Insurance Company to Submit Offers for Health & Accident Insurance for Staff

 

TERMS OF REFERENCE

HEALTH & ACCIDENT INSURANCE  

Client: Rosa-Luxemburg-Stiftung Southeast Asia (RLS SEA) is a registered international Non-Government-Organization (INGO) with a Representative Office in Vietnam operating in Cambodia, Laos, Myanmar and Vietnam.

Office Address: House No. 8C, Alley 76, To Ngoc Van Street, Tay Ho, Hanoi, Vietnam.

Director Representative Office: Mr Philip Degenhardt

Phone: +84 24 3718 5836  

Fax: +84 24 3718 5834                                                      

Email: hanoi@rosalux.org

Website:www.rosaluxhanoi.org

ORDER DESCRIPTION

RLS SEA now calls for insurance companies to submit offers for health & accident insurance for 12 staff of RLS SEA office in 2021 with the detailed scope of works as in follow.

A. SCOPE OF SERVICES:

1. RLS SEA’s staff list:

Staff

Year of birth

Staff 01, Female

1970

Staff 02, Male

1970

Staff 03, Female

1976

Staff 04, Female

1978

Staff 05, Male

1979

Staff 06, Female

1980

Staff 07, Female

1981

Staff 08, Female

1983

Staff 09, Female

1984

Staff 10, Female

1984

Staff 11, Male

1982

Staff 12, Female

1990

2. Table of benefits:

TABLE OF BENEFITS

Geographical Limit

I – PERSONAL ACCIDENT

1) Death/Total Permanent Disablement

2) Medical Expenses due to accident

II. HEALTH INSURANCE

The Policy covers actual medical expenses incurred for treatment of illness/sickness, disease, pregnancy & childbirth during period of insurance.

A. IN PATIENT  – overall annual limit per person

1) Hospitalization charges incurred during hospital stay

2) Surgical Charges

3) Emergency Ward Treatment

4) Emergency Local Transporation

5) Daily Allowance for Hospitalization

6) Burial Allowance

7) Pre-hospitalization

8) Post-hospitalization

9) Home Nursing

10) Newborn baby care

11) Maternity

Normal Delivery

Complications of Pregnancy, C-section as per prescription

Allowance if delivery at state-owned hospital

– Normal Delivery

– Caesarean (C-section)

B. OUT-PATIENT – overall annual limit per person

Limit per visit

Physiotherapy limit per year

Pre-natal check-up including: expenses of diagnosis, 2D/3D/4D ultrasound, urine and blood test

Basic Dental Care

Examination and diagnosis, X-ray, Gingivitis (blow the gums), Normal compound fillings (amalgam, fuji, composite, gic or similar materials), Root canal Treatments, Extractions of diseased teeth (with surgery).

Periodnatal

Tooth cleaning (twice/year) include in Basic Dental Care

Crown, bridge, implant, dentures, included in Basic Dental Care limit

Limitation of Dental Clinics:

C – DEATH DUE TO ALL RISKS EXCEPT FOR ACCIDENTS

Death/Total Permanent Disablement

TERMS & CONDITIONS

Eligibility of Insured Person

Extension Clauses

Adjustment during insurance period

Additional employees

Deleted employees

Waiting Period (Applicable for insured person from first joinning date)

Medical Expenses

– Due to Accident

– Tendon and ligament reconstruction surgery

– Due to normal diseases

– Due to special diseases  (as defined in wording)

– Due to pre-existing conditions

– Miscarriage, abortion, pregnancy treatment prescribed by doctors

– Normal childbirth

Death/Permanent Disablement

– Due to Accident

– Due to normal diseases

– Due to pre-existing conditions

– Due to special diseases  (as defined in wording)

– Due to pregnancy

CONTINUOUS COVER CLAUSE

CLAIM SERVICES

Direct Billing Network

Claim Handler

Time of Claim processing

Time of Claim Payment (after receiving claim payment notice)

Insurance card – Name

Handbook/Leaflet (Soft copy)

B. Minimum Criteria for RLS SEA’s assessment of the offers:

RLS SEA will evaluate and assess the submissions of the offers upon a set of criteria. These include:

  1. Service fee and payment method;
  2. Proven capacity to carry out the full set of all requested services;
  3. Track record and evidence based experiences in the provision of such services with international organizations.

C. Application:

Interested service providers are invited to submit their offers including a most updated company profile and a proposal in which you state clearly the desired rate for this service, including a detailed price list.

Application should be sent via email to Ms Nguyen Thuy Ha at: nguyen.thuyha@rosalux.org, latest by 30th November 2020 at 6 PM.

Job Details
Organisation Name:
RLS
Application Deadline:
Mon, 2020-11-30
Candidates have to confirm having received the recruitment information through the recruiting channel NGO Recruitment in the application letter for this position

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