The U.S. Department of State is procuring comprehensive group health insurance coverage for locally employed staff of the U.S. Mission in Kinshasa, Democratic Republic of Congo, including their eligible dependents. The contractor will provide coverage for approximately 351 individuals with specific minimum benefit levels across various health services and must maintain a pre-authorization system and a digital claims portal. The contract is an IDIQ with a base period of one year and four option years, with proposals due on July 25, 2026.
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The contractor will provide health insurance services covering approximately 351 enrolled individuals, ensuring comprehensive coverage across various health services.
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.
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.
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