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interest of insureds, including, but not limited to
(1) Directing the Contractor to take corrective action;
(2) Making a downward adjustment to the weight in the “Contractor Performance" factor of the service charge; or,
(3) Withholding payments of the service charge.
(c) Prior to taking action as described in paragraph (b) of this clause, OPM will notify the Contractor and offer an opportunity to respond.
(d) The Contractor agrees to insert this clause in any subcontract or subcontract modification if the amount of the subcontract or modification that is charged to the FEGLI Program exceeds $200,000, but only if more than 25 percent of the sub contract cost is charged to the FEGLI contract.
(End of Clause)
2162.216-71 Fixed price with limited
cost redetermination service
charge. As prescribed in 2116.270–1(b), insert the following clause when & service charge is negotiated: FIXED PRICE WITH LIMITED COST REDETER
MINATION PLUS FIXED FEE CONTRACT SERVICE CHARGE (OCT 1983)
(a) This is a fixed price with limited cost redetermination plus fixed fee contract, with the fixed foe in the form of a service charge.
(b) OPM shall pay the Contractor the serv. ice charge specified in Appendix
(End of clause)
2152.216-70 Contractor records reten
tion. As prescribed in 2115.106-270, insert the following clause:
CONTRACTOR RECORDS RETENTION (OCT 1993)
Notwithstanding the provisions of FAR 52.215-2(d), "Audit-Negotiation," the Contractor will retain and make available all records applicable to a contract term that support the annual statement of operations for a period of 5 years after the end of the contract term to which the records relato. Individual enrollee and/or beneficiary claim records shall be maintained for 10 years after the end of the policy year to which the claim records relate.
(End of Clause)
2162.224-70 Confidentiality of recordo.
As prescribed in 2124.104–70, insert the following clause:
CONFIDENTIALITY OF RECORDS (OCT 1993) (a) The Contractor shall use the personal data on employees and annuitants that is provided by agencies and OPM, including 80cial security numbers, for only those routine uses stipulated for the data and published annually in the FEDERAL REGISTER as a part of OPM's notice of systems of records.
(b) The Contractor shall also hold all medical records, evidence of insurability for 10surance coverage, designations of beneficiaries, amounts of insurance, and information relating thereto, of the insured and family members confidential except for disclosure as follows:
(1) as may be reasonably necessary for the administration of this contract;
(2) as authorized by the insured or his or her estate;
(3) as necessary to permit Government officials having authority to investigate and prosecuto alleged civil or criminal actions; and
(4) as necessary to audit the contract. (End of Clause)
2152.216-70 Fixed price with limited
cost redetermination-risk charge. As prescribed in 2116.270_1(a), insert the following clause when a risk charge is negotiated:
FIXED PRICE WITH LIMITED COST REDETER
MINATION PLUS FIXED FEE CONTRACT-RISK CHARGE (OCT 1993)
(a) This is a fixed price with limited cost redetermination plus fixed fee contract, with the fixed fee in the form of a risk charge.
(b) OPM shall pay the Contractor the risk charge specified in Appendix
for the risk assumed in performing this contract.
(End of clause)
2162.231-70 Accounting and allowable
cost. As prescribed in 2131.270, insert the following clause: ACCOUNTING AND ALLOWABLE COST (OCT 1993)
(a) Annual Accounting Statement. (1) The Contractor shall prepare annually an accounting statement summarizing the financial results of the FEGLI Program for the previous contract year. This statement shall be prepared in accordance with the require ments issued annually by OPM and shall be due to OPM in accordance with a dato estab lished by those requirements.
(2) The Contractor shall have the most recent financial statement for the FEGLI Program audited by an accounting firm that ascribes to the standards of the Americkr Institute of Certified Public Accountants. The report shall be submitted to OPM along with the annual accounting statement.
(3) Based on the results of either the independent audit or a Government audit, the annual accounting statements for the FEGLI Program may be (1) adjusted by amounts found not to constitute properly allocable or allowable costs; or (11) adjusted for prior overpayments or underpayments.
(b) Definition of costs. (1) The allowable costs chargeable to the contract for a policy year shall be the actual, necessary, reasonable, and allocable amounts incurred with proper justification and accounting support, determined in accordance with Subpart 31.2 of the Federal Acquisition Regulation (FAR) and Subpart 2131.2 of the Federal Employees Group Life Insurance Program Acquisition Regulation (LIFAR) applicable on October 1 of each year, and the terms of this contract.
(2) In the absence of specific contract terms to the contrary, contract costs shall be classified in accordance with the following criteria:
(1) Benefits. Claims costs consist of payments made and costs incurred for life insurance and accidental death and dismemberment insurance on behalf of FEGLI Program subscribers, including interest paid on delayed claims, less any overpayments (subject to the terms of 2131.205-3), refunds, or other credits received.
(ii) Administrative expenses. Administrative expenses consist of all allocable, allowable, and reasonable expenses incurred in the adjudication of beneficiary claims or incurred in the Contractor's overall operation of the business. Unless otherwise provided in the contract, FAR, or LIFAR, administrative expenses include, but are not limited to, taxes, insurance and reinsurance premiums, the cost of investigation and settlement of policy claims, the cost of maintaining files regarding payment of claims, and legal expenses incurred in the litigation of benefit payments. Administrative expenses exclude the expenses related to investment income in paragraph (b)(2)(111) of this clause.
(iii) Investment income. Investment income represents the amount earned by the Contractor after deducting reasonable, necessary, and properly allocable investment expenses as a result of investing of FEGLI Program funds. The direct or allocable indirect expenses incurred with respect to the investment of Program funds, such as brokerage fees, are netted against investment income earned rather than as part of administrative expenses.
(c) Certification of Annual Accounting Statement. (1) The Contractor shall certify the annual accounting statement in the form set forth in paragraph (c)(2) of this clause. The certificate shall be signed by the chief executive officer for the Contractor's FEGLI Program operations and the chief financial offlcer for the Contractor's FEGLI Program op erations and shall be returned with the annual accounting statement.
(2) The certification required shall be in the following form: CERTIFICATION OF ANNUAL ACCOUNTING
STATEMENT This is to certify that I have reviewed this accounting statement and, to the best of my knowledge and belief, attest that:
1. The statement was prepared in conformity with the guidelines issued by the Office of Personnel Management and fairly presents the financial results of this policy year in conformity with those guidelines;
2. The costs included in the statement are allowable and allocable in accordance with the terms of the contract and with the cost principles of the Federal Employees' Group Life Insurance Program Acquisition Regulation (LIFAR) and the Federal Acquisition Regulation (FAR);
3. Income, overpayments, refunds, and other credits made or owed in accordance with the terms of the contract and applicable cost principles have been included in the statement. Contractor Name: (Chief Executive Officer for FEGLI Operations) Dato signed: (Chief Financial Officer for FEGLI Operations) Date signed: (Type or print and sign) (End of Certificate) (End of Clause
As prescribed in 2132.171, insert the following clause:
PAYMENTS (OCT 1993) (a) OPM will provide to the Contractor, in full settlement of its obligations under this contract, subject to adjustment based on actual claims and administrative cost or for Contractor fraud, a fixed premium once per month on the first business day of the month. The premium will be determined by an estimate of costs for the contract year as provided in Section
and will be redetermined annually. In addition, an annual reconciliation of premiums and actual costs will be performed, and additional payment by OPM or reimbursement by the Contractor will be paid as necessary.
ations between amounts reported and actual amounts shown in accounting records shall be provided as supporting schedules to the Annual Accounting Statements.
(End of Clause)
(b) If OPM fails to provide the premium in full by the due date, a grace period of 31 days shall be granted to OPM for providing any premium due, unless OPM has previously given written notice to the Contractor that the contract is to be discontinued on the premium due date. The contract shall continue in force during the grace period.
(C) I OPM fails to provide any premiums within the grace period, the contract shall be discontinued at the end of the 31st day of the grace period, unless the Contractor and OPM agree to continue the contract. OPM shall be liable to the Contractor for all premiums then due and unpaid. If during the grace period OPM presents written notice to the Contractor that the contract is to be discontinued before the expiration of the grace poriod, the contract shall be discontinued the later of the date of receipt of such written notice by the Contractor or the date specified by OPM for discontinuance. OPM shall be liable to the Contractor for all premiums then due and unpaid.
(d) The specific premium rates, charges, allowances and limitations applicable to the contract are set forth in 5 CFR Parts 870 through 874, 48 CFR chapter 1, LIFAR, and this contract.
(e) In accordance with FAR 52.243-2, If & change is made to the contract that increases or decreases the cost of performance of the work under this contract, the Contracting Officer shall make an equitable adjustment to the estimate on which the monthly premiums are based.
(f) In the event this contract is terminated in accordance with LIFAR Part 2149, the special contingency reserve held by the Contractor shall be available to pay the necessary and proper charges against this contract after other Program assets held by the Contractor are exhausted.
(End of Clause)
2162.232-72 Approval for assignment
of claims. As prescribed in 2132.806, insert the following clause: APPROVAL FOR ASSIGNMENT OF CLAIMS (OCT
1993) (a) The Contractor shall not make any assignment of FEGLI Program funds under the Assignment of Claims Act without the prior written approval of the Contracting Officer.
(b) Unless a different period is specified in the Contracting Officer's written approval, an assignment of FEGLI Program funds shall be in force only for a period of 1 year from the date of the Contracting Officer's approval. However, assignments may be renewed upon their expiration.
(End of Clause)
2152.232–71 Non-commingling of
FEGLI Program funds. As prescribed in 2132.772, insert the following clause:
NON-COMMINGLING OF FUNDS (OCT 1993) (a) FEGLI Program funds shall be maintained in such a manner as to be separately identifiable from other assets of the Contractor. Cash and investment balances reported on the FEGLI Program Annual Accounting Statement must be supported by the Contractor's books and records.
(b) The Contractor may request a modification of this requirement from the Contract ing Officer. The modification shall be re quested in advance and the Contractor shall demonstrate that accounting techniques have been established that will clearly measure FEGLI Program cash and investment income (i.e., subsidiary ledgers). Reconcili
2162.237–70 Continuity of Services.
As prescribed in 2137.110, insert the following clause:
CONTINUITY OF SERVICE (OCT 1993) (a) The Contractor recognizes that the services under this contract are vital to the Government and must be continued without interruption and that, upon contract expiration or termination, including termination by the Contractor, a successor, either the Government or another contractor, may continue them. The Contractor agrees to (1) furnish phase-in training and (2) exercise its best efforts and cooperation to effect an orderly and efficient transition to a successor.
(b) The Contractor shall, upon the contracting Officer's written notice, (1) furnish phase-in and phase-out services for up to 10 months after this contract expires and (2) nogotiate in good faith a plan with a successor to determine the nature and extent of phasein and phase-out services required. The plan shall specify a training program and a date for transferring responsibilities for each division of work described in the plan, and shall be subject to the Contracting Officer's approval. The Contractor shall provide sufficient experienced personnel during the phase-in and phase-out period to ensure that the services called for by this contract are maintained at the required level of pro ficiency.
(c) The Contractor shall allow as many personnel as practicable to remain on the job to help the successor maintain the continuity and consistency of the services required by this contract. The Contractor also shall disclose necessary personnel rocords and the Contractor from proceeding with the contract as changed.
(1) The Contracting Officer shall not make any changes pursuant to paragraph (a) of this clause to conform this contract to any amendment in the LIFAR before the effective date of the amendment as provided for in LIFAR 2101.370.
(End of Clause)
allow the successor to conduct onsite interviews with these employees. If selected employees are agreeable to the change, the contractor shall release them at a mutually agreeable date and negotiate transfer of their earned fringe benefits to the successor.
(d) The Contractor shall be reimbursed for all reasonable phase-in, phase-out costs (1.o., costs incurred within the agreed period after contract termination that result from pbasein and phase-out operations) and a risk or service charge not to exceed a pro rata portion of the risk or service charge under this contract. The amount of profit shall be based upon the accurate and timely processing of benefit claims, the volume and validity of complaints received by OPM, the timeliness and adequacy of reports on operations, and responsiveness to OPM offices, enrollees, beneficiaries, and Congress. In setting the final profit figure, obstacles overcome by the Contractor during the phase-in and phaseout period will be taken into consideration.
(End of Clause)
As prescribed by 2144.204, insert the following clause:
As prescribed in 2143.205, insert the following clause:
CHANGES (OCT 1993) (a) Except as provided in paragraph (1) of this clause, the Contracting Officer may at any time, by written order, and without notice to the sureties, if any, make changes within the general scope of this contract in any one or more of the following:
(1) Description of services to be performed.
(2) Time of performance (i.e.: hours of the day, days of the week, etc.).
(3) Place of performance of the services.
(b) If any such change causes an increase or decrease in the cost of, or the time roquired for, performance of any part of the work under this contract, or the Contractor's liability under this contract, whether or not changed by the order, the Contracting Officer shall make an equitable adjustment in the contract price, the delivery schedule, or both, and shall modify the contract.
(c) The Contractor must assert its right to an adjustment under this clause with 30 days from the date of receipt of the written order. However, if the Contracting Officer docides that the facts justify it, the Contracting Officer may receive and act upon a proposal submitted before final payment of the contract.
(d) If the Contractor's proposal includes the cost of property made obsoleto or excess by the change, the Contracting Officer shall have the right to prescribe the manner of the disposition of the property.
(e) Failure to agree to any adjustment shall be a dispute under the Disputes clause. However, nothing in this clause shall excuse
SUBCONTRACTS (OCT 1983) (a) The Contractor shall notify the Contracting Officer reasonably in advance of entoring into any subcontract or subcontract modification, or as otherwise specified by this contract, when the cost of that portion of the subcontract that is charged the FEGLI Program contract exceeds $200,000 and more than 25 percent of the subcontract cost is charged to the FEGLI Program contract.
(b) The advance notification required by paragraph (a) of this clause shall include the following information:
(1) A description of the supplies or services to be subcontracted;
(2) Identification of the type of subcontract to be used;
(3) Identification of the proposed sub contract and an explanation of why and how the proposed subcontractor was selected, including the competition obtained;
(4) The proposed subcontract price and the Contractor's cost or price analysis;
(5) The subcontractor's current, completo, and accurate cost or pricing data and Certificate of Current Cost or Pricing Data, if required by other contract provisions.
(6) The subcontractor's Disclosure Statement or Certificato relating to Cost ACcounting Standards when such data are required by other provisions of this contract; and
(7) A negotiation memorandum reflect ing
(1) The principal elements of the subcontract price negotiations;
(11) The most significant consideration controlling establishment of initial or revised prices;
(111) The reason cost or pricing data were or were not required;
(lv) The extent, if any, to which the contractor did not rely on the subcontractor's cost or pricing data in determining the price objective and in negotiating the final price;
(v) The extent to which it was recognized in the negotiation that the subcontractor's cost or pricing data were not accurato, comploto, or current; the action taken by the Contractor and the subcontractor; and the effect of any such defective data on the total price negotiated;
(vi) The reasons for any significant difference between the Contractor's price objective and the price negotiated; and
(vii) A complete explanation of the incentive fee or profit plan when incentives are used. The explanation shall identity each critical performance element, management decisions used to quantify each incentive element, reasons for the incentives, and a summary of all trade-off possibilities considered.
(c) The Contractor shall obtain the Contracting Officer's written consent before placing any subcontract for which advance notification is required under paragraph (a) of this clause. However, the Contracting Officer may ratify in writing any such sub contract. Ratification shall constitute the consent of the Contracting Officer.
(d) The Contracting Officer may waive the requirement for advance notification and consent required by paragraph (a), (b), and (c) of this clause where the Contractor and subcontractor submit an application or ro newal as a contractor team arrangement as defined in FAR subpart 9.6 and
(1) The Contracting Officer evaluated the arrangement during negotiation of the contract or contract renewal; and
(2) The subcontractor's price and/or costs were included in the plan's rates that were reviewed and approved by the Contracting Officer during negotiations of the contract or contract renewal.
(e) Unless the consent or approval specifically provides otherwise, consent by the Contracting Office to any subcontract shall not constitute a determination (1) of the acceptability of any subcontract terms or conditions; (2) of the allowability of any cost under this contract; or (3) to relieve the Contractor of any responsibility for performing this contract.
(f) No subcontract placed under this contract shall provide for payment on a costplus-a-percentage-of-cost basis. Any fee payable under cost reimbursement type subcontracts shall not exceed the fee limitations in FAR 15.903(d). Any profit or fee payable under a subcontract shall be in accordance with the provisions of Section Service Charge.
(g) The Contractor shall give the Contract ing Officer immediate written notice of any action or suit filed and prompt notice of any claim made against the Contractor by any subcontractor or vendor that, in the opinion of the Contractor, may result in litigation related in any way to this contract with respect to which the Contractor may be entitled to reimbursement from the Government.
(End of Clause)
2162.246-70 Quality assurance require
menta As prescribed by 2146.270-1 insert the following clause: QUALITY ASSURANCE REQUIREMENTS (OCT
1993) (a) The Contractor shall develop and apply a quality assurance program as directed by the Contracting Officer pursuant to LIFAR 2146.270.
(b) The Contractor shall keep completo records of its quality assurance procedures and the results of their implementation and make them available to the Government during contract performance and for as long afterwards as the contract requires.
(c) The Contracting Officer or his or her representative has the right to inspect and tost all services called for by the contract, to the extent practicable, at all times and places during the term of the contract and for as long afterward as the contract requires. The Contracting Officer or his or her representative shall perform any inspections and tests in a manner that will not unduly delay the work.
(End of Clause) 2162.249–70 Renewal and termination.
As prescribed in 2149.505–70, insert the following clause:
RENEWAL AND TERMINATION (OCT 1993) (a) This contract ronews automatically each October 1st, unless written notice of termination is given by the Contractor not less than 60 calendar days before the renewal date.
(b) This contract may be terminated by OPM at any time for default by the Contractor. This contract terminates at the end of the 31st day after default for nonpayment by the Government, unless the Contractor and OPM agree to continue the contract.
(c) This contract may be terminated for convenience of the Government 60 days after the Contractor's receipt of OPM's written notice of termination.
(d) Upon termination of the contract, the Contractor agrees to assist OPM with an orderly and efficient transition to a successor in accordance with LIFAR 2137.102, 2137.110, and the provisions of the “Continuity of Services" clause at 2152.237-70.
(e) After receipt of a termination notice, the prime Contractor shall, unless directed otherwise by the Contracting Officer, terminate all subcontracts to the extent that they relate to the performance of the FEGLI Program contract. The failure of the prime Contractor to include an appropriate termination clause in any subcontract, or to exercise the clause rights, shall not affect the Contracting Officer's right to require the