See: experience refund and dividend .
Insurance Encyclopedia
Experience refund
UK: a refund of premiums made to the insured when the claims payable under the contract are at a lower level than anticipated by the insurer.
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MEDICAL,USA: Insurance premium returned by an insurance company to a group policyholder because the financial experience of the group has been more than the premiums collected from that which was anticipated. Also called dividend, experience rating refund, premium refund , and retroactive rate reduction .
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UK: Term used by life reinsurers to describe the profit commission that they pay to the ceding office as a refund based on the profitability of the business.
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Under a reinsurance agreement, that part of the profits that is returned to the cedant after recognition of contingency reserves, loss carryforward, and loss carryback provisions. See Carryover provision.
Experience refund (Reinsurance)
A fixed amount of the net profit of a reinsurance policy that must be given to the ceding insurer under profit sharing at the year’s end.
Experience-rated premium
Insurance premium based on the experience rating. This is periodically adjusted in line with actual insurance claims or utilization experience.
Experience-related premium rates
Insurance premium rates for group insurance coverage based, wholly or partially, on the past claims of the group.
Experienced mortality (Life Insurance)
The actual mortality of a given group as opposed to expected mortality.
Experimental
Any treatment, procedure, equipment, drug, drug usage, device, or supply not generally accepted as standard care in the practice of medicine. This includes services or supplies requiring federal or government approval not granted at the time services were rendered. Also called investigative . See experimental care .
Experimental care
1. Medical care that has not yet been accepted as standard care in the practice of medicine. 2. Any medical care that needs federal or other governmental agency approval that was not given at the time the care was provided. Also called investigative care .
Experimental medical procedures
See: experimental procedures .
Experimental procedures
Medical services, supplies, treatments, or drug therapies still in a trial stage, determined by the insurance plan not to be generally accepted as standard care in the practice of medicine, and not effective in treating the illness for which their use is intended. Also called unproved procedures .