Provision of Comprehensive Medical Insurance Cover for KBC Staff -UNDERWRITTERS Only

PROVISION OF COMPREHENSIVE MEDICAL INSURANCE COVER FOR KBC STAFF -UNDERWRITTERS ONLY

Tender number: KBC/1047/0003/2026-27

Procuring entity: KENYA BROADCASTING CORPORATION

Procurement category: Non Consultancy Services

Procurement method: Open Tender

Bidding access: Open

Source of funds: GoK

Bid security: KES 1,000,000

Performance security: 10% of contract value

Technical evaluation: Combination of Both

Evaluation basis: Grand total wise

Bid validity: 120 days

Clarifications until: 06 Nov 2026 11:00 (Nairobi time)

Published: 03 Nov 2026 14:00 (Nairobi time)

Closing: 10 Nov 2026 11:30 (Nairobi time)

Bid opening: 10 Nov 2026 12:00 (Nairobi time)

Eligibility documents required

- SELF-DECLARATION FORM SD1&2 - PROVIDE CERTIFIED COPY OF INCORPORATION /REGISTRATION CERTIFICATE (MUST HAVE BEEN IN EXISTENCE FOR AT LEAST FIVE YEARS) - PROVIDE CERTIFIED VALID COPY OF CR12 ISSUED WITHIN THE LAST ONE MONTH AND IDENTIFICATION DOCUMENTS FOR ALL LISTED DIRECTORS - MUST HAVE BEEN REGISTERED AS MEDICAL INSURANCE UNDERWRITER FOR THE PAST FIVE YEARS (ATTACH CERTIFIED IRA LICENSES FOR THE FIVE YEARS) - PROVIDE CERTIFIED VALID COPY OF CURRENT AND VALID TAX COMPLIANCE FROM KRA FOR THE YEAR 2026 - PROVIDE CERTIFIED VALID COPY OF CERTIFICATE OF REGISTRATION WITH IRA – MEDICAL CATEGORY FOR THE CURRENT YEAR - SUBMIT CERTIFIED VALID NSSF AND NHIF COMPLIANCE CERTIFICATE FOR THE CURRENT YEAR - SUBMIT A DRAFT MEDICAL COVER POLICY AS PER THE TERMS OF REFERENCE - PAID UP CAPITAL AS PER THE IRA ACT (ATTACH CR12 AND IRA EXTRACT) - ATTACH CERTIFIED VALID AKI CERTIFICATE FOR 2026 - CURRENT CURRICULUM VITAE OF THE PRINCIPAL OFFICER QUALIFICATION -ACII OR AIIK MASTER’S AND RELEVANT BACHELOR’S DEGREE, FOR UNDERWRITER. THIS MUST BE SUPPORTED BY ACADEMIC AND PROFESSIONAL CERTIFICATES - PROVIDE A LIST OF SPECIALISTS, HOSPITALS AND PHARMACIES IN ALL COUNTIES UNDER YOUR COVER. - SUBMIT COMMITMENT LETTER ON ANY EXTRA PROVISION ON EACH CATEGORY ON ROOM PROVISIONS ON ADMISSION. - MUST HAVE A VALID CERTIFIED SINGLE BUSINESS PERMIT FROM COUNTY GOVERNMENT WHERE THE BUSINESS IS LOCATED. - VALID CERTIFIED ISO CERTIFICATION CERTIFICATE OF THE BIDDER - PROOF OF CERTIFIED CONTRACTUAL AGREEMENT WITH EMERGENCY AIR AND ROAD AMBULANCE EVACUATION SERVICES - COMMITMENT LETTER TO INCLUDE ALL HOSPITALS PREFERRED BY KENYA BROADCASTING CORPORATION IN THEIR PANEL UPON SIGNING OF CONTRACT - CERTIFIED COPY OF VALID CERTIFICATE OF DATA CONTROLLER AND DATA PROCESSOR FROM THE OFFICE OF THE DATA PROTECTION COMMISSIONER. - MUST PROVIDE A VALID TENDER SECURITY OF KES. 1,000,000.00 (ONE MILLION SHILLINGS) IN FORM OF A BANK GUARANTEE FROM REPUTABLE BANK OR INSURANCE COMPANY LICENSED BY IRA - COMMITMENT LETTER TO PROVIDE UNINTERRUPTED COVER FOR INPATIENT AND OUTPATIENT FOR HIV/AIDS CONGENITAL PRE- TERM PRE- EXISTING DENTAL OPTICAL CONDITIONS PSYCHIATRIC TREATMENTS AND MATERNITY COVER - Table Header : - STATEMENT TENDERER'S RESPONSE NAME TITLE OR DESIGNATION DATE WE CONFIRM THAT THE INFORMATION GIVEN ABOVE IS CORRECT AND WE UNDERSTAND THAT GIVING FALSE INFORMATION WILL LEAD TO DI SQUALIFICATION OF OUR TENDER Table Footer : PERSON SIGNING THE TENDER SHALL HAVE THE POWER OF ATTORNEY GIVEN BY THE TENDERER. THE POWER OF ATTORNEY SHALL BE ATTACHED WITH THE TENDER SCHEDULES TECHNICAL EVALUATION CRITERIA : TECHNICAL EVALUATION FORM SCORING Technical Evaluation Process : - Table Header : - S.NO EVALUATION CRITERIA MINIMUM EVALUATION CRITERIA MAX SCORE BIDDER REMARKS 1 ABILITY TO MANAGE LARGE SCHEMES MUST GIVE A LIST OF FIVE (5) PREVIOUS OR ONGOING CLIENTS, TWO OF WHICH MUST HAVE A MINIMUM PREMIUM OF 100 MILLION EACH (ATTACH C ORRESPONDING AWARD LETTERS OR CONTRACTS (2 MARKS FOR EACH CONTRACT OR AWARD LETTER) NB: WITHOUT CONTRACTS OR AWARDS, ZERO MARKS WILL BE AWARDED) 10 MARKS 2 EXPERIENCE NUMBER OF YEARS IN INSURANCE SERVICES BUSINESS (ATTACH IRA LICENSES FOR THE LAST 10 YEARS) 10 YEARS AND ABOVE –10 MARKS BELOW 10 YEARS -5 MARKS 10 MARKS 3 GROSS ANNUAL PREMIUMS AVERAGE GROSS WRITTEN PREMIUMS FOR THE PAST THREE YEARS FOR THE UNDERWRITER (ATTACH IRA EVIDENCE) CUMULATIVE PREMIUMS IN KES. OVER 7 BILLION (5MARKS) BETWEEN 5BILLION & 7 BILLION (2MARKS) BELOW 5BILLION (1MARK) 5 MARKS 4 RECOMMENDATI ON LETTER LETTER OF RECO MMENDATIONS AND CREDIT LINE FROM AT LEAST FIVE (5) MAJOR HOSPITALS WITHIN THE LAST THREE MONTHS. -FULL MARKS TO BE AWARDED FOR ALL THE 5 LETTERS, WITHOUT ALL THE 5 LETTERS ZERO MARKS TO BE AWARDED) 5 MARKS 5 PAID-UP CAPITAL (UNDERWRITER) PAID- UP CAPITAL OF AT LEAST KSHS. 600 MILLION AS PER IRA RECORDS (ATTACH CR12 AS EVIDENCE TO BE VERIFIED) PAID UP CAPITAL IN KSHS; ≥600, 000,000 5MARKS LESS 600,000,000 3MKS 5 MARKS 6 BIDDER’S FINANCIAL CAPACITY SUBMIT AUDITED ACCOUNTS FOR THE LAST 3 (THREE) YEARS (2025, 2024, 2023) SIGNED BY APPROVED ICPAK AUDITOR AND AUDIT FIRM. ATTACH CURRENT LICENSES 10 MARKS 7 SETTLEMENT OF CLAIMS ATTACH PROOF OF PAID CLAIMS TO FIVE MAJOR HOSPITALS (ATTACH PAYMENT VOUCHERS) -0.4 MKS FOR EACH VOUCHER 2 MARKS 8 PROFESSIONAL QUALIFICATIONS PROFESSIONAL QUALIFICATIONS AND EXPERIENCE OF THE PRINCIPAL OFFICER WHOSE NAME MUST BE CLEARLY STATED IN THE LIST (ATTACH CV, AND CERTIFICATES) APPOINTMENT LETTER FROM THE IRA -2 MARKS RELEVANT UNIVERSITY MASTER’S DEGREE –5 MARKS RELEVANT BACHELOR’S DEGREE- 2MARKS ACII /AIIK CERTIFICATION – 1 MARK 10 MARKS 9 PROFESSIONAL QUALIFICATIONS PROFESSIONAL QUALIFICATIONS AND EXPERIENCE OF TWO OTHER TECHNICAL PERSONNEL WHOSE NAMES MUST BE CLEARLY STATED IN THE LIST (ATTACH CV, AND CERTIFICATES) RELEVANT UNIVERSITY MASTER’S DEGREE –2 MARK FOR EACH PERSONNEL RELEVANT UNIVERSITY BACHELORS’ DEGREE – 2MARKS FOR EACH PERSONNEL ACII /AIIK – 2 MARKS FOR EACH PERSONNEL 12 MARKS 10 PROVIDE A WRITE UP ON METHODOLOGY AND WORK PLAN ATTACH DETAILED WRITE UP ON; A) POLICIES ADMINI STRATION/ CLAIM PROCESSING TIMELINES B) CUSTOMER CARE MANAGEMENT INCLUDING 24 HOURS CALL CENTER AND; C) CHRONIC DISEASE MANAGEMENT PROGRAM CENTERED ON CONVENIENCE TO MEMBERS AND SUSTAINABILITY 3 MARKS 11 VALUE ADDITION MEDICAL INSURANCE UNDERWRITER VALUE ADDITION SERVICES; GIVE DETAILS OF VALUE ADDITION SERVICES YOU PROPOSE TO PROVIDE OVER AND ABOVE WHAT IS OUTLINED UNDER THE SCOPE OF COVER. AT LEAST THREE SERVICES. 1 MARK EACH 3 MARKS 12 IT SYSTEM EVIDENCE OF AN INSTALLED IT SYSTEM THAT PROVIDES ACCURATE AND UP TO DATE INFORMATION ON THE ADMINIS TRATION OF THE SCHEME. MUST PROVIDE BIOMETRIC IDENTIFICATION. 2 MARKS 13 EXPERIENCE NUMBER OF YEARS IN INSURANCE SERVICES BUSINESS (ATTACH CERTIFICATE OF I NCORPORATION) 5 YEARS AND ABOVE – 5 MARKS BELOW 5 YEARS - 2 MARKS 5 MARKS 14 ABILITY TO PAY CLAIMS SUBMIT EVIDENCE OF HANDLING MEDICAL CLAIMS AS FOLLOWS; AVERAGE CUMULATIVE NET PAID MEDICAL CLAIMS OF AT LEAST 1.5 BILLION AND ABOVE AS REPORTED TO IRA FOR THE PREVIOUS THREE YEARS (2023, 2024&2025) - 8 MARKS • ABOVE KES 1 BILLION BUT BELOW KES 1.5 BILLION: 5 MARKS • BELOW 1 BILLION: 3 MARKS 8 MARKS 15 CLAIMS PROCEDURE PROVIDE CLAIMS PROCEDURE AND TURN AROUND PERIOD/ PROVIDE METHODOLOGY /WORK PLAN 2MARKS ABILITY TO ROLL OUT COVER IMMEDIATELY WHEN SUCCESSFUL (STATE THE PERIOD TO ROLL FROM THE TIME OF CONTRACT SIGNING) SUBMIT COMMITMENT LETTER TO ROLL OUT COVER IMMEDIATELY. 2 MARKS 2 MARKS 16 CLIENT’S LIST OF SERVICE PROVIDERS LIST OF HEALTH PROVIDERS INDICATING THEIR LOCATIONS AND TELEPHONE CONTACTS. 2 MARKS FOR 40- 60 HOSPITALS, 4 MARKS FOR 61 - 100 HOSPITALS AND MAXIMUM 5 MARKS FOR MORE THAN 101 HOSPITALS 5 MARKS 17 NEW STAFF ENROLLMENT A) A PROPOSAL ON HOW TO HANDLE NEW EMPLOYEES JOINING THE SCHEME. DEFINED AND CLEAR PROCEDURE WITH SHORT EXECUTION TIME). ATTACH A NEW STAFF ENROLLMENT POLICY. 3 MARKS Table Footer : - TECHNICAL EVALUATION TABLE YES-NO : TECHNICAL EVALUATION FORM Technical Evaluation Process :

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