Request for Quotation for “WARDI NGO Employees’ Medical Insurance Cover Service in Banadir, Hiran, Middle and Lower Shabelle Regions, Somalia’’

Request for Quotation for “WARDI NGO Employees’ Medical Insurance Cover Service in Banadir, Hiran, Middle and Lower Shabelle Regions, Somalia’’.

TERMS OF REFERENCE HEALTH INSURANCE PROVIDER

1.      About WARDI

WARDI Relief and Development Initiatives a non-profit, non-governmental organization that is a brainchild of a group of professionals from Somalia with different professional skills and abilities to respond to dire humanitarian situation in Somalia after the civil war broke out.

With the collapse of both public and private institutions and destruction of infrastructure, many people were affected and got displaced by the war including children and women who faced life threatening humanitarian conditions. Wardi NGO was born out of the urgent need to respond to that situation, alleviate suffering, and save lives. Through the expertise of those who formed, partners and well-wishers, Wardi responded to needs ranging from education, protection, water and sanitation, health, nutrition, agriculture, livestock and environmental conservation.

WARDI Relief and Development Initiatives was founded in June 1993 and is registered in Somalia with the Ministry of Internal Affairs in the Federal Government and in Kenya with the NGO Coordination Board. Wardi focuses on supporting the most vulnerable among the communities affected by both man-made and natural disaster through innovative programs that build livelihoods and improves resilience. These programs include provision of technical trainings, cash-based interventions, and cash for work, income generating activities, skills development, and community health and nutrition facilities. To achieve this, Wardi employs community-based approach in program to identify real problems and find appropriate and sustainable solutions. Wardi also involves communities in planning, implementation and monitoring of its programs for transparency and accountability.

In the past five years, Somalia has made progress in key sectors such as Governance, security and justice following successful presidential and parliamentary elections in late 2016. These changes have resulted in significant economic, political, and social growth that has rejuvenated the hopes and aspiration for Somalis for stronger, secure, and prosperous nation. WARDI is playing a critical role in supporting the government to translate these legitimate aspirations to reality by partnering in critical sectors such as water and sanitation, education, health, nutrition, protection and food security to sustain positive trajectory through the line ministries and federal member states in South West, HirShabele and Banadir Region Authority.

Our partnership and support with the government of Somalia is contributing to the re-emergence of a strong government and community structures that can withstand the taste of time.

2. The objective of the employees’ health cover service.

The medical insurance provider is expected to provide comprehensive, competitive, and cost-effective medical insurance service to WARDI employees in Hiran, Middle, and Lower Shabelle and Banadir Region PLUS four of their dependents (M+4) to protect them from catastrophic exposure to health conditions. The successful firm is also expected to provide emergency services for covered staff and families.

2.      Scope of work

The selected company is expected to provide the following services;

1. In-patient Treatment: The employee and dependents (4) will access inpatient services in approved network of hospitals, nursing home including hospitalization in an intensive care unit for chronic and non- chronic diseases. Oversees hospitalization should be accepted where the required treatment is not available in Somalia and upon second opinion from the company’s medical consultant.
2. Out-patient treatment: The provider is expected to provide out-patient services to employee and dependents including;
   1. Consultations and treatments including medical practitioner’s fees, prescribed medication, etc.
   2. Fees for Surgeons, Physicians and Anesthetists fees and theatre charges.
   3.  Registered private doctor’s fees and the cost of prescribed drugs and dressing.
   4. Tests and imaging including X-rays, CT scans, magnetic Resonance Imaging (MRI’s) electrocardiograms, encephalograms, audiograms, radiotherapy, or chemotherapy.
   5. Optical expenses- limited.
   6. Charges arising from transportation of employee and dependent in case of emergency that may require evacuation.
3. Emergency/evacuations: Any expenses in respect of emergency treatment to stabilize patient.
4. Maternity: includes skilled delivery including C-section, premature and neonatal care, prenatal and postnatal care. Premature deliveries should also be covered.
5. Preventive treatment: Immunization, where needed
6. Psychiatric hospitalization and counseling services.
7. Cover tests, hospitalization related to COVID-19 Pandemic Disease

4. Duration and number of employees covered

The contract between WARD and the successful Company will be for a period of One year (1) providing medical insurance services for employees and their dependents (4 per employee) to be determined during contract preparations and processing. The contract will be renewed based on performance and availability of funding from WARDI NGO.

5. Service requirements

1. Provide 24/7 customer service support.
2. Provide identification cards for employees and their dependents to be insured
3. Client support that is accessible and friendly.

6. Criteria for evaluation

Technical proposal

Proposals from interested providers will be evaluated based on the following criteria;

• Previous experience in providing medical insurance for NGO staff.
• Benefit coverage
• Cost of the package(M+4)
• Provider network (ability to provide services in all the regions of Somalia)
• Quality of services (reservation, billing and reporting systems)
• Valid and Legal Licenses/registration certificates to operate in the stated regions as above in Somalia and where needed in the future

The technical criteria will account for 70% of the total score.

Financial proposal

Financial proposal will be evaluated based on price structure and will account for 30% of the total score.

7.      Required skills/competencies

The successful company should have the following competencies/skills necessary for successful execution of the contract;

• Extensive experience in providing health insurance services with proven track record (bidders should provide details of at least 3 leading clients/NGOs served in the last 3 or 4 years)
• Wide network of providers both local and international-bidders should provide a full list of service providers
• Reliable health insurance services
• Capacity to provide 24/7 client services including real time administrative support
• Ability to urgently respond to emergency cases as they arise and needed

8.      How to apply:

• All documents must be exclusively prepared in English Language and signed by authorized person.
• Request for Quotation should be submitted via email to: procurement@wardi.org
• Submission deadline: by 10^th December 2021 at 4:00pm indicating the words “WARDI NGO Employees’ Medical Insurance Cover Services, Somalia’’ as the title.

NB: Please note only short –listed bidders will be contacted.

 

………………………………………………………………………………………

QaranJobs.com

………………………………………………………………………………………

PLEASE JOIN US – QARAN JOBS

Follow us on our Social Media:

Telegram: https://t.me/qaran_jobs

Facebook Page: https://www.facebook.com/QaranJobs.so

Facebook Group: https://www.facebook.com/groups/somaliajobs

Linkedin: https://so.linkedin.com/company/qaranjobs

Twitter: https://twitter.com/QaranJobs

Instagram: https://www.instagram.com/qaranjobs

………………………………………………………………………………………