Long Term Agreement for the provision of Medical Insurance Plan
UNOPS
Long Term Agreement for the provision of Medical Insurance Plan
Request for proposal
Reference:
RFP/2025/56021
Beneficiary countries or territories:
Multiple destinations (see the Countries or territories tab)
Registration level:
Basic
Published on:
04-Jun-2025
Deadline on:
07-Jul-2025 22:00 0.00
Description
Tender Description: Long Term Agreement for the provision of Medical Insurance Plan
IMPORTANT NOTE: Interested vendors must respond to this tender using the UNOPS eSourcing system, via the UNGM portal. In order to access the full UNOPS tender details, request clarifications on the tender, and submit a vendor response to a tender using the system, vendors need to be registered as a UNOPS vendor at the UNGM portal and be logged into UNGM. For guidance on how to register on UNGM and submit responses to UNOPS tenders in the UNOPS eSourcing system, please refer to the user guide and other resources available at: https://esourcing.unops.org/#/Help/Guides
IMPORTANT NOTE: Interested vendors must respond to this tender using the UNOPS eSourcing system, via the UNGM portal. In order to access the full UNOPS tender details, request clarifications on the tender, and submit a vendor response to a tender using the system, vendors need to be registered as a UNOPS vendor at the UNGM portal and be logged into UNGM. For guidance on how to register on UNGM and submit responses to UNOPS tenders in the UNOPS eSourcing system, please refer to the user guide and other resources available at: https://esourcing.unops.org/#/Help/Guides
This tender has been posted through the UNOPS eSourcing system. / Cet avis a été publié au moyen du système eSourcing de l'UNOPS. / Esta licitación ha sido publicada usando el sistema eSourcing de UNOPS. Vendor Guide / Guide pour Fournisseurs / Guíra para Proveedores: https://esourcing.unops.org/#/Help/Guides
First name:
N/A
Surname:
N/A
This procurement opportunity integrates considerations for at least one sustainability indicator. However, it does not meet the requirements to be considered sustainable.
Gender issues
Social
The tender contains sustainability considerations addressing gender equality and women's empowerment.
Examples:
Gender mainstreaming, targeted employment of women, promotion of women-owned businesses.
Sustainable resource use
Environmental
The tender contains sustainability considerations promoting the sustainable use of resources.
Examples:
Energy-saving measures, recycling, take-back programmes and responsible end-of-life management
| Link | Description | |
|---|---|---|
| https://esourcing.unops.org/#/Help/Guides | UNOPS eSourcing – Vendor guide and other system resources / Guide pour fournisseurs et autres ressources sur le système / Guía para proveedores y otros recursos sobre el sistema |
84131601
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Life insurance
84131602
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Health or hospitalization insurance
84131603
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Accidental injury insurance
84131604
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Disability insurance
84131605
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Workmens insurance
84131606
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Unemployment insurance
84131607
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Liability insurance
84131608
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Medical Claims Review and Management
84131609
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Employee assistance programs
84131610
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Flexible spending accounts FSA
84131611
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Medical malpractice insurance
84131613
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Claims payment processing or administration
New clarification added: Question: SECTION II: Schedule of Requirements – p. 4 - Section 1.7 – Medical Evacuation Travel (MET): Can you kindly provide the list of countries for medical evacuation approved by the UN including the list of recognised medical centres? Answer: The plan is intended to offer medical services to personnel at their duty station. Should UNOPS conduct a medevac for the local personnel, it will be to the nearest country that offers the required care. For medevac from countries with poor health systems, the medevac will be to the regional area of care (RAC) country hospital.
Edited on:
01-Jul-2025 14:37
Edited by:
webservice@unops.org
New clarification added: Question: LTA – Article 1.7 – on the basis of Annex 1 we have assumed that we can request changes/set out reservations on the General Conditions of Contract. Is that assumption correct?Answer: Yes, you can propose any adjustments to the terms and the same will be considered during the evaluation process.
Edited on:
01-Jul-2025 14:36
Edited by:
webservice@unops.org
New clarification added: Question: Could you please clarify what you mean by “All reductions in market prices will be passed on in full to UNOPS.”?Answer: It means that if the cost of the goods or services covered by the LTA decreases in the market, the supplier is contractually obligated to lower the price they charge UNOPS by the full amount of that reduction. Please note that for this contract, it is indicated that suppliers should provide a profit sharing formula that would act as a guidance.
Edited on:
01-Jul-2025 14:35
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 4 - Section 1.10 – Stop loss provision: Can you kindly confirm at which frequency the administrator will receive the salary information and is expected to upload the information into our systems? Will UNOPS require an annual update on 1st January of each calendar year? Can you kindly confirm if the salary information will be provided in local currency or plan currency?Answer: The annual salaries will be provided in the monthly eligibility reports in local currencies and USD. The amount in USD will be based on the existing UN exchange rate. System updates can be made based on the fee at the beginning of the year or as agreed during oboarding.
Edited on:
01-Jul-2025 14:34
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 5 - Section 1.13 – Overall Maximum: Can you kindly confirm if the “Overall Maximum Outside USA” and “Overall Maximum USA & Canada” is applicable based on country of residence or based on country of care/where expenses are incurred?Answer: Overall maximum is based on country of duty station which is the country of residence. Example, If a personnel with a duty station of Denmark (overall maximum 80,000) travels to the US or Canada on ODT, the reimbursement will the based on the R&CC of the destination country but the overall maximum will be their annual limit of 80,000 USD which is based on their duty station outside the US. Personnel with duty stations outside US and Canada are not to access treatment in the US unless they are on ODT, MET or HT.
Edited on:
01-Jul-2025 14:31
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 5 - Section 1.13 – Overall Maximum: Can you kindly confirm if the “Overall Maximum Outside USA” and “Overall Maximum USA & Canada” is applicable based on country of residence or based on country of care/where expenses are incurred? Can you kindly share claims statistics on frequency of reaching the “Overall Maximum Outside USA” and “Overall Maximum USA & Canada” for the insured population for the last 5 years?Answer: From the High cost claims - Revision 1. The cases indicated having reached the overall maximum of annual ceiling are insured population outside USA and Canada.
Edited on:
01-Jul-2025 14:28
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 6 - Section 2.15 – Serious / Critical illness: Can you kindly share the applicable definition for Serious/Critical illness? Can you kindly confirm if the administrator is expected to work with an established list or a specific method to assess new illnesses according to serious/critical criteria?Answer: The list of conditions is broad and the insurer is expected to review all new cases individually and approve. However, for those currently approved by the current insurer, we would expect a smoother transition if need be by having individual letters confirming the serious illness for ease of onboarding by the successful bidder.
Edited on:
01-Jul-2025 14:26
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 11 - Section 6.15 – Hearing aids (including batteries): Can you kindly confirm if repair of hearing aids is included in this benefit? Answer: Yes, but the same should be limited to the maximum amount indicated of 300 USD per the period of 36 months.
Edited on:
01-Jul-2025 14:20
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 4 - Section 1.4/1.5 – R&CC/Treatment Outside Duty Station: Can you kindly confirm if the prevailing pattern of charges for the services provided within the country of the staff / LICA member’s duty station is to be applied to all services/covered benefits provided outside the country of the staff / LICA member’s duty station? Can you kindly confirm if there are any exceptions applied to this rule (other than ODT/MET/HT/countries with poor medical facilities) e.g. limit not to be applied for certain benefits?Answer: For treatment outside duty station, R&CC of the duty station should be applied on all medical services except if the service was due to ODT, MET, HT or if the personnel is on travel for treatment due to poor medical facilities.
Edited on:
01-Jul-2025 14:12
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 4 - Section 1.8 – Holiday Travel (HT): Can you kindly confirm how the administrator will be informed of the periods of “Holiday Travel” and the start and end date of the five consecutive weeks? Can you kindly share claims statistics on claims incurred for the last 5 years related to “Holiday Travel”? Answer: Since this is tied to annual leave in most cases, in case of a claim, UNOPS is able to confirm the leave period. Current practice is for the personnel to give proof of holiday travel while submittiing a claim. A reporting process can be discussed with the successfully bidder for better implementation. Please refer to the Claims Report by country and benefit - 2021-2024. The information is available for 2021 and 2022. For 2023 - 2024, the costs are not captured separately.
Edited on:
01-Jul-2025 13:37
Edited by:
webservice@unops.org
New clarification added: Question: In the "Utilization statistics" document, the cut off date indicated is 30/04/2025. However, the payment columns indicate the sums paid in 2023 and 2024 for the same years of occurence. We deduce that the figures do not contain any amounts paid in 2025, for 2023 and 2024. We also deduce that the actual cut off date is the 31/12/2024? Could you please confirm our understanding is correct? Would you mind please providing us with the figures for the 2025 year of paiement as indicated? Answer: Please refer to the Claims Report by country and benefit - 2021-2024 for the claims incurred without IBNR. Cut off for 2021-2022 is 28/02/2023 and cut off for 2023-2024 is 30/05/2025.
Edited on:
01-Jul-2025 13:30
Edited by:
webservice@unops.org
New clarification added: Question: Article 14.2 ..." upon sixty (60) day’s advance written notice to the Contractor, UNOPS may terminate the Contract without having to provide any justification" Can you kindly describe a hypothetical situation vis a vis the insurance program, in which termination may occur under this condition?Answer: Given the nature of this contract, should a situation warrant termination, justification will be shared with the insurer. It is important to note that we have not had an incident with the medical insurance contracts. Please refer to Article 14 Termination Clause in UNOPS General Conditions of Contract for the Provision of Serviceshttps://content.unops.org/service-Line-Documents/Procurement/General_conditions_services-Sep.-2024_V2.pdf
Edited on:
01-Jul-2025 13:28
Edited by:
webservice@unops.org
New clarification added: Question: Amongst the benefits for hospitalization, could you please confirm that the "Organ transplant" reimbursement exclude all the costs related to acquiring the organ?Answer: The cost of hospitalization and medical procedure for the donor should be covered by the plan. Additional expenses such as lost wages, travel expenses or expenses for unrelated conditions discovered during the evaluation process should not be covered.
Edited on:
01-Jul-2025 13:24
Edited by:
webservice@unops.org
New clarification added: Question: High costs claims file:- Tab 2021-2022 shows identical data for periods 1st Jan 2021 to 31st Dec 2021 and 1st Jan 2022 to 31st Dec 2022. Coud it be explained by UNOPS?Otherwise, would they send this information corrected?- Tab 2023-2024.Is it showing the Top-10 High Claimants’ claims amounts? Are they incurred or paid claims?Answer: Please refer to updated data on High cost claims - Revision 1. The top 10 claims for 2023 and 2024 are claims incurred and paid.
Edited on:
30-Jun-2025 16:17
Edited by:
webservice@unops.org
New clarification added: Question: Is it possible to obtain census data similar to the Excel spreadsheets sent in 2022 and 2023? Is it possible to obtain census data similar to the Excel spreadsheets sent in the 2022 RFP, this time for 2023 and 2024?Answer: Please refer to the Historical census data_ 2017-2024.
Edited on:
30-Jun-2025 16:15
Edited by:
webservice@unops.org
New clarification added: Question: Could you provide the claims paid in 2025 for the Insurance years 2023 and 2024?Answer: Please refer to the Claims Report by country and benefit - 2021-2024 that captures the claims incurred in the respective years requested. The cut off being 30/05/2025 for all 2023 and 2024 claims.
Edited on:
30-Jun-2025 16:11
Edited by:
webservice@unops.org
New clarification added: Question: Could you provide a line-by-line claims report for 2023, 2024, and 2025? If it’s not available, please provide the claims experience by benefit and by country (or region), with a split by personnel category. Additionally, please provide a list of claimants with claims exceeding $10,000 in both 2023 and 2024, specifying the respective conditions associated with each claimant.Answer: Please find attached the High Cost Claims - Revision 1 for 2023 and 2024. 2025. Also available for reference is the Claims Report by country and benefit, 2021-2024 with details of claims incurred.
Edited on:
30-Jun-2025 16:09
Edited by:
webservice@unops.org
New clarification added: Question: Can UNOPs confirm that it can commit to exclusivity in respect of the cover provided to the eligible population, in the event of a successful Bid by an Insurer?Answer: We confirm exclusivity in respect of the cover provided to the eligible population, in the event of a successful proposal by an Insurer for lot 1.
Edited on:
30-Jun-2025 16:07
Edited by:
webservice@unops.org
New clarification added: Question: Considering the change/increase in claims data over the past 4 years, we would greatly appreciate if you could provide us with the headcount progression over the defined period, for each of the populations.Answer: Please find the Historical census data_2017-2024.
Edited on:
30-Jun-2025 16:05
Edited by:
webservice@unops.org
New clarification added: Question: Concerning the benefits, could you please confirm whether the benefits have been exactly the same over the period for which we have utilization statistics at our disposal in the RFP documents? If not, could you please clearly indicate the benefits change and the date they occurred?Answer: Benefit changes were implemented effective 1st January 2023;1. In 2023 Annual limits increased from 40,000 to 80,000 USD for Zones A,B and C except for UNHCR team who were already on an annual limit of 80,000 USD2. Psyachiatric outpatient sublimit increased to 5,000 USD from 1,000 USD3. Dental limit increased to 3,000 USD from 600 USD4. Introduction of vision/optical coverage
Edited on:
30-Jun-2025 16:03
Edited by:
webservice@unops.org
New clarification added: Question: Please indicate any benefit changes that have been implemented during the last 5 years and when the change was made.Answer: Benefit changes were implemented effective 1st January 2023;1. In 2023, Annual limits increased from 40,000 to 80,000 USD for Zones A, B and C, except for UNHCR team who were already on an annual limit of 80,000 USD2. Psychiatric outpatient sublimit increased to 5,000 USD from 1,000 USD3. Dental limit increased to 3,000 USD from 600 USD4. Introduction of vision/optical coverage
Edited on:
30-Jun-2025 16:01
Edited by:
webservice@unops.org
New clarification added: Question: Please share the number of claims, calls and emails volume over the last 5 years.Answer: Please refer to the Summary of Key Activities: Claims, Calls, and Emails provided.
Edited on:
30-Jun-2025 15:58
Edited by:
webservice@unops.org
New clarification added: Question: Please share the number of lives and families by month for the last 5 years. Can you split this up into the UNOPS and UNHCR part of the population?Answer: Please refer to the Historical census data_ 2017 - 2024 for the yearly population as at 31st December every year. From 2023, there was no seperate insurance for UNHCR thus the combined population.
Edited on:
30-Jun-2025 15:28
Edited by:
webservice@unops.org
New clarification added: Question: May we have the average monthly wage in USD for the population covered, given that the Out-of-pocket maximum depends on members’ salaries?Answer: Please refer to the sheet with Average annual salaries per rate group.
Edited on:
30-Jun-2025 15:17
Edited by:
webservice@unops.org
New clarification added: Question: For both LICA and Staff members, would you please provide us with following data for 2022, 2023 and 2024 years?Census data, Calls, emails and claims volumes.Answer: Please refer to the detailed census data and data for calls, emails and claims are available in the Summary of key activities_ Claims, Calls and Emails.
Edited on:
30-Jun-2025 15:15
Edited by:
webservice@unops.org
New clarification added: Question: Could you please provide us the number of persons covered per year of occurrence since 2021 for personnal, retired staff, spouses and child and per area (split as per the financial proposal form)? At least we would need the number of persons covered per year of occurence and per arer of cover since 2021.Answer: The detailed census data provided offers an insight on the average population and distribution over the period. Please also refer to the historical census data-_2017- 2024 for the historical population.
Edited on:
30-Jun-2025 15:13
Edited by:
webservice@unops.org
New clarification added: Question: Please share line by line claims information for the last 5 years.Answer: Please use the Claims Report by country and benefit - 2021-2024.
Edited on:
30-Jun-2025 15:11
Edited by:
webservice@unops.org
New clarification added: Question: Please share an overview of claim incurred per person for the last 5 years.Answer: We cannot share individual data for claims incurred for all members in the plan. However, please refer to the claims report by country and by benefit - 2021-2024 for a claims overview.
Edited on:
30-Jun-2025 15:10
Edited by:
webservice@unops.org
New clarification added: Question: Can you also share the paid claims for 2023-2024 from the previous insurer indicating the incurred year for those claims?- It seems the paid claims are understated (for example 2023 paid claims don’t mention the incurred claims in 2022, or are these all mentioned in 2021 and 2022 table?Answer: Please refer to the Claims Report by country and benefit - 2021-2024 to review the claims incurred for the period 2021-2024.
Edited on:
30-Jun-2025 15:08
Edited by:
webservice@unops.org
New clarification added: Question: Please share claims incurred by month for the last 5 years split by country of care, category of staff (US/Canada, Group A, Group B, Group C). As shared under the previous RFP.- Can you split this up into the UNOPS and UNHCR part of the population?- Can you split this up by type of expense.Answer: Please use the Claims Report by country and benefit - 2021-2024.
Edited on:
30-Jun-2025 15:05
Edited by:
webservice@unops.org
New clarification added: Question: May we please obtain the detailed (line by line – summary of each claim) claims report from 2021 to 2024 for the individual contractors as well as for the staff members in separate files?Answer: Please note that as of 1st January 2023, the insurance for all local personnel was combined thus the expectation is to have the performance review and pricing to be based on the combined claims reports shared. Please refer to the claims report titled "Claims Report by country and benefit - 2021-2024" under the documents section.
Edited on:
30-Jun-2025 14:32
Edited by:
webservice@unops.org
New clarification added: Question: May we also obtain the extraction dates corresponding to all the line by line data?Answer: Please refer to the claims report titled "Claims Report by country and benefit - 2021-2024" under the documents section.
Edited on:
30-Jun-2025 14:31
Edited by:
webservice@unops.org
New amendment added #2: eSourcing case ref. RFP/2025/56021 Tender Description: Long Term Agreement for the provision of Medical Insurance PlanAmendment - 2 (Dated 27 June 2025)The following documents are enclosed with this amendment, with reference to the above RFP.Claims report by country and benefitHigh cost claims - Revision 1Historical census data Summary of key activities_Claims, Calls and EmailsAll other terms and conditions of the tender remain unaltered.
Edited on:
27-Jun-2025 17:48
Edited by:
webservice@unops.org
New clarification added: Question: Could you please provide us with the breakdown of your population by country of residence, either as a percentage or in absolute numbers?Answer: Please refer to the attached census data.
Edited on:
27-Jun-2025 14:45
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 13 - Optional Plan Enhancements point 1: Fertility treatment: Can you kindly explain the reference to hardship provision? The concept of hardship is not mentioned in other parts of the document.Answer: The hardship provision is an internal UN provision to cover claims over and above the set limits to support personnel. For purposes of this tender, this does not have any impact to the insurer on costing.
Edited on:
24-Jun-2025 17:19
Edited by:
webservice@unops.org
New clarification added: Question: Could you please confirm that the "Local-specialist & Local - Support personnel" are UNOPS staff? Is there a proportion of non-staff members within this population?Answer: "Local-specialist & Local - Support personnel" are UNOPS personnel with Local individual contractor agreements. The contracts have a provision for medical insurance coverage provided by the organization. Please refer to the schedule of requirements for the breakdown of staff and non-staff population.
Edited on:
24-Jun-2025 17:17
Edited by:
webservice@unops.org
New clarification added: Question: Could you kindly inform us whether the local individual contractors hold appointment letters governed by the UN staff regulations and staff rules?Answer: Local Individual contractors are not governed by the UN staff rules and regulations. The contracts however have a provision for medical insurance provided by the organization.
Edited on:
24-Jun-2025 17:14
Edited by:
webservice@unops.org
New clarification added: Question: Are the statistics regarding the repatriation of a deceased person included in the overall claims statistics in 2021, 2022, 2023 and 2024?Answer: The repatriation cost are part of the claims report. Please note that we have only had one case between 2023 and 2025.
Edited on:
24-Jun-2025 17:13
Edited by:
webservice@unops.org
New clarification added: Question: Is optional enrolment for dependents on a family basis? I.e. all dependents or none? This would reduce the risk of anti-selection and thus improve the long term sustainability of the contract. This would also mean that a newborn child is covered free of charge only in case the Staff member/LICA opted to enrol all dependents. Is this correct?Answer: The plan discourages anti-selection. For this reason, personnel can either enrol all dependents or none. For the free cover, if a personnel did not enrol all dependents, they can be allowed to enrol them when enrolling the newborn.
Edited on:
24-Jun-2025 17:11
Edited by:
webservice@unops.org
New clarification added: Question: What is the Average Annual Salaries data for? Answer: This was requested as part of clarification in consideration of implementation of the stop loss clause on Co-pay.
Edited on:
24-Jun-2025 17:09
Edited by:
webservice@unops.org
New clarification added: Question: In the "Utilization statistics" document, "Bank charges" are excluded of the figures. Could you please indicate the "bank charges" amounts separately? Answer: Since reimbursements are based on bank transfers, this cost is borne by the insurer and will vary depending on the financial agreements the insurer has in palce with their partner banks. For this reason, these costs may vary from one insurer to another and the same cannot be shared with us.
Edited on:
24-Jun-2025 17:06
Edited by:
webservice@unops.org
New clarification added: Question: Please advise how many eligible family members of LICA contract holders and how many of them have opted for the cover (given it’s mentioned as “Optional” under section “1.3 Eligibility”). Please advise how many eligible family members of staff members and how many of them have opted for the cover provided under the UNOPS group plan (given it’s mentioned as “Optional” under section “1.3 Eligibility”).Answer: Please refer to the census data with the information of eligible dependents enrolled to the plan.
Edited on:
24-Jun-2025 17:01
Edited by:
webservice@unops.org
New clarification added: Question: As specified in the Tender Particulars, the supplier may be allowed to request a price adjustment after every 12-month period, up to a maximum of 10%, upon UNOPS approval based on justified evidence and the performance of the LTA holder. Could you please clarify whether the insurer may exit the contract during the 36-month period in the event of disagreement over the price adjustment? What would be the deadline (a notice period) for price adjustment for the 2027 insurance year?Answer: The price adjustment guidelines agreed on when signing the LTA will form the basis of the expected adjustments for years 2 and 3, this may include agreed deviations before signing the LTA to ensure the contracted services are guaranteed for the first 36 months. Prior to the expiry of the annual contract, renewal discussions are expected based on the agreed terms of the LTA upon which an agreement should be reached and as such a decision should be made prior to the expiry date of the policy. Given the large number of plan members, should the insurer wish to opt out of the plan after the 36 months, a 6 month notice will be a show of good faith to ensure ample time is avaiable to source for a new supplier.
Edited on:
24-Jun-2025 16:58
Edited by:
webservice@unops.org
New clarification added: Question: Could you please provide an average contract duration for staff members and LICA employees, given that the minimum required is 3 months?Answer: Since LICA personnel constitute more than 90% of the population, please refer to the average LICA tenure information provided and apply the same in proportion to the updated census data.
Edited on:
24-Jun-2025 16:56
Edited by:
webservice@unops.org
New clarification added: Question: Could you provide the detailed membership data with date of birth, category, nationality, and location?Answer: Please find the detailed census data provided.
Edited on:
24-Jun-2025 16:54
Edited by:
webservice@unops.org
New clarification added: Question: Please provide the number of lives by category that were covered in 2023 and 2024.Answer: Please use the current census data provided as a reflection of the insured population over this period.
Edited on:
24-Jun-2025 16:20
Edited by:
webservice@unops.org
New clarification added: Question: Could you please indicate the proportion of LICA and the proportion of dependents choosing to be covered by the Plan?Answer: Please find this information in the detailed census data. All LICA personnel are covered by the plan. The dependents covered are included in the census.
Edited on:
24-Jun-2025 16:12
Edited by:
webservice@unops.org
New clarification added: Question: Census: Could you please share the detailed census of the persons covered by the Plan including the following information: gender, date of birth, duty country and status (main insured, spouse, child or other type of dependent description) for the staff, for the retired staff and for contractors in separated documents?Answer: The information for the 3 categories requested has been made available in the census data provided.
Edited on:
24-Jun-2025 16:09
Edited by:
webservice@unops.org
New clarification added: Question: Can you please share Duty stations locations (Country, City)?Answer: Please refer to the census data with the details of the duty stations and country.
Edited on:
23-Jun-2025 15:36
Edited by:
webservice@unops.org
New clarification added: Question: Would you mind pointing out/isolating the individuals concerned by continuations in the detailed census?Answer: Individuals on the 12 months continuation plan are not included in our census as the current insurer is expected to manage the individual plans for the period of 12 months even if their end date is after 31st December 2025. The new bidder will only be expected to enrol personnel whose contracts may require continuation from 1st January 2026.
Edited on:
23-Jun-2025 15:04
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 4 - Section 1.8 - Holiday Travel (HT): Can you kindly confirm if the benefit is applicable to both staff members/local individual contractors and/or eligible family members?Answer: Yes, this benefit applies to all insured beneficiaries and limited to the period of 5 weeks.
Edited on:
23-Jun-2025 15:02
Edited by:
webservice@unops.org
New clarification added: Question: SECTION II: Schedule of Requirements – p. 11 - Section 2.15 – Corrective Lenses: Can you kindly confirm if computer glasses/blue filter lenses are accepted for reimbursement? If yes, under which conditions? Only in case of lenses with dioptre?Answer: These are accepted for reimbursement on condition that atleast one lens is with dioptre.
Edited on:
23-Jun-2025 15:01
Edited by:
webservice@unops.org
New clarification added: Question: Thank you for the answers you have provided thus far. We would like to request a delay of 3 weeks once headcount, census and geographical location data as well as detailed claims data from 2021 to 2024 have been provided, in order to provide UNOPS with the most aligned pricing proposal. Is this possible? Answer: It is being extended until 7th July 2025 (Monday), and the supporting documents are attached. Please refer to Amendment 1 dated 18 June 2025.
Edited on:
19-Jun-2025 17:13
Edited by:
webservice@unops.org
New clarification added: Question: Please share an overview of the high-cost claimants exceeding 30.000 USD, showing location of claim, total reimbursed amount, overview for last 5 years.Answer: Please find the high cost claims sheet attached under the documents section.
Edited on:
19-Jun-2025 16:48
Edited by:
webservice@unops.org
New clarification added: Question: Could we ask UNOPS to consider an extension of the current deadline with at least another 3 weeks? This would allow the Underwriting and Actuarial team to provide a more appropriate and realistic pricing for the different lots once the additional claims, eligibility and administrative details are published.Answer: It is being extended until 7th July 2025 (Monday), and the supporting documents are attached. Please refer to Amendment 1 dated 18 June 2025.
Edited on:
19-Jun-2025 14:27
Edited by:
webservice@unops.org
New clarification added: Question: Thank you for your replies. Unfortunately, we are currently unable to access the "Active Census Data sheet", the file containing average annual salaries per rate group for the current population, as well as the "high cost claims report", which are all indicated as being listed under the documents section. Could you kindly let us know when the three corresponding documents/files will be uploaded or made apparent/available for consultation and download? Answer: Please refer to Amendment 1 dated 18 June 2025.
Edited on:
19-Jun-2025 14:20
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webservice@unops.org
New amendment added #1: eSourcing case ref. RFP/2025/56021 Tender Description: Long Term Agreement for the provision of Medical Insurance PlanAmendment - 1 (Dated 18 June 2025)The following modifications are made through this amendment, with reference to the above RFP.The deadline for submission of the proposal is extended to: not later than 22:00 UTC on 7 July 2025 (Monday).The deadline for clarifications is extended to: not later than 22:00 UTC on 23 June 2025 (Monday).Average annual salaries, high cost claims, active census data and LICA tenure sheets are uploaded under the documents section.All other terms and conditions of the tender remain unaltered.
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18-Jun-2025 16:45
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webservice@unops.org
New clarification added: Question: We are keen on providing a competitive quote, however, due to the limited statistical information available at this time, as well as the expectations surrounding price adjustements, do you think it would be possible to reconsider extending the submission date?Answer: It is being extended until 7th July 2025 (Monday), and the supporting documents are attached. Amendment 1 is being issued.
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18-Jun-2025 16:44
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webservice@unops.org
New clarification added: Question: Can you please confirm our understanding that a premium adjustment formula is allowed to apply every 12 months and we can propose the most appropriate formula? Answer: UNOPS will use its standard contract “Long Term Agreement (LTA)” along with the UNOPS General Conditions of Contract for the provision of services which stipulates a maximum price adjustment of 10%. If the bidder believes that certain additional provisions/deviations are needed in order to perform the services for UNOPS, they should include it in their proposal. UNOPS may evaluate the requested deviations during the evaluation stage. If the required deviations are acceptable to UNOPS, UNOPS may consider negotiating the requested deviation with the successful bidder before the contract award.
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18-Jun-2025 14:49
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webservice@unops.org
New clarification added: Question: Please share a detailed census including insured type, gender, date of birth, location, nationality, plan, category (US/Canada, Group A, Group B, Group C). Can you split this up into the UNOPS and UNHCR part of the population?Answer: Please refer to the list of the detailed census in the UNOPS Active Census Data sheet attached under the documents section and note that we have more than one partner group but all have the same annual limits and benefits as UNOPS personnel as stipulated in the TOR thus no value will be derived from separating the different groups by organization for the purposes of this tender process.
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18-Jun-2025 14:45
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webservice@unops.org
New clarification added: Question: Can you please confirm the cut of date of the incurred claims already shared for the periods 2021-2022?- i.e. up until when where the claims processed? For example, claims incurred in 2021 and 2022, paid until 31 Dec 2024.Answer: Claims incurred in 2021 and 2022, paid until 28 Feb 2023.
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18-Jun-2025 14:30
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webservice@unops.org
New clarification added: Question: Can UNOPs confirm that in the event that prior agreement cannot be reached on the Contract Price for each Contract Year (Years 2 and 3), that the Insurance Policy will automatically expire?. Would the prior agreement of the Insurer be required for any additional extension (1+1) years to the period of three (3) years, as set out in the Tender Particulars?Answer: The price adjustment guidelines agreed on when signing the LTA will form the basis of the expected adjustments for year 2 and 3, this may include agreed deviations before signing the LTA to ensure the contracted services are guaranteed for the first 36 months.Prior to the expiry of the annual contract, renewal discussions are expected based on the agreed terms of the LTA upon which an agreement should be reached and as such a decision should be made prior to the expiry date of the policy. An extension beyond the initial 36-month period is subject to the mutual agreement of both parties.
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18-Jun-2025 14:23
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webservice@unops.org
New clarification added: Question: Would you be so kind as to indicate the average length of the contract of a LICA, please?Answer: Please refer to the attached LICA Tenure statistics from 2017 to 2024.
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18-Jun-2025 14:20
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webservice@unops.org
New clarification added: Question: Given that the premiums must be provided in USD, may we have the average monthly wage in USD for the US/Canada area as well as for the rest of the population covered?Answer: Please refer to the attached Average annual salaries per rate group for the current population.
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18-Jun-2025 14:15
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webservice@unops.org
New clarification added: Question: We would be gratefeul if you could confirm whether all enrollmnets to the plans are compulsory across all the categories of personnel.Answer: Enrolment is only mandatory for the staff and LICA personnel, enrolment is optional for their dependents, ASHI (staff retirees) and 12 months continuation cover. Please refer to the eligibility criteria in Section II - Schedule of Requirements.
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18-Jun-2025 14:13
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webservice@unops.org
New clarification added: Question: We have noted the list of countries in which unsatisfactory medical care is identified. Is there any way we would obtain the list of countries in which the current population is stationed or any other detailed census data?Answer: Please find the "UNOPS active census data sheet" attached under the documents section.
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18-Jun-2025 13:57
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webservice@unops.org
New clarification added: Question: Is it possible to obtain high claims per family across the staff and Contractor populations, across all geographical locations?Answer: Please find the high cost claims report attached under the documents section.
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18-Jun-2025 12:47
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webservice@unops.org
New clarification added: Question: Paragraph 11 of Instructions to Offerors – this sets out that key experts much sign an exclusivity and availability statement. Can a copy of this be provided? Answer: We can confirm that a Statement of Exclusivity and Availability is not a requirement of this RFP. You do not need to provide or sign such a statement as part of your submission.
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18-Jun-2025 10:30
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webservice@unops.org
New clarification added: Question: Can you confirm what Form F: Performance Statement Form is looking for?Answer: Form F: Performance Statement Form requires offerors to complete their company's continuous business experience of providing similar services as specified in the Section II_Schedule of Requirements during the last 5 years prior to proposal opening date of this RFP.
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18-Jun-2025 10:30
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webservice@unops.org
New clarification added: Question: Related to the additional optional benefit enhancements, can you confirm pricing can be expressed as a % of the proposed base premium?Answer: Yes, the applicable premium for each benefit can be indicated as a percentage of the specific category's monthly premiums.
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17-Jun-2025 20:58
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webservice@unops.org
New clarification added: Question: Do we need to include the Medical Evacuation Travel organisation support, or will the evacuation be arranged by UNOPS? Are the reimbursements for MET limited to the Medical treatment, or also the organisation/transport? Answer: Out of country emergency Medical evacuation is managed by UNOPS and is limited to the air ambulance costs and not to be covered by this plan. Once the medevac is complete, this plan is expected to cater for treatment costs upto the existing R&C charges of the destination country. Please note that this is different from transportation costs which are for non emergency care that is to be covered by this plan.
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17-Jun-2025 20:55
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webservice@unops.org
New clarification added: Question: Could you, please, precise what the table 8 (a) “List of Countries with inadequate medical facilities 2025” in the RFP_Section_II_Schedule of Requirements means?Does it mean the UNOPS members in the mentioned duty stations have to go in the countries of Regional area of care (for example : Members in Afghanistan have to be cared in Pakistan and India)?Answer: The list of countries with inadequate medical facilities is used to establish a regional area of care (RAC) as indicated e.g Pakistan and India for Afghanistan. This is to provide an additional network access to colleagues who may wish to seek treatment in better facilities even if services are available at the duty station, these services are to be paid or reimbursed at the R&C charges of the RAC country where they seek treatment. Travel for treatment approval by insurer will only be expected in case the treatment being sought is not available at the duty station, otherwise, if the treatment is available at the duty station, the personnel who wish to seek better care at a RAC country will pay for their transportation costs.
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17-Jun-2025 20:49
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webservice@unops.org
New clarification added: Question: The table of benefits cites "ICU/CCU" benefits, under the Hospitalization portion of coverage. Could you kindly provide detail as to what this type of care entails?Answer: As part of care/treatment for critically ill patients, hospitalization in Intensive Care unit and the Cardiac Care unit are expected to be fully covered by the plan.
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17-Jun-2025 20:42
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webservice@unops.org
New clarification added: Question: Concerning the "Utilization statistics": Could you please indicate us the date of extraction of the figures for 2021 and 2022 years of occurrence?Answer: The extraction date for these claims was 28 Feb 2023.
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17-Jun-2025 20:39
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webservice@unops.org
New clarification added: Question: As the enrolment is optionnal notably for LICA holding a contract of three (3) months or more and Eligible family members of LICA contract holder, could you please confirm us whether the figures at our disposal correspond to the number of persons covered by the Plan or to the number of persons hired and eligible to the Plan? Answer: The enrolment is mandatory for LICA holders holding contracts of more than 3 months. It is only optional for their eligible dependents, i.e spouse and children. The figures shared are for all personnel and dependents currently insured.
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17-Jun-2025 20:37
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webservice@unops.org
New clarification added: Question: Do you require that the TPA services, and therefore the location of the claims team in charge be exclusively based in Europe, or can they be located anywhere in the world?Answer: We do not have a preference for any location of the claims team, however, the teams should be able to service our personnel in the 3 UN languages (English, French and Spanish) and any challenges can be addressed in a timely manner.
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17-Jun-2025 20:31
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webservice@unops.org
New clarification added: Question: As we prepare the Assistance portion of your RFP, we are looking into the repatriation benefit. Could you confirm whether the entire population of 11 722 individuals will be expected to sign up for this benefit in a compulsory manner, without being subject to minimum tenure?Answer: This benefit is not subject to any waiting periods and should be part of the benefits available to all beneficiaries enrolled to the medical plan.
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17-Jun-2025 20:28
Edited by:
webservice@unops.org
New clarification added: Question: Table 8 (a): List of Countries with inadequate medical facilities 2025: Could you please confirm that in case of a country with inadequate medical facilities, the proposed country to benefit of better healthcare belongs to the same "Rate Groupe" A, B or C?Answer: Yes, this is the case for most of the countries with the exemption of a few e.g Egypt is the regional area of care for Eritrea even though Eritrea is in group C while Egypt is in Group B.
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17-Jun-2025 17:01
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webservice@unops.org
New clarification added: Question: Could you please advise what the expected number of lives to be covered is in 2026 and 2027?Answer: Please note that the plan covers personnel with different contract end dates and the monthly reporting is done with updated active contract holders and their dependents. We have provided a current estimate of the insured population and this may change towards the end of the year. The successful bidder will receive an updated data during the onboarding process for personnel to be covered effective 1st Jan 2026 and subsequent monthly reporting of the same.
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17-Jun-2025 16:50
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webservice@unops.org
New clarification added: Question: Could you please confirm that the "local Staff - National Professional Officers (NPO) and General Service (GS)" correspond to the permanent staff of UNOPS?Answer: Yes, we confirm that both the GS and NPO are UNOPS staff. The contracts are categorized as FTA (Fixed term appointment) that are usually for a period of one or 2 years but renewable.
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17-Jun-2025 16:46
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webservice@unops.org
New clarification added: Question: Are all members local nationals, not expatriates?Answer: For purposes of this tender, related medical expenses are reimbursable upto the R&C charges of the duty station. The plan may have a few personnel recruited to duty stations that are not in their home country, otherwise the majority of the population are local personnel.
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17-Jun-2025 16:44
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webservice@unops.org
New clarification added: Question: We have taken note of your position regarding audits: Is UNOPS willing to work with the insurer to build an agreed upon timeline, defined content and duration in advance, so that we ensure our teams have the capacity to fulfill the request?Answer: Yes, the audit scope would be communicated and reasonable time may be given for the insurer to have the capacity to fulfil the request. The insurer's risk and fraud teams are expected to have a working relationship with UNOPS internal audit and investigations team to ensure collaboration in reporting, investigating and subsequent consequence management in relation to fraudulent claims.
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17-Jun-2025 16:43
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webservice@unops.org
New clarification added: Question: Please provide the current exclusions for the insurance cover in place.Answer: The insurer is expected to attach their list of exclusions for consideration as part of the evaluation process.
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17-Jun-2025 16:37
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webservice@unops.org
New clarification added: Question: Please confirm if an Insurer can suggest its list of exclusions that could be added to the contract.Answer: Yes, the insurer should clearly indicate their list of exclusions for evaluation.
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17-Jun-2025 16:37
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webservice@unops.org
New clarification added: Question: Please confirm that the requested table of benefits in Section II is the same as the one in place for 2023 and 2024 for all categories.Answer: Yes, we confirm.
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17-Jun-2025 16:36
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webservice@unops.org
New clarification added: Question: In order to better define our pricing approach, we would appreciate if you could let us know whether any of the Medical benefits have changed over the past 3 years?Answer: The medical benefits indicated in the table have been in place from 2023 to 2025.
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17-Jun-2025 16:32
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webservice@unops.org
New clarification added: Question: We understand that the supplier may be allowed to request for a price adjustment after every 12 months period up to a maximum of 10%, upon UNOPS approval based on justified evidence and performance of the LTA holder. We would be grateful if you could let us know whether we propose and include an adjustement clause in the contractual conditions on the basis of medical consumption or medical inflation?Answer: UNOPS will use its standard contract “Long Term Agreement (LTA)” along with the UNOPS General Conditions of Contract for the provision of services. If the bidder believes that certain additional provisions/deviations are needed in order to perform the services for UNOPS, they should include it in their proposal. UNOPS may evaluate the requested deviations during the evaluation stage. If the required deviations are acceptable to UNOPS, UNOPS may consider negotiating the requested deviation with the successful bidder before the contract award.
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17-Jun-2025 16:27
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webservice@unops.org
New clarification added: Question: Could you confirm that staff members and their dependents are eligible only for After Service Insurance (ASHI) and not for After Service Continuation Period? What are the eligibility criteria for the ASHI? Answer: Only retirees and their dependents are eligible for ASHI. All other personnel are eligible for the continuation plan upto a maximum period of 12 months.
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17-Jun-2025 16:23
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webservice@unops.org
New clarification added: Question: Does UNOPs consider that upon submission of a Response to the RFP by an Insurer, even if with deviations, that Response would be considered by UNOPs to be a deemed acceptance of all the T+Cs of the RFP? Does UNOPs reserve the right to disregard any submitted deviations in those circumstances?Answer: If the bidder believes that certain additional provisions/deviations are needed in order to perform the services for UNOPS, they should include it in their proposal. UNOPS may evaluate the requested deviations during the evaluation stage. If the required deviations are acceptable to UNOPS, UNOPS may consider negotiating the requested deviation with the successful bidder before the contract award.
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17-Jun-2025 15:57
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webservice@unops.org
New clarification added: Question: Is it correct that in essence ASHI cover refers to the Retirees of UNOPS Staff members (MIP) – 76 plan members and that they are covered under the same benefits as listed under Section II: schedule of requirements (i.e. same benefits apply to all eligible plan members)Answer: Yes, it is correct.
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17-Jun-2025 15:54
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webservice@unops.org
New clarification added: Question: Please advise how many eligible LICA employees and how many of them have opted for the cover provided under the UNOPS group plan (given it’s mentioned as “Optional” under section “1.3 Eligibility”).Answer: Please note that eligibility for LICA personnel is mandatory, it is only optional for dependants of LICA personnel and for those whose contracts have come to an end and would wish to consider the 12 months continuation of coverage.
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17-Jun-2025 15:39
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webservice@unops.org
New clarification added: Question: Could you confirm that LICA members and their dependents are eligible only for After Service Continuation Period and not for After Service Insurance (ASHI)?Answer: Yes, we confirm that LICA personnel and their dependents are only eligible for the 12 months after service continuation cover.
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17-Jun-2025 15:00
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webservice@unops.org
New clarification added: Question: Could you please clarify whether “After Service Continuation Period” (ASCP) requested for 12 months would be part of the UNOPS group performance? May TOB and rates for the After Service Continuation Period be different from the group’s TOB and rates?Answer: For the 12 months ASCP, the expectation is to have the same rate and benefits as existing plan holders. However,should you wish to propose any deviations you can submit the same to be considered during the evaluation stage.
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17-Jun-2025 14:59
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webservice@unops.org
New clarification added: Question: Could you please clarify what the difference is between ASHI and After Service Continuation Period?Answer: ASHI stands for After-Service Health Insurance. It's a program that provides health insurance coverage to eligible former UN staff members and their dependents after they retire from service. This coverage is a continuation of the active-service health insurance plan they were enrolled in while employed by the UN. All retirees on the current population are beneficiaries of this program. These premiums are remitted by UNOPS to the insurer.After service continuation is a program that enables personnel who wish to continue with their insurance after their contracts come to an end to be able to do so for a maximum period of 12 months. Premiums for this category are colllected directly from the individual members by the insurer.
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17-Jun-2025 14:58
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webservice@unops.org
New clarification added: Question: Are the premiums for the individual contracts expected to be paid by UNOPS for its former members in case of continuation?Answer: UNOPS does not pay premiums for personnel who enrol to the 12 months continuation plan after the end of their contracts, the insurer is expected to set-up a mechanism of invoicing and subsequent payment by the member on the continuation plan.
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17-Jun-2025 14:42
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webservice@unops.org
New clarification added: Question: Do the Individual Contractors engaged under UNOPS individual contractor agreements (ICA) with contracts of more than 3 months benefit from privileges and immunities (P&I)?Answer: For the purpose of the contract, offerors should assume that LICAs do not have P&I. If the question relates to payments to LICAs in embargo countries, UNOPS will facilitate those payments through payroll.
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17-Jun-2025 14:38
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webservice@unops.org
New clarification added: Question: Can you kindly describe in detail what is exactly covered under the Medical Evacuation benefit?Answer: This benefit is not covered by the plan. However, it is managed internally by UNOPS through a different supplier. Medical evacuation (Medevac) is only to be considered in exceptional circumstances where an acute life-threatening medical emergency occurs requiring the use of out of country air ambulance because the available local facilities do not offer an adequate response to the medical emergency. This should be differentiated from the other 3 benefits that should be covered by the plan; general transportation (this can include out of country commercial flight upto the stated benefit limits), local road ambulance and local air ambulance which offer services within the country of duty station.
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17-Jun-2025 14:36
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webservice@unops.org
New clarification added: Question: Entry into force. Time limits.2.1. The Agreement shall enter into force upon its signature by both Parties and shall remain in force through (date). UNOPS shall have the option to extend the validity of this Agreement at the same terms and conditions for (number) additional (months/years) ending (date). Upon which grounds is the insurer allowed to terminate the contract after the initial period of 36 months?Answer: UNOPS will use the result of this solicitation process to enter into non-exclusive Long Term Agreement (s) for a period of three (3) years with a possible extension of an additional two (1+1) years. An extension beyond the initial 36-month period is subject to the mutual agreement of both parties. Should an agreement for extension not be reached by either party, the contract will terminate upon the completion of the initial 36-month period.
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17-Jun-2025 14:03
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webservice@unops.org
New clarification added: Question: It’s mentionned in the RFP_Section_I_Instructions to Offerors that "Proposals shall remain valid for acceptance by UNOPS for the entire period set out in the Tender Particulars section. A Proposal valid for a shorter period of time shall not be further considered.” Could you, please, advice where the "Tender Particulars section" is ? Would 120 days of validity be acceptable?Answer: The requested proposal validity period for this RFP is 120 days. You can find this information by navigating to the "Tender Information" tab, then locating the "Tender Particulars" sub-section in the UNOPS eSourcing system.
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13-Jun-2025 12:17
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webservice@unops.org
New clarification added: Question: Looking further into the general provisions regarding procurement, we are tyring to comprehend your outlook on dispute resolution regarding the insurance policy, given it's specific nature? Is the insurer at liberty to provide additional indications?Answer: UNOPS will use its standard contract “Long Term Agreement (LTA)” along with the UNOPS General Conditions for the provision of services. If the bidder believes that certain additional provisions/deviations are needed in order to perform the services for UNOPS, they should include it in their proposal. UNOPS may evaluate the requested deviations during the evaluation stage. If the required deviations are acceptable to UNOPS, UNOPS may consider negotiating the requested deviation with the successful bidder before the contract award.
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06-Jun-2025 13:44
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webservice@unops.org
New clarification added: Question: Unless we are mistaken, the applicable law of the contract doesn't seem to be listed. Could you kindly confirm this contractual aspect?Answer: Please refer to the Section IV: Contract Forms and Sample Long Term Agreement template.
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06-Jun-2025 13:43
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webservice@unops.org
New clarification added: Question: Is the insurer allowed to propose amendments to the terms and conditions in certain cases, to reflect the very specific nature of the insurance services which are being provided?Answer: UNOPS will use its standard contract “Long Term Agreement (LTA)” along with the UNOPS General Conditions for the provision of services. If the bidder believes that certain additional provisions/deviations are needed in order to perform the services for UNOPS, they should include it in their proposal. UNOPS may evaluate the requested deviations during the evaluation stage. If the required deviations are acceptable to UNOPS, UNOPS may consider negotiating the requested deviation with the successful bidder before the contract award.
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06-Jun-2025 13:43
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webservice@unops.org
New clarification added: Question: We are looking forward to providing the utmost care in preparing our pricing offer. As such, may we request that you consider an extending the submission deadline to July 15th?Answer: We currently have no plan to extend the submission deadline. We encourage you to submit your proposal by the RFP deadline.
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06-Jun-2025 13:42
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webservice@unops.org
New clarification added: Question: Could you kindly clarify the conditions for termination of the contract as expected, both for the provider and for UNOPS?Answer: Please refer to the Article 14 Termination Clause in UNOPS General Conditions of Contract for the Provision of Serviceshttps://content.unops.org/service-Line-Documents/Procurement/General_conditions_services-Sep.-2024_V2.pdf
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06-Jun-2025 13:41
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webservice@unops.org
New clarification added: Question: We understand the insurance coveragein this LTA is set to run for an initial period of 36 months. Could you kindly clarify how the renewal terms will be redacted into the procurement contract, especially since the yearly price adjustement that may be enacted if accepted? Answer: UNOPS will issue a written amendment in case of any modification of or change in Contract. Please refer to the Article 20. Modifications Clause in UNOPS General Conditions of Contract for the Provision of Services.https://content.unops.org/service-Line-Documents/Procurement/General_conditions_services-Sep.-2024_V2.pdf
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06-Jun-2025 13:40
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webservice@unops.org