SAM #19CG5026R0008

Comprehensive Group Health Insurance for U.S. Embassy Kinshasa Local Staff and Dependents

This opportunity from the U.S. Embassy Kinshasa (U.S. Department of State) seeks comprehensive group health insurance for locally employed staff and their dependents in the Democratic Republic of Congo. - Government Buyer: - U.S. Department of State - U.S. Embassy Kinshasa - General Services Office/Procurement - OEMs and Vendors: - No specific OEMs or vendors named; offerors must be registered with ARCA (Autorité de Régulation et de Contrôle des Assurances) and SAM - Products/Services Requested: - Comprehensive group health insurance for approximately 351 individuals - Enrollment categories: - Self-only: 28 employees - Self Plus One: 32 employees - Family: 291 employees and dependents - Minimum benefit levels required: - Hospitalization, emergency services, outpatient care, obstetric and newborn care, pediatric services, prescription drugs, preventive and chronic disease management, mental health and substance abuse care, dental, optical, hearing aids, rehabilitative and habilitative services, reproductive health, HIV/AIDS, out-of-country medical treatment and travel - Annual maximum reimbursement per individual: $47,000 - Unique/Notable Requirements: - Pre-authorization system with rapid response - Web-based digital claims portal and mobile application (English and French support) - Direct-billing network with at least ten approved medical facilities in Kinshasa - Timely claims processing - Offerors must be registered with ARCA and SAM - Contract Structure: - Fixed-price with economic price adjustment, IDIQ - Base period of one year, four one-year option periods, and a six-month extension option (up to 5.5 years)

Description

The U.S. Embassy Kinshasa, Democratic Republic of Congo, seeks proposals from qualified insurance providers to deliver comprehensive group health insurance coverage for locally employed (LE) staff of the U.S. Mission in Kinshasa and their eligible dependents.

Scope of Work: The contractor shall provide health insurance services covering approximately 351 enrolled individuals (employees and dependents) across three enrollment categories: Self-Only, Self-Plus-One, and Self-Plus-Family. Coverage must meet or exceed the following minimum benefit levels:

Hospitalization & Emergency Services: 100% Outpatient Services: 100% Obstetric & Newborn Care: 100% Pediatric Services: 100% Prescription Drugs: 100% Preventive, Wellness & Chronic Disease Management: 100% Mental Health & Substance Abuse Care: 100% Dental Care: Up to USD 3,200 per individual per contract year Optical Care: Up to USD 300 per individual every two years Hearing Aids: Up to USD 1,500 per ear per three-year period Rehabilitative & Habilitative Services: 100% Reproductive Health: 100% HIV/AIDS: Up to USD 10,000 per individual per contract year Out-of-Country Medical Treatment & Travel: 100% Annual Maximum Benefit: USD 47,000 per covered individual per contract year

The contractor must also maintain a pre-authorization system (standard responses within 24 hours; emergency responses within 2 hours), a web-based digital claims portal and mobile application with English and French language support, and a direct-billing network of at least ten (10) approved medical facilities in Kinshasa.

Contract Type & Period of Performance: This is a fixed-price with economic price adjustment, indefinite-delivery/indefinite-quantity (IDIQ) contract. The base period of performance is one (1) year, with four (4) one-year option periods and one (1) six-month extension option, for a maximum total duration of 5.5 years. Task orders may be issued from October 1, 2026 through March 31, 2032.

Eligibility Requirements: Offerors must be registered with the Autorité de Régulation et de Contrôle des Assurances (ARCA) of the Democratic Republic of Congo and must be registered in the System for Award Management (SAM) at sam.gov.

Award Basis: Award will be made to the lowest-priced, technically acceptable, responsible offeror. The Government may award based on initial proposals without discussions.

Proposals Due: July 25, 2026, at 17:00 (WAT) Submit To: kinshasabid@state.gov Pre-Proposal Conference: July 10, 2026, 10:00 WAT – Four Points Sheraton Hotel, 1A Avenue Mbuji-Mayi, Kinshasa, DRC

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