Job Description

Posted on February 17, 2023

Medical Health Insurance Services
Jhpiego is an international, non-profit health organization affiliated with The Johns Hopkins University. For 40 years in East and Southern Africa, Jhpiego has empowered front-line health workers by designing and implementing effective, low-cost, hands-on solutions that strengthen the delivery of health care services, following the household-to-hospital continuum of care. Jhpiego partners with organizations from the community to the national levels, building sustainable, local capacity through advocacy, policy development, and human resources for health and quality and performance improvement approaches. For further information about Jhpiego, please visit our website at www.jhpiego.org.
Jhpiego is inviting insurance companies and insurance brokers to submit proposals for the provision of quality medical insurance services that meet the market standards to Jhpiego Zambia and its field offices in selected provinces and their eligible dependents.
The bidders must scrutinize carefully all instructions and conditions hereunder and shall be deemed to have done so and satisfied themselves when they submit their offers against this Request for Proposal.
The evaluation of bids will be conducted in THREE stages namely;

Preliminary Evaluation;
Technical Evaluation; and
Financial Evaluation.

1. PRELIMINARY PROPOSALS MINIMUM REQUIREMENTS
To be short-listed, insurance companies and brokers shall meet the following minimum requirements:

Company profile and experience (clearly stating full contact details, physical address, and telephone lines, email and core competence service being provided by your firm).
Certificate of incorporation or registration;
Tax registration and current tax clearance certificate (2023);
Current Certificate of registration with Pensions and Insurance Authority (PIA) (2023); and
Current Certificate of registration with National Pensions Scheme Authority (NAPSA) (2023).

2. TECHNICAL PROPOSAL MINIMUM REQUIREMENTS
CRITERIA FOR TECHNICAL PROPOSALS
Insurance companies and brokers that have met the above-mentioned minimum requirements shall be evaluated and assessed according to the following criteria:

Scope of cover or services clearly stating both inclusions and exclusions.
List of services provided using the attached list annex 1.
Geographical coverage in Zambia by the insurance providing a list of hospitals/clinics that can provide services under your medical insurance.
In-patient and outpatient services (Physiotherapy, Antenatal/under-five/Family Planning clinics, dental and optical services.
Biometric card provision / Manual.
Premium price/commission of packages/plans/products and a description of what is included.
Quality of service as assessed by the accessibility of services, billing, and reporting systems.
Qualification of staff that will be allocated to Jhpiego by presenting CVs of such staff
Any additional services or functionality that may enhance your proposal

FINANCIAL PROPOSAL MINIMUM REQUIREMENTS

The financial proposal shall be evaluated according to the price structure of the premiums/commission in the local currency.
Proposal submitted shall detail all costs identified and any other costs whatsoever that could be incurred in the usage of services and/or the availing of options that may not be explicitly identified/requested.
In the event of an agreement being awarded, the attempted imposition of undeclared costs shall be considered a condition for default.

4. PRESENTATION AND INTERVIEW 

Only an awarded Insurance Company/broker will be contacted and invited to make presentations and be interviewed by the evaluation team.

REQUIRED SERVICES

In- Patient, Out- Patient, Optical, Dental,Covid – 19 testing and treatment services. Other services include travel Insurance, funeral benefits, chronic illness management, and specialized medical treatment.
Provide medical services to cover approximately 730 lives (235 Principal Members, 185 Spouses, 310 Children below 21 years) for a period of 12 months.

The medical insurer/broker shall be expected to undertake the following:
MANAGEMENT

Appointment of health care providers/broker, negotiation of pricing of drugs and medical services with registered health care providers, issuance of membership cards and timely record management.

REPORTING

Provide Jhpiego with quarterly utilization reports, updates, and communication with staff members.

COSTING

Each bid should provide a clear costing of services to be provided.

The shortlisted company shall be required to demonstrate the structure of its product before the award of the tender.

ELIGIBILITY OF BIDDERS: Applicants shall provide:

Company profile (briefly reflecting core competencies only and clearly stating the physical verifiable address, telephone line, fax number, and email address),
Valid registration with the Registrar of companies (certificates of registration/incorporation) and any other professional body;
Valid VAT Registration/tax certificates (2023)
Current Certificate of registration with Pensions and Insurance Authority (PIA) registration (2023) ; and

Current Certificate of registration with National Pensions Scheme Authority (NAPSA) (2023).

Trade terms/credit facility for the engagement period
Bank reference (01)
Minimum of Three recent (2023) References from the applicant’s current clients (NGOs will be an added advantage).
Services provided (clearly indicated)
Costings of services to be provided (clearly indicating VAT inclusion or Exclusion)
Bank statements for the last six (06) months stamped, certified and signed by the Bank

Only the most responsive proposal shall be contacted. Please note that only one vendor shall be selected and awarded a contract to provide these services. A supplier currently providing these services to Jhpiego shall re-apply with all the documentation attached as mentioned above.
10. DECLARATION OF INTEREST

Declaration of Interest of any business or personal relationships connected to Jhpiego shall be stated by bidders.

11. CURRENCY

All bids shall be submitted in Zambian Kwacha

12. CLARIFICATION
All clarifications shall be made in writing addressed to the Procurement Committee Chairperson on or before 3rd February 2023 at 14:30 hours to [email protected] and the response shall be provided by 7th February 2023.
13.    SUBMISSION AND CLOSING DATE
The softcopy proposals shall be submitted to ZMProcu[email protected]  WHEREAS hardcopies shall be in four 04No. (01No. Original and 03No. Copies) of sealed envelopes clearly marked “JHPIEGO MEDICAL INSURANCE SERVICES” and shall be deposited in the Tender Box located at Jhpiego Zambia Country Office, Plot 8 Ngumbo Road Long acres, Lusaka on or before 15:00 hours on 14th February 2023. Proposals submitted after the set deadline shall not be received or accepted and returned unopened to the marked bidder.
Jhpiego Zambia Country Office reserves the right to accept or reject any proposal and annual the bidding process and reject all bids at any time prior to contract award, without thereby incurring any liability to bidders.
THE PROCUREMENT COMMITTEE
JHPPIEGO ZAMBIA COUNTRY OFFICE
P.O. BOX 36873
LUSAKA

To apply for this job email your details to ZMProcurement@jhpiego.org