GroundRules
48 CFR 1602.170-2: 1602.170-2 Community rate.
Where this section sits in the code
- Title 48—Federal Acquisition Regulations System
- CHAPTER 16—OFFICE OF PERSONNEL MANAGEMENT FEDERAL EMPLOYEES HEALTH BENEFITS ACQUISITION REGULATION
- SUBCHAPTER A—GENERAL
- PART 1602—DEFINITIONS OF WORDS AND TERMS
- Subpart 1602.1—Definitions of FEHBP Terms
(a) Community rate means a rate of payment based on a per member per month capitation rate or its equivalent that applies to a combination of the subscriber groups for a comprehensive medical plan carrier. References in this subchapter to “a combination of cost and price analysis” relating to the applicability of policy and contract clauses refer to comprehensive medical plan carriers using community rates.
(b) Adjusted community rate means a community rate which has been adjusted for expected use of medical resources of the FEHBP group. An adjusted community rate is a prospective rate and cannot be retroactively revised to reflect actual experience, utilization, or costs of the FEHBP group, except as described in 1615.402(c)(4).
Collected 2026-08-27T02:26:29Z. Source file · JSON