ClosedServicesOnderhandeling zonder bekendmaking

Collective Health Insurance for low-income residents (Gemeentepolis) Municipality of Assen

Name: Collective Health Insurance for low-income residents (Gemeentepolis) Municipality of Assen
Creator: Werkplein Drentsche Aa
Published: 2024-10-28
License: https://creativecommons.org/publicdomain/zero/1.0/
Keywords: collective health insurance, low-income residents, Municipality of Assen, negotiation without announcement, low income, health insurance, contribution, social security

Werkplein Drentsche Aa · Onderhandeling zonder bekendmaking · 1 lots · 355025

0 of 6 core insights found

Measures presence, not accuracy · documents remain authoritative

ScopeAdvicePoints of attentionSuitability requirementsAward criteriaTimeline

Type

Services

66512200

Estimated value

Not published

To deadline

Ongoing

Knock-outs

n/a

exclusion grounds

Award basis

Best price-quality ratio

Assess manuallyconfidence low

The Municipality of Assen, via Werkplein Drentsche Aa, intends to offer a collective health insurance (CZV) to residents with a low income. The CZV covers additional healthcare costs, with the municipality providing a contribution towards the premium. The objective is to provide this target group, which has an average to high healthcare demand, with access to comprehensive and affordable care. The procurement is a service contract, carried out via negotiations without public announcement. The municipality expects a health insurer with experience in social insurance products, a transparent pricing and reimbursement model, and a robust system for customer management, claims processing, and reporting. The contractor must comply with Dutch laws and regulations regarding health insurance, privacy (AVG), and social security, and must be able to support the municipality in monitoring the quality and costs of the insurance.

Services · Onderhandeling zonder bekendmaking · National procedure

Contracting authority

Werkplein Drentsche Aa

Contract type

Services

Onderhandeling zonder bekendmaking

Estimated value

Estimate not published

Submission deadline

Ongoing

Scope

National

National procedure

Lots

1 lots

Main CPV code

66512200

Location

Netherlands

CharacteristicsCPV 66Servicescollective health insurancelow-income residentsMunicipality of Assen

01What is being requested

The Municipality of Assen, via Werkplein Drentsche Aa, intends to offer a collective health insurance (CZV) to residents with a low income. The CZV covers additional healthcare costs, with the municipality providing a contribution towards the premium. The objective is to provide this target group, which has an average to high healthcare demand, with access to comprehensive and affordable care. The procurement is a service contract, carried out via negotiations without public announcement. The municipality expects a health insurer with experience in social insurance products, a transparent pricing and reimbursement model, and a robust system for customer management, claims processing, and reporting. The contractor must comply with Dutch laws and regulations regarding health insurance, privacy (AVG), and social security, and must be able to support the municipality in monitoring the quality and costs of the insurance.

The Municipality of Assen offers its low-income residents the opportunity to take out collective health insurance. In the collective health insurance, additional healthcare costs are eligible for reimbursement. Residents receive a contribution from the municipality towards the costs of this insurance. With this provision, the municipality aims to provide low-income residents with an average to high healthcare demand access to comprehensive and affordable care.

66512200Services

1Gemeentepolis—

02Value in context

Estimate not published

The contracting authority did not publish an estimated value — common for a large share of contracts. The EU threshold for diensten is € 221.000, for reference.

03Likely competitors

#Likely bidderFitWins

1ASR Schadeverzekering N.V.SME9559×

2ASR Schadeverzekering N.V., handelend onder de naam LoyalisSME9451×

3Allianz Benelux N.V. en volgverzekeraarsSME9428×

4Allianz Benelux N.V.SME93225×

5Achmea Schadeverzekeringen N.V.SME93227×

6MandatisUnknown92268×

04Legal themes that may be relevant here

Advies 602> De klacht betreft een Europese niet-openbare procedure voor een overheidsopdracht voor architectendiensten ten behoeve van de ni Advies 734> De opdrachtnemer bij de raamovereenkomst moet bij de aanschaf van materiaal verschillende inkoopmethodieken toepassen. Twee van Advies 666> De klacht ziet op een Europese procedure voor sociale en andere specifieke diensten voor het sluiten van raamovereenkomsten met Advies 628> De klacht ziet op een Europese openbare procedure voor diensten voor een SaaS Student Informatie Systeem (SIS). In die procedureComplaint upheld Advies 767> Dit spoedadvies gaat over een opdracht voor een Student Informatie Systeem. Ondernemer klaagt dat een van de kerncompetenties op

05Frequently asked questions

How is the premium for the collective health insurance for low-income residents paid?

Low-income residents receive a contribution from the municipality towards the costs of the collective health insurance.

What operational requirements must the insurer meet?

The contractor must have a transparent pricing and reimbursement model and a robust system for customer management, claims processing, and reporting.

What support is expected from the insurer towards the municipality?

The insurer must be able to support the municipality in monitoring the quality and the costs of the insurance.

Automatically compiled from the official tender data and documents.

06Estimated value versus the market

p25
€ 200K

median
€ 538K

p75
€ 1,9 mln

deze opdracht

Gegunde waarden in CPV 66 · diensten n=882