Insurance Global Medical Coverage (GMC) for Local Staff

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

<p><strong>Scope of Work:</strong>&nbsp;The contractor shall provide health insurance services covering approximately&nbsp;<strong>351 enrolled individuals</strong>&nbsp;(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:</p>

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

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

<p><strong>Contract Type &amp; Period of Performance:</strong>&nbsp;This is a&nbsp;<strong>fixed-price with economic price adjustment</strong>, 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&nbsp;<strong>5.5 years</strong>. Task orders may be issued from October 1, 2026 through March 31, 2032.</p>

<p><strong>Eligibility Requirements:</strong>&nbsp;Offerors must be registered with the&nbsp;<strong>Autorit&eacute; de R&eacute;gulation et de Contr&ocirc;le des Assurances (ARCA)</strong>&nbsp;of the Democratic Republic of Congo and must be registered in the&nbsp;<strong>System for Award Management (SAM)</strong>&nbsp;at&nbsp;sam.gov.</p>

<p><strong>Award Basis:</strong>&nbsp;Award will be made to the&nbsp;<strong>lowest-priced, technically acceptable, responsible</strong>&nbsp;offeror. The Government may award based on initial proposals without discussions.</p>

<p><strong>Proposals Due:</strong>&nbsp;August 3, 2026, at 17:00 (WAT)&nbsp;<strong>Submit To:</strong>&nbsp;kinshasabid@state.gov&nbsp;<strong>Pre-Proposal Conference:</strong>&nbsp;July 10, 2026, 10:00 WAT &ndash; Four Points Sheraton Hotel, 1A Avenue Mbuji-Mayi, Kinshasa, DRC</p>

Point of Contact

• Vernetta Wheeler — KinshasaBid@state.gov — 243815560151
• Annie Ntula — KinshasaBid@state.gov — 243970462943

View on SAM.gov

https://sam.gov/workspace/contract/opp/1e7fcf3d02f3486a9a9e650acf4270ea/view