Contract

Group Medical Insurance, Group Accidental Insurance and Group Critical Insurance for Country Based Staff of British Embassy (BE) and British Council (BC), Kathmandu

  • Foreign Commonwealth and Development Office

F03: Contract award notice

Notice identifier: 2023/S 000-001034

Procurement identifier (OCID): ocds-h6vhtk-035559

Published 13 January 2023, 8:27am



Section one: Contracting authority

one.1) Name and addresses

Foreign Commonwealth and Development Office

British Embassy Kathmandu. PO Box 106. Lainchaur Kathmandu Nepal

Kathmandu Nepal

SW1A 2AH

Email

sachin.khedekar@fco.gov.uk

Telephone

+91 09582017574

Country

Nepal

Region code

NP - Nepal

Internet address(es)

Main address

www.gov.uk/fcdo

Buyer's address

https://fcdo.bravosolution.co.uk/web/login.html

one.4) Type of the contracting authority

Ministry or any other national or federal authority

one.5) Main activity

General public services


Section two: Object

two.1) Scope of the procurement

two.1.1) Title

Group Medical Insurance, Group Accidental Insurance and Group Critical Insurance for Country Based Staff of British Embassy (BE) and British Council (BC), Kathmandu

Reference number

CPG-8019-2022

two.1.2) Main CPV code

  • 66512220 - Medical insurance services

two.1.3) Type of contract

Services

two.1.4) Short description

Group Medical Insurance, Group Accidental Insurance and Group Critical Insurance for Country Based Staff of British Embassy (BE) and British Council (BC), Kathmandu

two.1.6) Information about lots

This contract is divided into lots: Yes

two.1.7) Total value of the procurement (excluding VAT)

Value excluding VAT: £110,606.07

two.2) Description

two.2.1) Title

Provision of General Medical Insurance for CBS staffs in BE Kathmandu, Nepal

Lot No

1

two.2.2) Additional CPV code(s)

  • 66512220 - Medical insurance services

two.2.3) Place of performance

NUTS codes
  • NP - Nepal
Main site or place of performance

British Embassy and British Council, Kathmandu

two.2.4) Description of the procurement

Provision of General Medical Insurance for CBS staffs in BE Kathmandu, Nepal

two.2.5) Award criteria

Quality criterion - Name: Adherence to the Statement of Service Requirement: • A clear demonstration of evidence from the insurers offer on each of the Scope of Service/Coverage required. Please confirm that your agency will be meeting the minimum requirement set out in the Statement of Service Requirement or there will be Exclusion and Waivers. • Please provide a document detailing any exclusions or limitations that will be applicable in the Health Insurance policy that you have offered. These limitations would include (but not limited to) room rates, per event limits, consultancy fees, doctor prescribed vitamins, exclusion and waivers, profit sharing ratio/calculations etc. • Provide the Insurance Policy document that highlights the areas required in the Statement of Service requirement / Weighting: 5

Quality criterion - Name: Relevant Experience: Provide at least 3 organisations with whom you have similar contracts and track record of services provided. Indicate: • Customer Organisation (name) • Contract start and completion dates • Approximate Contract Value (provide range if confidential) • Brief description of type of coverage provided. / Weighting: 5

Quality criterion - Name: Hospital/Clinic Network : • Describe your hospital/clinic network in Nepal. Provide list of affiliated clinics, hospitals (size, speciality and types of services offered by them) and ambulance stations throughout the country. Also, provide list of hospitals with cashless provisions • Clearly, describe the step by step process the staff will be required to follow in obtaining medical treatment and getting their claim settlement in both panel and non-panel hospitals and in emergency situations. Provide training details or support for staff to understand the medical claim process. / Weighting: 10

Quality criterion - Name: Escalation Matrix & Customer Support: • Describe your customer support arrangements including procedures for complaints, problems and escalation procedures, including out of office hours support. / Weighting: 10

Quality criterion - Name: Implementation & Mobilisation Plan: • Please confirm that you can meet contract implementation by 1st October 2022 and provide a project mobilisation plan showing how you will meet this deadline. / Weighting: 5

Quality criterion - Name: Security and Confidentiality: • Provide evidence of your system for protecting personal information and how you meet any local legal requirements related to data handling and security / Weighting: 5

Quality criterion - Name: Please describe in detail how you will achieve the Key Performance Indicators (KPI) and indicate when you deliver the contract in terms of: • Specific performance benchmarks to which actual performance will be periodically compared/measured. • Effectiveness of Helpdesk and Response time. • Process of reimbursement/claim settlement. • Provide the templates of the reports that will be provided to the Authority on Monthly/Quarterly basis. • Please provide the Service Level Agreements that will be followed while administering this account. / Weighting: 10

Quality criterion - Name: Social Value: Theme - COVID-19 Recovery Using a maximum of 4 A4 Pages describe the commitment your organisation will make to ensure that opportunities under the contract deliver the Policy Outcome and Model Award Criteria [MAC 1.1, MAC 1.2, MAC 1.3, MAC 1.4 and MAC 1.5]. Please include: ● Your ‘Method Statement’, stating how you will achieve this and how your commitment meets the Award Criteria, and ● A timed project plan and process, including how you will implement your commitment and by when. Also, how you will monitor, measure and report on your commitments/the impact of your proposals. You should include but not be limited to: ○ timed action plan ○ use of metrics tools/processes used to gather data ○ reporting ○ feedback and improvement ○ transparency Please see MAC 1.1 to 1.5 in the Social Value Quick Reference Table for more information on how to structure your answer. / Weighting: 5

Quality criterion - Name: Social Value: Theme – Tackling Economic Inequality Using a maximum of 4 A4 Pages describe the commitment your organisation will make to ensure that opportunities under the contract deliver the Policy Outcome and Model Award Criteria [MAC 2.1, MAC 2.2 and MAC 2.3]. Please include: ● Your ‘Method Statement’, stating how you will achieve this and how your commitment meets the Award Criteria, and ● A timed project plan and process, including how you will implement your commitment and by when. Also, how you will monitor, measure and report on your commitments/the impact of your proposals. You should include but not be limited to: ○ timed action plan ○ use of metrics tools/processes used to gather data ○ reporting ○ feedback and improvement ○ transparency Please see MAC 2.1 to 2.3 in the Social Value Quick Reference Table for more information on how to structure your answer. / Weighting: 5

Cost criterion - Name: A full assessment of the total price breakdown for the full Contract Period in the format requested. This MUST be in the format of the spreadsheet at Attachment 4 - Schedule of Prices & Rates (annex). Failure to provide a pricing submission in the format requested may invalidate your tender proposal. / Weighting: 40

two.2.11) Information about options

Options: No

two.2.13) Information about European Union Funds

The procurement is related to a project and/or programme financed by European Union funds: No

two.2) Description

two.2.1) Title

Provision of Accidental Insurance for CBS staffs in BE Kathmandu, Nepal

Lot No

2

two.2.2) Additional CPV code(s)

  • 66512220 - Medical insurance services

two.2.3) Place of performance

NUTS codes
  • NP - Nepal
Main site or place of performance

British Embassy and British Council, Kathmandu

two.2.4) Description of the procurement

Provision of Accidental Insurance for CBS staffs in BE Kathmandu, Nepal

two.2.5) Award criteria

Quality criterion - Name: Adherence to the Statement of Service Requirement: • A clear demonstration of evidence from the insurers offer on each of the Scope of Service/Coverage required. Please confirm that your agency will be meeting the minimum requirement set out in the Statement of Service Requirement or there will be Exclusion and Waivers. • Please provide a document detailing any exclusions or limitations that will be applicable in the Health Insurance policy that you have offered. These limitations would include (but not limited to) room rates, per event limits, consultancy fees, doctor prescribed vitamins, exclusion and waivers, profit sharing ratio/calculations etc. • Provide the Insurance Policy document that highlights the areas required in the Statement of Service requirement / Weighting: 5

Quality criterion - Name: Relevant Experience: Provide at least 3 organisations with whom you have similar contracts and track record of services provided. Indicate: • Customer Organisation (name) • Contract start and completion dates • Approximate Contract Value (provide range if confidential) • Brief description of type of coverage provided. / Weighting: 5

Quality criterion - Name: Hospital/Clinic Network : • Describe your hospital/clinic network in Nepal. Provide list of affiliated clinics, hospitals (size, speciality and types of services offered by them) and ambulance stations throughout the country. Also, provide list of hospitals with cashless provisions • Clearly, describe the step by step process the staff will be required to follow in obtaining medical treatment and getting their claim settlement in both panel and non-panel hospitals and in emergency situations. Provide training details or support for staff to understand the medical claim process. / Weighting: 10

Quality criterion - Name: Escalation Matrix & Customer Support: • Describe your customer support arrangements including procedures for complaints, problems and escalation procedures, including out of office hours support. / Weighting: 10

Quality criterion - Name: Implementation & Mobilisation Plan: • Please confirm that you can meet contract implementation by 1st October 2022 and provide a project mobilisation plan showing how you will meet this deadline. / Weighting: 5

Quality criterion - Name: Security and Confidentiality: • Provide evidence of your system for protecting personal information and how you meet any local legal requirements related to data handling and security / Weighting: 5

Quality criterion - Name: Please describe in detail how you will achieve the Key Performance Indicators (KPI) and indicate when you deliver the contract in terms of: • Specific performance benchmarks to which actual performance will be periodically compared/measured. • Effectiveness of Helpdesk and Response time. • Process of reimbursement/claim settlement. • Provide the templates of the reports that will be provided to the Authority on Monthly/Quarterly basis. • Please provide the Service Level Agreements that will be followed while administering this account. / Weighting: 10

Quality criterion - Name: Social Value: Theme - COVID-19 Recovery Using a maximum of 4 A4 Pages describe the commitment your organisation will make to ensure that opportunities under the contract deliver the Policy Outcome and Model Award Criteria [MAC 1.1, MAC 1.2, MAC 1.3, MAC 1.4 and MAC 1.5]. Please include: ● Your ‘Method Statement’, stating how you will achieve this and how your commitment meets the Award Criteria, and ● A timed project plan and process, including how you will implement your commitment and by when. Also, how you will monitor, measure and report on your commitments/the impact of your proposals. You should include but not be limited to: ○ timed action plan ○ use of metrics tools/processes used to gather data ○ reporting ○ feedback and improvement ○ transparency Please see MAC 1.1 to 1.5 in the Social Value Quick Reference Table for more information on how to structure your answer. / Weighting: 5

Quality criterion - Name: Social Value: Theme – Tackling Economic Inequality Using a maximum of 4 A4 Pages describe the commitment your organisation will make to ensure that opportunities under the contract deliver the Policy Outcome and Model Award Criteria [MAC 2.1, MAC 2.2 and MAC 2.3]. Please include: ● Your ‘Method Statement’, stating how you will achieve this and how your commitment meets the Award Criteria, and ● A timed project plan and process, including how you will implement your commitment and by when. Also, how you will monitor, measure and report on your commitments/the impact of your proposals. You should include but not be limited to: ○ timed action plan ○ use of metrics tools/processes used to gather data ○ reporting ○ feedback and improvement ○ transparency Please see MAC 2.1 to 2.3 in the Social Value Quick Reference Table for more information on how to structure your answer. / Weighting: 5

Cost criterion - Name: A full assessment of the total price breakdown for the full Contract Period in the format requested. This MUST be in the format of the spreadsheet at Attachment 4 - Schedule of Prices & Rates (annex). Failure to provide a pricing submission in the format requested may invalidate your tender proposal. / Weighting: 40

two.2.11) Information about options

Options: No

two.2.13) Information about European Union Funds

The procurement is related to a project and/or programme financed by European Union funds: No

two.2.14) Additional information

The contract will commence on 1st Oct 2022 and will be valid for an initial period of one year with a possibility of an extension for up to two more years (1+1), subject to market review, satisfactory performance, and continued business requirement. With subject to extension, office will capture latest health inflation rate to review on the annual benefits and variation will be issued if amendment

two.2) Description

two.2.1) Title

Provision of Accidental Insurance for CBS staffs in BE Kathmandu, Nepal

Lot No

3

two.2.2) Additional CPV code(s)

  • 66512220 - Medical insurance services

two.2.3) Place of performance

NUTS codes
  • NP - Nepal
Main site or place of performance

British Embassy and British Council, Kathmandu

two.2.4) Description of the procurement

Provision of Accidental Insurance for CBS staffs in BE Kathmandu, Nepal

two.2.5) Award criteria

Quality criterion - Name: Adherence to the Statement of Service Requirement: • A clear demonstration of evidence from the insurers offer on each of the Scope of Service/Coverage required. Please confirm that your agency will be meeting the minimum requirement set out in the Statement of Service Requirement or there will be Exclusion and Waivers. • Please provide a document detailing any exclusions or limitations that will be applicable in the Health Insurance policy that you have offered. These limitations would include (but not limited to) room rates, per event limits, consultancy fees, doctor prescribed vitamins, exclusion and waivers, profit sharing ratio/calculations etc. • Provide the Insurance Policy document that highlights the areas required in the Statement of Service requirement / Weighting: 5

Quality criterion - Name: Relevant Experience: Provide at least 3 organisations with whom you have similar contracts and track record of services provided. Indicate: • Customer Organisation (name) • Contract start and completion dates • Approximate Contract Value (provide range if confidential) • Brief description of type of coverage provided. / Weighting: 5

Quality criterion - Name: Hospital/Clinic Network : • Describe your hospital/clinic network in Nepal. Provide list of affiliated clinics, hospitals (size, speciality and types of services offered by them) and ambulance stations throughout the country. Also, provide list of hospitals with cashless provisions • Clearly, describe the step by step process the staff will be required to follow in obtaining medical treatment and getting their claim settlement in both panel and non-panel hospitals and in emergency situations. Provide training details or support for staff to understand the medical claim process. / Weighting: 10

Quality criterion - Name: Escalation Matrix & Customer Support: • Describe your customer support arrangements including procedures for complaints, problems and escalation procedures, including out of office hours support. / Weighting: 10

Quality criterion - Name: Implementation & Mobilisation Plan: • Please confirm that you can meet contract implementation by 1st October 2022 and provide a project mobilisation plan showing how you will meet this deadline. / Weighting: 5

Quality criterion - Name: Security and Confidentiality: • Provide evidence of your system for protecting personal information and how you meet any local legal requirements related to data handling and security / Weighting: 5

Quality criterion - Name: Please describe in detail how you will achieve the Key Performance Indicators (KPI) and indicate when you deliver the contract in terms of: • Specific performance benchmarks to which actual performance will be periodically compared/measured. • Effectiveness of Helpdesk and Response time. • Process of reimbursement/claim settlement. • Provide the templates of the reports that will be provided to the Authority on Monthly/Quarterly basis. • Please provide the Service Level Agreements that will be followed while administering this account. / Weighting: 10

Quality criterion - Name: Social Value: Theme - COVID-19 Recovery Using a maximum of 4 A4 Pages describe the commitment your organisation will make to ensure that opportunities under the contract deliver the Policy Outcome and Model Award Criteria [MAC 1.1, MAC 1.2, MAC 1.3, MAC 1.4 and MAC 1.5]. Please include: ● Your ‘Method Statement’, stating how you will achieve this and how your commitment meets the Award Criteria, and ● A timed project plan and process, including how you will implement your commitment and by when. Also, how you will monitor, measure and report on your commitments/the impact of your proposals. You should include but not be limited to: ○ timed action plan ○ use of metrics tools/processes used to gather data ○ reporting ○ feedback and improvement ○ transparency Please see MAC 1.1 to 1.5 in the Social Value Quick Reference Table for more information on how to structure your answer. / Weighting: 5

Quality criterion - Name: Social Value: Theme – Tackling Economic Inequality Using a maximum of 4 A4 Pages describe the commitment your organisation will make to ensure that opportunities under the contract deliver the Policy Outcome and Model Award Criteria [MAC 2.1, MAC 2.2 and MAC 2.3]. Please include: ● Your ‘Method Statement’, stating how you will achieve this and how your commitment meets the Award Criteria, and ● A timed project plan and process, including how you will implement your commitment and by when. Also, how you will monitor, measure and report on your commitments/the impact of your proposals. You should include but not be limited to: ○ timed action plan ○ use of metrics tools/processes used to gather data ○ reporting ○ feedback and improvement ○ transparency Please see MAC 2.1 to 2.3 in the Social Value Quick Reference Table for more information on how to structure your answer. / Weighting: 5

Cost criterion - Name: A full assessment of the total price breakdown for the full Contract Period in the format requested. This MUST be in the format of the spreadsheet at Attachment 4 - Schedule of Prices & Rates (annex). Failure to provide a pricing submission in the format requested may invalidate your tender proposal. / Weighting: 40

two.2.11) Information about options

Options: No

two.2.13) Information about European Union Funds

The procurement is related to a project and/or programme financed by European Union funds: No

two.2.14) Additional information

The contract will commence on 1st Oct 2022 and will be valid for an initial period of one year with a possibility of an extension for up to two more years (1+1), subject to market review, satisfactory performance, and continued business requirement. With subject to extension, office will capture latest health inflation rate to review on the annual benefits and variation will be issued if amendment


Section four. Procedure

four.1) Description

four.1.1) Type of procedure

Open procedure

four.1.8) Information about the Government Procurement Agreement (GPA)

The procurement is covered by the Government Procurement Agreement: Yes

four.2) Administrative information

four.2.1) Previous publication concerning this procedure

Notice number: 2022/S 000-020145


Section five. Award of contract

Contract No

CPG-8019-2022

Lot No

1

Title

Provision of General Medical Insurance for CBS staffs in BE Kathmandu, Nepal

A contract/lot is awarded: Yes

five.2) Award of contract

five.2.1) Date of conclusion of the contract

1 November 2022

five.2.2) Information about tenders

Number of tenders received: 2

Number of tenders received from tenderers from other EU Member States: 2

Number of tenders received by electronic means: 2

The contract has been awarded to a group of economic operators: No

five.2.3) Name and address of the contractor

American Life Insurance Company

Narayani Complex, Pulchowk, Lalitpur, G.P.O.Box No. 11590, Nepal

Kathmandu

Email

bobby.poudel@metlife.com.np

Telephone

+977 9851216408

Country

Nepal

NUTS code
  • NP - Nepal
The contractor is an SME

No

five.2.4) Information on value of contract/lot (excluding VAT)

Total value of the contract/lot: £97,940


Section five. Award of contract

Contract No

CPG-8019-2022

Lot No

2

Title

Provision of Accidental Insurance for CBS staffs in BE Kathmandu, Nepal

A contract/lot is awarded: Yes

five.2) Award of contract

five.2.1) Date of conclusion of the contract

1 November 2022

five.2.2) Information about tenders

Number of tenders received: 2

Number of tenders received from tenderers from other EU Member States: 2

Number of tenders received by electronic means: 2

The contract has been awarded to a group of economic operators: No

five.2.3) Name and address of the contractor

American Life Insurance Company

Narayani Complex, Pulchowk, Lalitpur, G.P.O.Box No. 11590, Nepal

Kathmandu

Telephone

+977 9851216408

Country

Nepal

NUTS code
  • NP - Nepal
The contractor is an SME

No

five.2.4) Information on value of contract/lot (excluding VAT)

Total value of the contract/lot: £724.07


Section five. Award of contract

Contract No

CPG-8019-2022

Lot No

3

Title

Critical Illness Insurance for Country Based Staff of British Embassy Kathmandu

A contract/lot is awarded: Yes

five.2) Award of contract

five.2.1) Date of conclusion of the contract

1 November 2022

five.2.2) Information about tenders

Number of tenders received: 1

Number of tenders received from tenderers from other EU Member States: 1

Number of tenders received by electronic means: 1

The contract has been awarded to a group of economic operators: No

five.2.3) Name and address of the contractor

American Life Insurance Company

Narayani Complex, Pulchowk, Lalitpur, G.P.O.Box No. 11590, Nepal

Kathmandu

Email

bobby.poudel@metlife.com.np

Telephone

+977 9851216408

Country

Nepal

NUTS code
  • NP - Nepal
The contractor is an SME

No

five.2.4) Information on value of contract/lot (excluding VAT)

Total value of the contract/lot: £11,942


Section six. Complementary information

six.4) Procedures for review

six.4.1) Review body

Foreign, Commonwealth & Development Office

London

SW1A 2AH

Telephone

+44 02070081467

Country

United Kingdom

Internet address

www.gov.uk/fcdo

six.4.4) Service from which information about the review procedure may be obtained

Foreign, Commonwealth & Development Office

London

SW1A 2AH

Country

United Kingdom

Internet address

www.gov.uk/fcdo