Attachment 8: Lisbon QAs

19GE5026Q0035

ATTACHMENT 8 QUESTIONS AND ANSWERS

Question 1: Attachment 2 provides aggregate enrollment and claims history, but we could not find ages and genders for the proposed covered group. Is a deidentified age-and-gender census available for the approximately 209 individuals, or should insurers price use the aggregate statistics and enrollment categories provided? An anonymized age-band and gender distribution would also help if individual-level data cannot be shared.
Answer:
Anonymized census data:
Eligible Individuals by Age Band, Gender, and
Relationship
Age
Band

Employee
(F)

Employee
(M)

Spouse
(F)

Spouse
(M)

Child
(M)

Child (F)

0-17

18-25

26-35

36-45

46-55

56-65

66+

Total

Total

Note: Eligibility for children is capped at the
age of 26. See Section C.1.4.1.1.2.

Question 2: Which legal entity will be the policyholder, and is there a Portuguese registered address, NIF and CAE available for that entity? If not, how should insurers identify the policyholder?

19GE5026Q0035

Answer:
•

•
•

•

Contracting party: "The U.S. Government requires Health for its Locally Employed Staff (LES) of the United States Embassy Lisbon, Portugal and their eligible dependents." Coverage includes U.S. Embassy Lisbon and U.S. Consulate Ponta Delgada, Azores. See Attachment-1SOW, Page 1. Portuguese address: Invoices should be emailed to
[email protected] . See Attachment-1-SOW, Page 18. Taxes: Value Added Tax (VAT) does not apply and must not appear in prices or invoices. See Attachment-1-SOW, Page 2. Unit prices must include locally required stamp duty and the INEM (Portuguese emergency medical institute) contribution. See Attachment-1-SOW, Page 2. Embassys´ NIF for invoicing is 900229306.

Question 3: Is an anonymized member-level census available with date of birth, gender, relationship and annual salary? The published employee statistics give aggregate membership and claims only. If no individual census will be provided, may insurers price using the published aggregates and state their assumptions? Answer: See answer to question 1.
Question 4: The description says health and life insurance, but the SOW details health benefits. Is a separate life benefit required? If so, what insured amount and eligibility should be priced?
Answer: The reference to life insurance in Section III, "Description of Requirement," is an error. The requirement covers health insurance only, and quoters should not price life insurance. Pricing shall be provided in Attachment