Scope of Work and Technical Qualifications. The purpose of this RFQ is to engage the firm to provide health insurance service to Chemonics and The Strategic Communications Support Activity. The firm shall, and when requested, provide the following services: Comprehensive health insurance coverage including but not limited to the following services. - In-patient services/hospitalization - Out-patient services - Ambulance/emergency - Maternity plan - Dental - Vision Offerors are required to provide the project with their established terms and conditions for payment and reimbursement. The offeror must indicate if the health insurance plan covers services provided by all hospitals in Armenia or if any limitations apply. If Chemonics enters into a service agreement with the offeror the prices offered for the services will be fixed for the duration of the one-year agreement. Offerors required to fill out the table and add additional services as needed. 1 In-patient services 2 Out-patient services 3 Ambulance/emergency 4 Maternity 5 Dental 6 Vision The table below contains the list of services that may be ordered under the BPA mechanism. Offerors are requested to provide per-unit quotations containing the information below on official letterhead or official quotation format. In the event this is not possible, offerors may complete this Section 3 and submit a signed/stamped version to Chemonics. Cost per month for 1 adult (AMD) Cost per month for 1 additional adult (AMD) Cost per month for 1 additional child (AMD) Comprehensive health insurance plan Annual coverage maximum if applicable in AMD Electronic deliveries shall be made by the Vendor to ▇▇▇-▇▇▇-▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ Delivery time (after receipt of order): calendar days The delivery estimate presented in an offer in response to this RFQ must be upheld in the performance of any resulting contract. The prices quoted above remain fixed for the next 12 (twelve) months: Yes No
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Sources: Blanket Purchase Agreement, Blanket Purchase Agreement