| Reason | |||
|---|---|---|---|
PT Asuransi Dayin Mitra Tbk | 00*3**2****54**0 | Rp 1,577,288,923 | - |
| 0013184510054000 | Rp 1,819,948,757 | - | |
PT Asuransi Jasa Tania, Tbk | 0011050143423001 | Rp 1,771,109,000 | Tidak lulus ambang batas/passing grade (hasil evaluasi teknis terlampir pada Berita Acara Evaluasi Penawaran) |
| 0011312873062000 | Rp 0 | - | |
CV Asma Sari | 00*6**1****28**0 | Rp 0 | - |
| 0013098827062000 | Rp 0 | - | |
PT Asuransi Wahana Tata | 00*3**6****09**1 | Rp 0 | - |