Locally Employed Staff Health Insurance Services for U.S. Embassy Harare, Zimbabwe   2

Background
The U.S. Government, specifically the U.S. Embassy in Harare, Zimbabwe, is seeking to procure health insurance services for its Locally Employed Staff (LES) and their dependents. The goal of this contract is to provide comprehensive health insurance coverage that meets the needs of the employees and their families while ensuring compliance with local regulations. The contractor must have a physical presence in Zimbabwe and be authorized to operate within the country.

Work Details
The contractor shall provide health insurance services as outlined in the Statement of Work (SOW) provided in Sub-Section C – Specifications/Statement of Work. Key tasks include:
1. Providing health insurance coverage for eligible employees and their dependents as defined in Section C.5 – Eligible Participants.
2. Ensuring timely payment of benefits within 30 calendar days.
3. Maintaining a quality assurance plan to monitor service delivery and address any complaints.
4. Offering a comprehensive list of medical providers included under the plan.
5. Establishing procedures for claims processing, including special considerations for members with chronic illnesses and out-of-country procedures.
6. Demonstrating a clear understanding of pandemic coverage policies and pharmaceutical coverage procedures.
7. Providing a detailed management plan that includes the qualifications of key personnel, particularly a Project Manager with at least five years of relevant experience.

Period of Performance
The contract will commence on August 01, 2026, with an initial base year followed by four optional one-year periods that may be exercised at the discretion of the government.

Place of Performance
The services will be performed in Harare, Zimbabwe.