TERMS OF REFERENCE FOR STAFF MEDICAL INSURANCE COVER
Islamic Relief Somalia (IRW-S) is an international Organisation contributing to the wellbeing of people in need in Somalia since 2006. We respond to the needs of conflict and drought-affected people through the provision of life-saving assistance. We work to provide immediate humanitarian relief and long-term sustainable development.
Our Somalia programme strategy, derived from Islamic Relief Worldwide’s Global Strategy, aims to reduce the suffering and losses resulting from conflict or natural disasters by providing timely, and relevant emergency assistance for people affected by conflict or natural disasters. We aim to empower communities to emerge from poverty and vulnerability by increasing assets, income, food security and access to employment opportunities for poor households.
Exemplifying our Islamic values, we will mobilize resources, build partnerships, and develop local capacity as we work to; Enable communities to mitigate the effect of disasters, prepare for their occurrence and respond by providing relief, protection and recovery; Promote integrated development and environmental custodianship with a focus on sustainable livelihoods; and Support the marginalized and vulnerable to voice their needs and address root causes of poverty.
IRW-S is providing health insurance coverage for its approximately 270 employees and their dependents across the country. IRW-S is soliciting a detailed proposal from eligible insurance firms to provide Medical Insurance for its staff and dependents.
The staff number will be subject to change due to staff leaving and staff being hired.
Annual Premium: up to M+5
Description
Option 1
Option 2
Option 3
Outpatient Coverage
Member
Provide a suitable package you offer: M+1 M+2 M+3 M+4 M+4
Inpatient Cover
Members: up to M+5
Funeral / last expense per member
Funeral/ last expense per family
Maternity
Normal Delivery
Ceaserian section
Optical per family
Dental per family
For this assignment and fair selection, the applicant companies should provide detailed quotations for the Insurance cover for the following categories of benefits at the minimum. Please note the list is not exhaustive.
Outpatient Services
Inpatient Services
Bed Limit: Standard private room
Dental Benefits (Anaesthetist’s fees, hospital and operating theatre costs, fillings, extraction, root canal)
Optical Benefits - Eye Test, Frames, Contact & Optical Lenses
Maternity
Psychiatric hospitalization Family per annum
Psychosocial support/Counselling (Employment Assistance Program)
Pre-existing chronic ailments and HIV/AIDS hospitalization covered up to per Family per annum
Congenital and neonatal conditions
Post-hospitalization Rehabilitation, Private Nursing & Hospice Services
Premature Deliveries
External Appliances and Internal Surgical Appliances and Prosthesis (wheelchair, crutches, lumbar corset etc.). per family limit
Non-motorized wheelchairs and cress covered for accidents on hire within Inpatient
Non-accidental inpatient ophthalmology cover
Non-accidental inpatient dental cover.
Accidental inpatient dental and optical will be covered up to the full Inpatient limit
Scheme members are covered for emergency air and road evacuation within East Africa/ Horn of Africa.
Days covered outside Somalia in any one visit.
Overseas referral for treatment not available in Somalia/ East Africa/ Horn of Africa
Lodger fees; Lodging facilities for parents accompanying a child below 6 years being admitted
Oncology, Organ Transplant, Acute Renal and Peritoneal Dialysis
Free Health Education webinars/workshops
Political Violence and terrorism cover up to full inpatient limit and outpatient limit.
Note to Quote
Please quote the rate applicable for:
Provide areas, where scheme members can individually or as a group, come together and decide on their own to add certain services to the cover without involving the IRW-S or affecting the premium paid by the IRW-S. This can for example include chiropractors or nutritional supplements not under prescription.
The successful Company will enter into a contract with Islamic Relief for a period of three (1) year, renewable. This contract will be reviewed annually based on performance and funding.
East Africa and Horn of Africa for local staff (Somalia, Kenya, Ethiopia). Global medical cover for at least 5 Expatriate staff.
Technical Proposal
Each bidder shall submit a technical proposal addressing the services required and demonstrating how they will meet IRW-S needs. The proposal will be evaluated according to the following criteria:
Financial Proposal
The financial proposal shall be evaluated according to the price structure proposed and will account for 30% of the total combined scoring.
The successful bidder should have.
Applications should be sent to this email: hr.mogadishu@islamic-relief.so with the subject line of your email indicated as “STAFF MEDICAL INSURANCE COVER” The deadline for application submission is 31st January 2024
Shortlisted appliccants will be called to present their business models and working process