Catholic Relief Service (CRS)- Request For Proposal To Provide Corporate Health Insurance Services As A Health Maintenance Organization (HMO)

DEADLINE: 11TH JUNE, 2021
CATHOLIC RELIEF SERVICE (CRS)
REQUEST FOR PROPOSAL TO PROVIDE CORPORATE HEALTH INSURANCE SERVICES AS A HEALTH MAINTENANCE ORGANIZATION (HMO)

Catholic Relief Services (CRS) is an International non-governmental organization supporting relief and development work in over 99 countries around the world, CRS programs assist persons based on need, regardless of creed, ethnicity, or nationality, CRS works through local church and non-church partners to implement its programs, therefore, strengthening and building the capacity of these partner organizations is fundamental to programs in every country in which CRS operates. CRS re-established presence in Nigeria in 2000 and currently focuses on agriculture, health and emergency programming, Food Security, Nutrition, Non- Food Items, Water, and Sanitation. CRS Nigeria currently a staff base above 200 spread across different locations of the country such as Abuja, Adamawa, Akwa-Ibom, Benue, Borno, Delta, Enugu, Imo, Lagos, Nasarawa, Rivers, and Yobe.

PURPOSE:
CRS Nigeria wishes to secure the services of an eligible Health Management Organization (HMO) of repute with established service provider network in major cities across the Federal Republic of Nigeria through a merit-based process for an initial duration of one (1) year.

QUOTATION:
All quotations should include the following:

• Breakdown of financial offer, indicating the unit cost, total cost as well as other applicable cost, schedules of premium where necessary
• All quotes should be shored virtually through the submission portal provided below 
• Evidence of tax compliance for three-mast recent years

QUOTE VALIDITY:
Vendor proposals shall remain valid for one year from the deadline for receipt of quotations. Additionally, for the successful bidder(s), the bids/quotes submitted shall also remain valid and not subject to review for two years from the date of contract signing by the selected Health Maintenance Organization (HMO).

CONTRACT DURATION:
As earlier stated, the proposed duration for this engagement would be for one year effective October 1, 2021.

Pre-Qualification/Technical Bid Criteria: Must be a registered HMO organization with the requisite experience and track records for provision of Health Care Management services/Insurance.

For the pre-qualification criteria, the following documents must be made available in an easy to access/read manner;

• CAC documentation (Certificate of Incorporation, Article, and Memorandum of Association) of the bidding company
• Evidence of corporate Tax Identification Number
• Organization Profile and licenses relating to the services being offered
• Verifiable physical office addresses across the six geo-political zones
• Evidence of most recent annual Returns and current audited accounts of your firm for the past three years.
• Evidence of corporate office address, phone numbers, email address.
• Evidence of financial capability and banker’s Reference letter.
• Detailed list of national-wide hospital providers in all 36 states of the federation and particularly the states named above.
• Minimum of three (3) reputable references where similar activity is being provided in the following categories
• In addition, kindly share confirmation of service agreement (one each) for service providers in the following categories
  • Teaching Hospital 
  • State Medical Center 
  • Child Wellness/Pediatric Hospital 
  • Specialist Hospital  
  • 2 reputable private hospitals 
  • Gym/Aerobics Cente
  • Radiological/Laboratory and Diagnostics Center 
  • Pharmaceutical Outlets

Names of:

• Designated Lead Case Manager (if successful) 
• Referral Coordination Lead 
• Doctor on Call 
• Care and Support Team

Vendor to describe in detail (not more than 2 pages) the escalation procedure for service challenges.

 FINANCIAL BID/PRICE QUOTES:
All Vendors are expected to submit all their Health Care Plans in a Tabular format using with the detailed services available for each plan and the cadre of Hospitals available for it with the unit cost per staff. At the minimum, the financial bid submission should detail services available but not limited to the below broad categories.

• Outpatient and Specialist Consultation
• Physiotherapy
• X-rays, Laboratory & other Radiological Investigations
• Routine Immunizations
• Minor, Intermediate and Major surgeries and procedures
• Ante-Natal Care+Delivery
• Neo-natal Care
• Children Immunization
• Adult Vaccination
• Ophthalmology Care
• Dental
• ENT
• Evacuation
• Care, Renal and Lungs Care
• Annual Health Checks
• Duration of Reimbursement
• Out of Hospital Networks Care
• Second Opinion
• Gym, Aerobics, and Wellness Packages
• Customer Service and Case Management Support (Registration Demo and Support Services)

All other service provided by the HMO should be listed too.

The vendor is also to provide premium terms per enrollee i.e. staff to include spouse and children (specify number in proposal if there is a maximum) if married (family plan) and premium plan per enrollee (individual plan)

Proposals will be evaluated only for vendors who meet the prequalification criteria listed above. Vendors should ensure that all their line unit costs/prices are competitive as this would form the basis for the financial bid analysis. This will consider price, comprehensiveness of services, quality of services, availability of services, location, and types of facilities available, hours of service, responsiveness, 24-hour helpline, dedicated account manager, and explicit coverage of all pro- existing conditions.

For all the proposals meeting technical requirements, the lowest financial compliant proposal shall be selected after the financial bid analysis.

SUBMISSION OF PROPOSALS:
Proposals should be sent electronically to tenders.ngr@crs.org with the Subject NG4224 on or before 11 June 2021 by 5:00 pm. All submissions should be addressed to:

The Tender Committee,
CRS NIGERIA
PLOT 512, BEHIND NAF CONFERENCE CENTER & SUITES,
KADO DISTRICT, ALONG BANNEX-GWARINPA EXPRESSWAY,
KADO, ABUJA, FCT 

Please note;

• The deadline for submission of proposals is COB 5 pm Friday 11 June, 2021CRS Nigeria is neither committed nor obliged to include any company and/or associated companies, agents, or contractor on any bid list.
• Be aware that this invitation to express Interest does not guarantee that you will be requested to submit all other subsequent offers to CRS Nigeria; It does not constitute any form of agreement or contract between our organizations. 
• This request for expression of interest shall not be construed as, commitment by CRS Nigeria, nor shall it entitle respondents to claim any indemnity from CRS Nigeria by virtue of having responded to this advertisement.
• This invitation is to request expression of interest in the provision of health insurance services and does not warrant further feedback from CRS Nigeria hereafter. 
• Multiple bidding will be unacceptable
• Only the financial bids of shortlisted firms that meet the technical evaluation criteria in accordance with CRS Nigeria pre-qualification procedure will be contacted.
• CRS shall conduct a due diligence process at business premises of successful vendor before final award is given.

For further inquiries, please direct to: nigeriaprocurement@crs.org