[Code of Federal Regulations]
[Title 48, Volume 6]
[Revised as of October 1, 2005]
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 (including 
capitated 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 services for 
the provision of healthcare such as capitation not adjusted for specific 
groups, including mental health benefits capitation rates, per diems, 
and DRG payments.

[70 FR 31378, June 1, 2005]