The European Central Bank (ECB) intends to conclude contracts (‘the contracts’) for:
— the provision of health and long-term care (LTC) (re)insurance (lot 1),
— the claims administration service of the health and LTC insurance (lot 2), and
— the employee assistance programme (EAP) (lot 3).
Further information is available in the procurement documents.
Deadline
Die Frist für den Eingang der Angebote war 2016-08-08.
Die Ausschreibung wurde veröffentlicht am 2016-07-08.
Anbieter
Die folgenden Lieferanten werden in Vergabeentscheidungen oder anderen Beschaffungsunterlagen erwähnt:
Bekanntmachung über vergebene Aufträge (2019-01-30) Öffentlicher Auftraggeber Name und Adressen
Name: European Central Bank
Postanschrift: Sonnemannstrasse 22
Postort: Frankfurt am Main
Postleitzahl: 60314
Land: Deutschland 🇩🇪
Kontaktperson: Alessandro Sussex
Telefon: +49 69/13440📞
E-Mail: procurement@ecb.europa.eu📧
Fax: +49 69/13447110 📠
Region: Frankfurt am Main, Kreisfreie Stadt🏙️
URL: http://www.ecb.europa.eu🌏
Objekt Umfang der Beschaffung
Titel:
“Tender for the Provision of Health and Long-Term Care Insurance Services and Related Claims Administration Services and Employee Assistance Programme
PRO-001804”
Titel
Tender for the Provision of Health and Long-Term Care Insurance Services and Related Claims Administration Services and Employee Assistance Programme
PRO-001804
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Produkte/Dienstleistungen: Versicherungen📦
Kurze Beschreibung:
“The European Central Bank (ECB) intends to conclude contracts (“the Contracts”) for:
— the provision of health and long-term care (LTC) (re)insurance (Lot...”
Kurze Beschreibung
The European Central Bank (ECB) intends to conclude contracts (“the Contracts”) for:
— the provision of health and long-term care (LTC) (re)insurance (Lot 1),
— the claims administration service of the Health and LTC insurance (Lot 2), and
— the Employee Assistance Programme (EAP) (Lot 3).
Further information is available in the procurement documents
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Gesamtwert der Beschaffung (ohne MwSt.): EUR 16576676.88 💰
Informationen über Lose
Dieser Vertrag ist in Lose unterteilt ✅
1️⃣ Umfang der Beschaffung
Titel: Lot 1: Health and Long-Term Care Insurances
Titel
Los-Identifikationsnummer: 1
Beschreibung
Zusätzliche Produkte/Dienstleistungen: Krankenversicherung (Zusatzversicherung)📦
Ort der Leistung: Frankfurt am Main, Kreisfreie Stadt🏙️
Ort der Leistung: 00 🏙️
Hauptstandort oder Erfüllungsort:
“Services for all lots shall be provided mainly on the premises of the successful contractors and, where applicable, on the ECB’s premises in Frankfurt am Main.”
Beschreibung der Beschaffung:
“Lot 1: Health and Long-Term Care Insurances:
(a) ECB Health Insurance: an aggregate stop-loss coverage (re-insurance) for medical expenditure incurred by...”
Beschreibung der Beschaffung
Lot 1: Health and Long-Term Care Insurances:
(a) ECB Health Insurance: an aggregate stop-loss coverage (re-insurance) for medical expenditure incurred by insured persons in the ECB Medical Plan;
(b) a Group Insurance for medical costs incurred due to accidents at work, occupational diseases and medical emergencies during business travel at a 100 % reimbursement rate;
(c) an Individual Health Insurance for former insured persons on a medical history disregarded basis at insured member’s charge including the relevant claims administration;
(d) ECB LTC Insurance: an aggregate stop-loss coverage (re-insurance) for insured persons covering the payment of long-term care benefits.
Close cooperation with a claims administrator (see Lot 2) is necessary.
Mehr anzeigen Vergabekriterien
Qualitätskriterium (Bezeichnung): Individual LTC insurance
Qualitätskriterium (Gewichtung): 5
Qualitätskriterium (Bezeichnung): Staff training
Qualitätskriterium (Bezeichnung): Country specific risk knowledge
Qualitätskriterium (Bezeichnung): Guaranteed return on investment — ECB health insurance
Qualitätskriterium (Bezeichnung): Guaranteed return on investment — ECB LTC insurance
Qualitätskriterium (Bezeichnung): Reporting
Qualitätskriterium (Bezeichnung): Acceptance of the ECB’s draft contract
Qualitätskriterium (Gewichtung): 2
Preis (Gewichtung): 68
2️⃣ Umfang der Beschaffung
Titel: Lot 2: Claims Administration Services for the Insurances of Lot 1
Titel
Los-Identifikationsnummer: 2
Beschreibung
Zusätzliche Produkte/Dienstleistungen: Dienstleistungen zur Begleichung von Forderungen aus Versicherungen📦
Hauptstandort oder Erfüllungsort:
“Services shall be provided mainly on the premises of the successful contractors and, where applicable, on the ECB's premesis.”
Beschreibung der Beschaffung:
“Common services for both Health and LTC claims administration services:
— the services shall be delivered by experienced and professionally qualified...”
Beschreibung der Beschaffung
Common services for both Health and LTC claims administration services:
— the services shall be delivered by experienced and professionally qualified account management team, supported by a 365 days/24 hours multilingual service helpline, with English as the leading language,
— the Administrator shall provide case management (dedicated large claims management), a dedicated complaints management system, cost containment measures, medical advice and management information shall be offered to the ECB as client according to quality management standards,
— the Administrator shall process claims in its own IT systems in any language presented, insured persons do not need to translate invoices and/or medical documentation from service providers,
— the Administrator shall also provide electronic claim filing (including internet based claim settlement as a minimum), management and reporting tools,
— the Administrator shall provide a dedicated centre of expertise which can reply to queries (min. by telephone and by e-mail, regular local consultation hours at the seat of the ECB in Frankfurt desired) from the members of the ECB insurance scheme on differences between coverage of the ECB’s insurance scheme and of the major national schemes in Europe (advice shall encompass minimum questions regarding health insurance and Long-Term Care insurance including advice on adequate local (long-term) care facilities and (medical) providers),
— the Administrator shall provide membership administration on the basis of data reported by the ECB
— the Administrator shall cooperate with the ECB in case of knowledge or well-founded suspicion that any insurance benefits are fraudulently obtained
— the Administrator shall recover unwarranted payments from insured members or beneficiaries,
— the Administrator shall provide services according to agreed service levels and by application of quality management principles. The services shall not be provided for Individual Health Insurance (see Lot 1, c)) for which the insurer shall provide the relevant claim administration,
— the Administrator shall settle claims/pay benefits in Euro free of charge to the insured member within the EU and the U.S,
— the Administrator shall be able to review the medical condition of insured persons on a worldwide basis with the aim to ensure eligibility to payment of LTC insurance benefits and/or medical claims,
— close cooperation with an insurer (see lot 1) is necessary.
Claims administration for health insurance:
— the services shall comprise processing, verification, authorisation and payment (reimbursement of claims and direct settlement of invoices) of healthcare-related expenditures incurred by insured persons,
— the Administrator shall offer disease management programmes,
— the Administrator shall establish and maintain a network of preferred service providers in the Rhine-Main area and in the greater Washington D.C. area.
Claims administration for LTC Insurance:
— the Administrator shall evaluate LTC cases, regularly review existing cases and perform follow-up actions,
— the Administrator shall identify on the basis of the documents provided, if there is a dependency on long-term care and if so to which level,
— the Administrator shall perform the medical underwriting of dependants at the time of the initial request for insurance cover and following any period of cessation coverage (apart for those dependants insured under the ECB medical plan when LTC Staff Rules enter into force).
Mehr anzeigen Vergabekriterien
Qualitätskriterium (Bezeichnung):
“Migration/Prearrangement in order to meet the contractual conditions and technical specifications”
Qualitätskriterium (Gewichtung): 3
Qualitätskriterium (Bezeichnung): End of Service
Qualitätskriterium (Bezeichnung): Turnaround time – ECB Health insurance
Qualitätskriterium (Gewichtung): 4
Qualitätskriterium (Bezeichnung): Financial accuracy
Qualitätskriterium (Bezeichnung): Prior approval time
Qualitätskriterium (Bezeichnung):
“Claims submission process (Paper claims template ECB Health insurance. online claiming ECB Health insurance, LTC claims)”
Qualitätskriterium (Bezeichnung): Quality management principles
Qualitätskriterium (Bezeichnung): Turn-around time ECB LTC Insurance
Qualitätskriterium (Bezeichnung): Language availability helpline
Qualitätskriterium (Bezeichnung): Member correspondence
Qualitätskriterium (Bezeichnung): E-services
Qualitätskriterium (Bezeichnung): Personal information sessions
Preis (Gewichtung): 58
3️⃣ Umfang der Beschaffung
Titel: Lot 3: Employee Assistance Programme (EAP)
Titel
Los-Identifikationsnummer: 3
Beschreibung
Zusätzliche Produkte/Dienstleistungen: Orientierungs- und Beratungsdienste📦
Hauptstandort oder Erfüllungsort:
“Services fo shall be provided mainly on the premises of the successful contractors and, where applicable, on the ECB's premesis.”
Beschreibung der Beschaffung:
“The service provider shall offer a 24/7 Employee Assistance Programme, for counselling services regarding personal and occupational emotional issues and...”
Beschreibung der Beschaffung
The service provider shall offer a 24/7 Employee Assistance Programme, for counselling services regarding personal and occupational emotional issues and crisis situations (altogether covering currently approx. 10 000 persons).
The services shall be delivered by experienced and professionally qualified staff and should contain the following features:
— 24/7 global toll free worldwide hotline for all active employees incl. spouses/recognised partners and dependent children for counselling services (to be provided at least in English) regarding personal and occupational emotional issues and crisis situations (active employees includes members of staff, trainees, Executive Board Members, ECB Representatives of the Supervisory Board), and — in exceptional cases - other groups,
— provision of additional access points such as e-mail, online chat, etc.,
— multilingual (at least English and German) face-to-face counselling sessions within reasonable distance to the ECB’s site in Frankfurt am Main (Germany) for emotional and psychological issues,
— work/life services including referrals to local resources to assist with legal, financial, childcare or elderly issues,
— management consultations,
— crises intervention service,
— access to website with information and practical advice for dealing with emotional and other life challenges,
— anonymous counselling (if wished) and aggregated anonymous reporting to the ECB.
Mehr anzeigen Vergabekriterien
Qualitätskriterium (Bezeichnung): Provision of advice with regard to work/life services
Qualitätskriterium (Bezeichnung): Availability of locations for face-to-face counselling
Qualitätskriterium (Bezeichnung): Number of counsellors per location for face-to-face counselling
Qualitätskriterium (Gewichtung): 3.5
Qualitätskriterium (Bezeichnung): Availability of languages for hotline
Qualitätskriterium (Gewichtung): 10
Qualitätskriterium (Bezeichnung): Availability of language for face-to-face counselling
Qualitätskriterium (Gewichtung): 7.5
Qualitätskriterium (Bezeichnung):
“Website (language/content/additional features such as webinars) and additional electronic features (such as App for smartphone)”
Qualitätskriterium (Bezeichnung): Access points/communication channels EAP
Qualitätskriterium (Gewichtung): 8
Qualitätskriterium (Bezeichnung):
“Network/established contacts of clinics focussing on psychiatric and psychosomatic medicine/contacts to specialized clinics in European countries which can...”
Qualitätskriterium (Bezeichnung)
Network/established contacts of clinics focussing on psychiatric and psychosomatic medicine/contacts to specialized clinics in European countries which can support inpatient treatments
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Qualitätskriterium (Bezeichnung): Sensitivity of business plan/contract inception plan
Qualitätskriterium (Bezeichnung):
“Network of counsellors trained in trauma counselling and mental first aid, who could be available within 24 h to provide crisis intervention service in...”
Qualitätskriterium (Bezeichnung)
Network of counsellors trained in trauma counselling and mental first aid, who could be available within 24 h to provide crisis intervention service in English and preferably other EU languages
Verfahren Art des Verfahrens
Wettbewerbliches Verfahren mit Verhandlung
Administrative Informationen
Frühere Veröffentlichungen zu diesem Verfahren: 2016/S 138-249736
Auftragsvergabe
1️⃣
Vertragsnummer: 1
Los-Identifikationsnummer: 1
Titel: Lot 1: Health and Long-Term Care Insurances
Datum des Vertragsabschlusses: 2018-11-21 📅
Informationen über Ausschreibungen
Anzahl der eingegangenen Angebote: 2
Name und Anschrift des Auftragnehmers
Name: AWP Health and Life (private limited company)
Postanschrift: Eurosquare 2
Postort: Saint-Ouen
Postleitzahl: 93400
Land: Frankreich 🇫🇷
Region: France 🏙️
Der Auftragnehmer ist ein KMU
Angaben zum Wert des Auftrags/der Partie (ohne MwSt.)
Gesamtwert des Auftrags/Loses: EUR 5464698.60 💰
2️⃣
Vertragsnummer: 2
Los-Identifikationsnummer: 2
Titel: Lot 2: Claims Administration Services for the Insurances of Lot 1
Datum des Vertragsabschlusses: 2018-05-28 📅
Informationen über Ausschreibungen
Anzahl der eingegangenen Angebote: 3
Anzahl der eingegangenen Angebote von Bietern aus anderen EU-Mitgliedstaaten: 3
Name und Anschrift des Auftragnehmers
Name: AWP Health and Life Services
Nationale Registrierungsnummer: 509216
Postanschrift: 15 Joyce Way, Park West Business Campus, Nangor Road
Postort: Dublin
Postleitzahl: 12
Land: Irland 🇮🇪
Region: Éire/Ireland 🏙️ Angaben zum Wert des Auftrags/der Partie (ohne MwSt.)
Gesamtwert des Auftrags/Loses: EUR 10 953 124 💰
3️⃣
Vertragsnummer: 3
Los-Identifikationsnummer: 3
Titel: Lot 3: Employee Assistance Programme (EAP)
Datum des Vertragsabschlusses: 2018-09-27 📅
Informationen über Ausschreibungen
Anzahl der eingegangenen Angebote: 4
Anzahl der eingegangenen Angebote von Bietern aus anderen EU-Mitgliedstaaten: 4
Name und Anschrift des Auftragnehmers
Region: Dublin 🏙️ Angaben zum Wert des Auftrags/der Partie (ohne MwSt.)
Gesamtwert des Auftrags/Loses: EUR 307586.89 💰
“The total value of the contract indicated in the Section V.2.6) is an indicative non-binding spending estimate at the time of contract award. The actual...”
The total value of the contract indicated in the Section V.2.6) is an indicative non-binding spending estimate at the time of contract award. The actual value of the contract may differ and will be determined by actual business needs.
The documentation for this procurement can be downloaded from an Internet platform. If you are interested in Participating in the procurement procedure please register via the Internet platform using the following Internet
Address, user name and password:
Internet address: https://www.ecb.europa.eu/secure/procurement/
User ID: 001804/H/RCO/2016
Password: 8B2EFA
After you have registered an email will be sent to you with a new user name and password. The Internet Address will remain the same. Please use the new user name and password to download the application documentation.
However, your mere registration and downloading the documentation does not constitute an application. You must submit your application in hard copy version to the ECB, on time, in the format requested and including the content as further instructed in the application documentation.
Should you experience any problems in accessing the Internet platform for registration and/or downloading the application/tender documentation, please do not hesitate to contact the ECB under the following email address:
procurement@ecb.europa.eu quoting the procurement number and problem experienced.
The ECB shall endeavour to answer all queries concerning access as quickly as possible but cannot guarantee a minimum response time. The ECB shall not be bound to reply to queries received less than 7 calendar days before the time limit for the submission of tenders.
The tender procedure shall be open on equal terms to all natural or legal persons resident or located in the European Union and to all natural and legal persons resident or located in a country which has ratified the World Trade Organisation Agreement on Government Procurement or has concluded with the European Union a bilateral agreement on procurement under the conditions laid down in the said agreements. The tender procedure is conducted in accordance with Decision (EU) 2016/245 of the European Central Bank of 9.2.2016 laying down the rules on procurement (ECB/2016/2) (as amended), available on the ECB website at http://www.ecb.europa.eu (please look for the link “for suppliers”).
During the tender procedure tenderers shall not contact any ECB staff members or organisations/persons working for the ECB with regard to this tender procedure other than the person indicated in Section I.1).
Tenderers shall also not contact potential competitors unless they intend to form a temporary grouping with them or to involve them as subcontractors. Any violation of this communication rule may lead to the exclusion of the
Tenderer in question.
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Name: Procurement Review Body of the European Central Bank, c/o Legal Advice Team
Postanschrift: Sonnemannstrasse 20
Postort: Frankfurt am Main
Postleitzahl: 60314
Land: Deutschland 🇩🇪
Telefon: +49 6913440📞
Fax: +49 6913446886 📠
URL: http://www.ecb.europa.eu🌏 Für Mediationsverfahren zuständige Stelle
Name: European Ombudsman
Postanschrift: 1 avenue du Président Robert Schuman
Postort: Strasbourg
Postleitzahl: 67001
Land: Frankreich 🇫🇷 Dienststelle, bei der Informationen über das Überprüfungsverfahren eingeholt werden können
Name: Central Procurement Office
Postanschrift: Sonnemannstrasse 20
Postort: Frankfurt am Main
Postleitzahl: 60314
Land: Deutschland 🇩🇪
Telefon: +49 6913440📞
URL: http://www.ecb.europa.eu🌏
Quelle: OJS 2019/S 029-063876 (2019-01-30)