award a contract to the most qualified responsible company submitting a technically acceptable offer at the lowest price, potentially without discussions.

• Provision of Group Life and Health Insurance services.

• Services must be provided in accordance with Section C and Exhibits in Section J.

• Offerors must adhere to specific benefit levels outlined in Section C; deviations may lead to rejection.

• Riders, endorsements, or supplemental coverage provisions are not included unless expressly authorized.

• Contract Type: Firm fixed price with economic price adjustment requirements.

• Period of Performance: One year base period (September 1, 2026 - August 31, 2027) with four (4) one-year options to renew.

• Estimated Value: Not explicitly stated, but pricing is detailed for the base year and option years.

• NAICS Codes: 524114 (Health Insurance Carriers) and 524113 (Direct Life Insurance Carriers).

• Proposals must be submitted in a sealed envelope marked "Proposal Enclosed" to the Contracting Officer, U.S. Embassy Muscat.

• Deadline: Wednesday, June 24, 2026, at 1:00 PM Muscat Time.

• Required Documents: SF-33, Section B (Pricing Schedule, Retention Amounts), Section K (Representations and Certifications), and additional information as required in Section L.

• Evaluation Criteria: Lowest priced, technically acceptable, responsible offer.

• A pre-proposal conference will be held on June 03, 2026, at 1100 at the U.S. Embassy Muscat.

• Offerors must be registered in the SAM (System for Award Management) database.

• Specific eligibility criteria for employees and dependents are detailed in Section C.

• Value Added Tax (VAT) must be included as a separate charge and line item.

• Proposals with more or fewer benefits than stated may be deemed technically unacceptable.

• Offerors are encouraged to complete tables for options to extend services, as this information is crucial for proposal evaluation.