CHAPTER 16—OFFICE OF PERSONNEL MANAGEMENT FEDERAL EMPLOYEES HEALTH BENEFITS ACQUISITION REGULATION
Chapter 16
SUBCHAPTER A—GENERAL
PART 1600 [RESERVED]
PART 1601—FEDERAL ACQUISITION REGULATIONS SYSTEM
Subpart 1601.1—Purpose, Authority, Issuance
1601.101 Purpose.
1601.102 Authority.
1601.103 Applicability.
1601.104 Issuance.
1601.104-1 Publication and code arrangement.
1601.104-2 Arrangement of regulation.
1601.106 OMB approval under the Paperwork Reduction Act.
Subpart 1601.3—Agency Acquisition Regulation (FEHBAR)
1601.301 Policy.
PART 1602—DEFINITIONS OF WORDS AND TERMS
1602.000-70 Scope of part.
Subpart 1602.1—Definitions of FEHBP Terms
1602.170 Definition of terms.
1602.170-1 Carrier.
1602.170-2 Community rate.
1602.170-3 Comprehensive medical plan.
1602.170-4 Contractor.
1602.170-5 Cost or pricing data.
1602.170-6 Director.
1602.170-7 Experience-rate.
1602.170-8 FEHBP.
1602.170-9 Health benefits plan.
1602.170-10 Letter of credit.
1602.170-11 Negotiated benefits contracts.
1602.170-12 OPM.
§ 1602.170-13 Similarly sized subscriber groups.
1602.170-14 FEHB-specific medical loss ratio threshold calculation.
1602.170-15 Subcontractor.
1602.170-16 Large Provider Agreement.
1602.170-17 Postal Service.
1602.170-18 Postal Service annuitant.
1602.170-19 Postal Service employee.
1602.170-20 PSHB Carrier.
1602.170-21 PSHB plan.
1602.170-22 PSHB Program.
PART 1603—IMPROPER BUSINESS PRACTICES AND PERSONAL CONFLICTS OF INTEREST
Subpart 1603.70—Misleading, Deceptive, or Unfair Advertising
1603.7001 Policy.
1603.7002 Additional guidelines.
1603.7003 Contract clause.
PART 1604—ADMINISTRATIVE MATTERS
Subpart 1604.7—Contractor Records Retention
1604.703 Policy.
1604.705 Specific retention periods.
Subpart 1604.9—Taxpayer Identification Number
1604.970 Taxpayer Identification Number.
Subpart 1604.70—Coordination of Benefits
1604.7001 Coordination of benefits clause.
Subpart 1604.71—Disputed Health Benefit Claims
1604.7101 Filing health benefit claims/court review of disputed claims.
Subpart 1604.72—Large Provider Agreements
1604.7201 FEHB Program Large Provider Agreements.
1604.7202 Large Provider Agreement clause.
SUBCHAPTER B—ACQUISITION PLANNING
PART 1605—PUBLICIZING CONTRACT ACTIONS
1605.000 Applicability.
PART 1606—COMPETITION REQUIREMENTS
1606.001 Applicability.
PART 1609—CONTRACTOR QUALIFICATIONS
Subpart 1609.4—Debarment, Suspension, and Ineligibility
1609.470 Notification of Debarment, Suspension, and Ineligibility.
1609.471 Contractor certification.
Subpart 1609.70—Minimum Standards for Health Benefits Carriers
1609.7001 Minimum standards for health benefits carriers.
1609.7002 Minimum standards for Postal Service Health Benefits Carriers.
SUBCHAPTER C—CONTRACTING METHODS AND CONTRACT TYPES
PART 1614—SEALED BIDDING
1614.000 Applicability.
PART 1615—CONTRACTING BY NEGOTIATION
1615.070 Negotiation authority.
Subpart 1615.1—Source Selection Processes and Techniques
1615.170 Applicability.
Subpart 1615.2—Solicitations and Receipt of Proposals and Information
1615.270 Applicability.
Subpart 1615.3—Source Selection
1615.370 Applicability.
Subpart 1615.4—Contract Pricing
1615.402 Pricing policy.
1615.404-4 Profit.
1615.404-70 Profit analysis factors.
1615.406-2 Certificates of accurate cost or pricing data for community rated carriers.
1615.407-1 Rate reduction for defective pricing or defective cost or pricing data.
1615.470 Carrier investment of FEHB funds.
1615.470-1 Investment income clause.
Subparts 1615.8–1615.9 [Reserved]
Subpart 1615.70—Audit and Records—Negotiation
1615.7001 Audit and records.
PART 1616—TYPES OF CONTRACTS
Subpart 1616.1—Selecting Contract Types
1616.102 Policies.
1616.105 Solicitation provision.
Subpart 1616.70—Negotiated Benefits Contracts
1616.7001 Clause—contracts based on a combination of cost and price analysis (community rated).
1616.7002 Clause—contracts based on cost analysis (experience rated).
SUBCHAPTER D—SOCIOECONOMIC PROGRAMS
PART 1622—APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS
Subpart 1622.1—Basic Labor Policies
1622.103-70 Contract clause.
PART 1624—PROTECTION OF PRIVACY AND FREEDOM OF INFORMATION
Subpart 1624.1—Protection of Individual Privacy
1624.104 Contract clause.
SUBCHAPTER E—GENERAL CONTRACTING REQUIREMENTS
PART 1629—TAXES
Subpart 1629.4—Contract Clauses
1629.402 Foreign contracts.
PART 1631—CONTRACT COST PRINCIPLES AND PROCEDURES
Subpart 1631.1—Definitions
1631.1 Definitions.
Subpart 1631.2—Contracts With Commercial Organizations
1631.200 Scope of subpart.
1631.201-70 Credits.
1631.203 Indirect costs.
1631.203-70 Allocation techniques.
1631.203-71 Business unit General and Administrative (G&A) expenses.
1631.203-72 Home office expense.
1631.205 Selected costs.
1631.205-10 Cost of money.
1631.205-41 Taxes.
1631.205-70 FEHBP public relations and advertising costs.
1631.205-71 FEHBP bad debts.
1631.205-72 FEHBP compensation for personal services.
1631.205-73 FEHBP interest expense.
1631.205-74 FEHBP losses on other contracts.
1631.205-75 Selling costs.
1631.205-76 Trade, business, technical, and professional activity costs.
1631.205-77 FEHBP start-up and other nonrecurring costs.
1631.205-78 FEHBP printed material costs.
1631.205-79 Mandatory statutory reserves.
1631.205-80 Major subcontractor service charges.
1631.205-81 Inferred reasonableness.
1631.205-82 Audits.
PART 1632—CONTRACT FINANCING
Subpart 1632.1—General
1632.170 Recurring premium payments to carriers.
1632.171 Clause—community-rated contracts.
1632.172 Clause—experience-rated contracts.
Subpart 1632.6—Contract Debts
1632.607 Tax credit.
1632.617 Contract clause.
Subpart 1632.7—Contract Funding
1632.770 Contingency reserve payments.
1632.771 Non-commingling of FEHBP funds.
1632.772 Contract clause.
Subpart 1632.8—Assignment of Claims
1632.806-70 Contract clause.
PART 1633 [RESERVED]
SUBCHAPTER G—CONTRACT MANAGEMENT
PART 1642—CONTRACT ADMINISTRATION
Subpart 1642.12—Novation and Change-of-Name Agreements
1642.1201 Definitions.
1642.1204 Agreement to recognize a successor in interest (novation agreement).
1642.1205 Agreement to recognize carrier's change of name.
Subpart 1642.70—Management Agreement (in Lieu of Novation Agreement)
1642.7001 Management agreement.
PART 1643—CONTRACT MODIFICATIONS
Subpart 1643.2—Changes
1643.205-70 Contract clause.
PART 1644—SUBCONTRACTING POLICIES AND PROCEDURES
Subpart 1644.1—General
1644.170 Policy for FEHB Program subcontracting.
Subpart 1644.2—Consent to Subcontracts
1644.270 FEHBP contract clause.
PART 1645—GOVERNMENT PROPERTY
Subpart 1645.3—Providing Equipment
1645.303-70 Contract clause.
PART 1646—QUALITY ASSURANCE
Subpart 1646.2—Contract Quality Requirements
1646.201 Contract Quality Policy.
Subpart 1646.3—Contract Clauses
1646.301 Contractor inspection requirements.
PART 1649—TERMINATION OF CONTRACTS
1649.002-70 Applicability of the FAR to FEHB acquisitions.
Subpart 1649.1—General Principles
1649.101-70 FEHBP renewal and withdrawal of approval clause.
1649.101-71 FEHBP termination for convenience clause.
1649.101-72 FEHBP termination for default clause.
SUBCHAPTER H—CLAUSES AND FORMS
PART 1652—CONTRACT CLAUSES
1652.000 Applicable clauses.
Subpart 1652.2—Texts of FEHBP Clauses
1652.203-70 Misleading, deceptive, or unfair advertising.
1652.204-70 Contractor records retention.
1652.204-71 Coordination of Benefits.
1652.204-72 Filing health benefit claims/court review of disputed claims.
1652.204-73 Taxpayer Identification Number.
1652.204-74 Large provider agreements.
1652.215-70 Rate Reduction for Defective Pricing or Defective Cost or Pricing Data.
1652.215-71 Investment Income.
1652.216-70 Accounting and price adjustment.
1652.216-71 Accounting and Allowable Cost.
1652.222-70 Notice of significant events.
1652.224-70 Confidentiality of records.
1652.229-70 Taxes—Foreign Negotiated benefits contracts.
1652.232-70 Payments—community-rated contracts.
1652.232-71 Payments—experience-rated contracts.
1652.232-72 Non-commingling of FEHBP funds.
1652.232-73 Approval for the Assignment of Claims.
1652.243-70 Changes—Negotiated benefits contracts.
1652.244-70 Subcontracts.
1652.245-70 Government property (negotiated benefits contracts).
1652.246-70 FEHB Inspection.
1652.249-70 Renewal and withdrawal of approval.
1652.249-71 FEHBP termination for convenience of the government—negotiated benefits contracts.
1652.249-72 FEHBP termination for default—negotiated benefits contracts.
Subpart 1652.3—FEHBP Clause Matrix
1652.370 Use of the matrix.
PART 1653—FORMS
1653.000 FEHBP forms.
PART 1699—COST ACCOUNTING STANDARDS
Subpart 1699.7—Cost Accounting Standards
1699.70 Cost accounting standards.