SNV is a mission-driven global development partner working in more than 20 countries across Africa and Asia. Building on 60 years of experience and grounded in the 2030 Agenda for Sustainable Development, we work on the core themes of gender equality and social inclusion, climate adaptation and mitigation, and strong institutions and effective governance.  Together with our team of over 1,600 people, our mission is to strengthen capacities and catalyse partnerships that transform the agri-food, energy, and water systems, which enable sustainable and more equitable lives for all. Our core values of people-centeredness and respect, equity and equality, and diversity and inclusion, are fundamental to who we are, and what we do. This is reflected in our vision and mission, and strategy, which sets out our aspirations and commitments as our compass towards 2030.For more information on SNV, please refer to our website: www.snv.org.

SCOPE OF WORK

The company which is selected to perform the work will have to carry out the following functions:

1. In-Patient Treatment: In-patient treatment will be provided to employees and their dependants as per (details benefit on attachment 1). The coverage is subject overall limit Per member; therefore, the selected company ought to have a wide network with hospitals in all regions of Zambia.

2. Out-Patient Treatment: The out-patient treatment provided to employees and their dependants will be a cashless system with minimum K 11,500 per member but subject to Overall limit, including.

• Routine general outpatient consultation;
• Access to specialist doctors.
• Diagnostic laboratory and radiology services including CT/MRI and other specialized scans.
• Routine internal check- ‐ups.
• Chronic and recurring conditions.

3. Medical Evacuation coverage: The Medical Evacuation coverage for staff, Evaluation and Referral 24 hours, Medical Evacuation Hospital Admission, Monitoring of Medical Condition, Dispatch of Medicine in the event of Emergency, Emergency Message Transmission, transportation to Join Patient, Care/Transportation of Minor Children, Return of Mortal Remains, Interpreter and Legal Referrals, Pre-Trip Information and General Assistance Services.

4. Annual Medical Check Up: The cover should include free annual medical check-up for all staff of SNV Zambia

5. Providing service agreement to cover SNV Zambia for 12 months (1 year): The selected company should be willing to provide service agreement of covering SNV Zambia for 12 months, based on annual renewal with possibility of terms and conditions changes.

6. Coordination and Reporting: The Service provider will submit a quarterly report showing the consumption rate and highlighting any issues that need particular attention from SNV Zambia.

The service provider should indicate all the benefit features and proposed charges for Premium and Ceiling per individual.

CRITERIA FOR PROPOSAL EVALUATION

Technical Proposal.

Each bidder shall submit a technical proposal addressing the services required how they will meet the Organisation’s requirements. The technical proposal will account for 70% of the total combined score. The proposal will be evaluated according to the following criteria:

• Company & personnel qualifications (references, experience etc)
• Benefit coverage (Extra services: Gym sessions, therapy, mental health awareness etc)
• Provider network (Medical providers, Coverage Area)
• Quality of service (Reservation, billing and reporting systems)

Financial Proposal

The financial proposal shall be evaluated according to the price structure proposed and will account for 30% of the total combined scoring.

QUALIFICATIONS OF THE COMPANY AND PERSONNEL QUALIFICATION

• Extensive experience and a proven track record in the health insurance business
• Wide networks for national and international coverage
• Reliable health coverage services
• Sound experience in servicing international development organizations, provide three references.
• Ability to provide 24-hours service.
• Real time administrative support systems
• Ability to respond immediately to emergency situations, whilst maintaining high quality standards of service delivery
• Speed of claim processing
• Flexible in terms of limit consumption as well as replacement of insured members by others.

• GENERAL PROVISIONS

  This tender is open for both Health Insurance Company and Health Insurance Broker.

  The Health Insurance Broker should provide letter of attorney from the insurance company.

  Detail data is attached, consisted of:

• Health insurance benefit requested
• Total number of employee and dependants, including the birth dates

• Please submit the health insurance proposal according to the health insurance benefit as requested which contains below information:

• Inpatient benefit
• Outpatient benefit
• Provider coverage
• The price and Policy coverage of different covers provided by the medical insurance provider.
• General conditions
• General Exclusion

• Each bidder may have their own proposal version, but the technical proposal must be submitted as a separate document from the financial proposal.

• Only proposals that fully address the mandatory services listed in the bidding requirement will be evaluated.
• The Technical Proposal and Administrative proposal should be submitted in one single PDF document.

• Mandatory requirements

• Financial Proposal
• Organisation Profile
• Certificate of Incorporation
• TPIN Certificate
• Valid Tax Clearance Certificate
• Latest Bank Statement for the past three months
• Three Recommendations from similar assignments
• Bank detail on a bank letter head

How to apply.

Detailed specifications and requirements are well stated in the RFP which can be found on this link Request for Proposals (RFP)

Application Criteria:

• Only electronic submissions will be accepted.
• Submission should be made through [email protected] not later than 17:30hrs, 17th October 2023.
• For any clarifications, contact [email protected].

Note: SNV Zambia may request for necessary and/or more information during the evaluation. SNV will only contact the successful bidder (s) within the period of 2 weeks from the closing date of submission.