Insurance Global Medical Coverage (GMC) for Local Staff

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 Autorit� de R�gulation et de Contr�le 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