Expression of Interest For Medical Insurance Provider in Somalia

Work Detail

Expression of Interest for Medical Insurance Provider Objectives The primary objective of this engagement is to obtain comprehensive and suitable medical coverage and benefits that provide outpatient and inpatient health schemes for organizations employees and their registered dependent families in a cost-effective manner. 4. Scope of Work The scope of work for service providersinvolves various responsibilities related to the administration and management of medical insurance provision for organizations employees and their registered agreed dependents. The selected health insurance provider will cover the inpatient treatment, outpatient treatment, dental, optical, maternity and medical referral coverage to the agreed regional/international countries. In case the insurance company may have different rates for different options of medical facilities, SOS will consider the option that serves its purposes to cover the medical package needed by its staff and their agreed dependents. 5. Roles and Responsibilities of the Insurance Company Provide all services as stated in the terms of reference and contract award document. Provide easy and seamless administrative procedures in the receipt of medical provision required by the organizations staff and their registered dependents. Communicating any, and all, necessary information regarding your policy. Responding to the organizations claim or other required issues in a reasonable amount of time. Providing the organization and its employees with a detailed orientation on how the medical facilities and registered hospitals are obtained and utilized. 6. Roles and Responsibilities of the SOS Childrens Villages in Somaliland SOS Childrens Villages in Somaliland shall pay a premium upon the completion of terms contained in the contract award document. Provide a staff and their dependents list. Provide all necessary documentation required to process the cover. Appoint a focal person who will be the contact person of the insurance company to administer things regularly. 7. Criteria for Proposal Evaluation Each bidder shall submit a technical proposal addressing the services required and how they will meet SOS Childrens Villages in Somaliland requirements. The technical proposal will account for 70% of the total combined score. The proposal will be evaluated according to the following criteria: Compliance with the TOR and mandatory requirements. Coverage area both local and international, and quality of medical benefits (reservation, billing, and reporting systems). List of hospitals and medical network providers coverage and accessibility. Claims processing and customer service. Total premium and value for money. Comprehensive benefit coverage of both inpatient and outpatient Valid License and certificate of registration. Previous or current clients in the field of international NGOs with support evidence and contact references. Proof of financial capacity of the insurance company with one year bank statement starting from October 2025 to October 2026. Additional services required a) Reliable health coverage services b) Ability to provide 24-hour service c) Real-time administrative support systems d) Ability to respond immediately to emergencies, whilst maintaining high-quality standards of service delivery Tender Link : https://somalijobs.com/tenders

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