[Code of Federal Regulations]

[Title 48, Volume 5]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 48CFR752.7018]



[Page 76-77]

 

            TITLE 48--FEDERAL ACQUISITION REGULATIONS SYSTEM

 

             CHAPTER 7--AGENCY FOR INTERNATIONAL DEVELOPMENT

 

PART 752_SOLICITATION PROVISIONS AND CONTRACT CLAUSES--Table of Contents

 

             Subpart 752.70_Texts of USAID Contract Clauses

 

Sec. 752.7018  Health and accident coverage for USAID participant trainees.



    For use in any USAID contract under which USAID participants are 

trained.



 Health and Accident Coverage for USAID Participant Trainees (JAN 1999)



    (a) In accordance with the requirements of USAID Automated Directive 

System (ADS) 253.5.6b, the Contractor shall enroll all non-U.S. trainees 

(hereinafter referred to as ``participants''), whose training in the 

U.S. is financed by USAID under this contract, in USAID's Health and 

Accident Coverage (HAC) program. Sponsored trainees enrolled in third-

country or in-country training events are not eligible for USAID's HAC 

program, but the Contractor may obtain alternative local medical and 

accident insurance at contract expense, provided the cost is consistent 

with the cost principles in FAR 31.2.

    (b) When enrollment in the HAC program is required per paragraph (a) 

of this clause, the Contractor must enroll each participant in the HAC 

program through one of two designated contractors prior to the 

initiation of travel by the participant. USAID has developed an Agency-

wide database training management system, the Training Results and 

Information Network (``TraiNet''), which is the preferred system for 

managing USAID's participant training program, including enrollment in 

the HAC program. However, until such time as the USAID sponsoring unit 

(as defined in ADS 253) has given the Contractor access to USAID's 

``TraiNet'' software for trainee tracking and HAC enrollment, the 

Contractor must fill out and mail the Participant Data Form (PDF) (Form 

USAID 1381-4) to USAID. The Contractor can obtain information regarding 

each HAC program contractor, including contact information, and a supply 

of the PDF forms and instructions for completing and submitting them, by 

contacting the data base contractor serving the Global Center for Human 

Capacity Development (G/HCD).

    (c) The Contractor must ensure that HAC enrollment begins 

immediately upon the participant's departure for the United States for 

the purpose of participating in a training program financed by USAID, 

and that enrollment continues in full force and effect until the 

participant returns to his/her country of origin, or is released from 

USAID's responsibility, whichever is the sooner.

    (1) The HAC insurance provider, not the Contractor, shall be 

responsible for paying all reasonable and necessary medical 

reimbursement charges not otherwise covered by student health service or 

other insurance programs, subject to the availability of funds for such 

purposes, in accordance with the standards of coverage established by 

USAID under its HAC program and by the HAC providers' contracts.

    (2) After HAC enrollment, upon receipt of HAC services invoice from 

the selected HAC provider, the Contractor shall submit payment directly 

to the HAC provider.



[[Page 77]]



    (3) The Contractor is responsible for ensuring that participants and 

any stakeholders (as defined in ADS 253) are advised that USAID is not 

responsible for any medical claims in excess of the coverages provided 

by the HAC program, or for medical claims not eligible for coverage 

under the HAC program, or not otherwise covered in this section.

    (d) The Contractor, to the extent that it is an educational 

institution with a mandatory student health service program, shall also 

enroll participants in that institution's student health service 

program. Medical costs which are covered under the institution's student 

health service shall not be eligible for payment under USAID's HAC 

program.

    (e) If the Contractor has a mandatory, non-waivable health and 

accident insurance program for students, the costs of such insurance 

will be allowable under this contract. Any claims eligible under such 

insurance will not be payable under USAID's HAC plan or under this 

contract. Even though the participant is covered by the Contractor's 

mandatory, non-waivable health and accident insurance program, the 

participant MUST be enrolled in USAID's more comprehensive HAC program.

    (f) Medical conditions pre-existing to the participant's sponsorship 

for training by USAID, discovered during the required pre-departure 

medical examination, are grounds for ineligibility for sponsorship 

unless specifically waived by the sponsoring unit, and covered through a 

separate insurance policy maintained by the participant or his employer, 

or a letter of guarantee from the participant or the employer (which 

thereby assumes liability for any related charges that might 

materialize. See ADS 253).



[64 FR 5010, Feb. 2, 1999]