[Code of Federal Regulations]
[Title 48, Volume 6]
[Revised as of October 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 48CFR1602.170-7]

[Page 119]
 
            TITLE 48--FEDERAL ACQUISITION REGULATIONS SYSTEM
 
  CHAPTER 16--OFFICE OF PERSONNEL MANAGEMENT FEDERAL EMPLOYEES HEALTH 
                     BENEFITS ACQUISITION REGULATION
 
PART 1602--DEFINITIONS OF WORDS AND TERMS--Table of Contents
 
               Subpart 1602.1--Definitions of FEHBP Terms
 
Sec. 1602.170-7  Experience rate.

    Experience rate means a rate for a given group that is the result of 
that group's actual paid claims, administrative expenses, retentions, 
and estimated claims incurred but not reported, adjusted for benefit 
modifications, utilization trends, and economic trends. Actual paid 
claims include any actual or negotiated benefits payments made to 
providers of medical services for the provision of health care such as 
capitation not adjusted for specific groups, per diems, and Diagnostic 
Related Group (DRG) payments.

[54 FR 27414, July 2, 1990. Redesignated at 62 FR 47574, Sept. 10, 1997]