3 Do you operate a global 1 Confirm (Pass) / platform 24/7 for the Cannot confirm submission of medical claims? (Fail) Attestation required 4 Do you operate a global 1 Information telephone service 24/7 for the Only EAP Insurance 5 Will the server(s) containing 1,2 Information Only ESM data be located outside the 19 countries belonging to the euro area? No Yes: In which country(ies)? 6 Is the entity contracting with 1,2 Information Only the ESM (“Contracting Entity”) registered outside the 19 countries belonging to the euro area? No Yes: In which country? 7 Is any entity directly or 1,2 Information Only indirectly controlling the Contracting Entity (e.g. a parent company) registered outside the 19 countries belonging to the euro area? No Yes: In which country(ies)? 8 Is any other entity with access 1,2 Information Only to ESM data (e.g. a subcontractor providing the IT infrastructure/servers) registered outside the 19 countries belonging to the euro area? No Yes: In which country(ies)? 1,2 Information Only 9 Is the ESM data going to be encrypted and who will have access to the encryption key? No encryption Encryption yes; the Candidate will have access to the encryption key;
3 Do you operate a global platform 24/7 for the submission of medical claims? 1 Confirm (Pass) / Cannot confirm (Fail) Attestation required 4 Do you operate a global telephone service 24/7 for the EAP Insurance 1 Information Only 5 Will the server(s) containing ESM data be located outside the 19 countries belonging to the euro area? No Yes: In which country(ies)? 1,2 Information Only 6 Is the entity contracting with the ESM (“Contracting Entity”) registered outside the 19 countries belonging to the euro area? No Yes: In which country? 1,2 Information Only 7 Is any entity directly or indirectly controlling the Contracting Entity (e.g. a parent company) registered outside the 19 countries belonging to the euro area? No Yes: In which country(ies)? 1,2 Information Only 8 Is any other entity with access to ESM data (e.g. a subcontractor providing the IT infrastructure/servers) registered outside the 19 countries belonging to the euro area? No Yes: In which country(ies)? 1,2 Information Only 9 Is the ESM data going to be encrypted and who will have access to the encryption key? No encryption Encryption yes; the Candidate will have access to the encryption key; 1,2 Information Only
esm_-_pre_qualification_document_pqd_final_16.03.2017_rev_v1_22mar.docx