Retail

Key Account Manager

CDL Human Resource·Nairobi, kenya·Full Time·Onsite
RetailFull TimeOnsite
-

Job Description

  • Contribute to the reduction and prevention of Churn.
  • Contribute to the cost savings target of the business.
  • Monitor usage for customers and propose the appropriate plans to spur usage with the goal of increasing Revenues.
  • Build and maintain relationships with customers through health campaigns.
  • Ensure the effective management of the customer requests maintaining high achievement in all quality critical matrices.
  • Develop and demonstrate a thorough understanding of the customer needs and issues.
  • Based on Client interactions, monitoring of key metrics and revenue reporting, provide early identification of churn to mitigate potential client issues or dissatisfaction.
  • Identify opportunities to turn dissatisfied customers into satisfied customers.
  • Follow the laid down processes and procedures to effectively carry out Retention tasks and impact positively on the Revenues.
  • Work cross functionally to address issues raised through client interactions.
  • Create a business and market intelligence feedback for better management of products and services, communication, sales and delivery, as well as customer support and retention.
  • Support the Billing and Finance team in money collection and issue resolution.
  • Grow and develop existing customers as well as generating new business through lead generation.

Principal Outputs for this role

  • Contribute to the reduction and prevention of Churn
  • Achieve the sales targets as set out with line manager
  • Develop and demonstrate a thorough understanding of the customer needs and issues
  • Contribute to the cost savings target of the business
  • Build and maintain relationships with customers. Conduct joint customer meetings to drive volumes and profitability

Requirements

Qualifications- Academic and Professional

  • Relevant Business degree or Communications degree
  • Professional Certification

Experience

  • 3 - 5 years - Customer Relationship Management, Customer Service

Key skills

BA/BSc/HNDProfessional Certificate
Apply Now

At a glance

Company

CDL Human Resource

Location

Nairobi, kenya

Employment

Full Time

Experience

Valid until

Not specified

Created

October 29, 2026

More opportunities

Similar roles you might like

Business Development Advisors

CDL Human Resource

Nairobi, kenya

full-time

Responsibilities Achieve the Corporate sales targets as set by management and execute sales growth action plans in the markets Identify new operations, and share with Key Account Manager for closure where necessar Develop and demonstrate a thorough understanding of the partner and customer's business for the assigned area Address and resolve escalated issues from customers and forecast and maintain sales plan with customers for the assigned area Determine required solution for the customer with a focus on cross-and up selling of products and services Contribute positively to cost savings target of the business Build and maintain relationships with key customers and facilitate the continuous growth of the customer base for the business Ensure accuracy of the first bill as signed and full adherence of the signed contract Continuously ensure alignment with marketing, branding and communications procedures Compile and execute action plans to grow the customer and partner footprint for the assigned area. Forecast and monitor sales for the relevant market segments for appointed clientele Provide insights in the growth strategies in conjunction with partners and customers to drive business growth for appointed are Facilitate and maintain the development of communication channels on all levels to prevent breakdown in information flow Support sales administration team with required information for sales order management. Support the finance team in Money Collection and issue resolution Conduct analysis of customer, partners and sales metrics, costs and categories to help make informed business decision Requirements Bachelor's degree with sales background or other sales related qualifications 3-5years in Sales and Marketing, IT Sales management, Business administration and management and or Relationship Management Knowledge of the telecommunications industry. Sales Management / Processes Analytical skills / Critical thinking Client focus & Results orientation Business acumen and Strategic orientation / Quick decision making

3 hours ago

Request For Proposals: Provision Of Staff Medical Health Services In Kenya Ken/cfeoi/2026/nbo/061

Terre des hommes

kenya

full-time

Terms of Reference. Background Terre des hommes is the leading Swiss child relief agency. We are committed to improving the lives of millions of the world's most vulnerable children. Children are the first to suffer in times of war, natural disasters and because of poverty. At Terre des Hommes, our goal is to steadily improve the conditions of the most vulnerable children worldwide. The Need/Purpose TDH-Kenya Foundation provides nationwide health insurance coverage for its employees and their dependents. As of October 1, 2026, the organization has approximately 54 staff members based in Nairobi, Kiambu, Turkana (Kakuma), and Garissa (Dadaab and Garissa sub-counties). TDH-Kenya Foundation invites eligible insurance firms to submit detailed proposals for medical insurance coverage for its staff and their dependents. The staff number will be subject to change due to staff leaving and staff being hired. NOTE: INSURANCE BROKERS ARE NOT ELIGIBLE TO PARTICIPATE IN THIS PROCESS. Membership Categories Annual Premium should be in categories of Member (M)- Member +4 (M+4). Medical Insurance coverage should be based on the following. Outpatient coverage: Proposed annual limit Kes.300,000 Inpatient Benefits: Proposed annual limit Kes.3,000,000 Maternity (Delivery Coverage) for both Normal and C Section Optical Coverage per family Dental Coverage per family Emergency Evacuation Funeral/Last Expense per Member Telemedicine Services Geographical Area of Cover. Territorial Limit -East Africa (Kenya, Uganda, Tanzania, Rwanda, Burundi, Somalia, and South Sudan Scope of Work For this assignment and for fair selection, the applicant underwriters 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 Benefits – Proposed annual limit Kes.300,000 Co Pay-Not applicable Routine outpatient consultation, General Practitioner Kes.3,500 and Specialists Kes.4,000 (Access to Specialists is not restricted to the bidders list of providers) Diagnostic Laboratory and Radiology services Prescribed physiotherapy. Prescribed drugs and dressings. Vaccines: KEPI & Baby Friendly up to 10 years of age within OP limit Private vaccines up to full outpatient limits. Travel vaccines covered up to Kes.20,000 for member and dependents Family planning-Covered up to Kes. 20,000 Annual Check-ups Options: up to Kes.20,000 for the principal member & spouse once per year, for specific conditions Dental - up to Kes.60,000 per family – Routine consultation, examination, extraction, fillings, scaling and polishing, other approved dental procedures. Optical - up to Kes.60,000 per family, - examinations, prescription lenses and frames; frames limit Kes.40,000 replaceable annually. Chronic, pre-existing conditions & HIV/AIDS including cost of ARVs - up to the full out-patient cover limit per family per annum. Prescribed drugs and dressings. Ambulance Services (for emergency treatment only) Congenital conditions up to the full outpatient cover Elective circumcision Post-natal care for up to six weeks post-delivery. Antenatal and postnatal. Covered within the outpatient up to the full limit with No limitation on number of scans Counselling services-Covered to the full outpatient limit Home nursing care Health education Renal treatment Direct access to specialists Supplements Covered where they have direct action in managing a diagnosed condition. Chiropractic treatment- covered on referral by orthopedic surgeon Occupational & Speech therapy-on pre-authorization relevant to condition Prescribed External Appliances-on pre-authorization relevant to condition Soaps, Creams & Lotions for skin related conditions-Covered subject to pre-authorization within outpatient limit Terrorism - full outpatient limits Inpatient Services Benefits - Proposed annual limit Kes.3,000,000 Hospital Accommodation Charges-Standard Private Room up to Kshs.28,000 net of SHIF. Doctor’s (Physician, Surgeon & Anesthetist) fees. ICU/HDU and Theatre charges. Drugs/Medicines, Dressings and Internal Surgical appliances. Pathology, X-ray, Ultrasound, ECG and Computerized Tomography, MRI Scans. Radiotherapy and Chemotherapy. In-patient Physiotherapy. Emergency Road and Air Evacuation subject to overall cover limit. Day care surgery Home nursing care Internal prosthesis Inpatient non- accidental dental cover - Kes.400,000 within inpatient limit. Benefits include Anesthetist’s fees, hospital and operating theatre costs, fillings, extractions, root canal treatment, and scaling or cleaning required for a medical condition and prescribed by the appointed dentist. Inpatient non- accidental Optical Cover – Kes.400,000 within inpatient limit. Benefits - Eye Test, Frames, Contact & Optical Lenses - Frames, Lenses -Frames Limited to Kshs.40,000 replaced once every year. Accidental Dental & Optical Cover - full inpatient limit Circumcision – Kes.250,000. Maternity, Normal deliveries, Elective and Subsequent Caesarean shall be covered up Kshs.250,000 within inpatient Norma Delivery - Kes.250,000 within inpatient limit First Ever Emergency Caesarean Section & Subsequent Caesarean - Kes.250,000 within inpatient limit Maternity-related complications; before, during and after delivery - Kes.300,000 within inpatient limit. Routine antenatal check-ups Postnatal care for up to six weeks post delivery Neonatal and pre-maturity-related conditions – Kes.800,000 Congenital conditions -Kes.500,000 Psychiatric & Psychosocial hospitalization Family per annum – Kes.900,000 Mentel health and Counselling (Employment Assistance Program) Hospitalization for pre-existing chronic conditions, HIV/AIDS and related illness – Kes.1,000,000 per family per year within the inpatient limit. Newly diagnosed Chronic conditions – Full inpatient limit. Covid-19 Cover - Kes. 1,000,000 per family - Group limit Kes.5,000,000 Prescribed External Appliances -Kes.150,000 within inpatient -Included corsets, crutches, wheelchairs, motored appliances, hearing aid Post hospitalization benefit- Kes.50,000 for follow-up reviews following admission. Rehabilitation & Drug addiction including Alcohol related admission- Kes.150,000. Last Expense - A cash benefit from Kes.150,000 per person payable to the nominated beneficiary. Benefit is payable within 48 hours, subject to provision of complete documentation. Oncology, Organ Transplant, Acute Renal and Peritoned Dialysis Organ Transplant (cost of donor or securing the organ is excluded -Covered up the chronic limit Free Health Education webinars/workshops – 3 sessions per year Political Violence & Terrorism & Political - full inpatient limit and outpatient limits Emergency evacuation - Road & Air ambulance within the country Home nursing palliative or analgesic care - State payable lumpsum. Critical Illness Lump sum cash pay-out upon first diagnosis of either cancer, stroke, heart attack, kidney failure or paralysis. State payable lumpsum. External Appliances & Internal Surgical Appliances and Prosthesis (wheelchair, crutches, lumbar corset etc.). per family – provide limit Non-motorized wheelchairs & cress – provide limit International Treatment Cover Outside territorial limit. Overseas referral - for treatment not available locally. Cover on credit is available at select providers Provide list of available providers Provide limit/ sublimit. Air ticket in economy class for a scheduled flight & accommodation for patient accompanying guardian in case the patient is a minor Days covered outside Kenya in any one visit Lodger fees for accompanying guardian i.e. accommodation and meals for a guardian accompanying a dependent below the age of 12 years and or a Children with special needs covered up to 18 years. N.B. For each proposed benefit and sub-limit, bidders must indicate whether they accept the prescribed limit by responding Yes or No, where no limit is proposed bidders must propose a limit and specify any proposed extension beyond the stated limits. Note to Quote: Please quote rate applicable for: Short term Cover or prorata premium calculation refund of premium when staff leave refund policy of medical expense incurred when staff use other medical providers Please quote any free rider on cover Waiting Periods There should be 2 dedicated contact persons assigned to the Tdh Kenya team The insurer will provide smart cards to employees and their dependents for easy access to services or allow them to use their existing smart cards. Reimbursements- will be 100% of the total costs. Duration of Cover The successful company will enter into a two-year contract with TDH-Kenya, subject to annual review based on satisfactory performance. Criteria for Proposal Evaluation The following criteria will be used in the evaluation of all bids. The submission of the required documents will be used in the determination of the Completeness and Suitability of the Bid. Bids that do not meet all the mandatory requirements will be declared non-responsive and shall not be evaluated further. Mandatory Requirements Certificate of Registration – Must provide a copy of the certificate of registration CR12 – Must provide a copy generated within the last 6 months Registration with Insurance Regulatory Authority (IRA) – Must provide valid IRA registration certificate for provision of medical insurance cover. KRA Certificate – Must provide a copy of the certificate Tax Compliance – Must provide valid Tax Compliance Certificate Industry Membership - Must provide a valid 2026 membership certificate from the Association of Kenya Insurers (AKI) Inpatient and Outpatient cover – must be provided by one underwriter as a package Technical Evaluation – 100 marks Each bidder shall submit a technical proposal addressing the services required and clearly demonstrating how they will meet TDH-Kenya. The proposal will be evaluated according to the following criteria: Smart Access – 2 marks Provide biometric identification system at no additional cost Co Pay – 2 marks- Tdh expects no co pay arrangement for scheme members Previous experience – 12 marks Provide 4 client contracts (preferably NGOs or international organization’s); proof of previous experience in Kenya with the same type of services. Must provide Evidence of Experience (Certificates of good performance / certified contracts) with annual premium of more than 50 million. Each contract, 3 marks. Countrywide Network Healthcare Provider - 4 marks Provide list of approved health care providers across Kenya where the underwriter maintains active credit facilities. Scoring criteria; Coverage in less than 20 counties with 2 approved healthcare providers on each location i.e. Kakuma township and Dadaab township – 2 marks Coverage in 21 to 33 counties with more than 2 approved healthcare providers on each location i.e. Kakuma township and Dadaab township – 3 marks Coverage in more than 33 counties with more than 2 approved healthcare providers on each location i.e. Kakuma township and Dadaab township – 4 marks 5. Audited Financial Statements – 2 marks Submit certified audited annual financial statements for the last 3 years i.e. 2023, 2024 & 2025. 6. Annual medical checkup – 3 marks Provide at least one annual medical examination for members and one spouse, including a personal one-on-one consultation with a health physician. 7. Cash Claims and Reimbursement – 4 marks Demonstrate reimbursement of services sought from other medical providers in areas without approved healthcare providers as per consultation limits and 100% for other services. 8. Refund Policy – 3 marks Demonstrate applicability of premium refund and conditions 9, Minimum Cover Period – 3 marks Scoring criteria; One month 3 marks, Two months 2 marks, Three months 1 mark. 10. Provision of 2 Key Account Managers for Tdh – 2 marks Maintain the rates of premium fixed for a period of 2 years without annual incremental requirement – 2 marks - Scoring criteria; Yes - 2 marks, No - Zero Marks 11. Pre-authorization value limits for outpatient medical attention/services listed in the medical Scheme – 4 marks Scoring Criteria; Kes.10,000 and above 2 marks, Kes.15,000 and above 4 marks 12. Pre-authorization waiting timeline – 2 marks Scoring Criteria; 15mins 1 mark, 10mins 2 marks 13. Cover for dependents beyond Tdh approved category (M+5) – 2 Marks 14. Territorial Limit Coverage – East Africa (Kenya, Uganda, Tanzania, Rwanda, Burundi, Somalia, and South Sudan. 2 Marks 15. Oversee treatment coverage. 2 Marks 16. Credit facility payment timeline: 4 Marks Scoring Criteria; 30 days or less 4 marks, 45 days 2 marks, 60 days zero marks 17. Quarterly reporting schedule to Tdh. 1 Mark 18. Other value-added benefits – 4 marks. Compliance with both outpatient and inpatient limits- Full marks will be awarded where the proposed cover meets the prescribed limits and sub-limits under outpatient and inpatient. Zero marks will be awarded Where the requirements are not met, zero marks will be awarded Compliance with Neonatal and pre-maturity-related conditions sub limit – 5 marks Compliance with Inpatient non- accidental dental cover sub limit – 5 marks Compliance with Inpatient non- accidental Optical cover limit – 5 marks Compliance with Accidental Dental & Optical full inpatient limit – 5 marks Compliance with Psychiatric & Psychosocial hospitalization – 5 marks Compliance with maternity cover limits – 5 marks Compliance with outpatient dental and optical prescribed sub limits. – 5 marks Compliance with Hospitalization for pre-existing chronic conditions, HIV/AIDS and related illness – 5 marks Note. A bidder scoring less than 80% shall not be considered technically responsive and therefore shall not be considered for financial evaluation. Financial Proposal Evaluation will be based on the criteria below. Bidders’ financial proposal must indicate premium for outpatient, inpatient, dental and optical as per below categories and any other levies. Member Member + 1 Member + 2 Member + 3 Member + 4 Member + 5 Bidders’ financial proposal must demonstrate short term cover rate based an annual premium. Applicable percentage from one month cover to 12 months. Submitted bids will be subjected to checks of arithmetic errors, comparative analysis, ranking and most competitive bid will be awarded.

13 days ago

Procurement Of Group Medical Insurance Services

Heifer International

kenya

full-time

Background Since 1944, Heifer International has worked with more than 43 million people around the world to end hunger and poverty while caring for the Earth. Working with rural communities in 19 countries in Africa, Asia, and the Americas, including the United States, Heifer International supports farmers and local food producers to strengthen local economies and build secure livelihoods that provide a living income. Heifer started work in Kenya in 1981. Since then, Heifer Kenya has supported more than 682,000 families working in the dairy, meat, poultry, and horticulture value chains. Heifer Kenya is working with farmers to increase production and productivity by strengthening extension services and farmers’ cooperatives where they gain vital skills that enable them to scale and sustain their businesses. Heifer Kenya implements its projects through community development and enterprise development approaches. Each project focuses on three priorities: strengthening and diversifying the resource base, strengthening country program efficiency, and increasing outreach and impact through innovative value chain systems. Rationale The current medical insurance term for the last period is ending. Heifer Kenya is seeking a reputable, licensed medical insurance provider to offer comprehensive coverage to its employees and eligible dependents. The objective is to provide quality, accessible, and cost-effective health care services that support employee well-being, productivity, and retention. The insurance cover is expected to run for one year from 1 January 2027, with the option to renew, subject to satisfactory performance, budget availability and mutual agreement. Objectives: The objective of this procurement is to identify and contract a medical insurance provider capable of delivering comprehensive inpatient, outpatient, dental, optical, maternity, wellness, and related health care benefits to employees and their eligible dependents. Scope of Services: The successful insurer shall provide and administer a comprehensive medical insurance scheme including, but not limited to, the following services: a) Inpatient Cover Hospitalization expenses. Surgical procedures. Specialist consultations. Intensive Care Unit (ICU) and High Dependency Unit (HDU) services. Pre-existing and chronic condition management where applicable. b) Outpatient Cover General practitioner consultations. Specialist consultations. Laboratory and diagnostic services. Prescription medication. Physiotherapy and rehabilitation services. c) Maternity Cover Normal deliveries and Caesarean sections. Antenatal and postnatal care. Pregnancy-related complications. d) Dental Cover Routine consultations and examinations. Extractions, fillings, scaling, and polishing. Other approved dental procedures. e) Optical Cover Eye examinations. Prescription lenses and frames. Other approved optical services. f) Emergency Services Emergency treatment. Ambulance services. Medical evacuation where applicable. g) Wellness and Preventive Care Annual medical check-ups. Vaccinations Health education and wellness programs. Mental health and counseling services. h) Additional Benefits Last expense benefit. International emergency cover (if applicable). Chronic disease management. Telemedicine services. Fertility Treatment Major disease benefits In addition, the successful insurer will provide access to high-quality health service providers in the major counties of operation, namely: Nairobi County, Laikipia County, Samburu County, Uasin Gichu County, Isiolo County, Kajiado County, Narok County, Nakuru County, Kiambu County and their environs. Stakeholders: People Department All Staff- Beneficiaries of the service Expected Beneficiaries The insurer will provide coverage for: Organization employees. Eligible spouses. Eligible children and dependents as defined by the organization. A separate intern medical coverIndicative Population The proposed medical insurance scheme will cover approximately 130 lives, comprising 35 employees, 23 spouses, 70 children/dependents, and 2 interns. 3.0 Mandatory Requirements If you're interested in our insurance companies, please meet the following mandatory requirements and provide the required supporting documentation. Regulatory Registration: Must be registered with the Insurance Regulatory Authority (IRA) to provide medical insurance coverage and submit a valid IRA registration certificate. Company Registration: Must submit a Certificate of Registration/Incorporation from the Registrar of Companies and demonstrate at least 15 years of operation. Tax Compliance: Must provide a valid Tax Compliance Certificate issued by the Kenya Revenue Authority (KRA). Industry Membership: Must provide a valid 2026 membership certificate from the Association of Kenya Insurers (AKI). Policy Exclusions: Must provide a comprehensive list of all inpatient and outpatient exclusions. Where no exclusions apply, written confirmation must be provided. Failure to submit either will result in disqualification. Annual Medical Premiums: Must demonstrate gross annual medical premiums of at least KES 1 billion for each of the last three years, supported by financial statements or records verifiable through the IRA. Reinsurance: Must provide approval from the IRA Commissioner for quota-share reinsurance arrangements. Paid-Up Capital: Must demonstrate gross paid-up capital of at least KES 1 billion for each of the last three years, supported by financial statements. Mandatory Scheme Compliance: Must explicitly confirm compliance or non-compliance with each of the following requirements: Inpatient and outpatient medical cover must be provided as one package under a single underwriter. Cover must include the principal member, spouse, and up to four child dependents. The principal member and spouse must be aged 18–65 years, while children must be covered from birth to 25 years. Children with disabilities must remain covered for as long as they depend on the principal member. Cover must include chronic, congenital and pre-existing conditions; HIV/AIDS; ambulance and air evacuation; maternity; dental and optical care; mental health and psychiatric treatment; and pandemics, under inpatient and outpatient benefits as applicable. Biometric identification systems must be provided at no additional premium. Members must have direct access to approved health care providers without mandatory referral through insurer-owned clinics. The policy cancellation notice period must be 60 days. Note: Bidders must meet all mandatory requirements to proceed to the technical evaluation stage. 4.0 Technical Evaluation – 100 Marks 4.1 Corporate Experience, Financial Capacity and Provider Network – 30 Marks TC1. Previous Experience – 10 Marks Submit certified contracts or recommendation letters clearly indicating the total written premiums from corresponding clients or their brokers. TC2. Countrywide Healthcare Provider Network – 7 Marks Provide a list of approved health care providers across Kenya where the underwriter maintains active credit facilities. Heifer reserves the right to verify these arrangements directly with providers. The stated geographical scoring bands are 1 mark for coverage in 1–15 counties, 2 marks for 16–30 counties, and 4 marks for more than 30 counties. TC3. Audited Financial Statements – 2 Marks Submit audited annual financial statements for 2023, 2024, and 2025. TC4. Gross Premiums – 2 Marks Demonstrate gross premiums of at least KES 2 billion over the last three years, excluding motor insurance premiums. TC5. Corporate/Government Client Portfolio – 2 Marks Provide evidence of three of the underwriter's largest current corporate or government medical insurance clients during 2024 and 2025, each having paid premiums of at least KES 100 million. TC6. Health Education – 2 Marks Commit to facilitating health talks at least twice annually. TC7. Executive Medical Checkups – 5 Marks Provide at least one annual executive medical examination for members and one spouse, including a personal one-on-one consultation with an executive health physician. 4.2 Quality of Service and Value Addition – 25 Marks TR8. Service Delivery, Underwriting and Claims Management Bidders should provide a clear description of their service delivery arrangements, including: Credit facility payment timelines: 30 days or less (4 marks), 45 days (2 marks), and more than 45 days (0 marks). A dedicated key account manager for Heifer (1 mark). Proposed schedule of wellness education and clinics (2 marks). Quarterly reporting schedule to Heifer (1 mark). Addition or deletion of scheme members within one working day (1 mark). TR9. Value-Added Benefits and Extensions Bidders should demonstrate additional benefits, concessions, wider coverage, or extensions beyond standard medical schemes, including: Proposed cover for premature babies born before 37 weeks (3 marks). Cover for dependents beyond Heifer's approved limits (M+5) (2 marks). Cover extending to East African countries and overseas during short-term visits (2 marks). Access to treatment outside Kenya (2 marks). Other unique value-added benefits (4 marks). TR10. Cash Claims and Reimbursement – 4 Marks Demonstrate provisions for reimbursement of cash claims where members access treatment in areas without approved providers or where a treating doctor is outside the insurer's panel, particularly where the member has an established treatment history with that doctor. 4.3 Medical Benefits and Sub-Limits – 45 Marks Bidders must respond to the minimum benefit limits and sub-limits under both Options 1 and 2. Full marks will be awarded where the proposed cover meets the prescribed limits and sub-limits under both options. Zero marks will be awarded where the requirements are not met. TR11. Inpatient Chronic Conditions – 15 Marks: Compliance with the prescribed annual sub-limit for chronic conditions. TR12. Inpatient Psychiatric Conditions – 3 Marks: Compliance with the annual psychiatric treatment sub-limit. TR13. Congenital Conditions and Birth Defects – 13 Marks: Compliance with the prescribed inpatient sub-limit. TR14. Inpatient Dental Conditions – 3 Marks: Compliance with the prescribed sub-limit. TR15. Inpatient Optical Conditions – 3 Marks: Compliance with the prescribed sub-limit. TR16. Outpatient Dental and Optical Cover – 3 Marks: Compliance with the prescribed outpatient sub-limits. TR17. Inpatient Maternity Cover – 3 Marks: Compliance with the prescribed maternity benefits. TR18. Additional Sub-Limits – 2 Marks: Disclosure of any other applicable sub-limits. Total Technical Evaluation Score: 100 Marks Minimum qualifying score: Bidders must attain at least 80% in the technical evaluation to qualify for financial evaluation. 5.0 Proposed Medical Benefits and Annual Limits All limits below are expressed in Kenya Shillings (KES) per person unless otherwise indicated. 5.1 Geographical Area of Cover The standard geographical area of cover shall include Kenya, Uganda, Tanzania, Rwanda, Burundi, and South Sudan. 5.2 Inpatient Benefits The proposed annual inpatient limit is KES 8,000,000 per person, with the following benefits and sub-limits: Accommodation: Standard private room up to KES 30,000, net of SHIF. Accident and non-chronic specialist treatment: Specialist fees, theatre costs, ward and theatre medication, subject to the annual inpatient limit. Emergency ambulance services: Road and air ambulance within the country, subject to the inpatient annual limit. High Care and Intensive Care: KES 2,000,000. First-ever emergency Caesarean section: KES 350,000. Inpatient maternity childbirth: KES 300,000. Post-delivery maternity complications: KES 800,000. Neonatal care: KES 1,200,000, including incubator care, phototherapy, congenital conditions, and prematurity. Psychiatric hospitalization: KES 2,000,000. Prosthesis: KES 300,000. External medical appliances: KES 70,000. Specialized radiology: KES 100,000. Infertility treatment: KES 300,000. Circumcision: KES 250,000. Hospitalization related to chronic conditions: KES 3,000,000. Optical surgery: KES 350,000. Dental surgery: KES 350,000. Last expense benefit: KES 100,000 per person. 5.3 Maternity Benefits The following additional maternity benefit limits are specified: Emergency Caesarean delivery: KES 300,000. Pre- and post-delivery maternity complications: KES 300,000, within the annual inpatient limit. 5.4 Major Disease Benefits Major disease treatment shall fall within the chronic conditions benefit limit, subject to applicable clinical and treatment protocols. Conditions include cancer treatment, organ transplants, and kidney dialysis. 5.5 International Emergency Evacuation and Treatment International emergency evacuation and repatriation: Available to India or South Africa where treatment is not locally available. Compassionate travel: Provision for one accompanying person. Repatriation of mortal remains: To be included in the proposed cover. Emergency treatment outside the geographical area of cover: Available during travel for up to 60 days per annum, subject to applicable benefit sub-limits. 5.6 Outpatient Benefits The proposed annual outpatient limit is KES 200,000 per person, covering general practitioner and referred specialist consultations, pathology, basic radiology, diagnostic tests, auxiliary services, prescribed medication for acute and registered chronic conditions, antenatal and postnatal care, and passive acts of terrorism. Additional outpatient benefits and sub-limits include: Dental: KES 60,000 per person. Optical: KES 60,000 per person, with frames replaceable annually. KEPI and KEPI baby-friendly vaccines: Covered for children up to five years within the outpatient limit. Annual medical checkups: KES 50,000 per person, within the outpatient limit, for employees and spouses only. Family planning: KES 20,000. Soaps and creams: Within the outpatient limit. Private vaccines: Within the outpatient limit. Travel vaccines: KES 20,000. 6.0 Bidder Confirmation and Compliance For each proposed benefit and sub-limit, bidders must indicate whether they accept the prescribed limit by responding Yes or No and specify any proposed extension beyond the stated limits. No changes to the benefit sub-limits that disadvantage Heifer International Kenya may be introduced after contract award. 7.0 Financial Evaluation and Contract Award Only bidders who attain at least 80% in the technical evaluation shall proceed to the financial evaluation. Heifer International Kenya will pay medical insurance premiums directly to the successful service provider. Negotiations may be undertaken with the most competitive bidder. Where negotiations are unsuccessful, Heifer may invite the second-most competitive bidder to negotiate and possibly award a contract. Financial Evaluation Financial Evaluation will be conducted for bidders who score 80% or higher in the Technical Evaluation stage. It includes. Checking of arithmetic errors Financial Comparison Ranking of Bids The most competitive bidder will be recommended.

14 days ago