RIC         1  2                                        C RECORD IDENTIFICATION CODE

VERSION     3  1                                        C VERSION NUMBER

BASEID      4  8  $BSIDFMT                              C UNIQUE SP IDENTIFICATION NUMBER

                              14,695             LOW-HIGH BASEID Count

INTERVU    12  1  $INTRFMT                              C Type of interview

                              13,751                    C Community
                                 944                    F Facility

D_MCARE    13  1  MEDCOVG                               N Medicare coverage

                                   7                    0 No entitlement
                                 562                    1 Part A only
                                  68                    2 Part B only
                              14,058                    3 Both A and B

                 Notes: See D_SUMINS in prior years for similar data.
                        First available in 1999

D_MCRHMO   14  1  SOURCE                                N Source of Medicare HMO enrollment status

                              10,502                    0 No entitlement
                                 437                    1 Survey data only
                                 523                    2 CMS administrative data only
                               3,233                    3 Both survey and administrative data

D_PRIVAT   15  1  PHIFMT                                N Private insurance coverage

                               7,471                    0 No entitlement
                               3,664                    1 Employer-sponsored insurance (ESI)
                               2,799                    2 Self-purchased
                                 442                    3 Both ESI and self-purchased
                                 319                    4 Unknown

                 Notes: See D_SUMINS in prior years for similar data.
                        First available in 1999

D_PUBLIC   16  1  POLICIES           HI11               N Public health coverage

                              14,208                    0 None
                                 487                      One or more

                 Notes: See D_SUMINS in prior years for similar data.
                        First available in 1999

D_MCAID    17  1  SOURCE                                N Medicaid eligibility

                              11,319                    0 No entitlement
                                 461                    1 Survey data only
                                 773                    2 CMS administrative data only
                               2,142                    3 Both survey and administrative data

                 Notes: See D_SUMINS in prior years for similar data.
                        First available in 2000

PART_D     18  1  YES1FMT                               N Was SP enrolled in a Part D Plan?

                                 205                    . Inapplicable
                               2,609                    1 Yes
                              11,881                    2 No

MCAIDHMO   19  3  YES1FMT                               N Was SP enrolled in a Medicaid HMO?

                              12,092                    . Inapplicable
                                   1                   -9 Not ascertained
                                 180                   -8 Don't know
                                 484                    1 Yes
                               1,938                    2 No

                 Notes: Applies only if D_MCAID = 1 or 3
                        First available in 1998

CHOICHMO   22  3  CHOICFMT                              N SP given choice to enroll in Mcaid HMO?

                              14,243                    . Inapplicable
                                   2                   -9 Not ascertained
                                 131                    1 SP had choice
                                 165                    2 SP had no choice
                                 154                    3 SP does not remember if he/she had choic

                 Notes: Applies only if INTERVU = C and MCAIDHMO = 1
                        First available in 1998

PUBRXCOV   25  3  YES1FMT                               N Does SPs public plan cover prescrib meds

                              14,227                    . Inapplicable
                                   5                   -8 Don't know
                                 427                    1 Yes
                                  36                    2 No

                 Notes: Applies only if INTERVU = C and D_PUBLIC > 0
                        First available in 1999

PU_INS     28  2  INSPLFMT                              N Type of insurance plan - Public

                              14,231                    . Inapplicable
                                  11                    0 Other government program
                                  75                    1 General insurance
                                   2                    2 Dental only
                                   0                    3 Vision only
                                   0                    4 LTC
                                 372                    5 Rx only
                                   0                    6 Dental/Vision
                                   1                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   3                    9 Military/Other

PU_RX      30  2  RXPLFMT                               N Type of drug coverage - Public

                              14,232                    . Inapplicable
                                 419                    1 Plan covers prescription drugs
                                   5                    2 Plan does not cover prescription drugs
                                  39                    3 Drug discount card

MTFCOVER   32  3  YES1FMT            HIT11              N SP rec'd svcs at military treatment fac.

                              12,293                    . Inapplicable
                                 584                    1 Yes
                               1,818                    2 No

                 Notes: Applies if RIC1, D_AFEVER = 1
                        First available in 2003

D_DMEM     35  3  NUMCARDS           DM1, 2             N Number of active discount card membershi

                                 944                    . Inapplicable
                              13,310                    0 No discount card membership
                                 419                    1 One discount card membership
                                  20                    2 Two discount card memberships
                                   2                    3 Three discount card memberships

                  Note: First available in 2002

D_DMCOST   38  7  PREM_F             DM6                N annual cost of discount card

                                 944                    . Inapplicable
                              13,732                0-100 $100 or less
                                  17           100.01-500 $101-$500
                                   1          500.01-1000 $501-$1000
                                   1         1000.01-1500 $1001-$1500
                                   0         1500.01-2000 $1501-$2000
                                   0         2000.01-2500 $2001-$2500
                                   0         2500.01-3000 $2501-$3000
                                   0         3000.01-3500 $3001-$3500
                                   0         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   0         4500.01-5000 $4501-$5000

                 Notes: Applies only if D_ENROL1-5 = 1.
                        First available in 2002

D_HMOTYP   45  2  $PLNFMT                               C Type of Medicare HMO

                              10,904                      No enrollment
                                  38                   01 Health care prepayment plan
                                  93                   02 Cost HMO
                                   0                   05 Old Risk HMO
                               3,623                   06 Risk HMO
                                   0                   12 Demo Risk HMO
                                  37                   16 Employer PDP
                                   0                   17 Pace Demo plan
                                   0                   18 HCPP

D_HMOCOV   47  2  COVFMT                                N SP covered by Medicare HMO at anytime?

                              11,025                    0 No enrollment
                               3,670                    1 Some enrollment

D_HMOCUR   49  2  CURFMT                                N Is SP currently covered by Mcare HMO?

                               3,670                    1 Currently enrolled
                              11,025                    2 Not currently enrolled

MHMORX     51  2  YES1FMT                               N Does Medicare HMO plan cover drugs?

                              11,025                    . Inapplicable
                                   3                   -9 Not ascertained
                                  31                   -8 Don't know
                               3,182                    1 Yes
                                 454                    2 No

                  Note: Applies only if INTERVU = C and D_MCRHMO = 1 or 3

MHMODENT   53  2  YES1FMT                               N Does Medicare HMO plan cover dental?

                              11,026                    . Inapplicable
                                  10                   -9 Not ascertained
                                 228                   -8 Don't know
                               1,161                    1 Yes
                               2,270                    2 No

                  Note: Applies only if INTERVU = C and D_MCRHMO = 1 or 3

MHMOEYE    55  2  YES1FMT                               N Does Medicare HMO plan cover eye exams?

                              11,026                    . Inapplicable
                                  10                   -9 Not ascertained
                                 264                   -8 Don't know
                               2,077                    1 Yes
                               1,318                    2 No

                  Note: Applies only if INTERVU = C and D_MCRHMO = 1 or 3

MHMOPCAR   57  2  YES1FMT                               N Does Mcare HMO plan cover preventiv care

                              11,026                    . Inapplicable
                                  13                   -9 Not ascertained
                                 254                   -8 Don't know
                               3,148                    1 Yes
                                 254                    2 No

                  Note: Applies only if INTERVU = C and D_MCRHMO = 1 or 3

MHMONH     59  2  YES1FMT                               N Does Mcare HMO plan cover nursing home?

                              11,026                    . Inapplicable
                                  12                   -9 Not ascertained
                               1,301                   -8 Don't know
                                   2                   -7 Refused
                                 480                    1 Yes
                               1,874                    2 No

                  Note: Applies only if INTERVU = C and D_MCRHMO = 1 or 3

MHMOPAY    61  2  YES1FMT                               N Does SP pay additional for HMO coverage?

                              11,026                    . Inapplicable
                                  12                   -9 Not ascertained
                                 141                   -8 Don't know
                               1,530                    1 Yes
                               1,986                    2 No

                  Note: Applies only if INTERVU = C and D_MCRHMO = 1 or 3

MHMOCOST   63  3  YES1FMT            HIMC12a            N Did anyone else pay portion of premium?

                              13,164                    . Inapplicable
                                   3                   -9 Not ascertained
                                  24                   -8 Don't know
                                 257                    1 Yes
                               1,247                    2 No

                 Notes: Applies only if MHMOPAY = 1
                        First available in 1999

MHMOWHO    66  3  WHOFMT             HIMC12b            N Who else pays a portion of the premium?

                              14,438                    . Inapplicable
                                   1                   -9 Not ascertained
                                  12                    1 Main insured person's current employer
                                 144                    2 Main insured person's former employer
                                   7                    3 Main insured person's union
                                   8                    4 Spouse's current employer
                                  75                    5 Spouse's former employer
                                   0                    6 Professional/fraternal organization
                                   6                    7 Medicaid/medical assistance
                                   4                   91 Other

                 Notes: Applies only if MHMOCOST = 1
                        First available in 1999

D_ANHMO    69  8  PREM_F                                N Annual amnt paid for Mcare HMO coverage?

                              14,171                    . Inapplicable
                                  16                0-100 $100 or less
                                 117           100.01-500 $101-$500
                                 138          500.01-1000 $501-$1000
                                 116         1000.01-1500 $1001-$1500
                                  52         1500.01-2000 $1501-$2000
                                  32         2000.01-2500 $2001-$2500
                                  28         2500.01-3000 $2501-$3000
                                   9         3000.01-3500 $3001-$3500
                                   4         3500.01-4000 $3501-$4000
                                   1         4000.01-4500 $4001-$4500
                                   5         4500.01-5000 $4501-$5000
                                   6                      Over $5000

                 Notes: Applies only if MHMOPAY = 1
                        First available in 1996

TRICOVER   77  3  YES1FMT            HIT1               N Is SP covered by tricare?

                              14,082                    . Inapplicable
                                 613                    1 Yes
                                   0                    2 No

                 Notes: Applies only if SP was not covered by Tricare in previous round
                        First available in 2003

MTRIRX     80  2  YES1FMT            HIST3              N Does tricare plan cover drugs?

                              14,082                    . Inapplicable
                                   9                   -8 Don't know
                                 580                    1 Yes
                                  24                    2 No

                  Note: First available in 2003

TRIMEDS    82  2  MEMMEDFM           HIT4a              N Where Tricare members get medicine

                              14,289                    . Missing
                                   1                   -8 Don't know
                                 101                    1 Mail order pharmacy
                                  65                    2 Retail network pharmacy
                                 132                    3 Military treatment facility
                                 103                    4 Non-network retail pharmacy
                                   4                   91 Other

                  Note: First available in 2005

D_TYPPL1   84  2  PLANFMT            HI17               N Type of plan - Plan #1

                               7,471                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               7,224                    4 Private plan
                                   0                    5 Medicare HMO

                  Note: Applies only if D_PRIVAT is not equal to 0.

D_PHREL1   86  2  RELFMT                                N Policy holder relationship - Plan #1

                               7,757                    . Inapplicable
                                   2                   -9 Not ascertained
                                   0                   -5 Never ask again
                               5,729                    1 Sample person
                               1,162                    2 Spouse
                                   0                    3 Son
                                   2                    4 Daughter
                                   1                    5 Brother
                                   0                    6 Sister
                                  24                    7 Father
                                  15                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   1                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   2                   91 Other relative
                                   0                   92 Other non-relative

                  Note: Applies only if INTERVU = C and D_TYPPL1 = 4

D_COVNM1   88  2  COVGFMT                               N # of family members covered by Plan #1

                               7,757                    . Inapplicable
                                  18                   -8 Don't know
                               6,920                      Number reported covered

                  Note: Applies only if INTERVU = C and D_TYPPL1 = 4

D_COVRX1   90  2  YES1FMT                               N Plan #1 covers prescribed medicines?

                               7,757                    . Inapplicable
                                  99                   -8 Don't know
                               3,444                    1 Yes
                               3,395                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL1 = 4

D_COVNH1   92  2  YES1FMT                               N Plan #1 covers stay in nursing home?

                               7,757                    . Inapplicable
                               1,072                   -8 Don't know
                                   3                   -7 Refused
                               1,125                    1 Yes
                               4,738                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL1 = 4

D_PAYSP1   94  2  YES1FMT                               N MIP pay any/all cost for Plan #1

                               7,757                    . Inapplicable
                                 108                   -8 Don't know
                                   4                   -7 Refused
                               5,530                    1 Yes
                               1,296                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL1 = 4

D_ANAMT1   96  7  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               9,165                    . Inapplicable
                                   2                   -9 Not ascertained
                               1,092                   -8 Don't know
                                  20                   -7 Refused
                                  58                0-100 $100 or less
                                 410           100.01-500 $101-$500
                                 366          500.01-1000 $501-$1000
                                 654         1000.01-1500 $1001-$1500
                                 915         1500.01-2000 $1501-$2000
                                 822         2000.01-2500 $2001-$2500
                                 448         2500.01-3000 $2501-$3000
                                 208         3000.01-3500 $3001-$3500
                                 169         3500.01-4000 $3501-$4000
                                 113         4000.01-4500 $4001-$4500
                                  88         4500.01-5000 $4501-$5000
                                 165                      Over $5000

                  Note: Applies only if D_PAYSP1 = 1

D_HMOPL1  103  2  YES1FMT            HI25               N Is Plan #1 an HMO

                               7,757                    . Inapplicable
                                 272                   -8 Don't know
                                   2                   -7 Refused
                               1,143                    1 Yes
                               5,521                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL1 = 4

D_OBTNP1  105  2  MIPFMT                                N How did MIP get Plan #1

                               7,757                    . Inapplicable
                                  36                   -8 Don't know
                                   1                   -7 Refused
                               2,688                    1 Directly
                                 630                    2 Main insured person's current employer
                               2,767                    3 Main insured person's prior employer
                                  98                    4 Union
                                  27                    5 Family business
                                 234                    6 AARP
                                 395                    7 Deceased spouse's employer
                                  17                    8 Deceased spouse's union
                                  23                    9 Fraternal/professional organization
                                  22                   91 Other

                  Note: Applies only if INTERVU = C and D_TYPPL1 = 4

D_COVIP1  107  2  YES1FMT            HIS29b             N Plan #1 covers some inpatient costs

                               7,757                    . Inapplicable
                                  83                   -8 Don't know
                               6,001                    1 Yes
                                 854                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_COVMD1  109  2  YES1FMT            HIS29b             N Plan #1 covers some MD/lab visit costs

                               7,757                    . Inapplicable
                                  44                   -8 Don't know
                               6,030                    1 Yes
                                 864                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_RX1     111  2  RXPLFMT                               N Type of drug coverage - Priv1

                               7,832                    . Inapplicable
                               2,860                    1 Plan covers prescription drugs
                               4,000                    2 Plan does not cover prescription drugs
                                   3                    3 Drug discount card

D_INS1    113  2  INSPLFMT                              N Type of insurance plan - Priv1

                               7,832                    . Inapplicable
                                   1                    0 Other government program
                               6,231                    1 General insurance
                                 392                    2 Dental only
                                  17                    3 Vision only
                                 131                    4 LTC
                                  58                    5 Rx only
                                   5                    6 Dental/Vision
                                  21                    7 Life insurance
                                   6                    8 Cancer/Dread disease
                                   1                    9 Military/Other

D_TYPPL2  115  2  PLANFMT            HI17               N Type of plan - Plan #2

                              13,065                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               1,630                    4 Private plan
                                   0                    5 Medicare HMO

                  Note: Applies only if D_PRIVAT is not equal to 0 and SP has more than 1 plan.

D_PHREL2  117  2  RELFMT                                N Policy holder relationship - Plan #2

                              13,113                    . Inapplicable
                                   0                   -5 Never ask again
                               1,186                    1 Sample person
                                 387                    2 Spouse
                                   0                    3 Son
                                   0                    4 Daughter
                                   1                    5 Brother
                                   0                    6 Sister
                                   4                    7 Father
                                   2                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   1                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   91 Other relative
                                   1                   92 Other non-relative

                  Note: Applies only if INTERVU = C and D_TYPPL2 = 4

D_COVNM2  119  2  COVGFMT                               N # of family members covered by Plan #2

                              13,113                    . Inapplicable
                                   5                   -8 Don't know
                               1,577                      Number reported covered

                  Note: Applies only if INTERVU = C and D_TYPPL2 = 4

D_COVRX2  121  2  YES1FMT                               N Plan #2 covers prescribed medicines?

                              13,113                    . Inapplicable
                                  36                   -8 Don't know
                                 411                    1 Yes
                               1,135                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL2 = 4

D_COVNH2  123  2  YES1FMT                               N Plan #2 covers stay in nursing home?

                              13,113                    . Inapplicable
                                  52                   -8 Don't know
                                 367                    1 Yes
                               1,163                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL2 = 4

D_PAYSP2  125  2  YES1FMT                               N MIP pay any/all cost for Plan #2

                              13,113                    . Inapplicable
                                  33                   -8 Don't know
                                   2                   -7 Refused
                               1,128                    1 Yes
                                 419                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL2 = 4

D_ANAMT2  127  7  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                              13,567                    . Inapplicable
                                   2                   -9 Not ascertained
                                 326                   -8 Don't know
                                   5                   -7 Refused
                                  39                0-100 $100 or less
                                 268           100.01-500 $101-$500
                                 150          500.01-1000 $501-$1000
                                  89         1000.01-1500 $1001-$1500
                                  75         1500.01-2000 $1501-$2000
                                  60         2000.01-2500 $2001-$2500
                                  20         2500.01-3000 $2501-$3000
                                  24         3000.01-3500 $3001-$3500
                                  25         3500.01-4000 $3501-$4000
                                  18         4000.01-4500 $4001-$4500
                                  11         4500.01-5000 $4501-$5000
                                  16                      Over $5000

                  Note: Applies only if D_PAYSP2 = 1

D_HMOPL2  134  2  YES1FMT            HI25               N Is Plan #2 an HMO

                              13,113                    . Inapplicable
                                  59                   -8 Don't know
                                 165                    1 Yes
                               1,358                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL2 = 4

D_OBTNP2  136  2  MIPFMT                                N How did MIP get Plan #2

                              13,113                    . Inapplicable
                                   2                   -8 Don't know
                                   1                   -7 Refused
                                 556                    1 Directly
                                 212                    2 Main insured person's current employer
                                 671                    3 Main insured person's prior employer
                                  29                    4 Union
                                   9                    5 Family business
                                   9                    6 AARP
                                  78                    7 Deceased spouse's employer
                                   5                    8 Deceased spouse's union
                                   3                    9 Fraternal/professional organization
                                   7                   91 Other

                  Note: Applies only if INTERVU = C and D_TYPPL2 = 4

D_COVIP2  138  2  YES1FMT            HIS29b             N Plan #2 covers some inpatient costs

                              13,113                    . Inapplicable
                                  26                   -8 Don't know
                                   1                   -7 Refused
                                 319                    1 Yes
                               1,236                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_COVMD2  140  2  YES1FMT            HIS29b             N Plan #2 covers some MD/lab visit costs

                              13,113                    . Inapplicable
                                  18                   -8 Don't know
                                 362                    1 Yes
                               1,202                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_RX2     142  2  RXPLFMT                               N Type of drug coverage - Priv2

                              13,132                    . Inapplicable
                                 327                    1 Plan covers prescription drugs
                               1,232                    2 Plan does not cover prescription drugs
                                   4                    3 Drug discount card

D_INS2    144  2  INSPLFMT                              N Type of insurance plan - Priv2

                              13,132                    . Inapplicable
                                   0                    0 Other government program
                                 651                    1 General insurance
                                 485                    2 Dental only
                                  72                    3 Vision only
                                 172                    4 LTC
                                 165                    5 Rx only
                                   4                    6 Dental/Vision
                                   5                    7 Life insurance
                                   8                    8 Cancer/Dread disease
                                   1                    9 Military/Other

D_TYPPL3  146  2  PLANFMT            HI17               N Type of plan - Plan #3

                              14,323                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                 372                    4 Private plan
                                   0                    5 Medicare HMO

                  Note: Applies only if D_PRIVAT is not equal to 0 and SP has more than 2 plans.

D_PHREL3  148  2  RELFMT                                N Policy holder relationship - Plan #3

                              14,327                    . Inapplicable
                                   0                   -5 Never ask again
                                 256                    1 Sample person
                                 110                    2 Spouse
                                   0                    3 Son
                                   0                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   1                    7 Father
                                   0                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   1                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   91 Other relative
                                   0                   92 Other non-relative

                  Note: Applies only if INTERVU = C and D_TYPPL3 = 4

D_COVNM3  150  2  COVGFMT                               N # of family members covered by Plan #3

                              14,327                    . Inapplicable
                                 368                      Number reported covered

                  Note: Applies only if INTERVU = C and D_TYPPL3 = 4

D_COVRX3  152  2  YES1FMT                               N Plan #3 covers prescribed medicines?

                              14,327                    . Inapplicable
                                   5                   -8 Don't know
                                  80                    1 Yes
                                 283                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL3 = 4

D_COVNH3  154  2  YES1FMT                               N Plan #3 covers stay in nursing home?

                              14,327                    . Inapplicable
                                   9                   -8 Don't know
                                  57                    1 Yes
                                 302                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL3 = 4

D_PAYSP3  156  2  YES1FMT                               N MIP pay any/all cost for Plan #3

                              14,327                    . Inapplicable
                                   3                   -8 Don't know
                                 238                    1 Yes
                                 127                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL3 = 4

D_ANAMT3  158  7  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                              14,457                    . Inapplicable
                                  69                   -8 Don't know
                                   1                   -7 Refused
                                  23                0-100 $100 or less
                                  70           100.01-500 $101-$500
                                  17          500.01-1000 $501-$1000
                                  17         1000.01-1500 $1001-$1500
                                   9         1500.01-2000 $1501-$2000
                                   8         2000.01-2500 $2001-$2500
                                  10         2500.01-3000 $2501-$3000
                                   2         3000.01-3500 $3001-$3500
                                   6         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   1         4500.01-5000 $4501-$5000
                                   5                      Over $5000

                  Note: Applies only if D_PAYSP3 = 1

D_HMOPL3  165  2  YES1FMT            HI25               N Is Plan #3 an HMO

                              14,327                    . Inapplicable
                                  12                   -8 Don't know
                                  43                    1 Yes
                                 313                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL3 = 4

D_OBTNP3  167  2  MIPFMT                                N How did MIP get Plan #3

                              14,327                    . Inapplicable
                                  89                    1 Directly
                                  60                    2 Main insured person's current employer
                                 186                    3 Main insured person's prior employer
                                   9                    4 Union
                                   0                    5 Family business
                                   2                    6 AARP
                                  16                    7 Deceased spouse's employer
                                   1                    8 Deceased spouse's union
                                   2                    9 Fraternal/professional organization
                                   3                   91 Other

                  Note: Applies only if INTERVU = C and D_TYPPL3 = 4

D_COVIP3  169  2  YES1FMT            HIS29b             N Plan #3 covers some inpatient costs

                              14,327                    . Inapplicable
                                   3                   -8 Don't know
                                  65                    1 Yes
                                 300                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_COVMD3  171  2  YES1FMT            HIS29b             N Plan #3 covers some MD/lab visit costs

                              14,327                    . Inapplicable
                                   1                   -8 Don't know
                                  85                    1 Yes
                                 282                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_RX3     173  2  RXPLFMT                               N Type of drug coverage - Priv3

                              14,335                    . Inapplicable
                                  60                    1 Plan covers prescription drugs
                                 299                    2 Plan does not cover prescription drugs
                                   1                    3 Drug discount card

D_INS3    175  2  INSPLFMT                              N Type of insurance plan - Priv3

                              14,335                    . Inapplicable
                                   0                    0 Other government program
                                 112                    1 General insurance
                                 105                    2 Dental only
                                  69                    3 Vision only
                                  33                    4 LTC
                                  34                    5 Rx only
                                   2                    6 Dental/Vision
                                   2                    7 Life insurance
                                   3                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL4  177  2  PLANFMT            HI17               N Type of plan - Plan #4

                              14,640                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                  55                    4 Private plan
                                   0                    5 Medicare HMO

                  Note: Applies only if D_PRIVAT is not equal to 0 and SP has more than 3 plans.

D_PHREL4  179  2  RELFMT                                N Policy holder relationship - Plan #4

                              14,640                    . Inapplicable
                                   0                   -5 Never ask again
                                  39                    1 Sample person
                                  16                    2 Spouse
                                   0                    3 Son
                                   0                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   0                    7 Father
                                   0                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   0                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   91 Other relative
                                   0                   92 Other non-relative

                  Note: Applies only if INTERVU = C and D_TYPPL4 = 4

D_COVNM4  181  2  COVGFMT                               N # of family members covered by Plan #4

                              14,640                    . Inapplicable
                                   1                   -8 Don't know
                                  54                      Number reported covered

                  Note: Applies only if INTERVU = C and D_TYPPL4 = 4

D_COVRX4  183  2  YES1FMT                               N Plan #4 covers prescribed medicines?

                              14,640                    . Inapplicable
                                   2                   -8 Don't know
                                  13                    1 Yes
                                  40                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL4 = 4

D_COVNH4  185  2  YES1FMT                               N Plan #4 covers stay in nursing home?

                              14,640                    . Inapplicable
                                   9                    1 Yes
                                  46                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL4 = 4

D_PAYSP4  187  2  YES1FMT                               N MIP pay any/all cost for Plan #4

                              14,640                    . Inapplicable
                                   1                   -8 Don't know
                                  34                    1 Yes
                                  20                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL4 = 4

D_ANAMT4  189  7  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              14,661                    . Inapplicable
                                  16                   -8 Don't know
                                   2                0-100 $100 or less
                                   7           100.01-500 $101-$500
                                   3          500.01-1000 $501-$1000
                                   1         1000.01-1500 $1001-$1500
                                   3         1500.01-2000 $1501-$2000
                                   1         2000.01-2500 $2001-$2500
                                   0         2500.01-3000 $2501-$3000
                                   0         3000.01-3500 $3001-$3500
                                   0         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   0         4500.01-5000 $4501-$5000
                                   1                      Over $5000

                  Note: Applies only if D_PAYSP4 = 1

D_HMOPL4  196  2  YES1FMT            HI25               N Is Plan #4 an HMO

                              14,640                    . Inapplicable
                                   4                    1 Yes
                                  51                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL4 = 4

D_OBTNP4  198  2  MIPFMT                                N How did MIP get Plan #4

                              14,640                    . Inapplicable
                                   1                   -8 Don't know
                                  10                    1 Directly
                                   7                    2 Main insured person's current employer
                                  30                    3 Main insured person's prior employer
                                   3                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                   2                    7 Deceased spouse's employer
                                   2                    8 Deceased spouse's union
                                   0                    9 Fraternal/professional organization
                                   0                   91 Other

                  Note: Applies only if INTERVU = C and D_TYPPL4 = 4

D_COVIP4  200  2  YES1FMT            HIS29b             N Plan #4 covers some inpatient costs

                              14,640                    . Inapplicable
                                  14                    1 Yes
                                  41                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_COVMD4  202  2  YES1FMT            HIS29b             N Plan #4 covers some MD/lab visit costs

                              14,640                    . Inapplicable
                                  19                    1 Yes
                                  36                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_RX4     204  2  RXPLFMT                               N Type of drug coverage - Priv4

                              14,642                    . Inapplicable
                                   8                    1 Plan covers prescription drugs
                                  45                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS4    206  2  INSPLFMT                              N Type of insurance plan - Priv4

                              14,642                    . Inapplicable
                                   0                    0 Other government program
                                  19                    1 General insurance
                                  11                    2 Dental only
                                  15                    3 Vision only
                                   5                    4 LTC
                                   3                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL5  208  2  PLANFMT            HI17               N Type of plan - Plan #5

                              14,689                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                   6                    4 Private plan
                                   0                    5 Medicare HMO

                  Note: Applies only if D_PRIVAT is not equal to 0 and SP has more than 4 plans.

D_PHREL5  210  2  RELFMT                                N Policy holder relationship - Plan #5

                              14,689                    . Inapplicable
                                   0                   -5 Never ask again
                                   4                    1 Sample person
                                   2                    2 Spouse
                                   0                    3 Son
                                   0                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   0                    7 Father
                                   0                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   0                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   91 Other relative
                                   0                   92 Other non-relative

                  Note: Applies only if INTERVU = C and D_TYPPL5 = 4

D_COVNM5  212  2  COVGFMT                               N # of family members covered by Plan #5

                              14,689                    . Inapplicable
                                   6                      Number reported covered

                  Note: Applies only if INTERVU = C and D_TYPPL5 = 4

D_COVRX5  214  2  YES1FMT                               N Plan #5 covers prescribed medicines?

                              14,689                    . Inapplicable
                                   1                    1 Yes
                                   5                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL5 = 4

D_COVNH5  216  2  YES1FMT                               N Plan #5 covers stay in nursing home?

                              14,689                    . Inapplicable
                                   3                    1 Yes
                                   3                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL5 = 4

D_PAYSP5  218  2  YES1FMT                               N MIP pay any/all cost for Plan #5

                              14,689                    . Inapplicable
                                   5                    1 Yes
                                   1                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL5 = 4

D_ANAMT5  220  7  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              14,690                    . Inapplicable
                                   3                   -8 Don't know
                                   0                0-100 $100 or less
                                   1           100.01-500 $101-$500
                                   0          500.01-1000 $501-$1000
                                   0         1000.01-1500 $1001-$1500
                                   0         1500.01-2000 $1501-$2000
                                   0         2000.01-2500 $2001-$2500
                                   1         2500.01-3000 $2501-$3000
                                   0         3000.01-3500 $3001-$3500
                                   0         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   0         4500.01-5000 $4501-$5000

                  Note: Applies only if D_PAYSP5 = 1

D_HMOPL5  227  2  YES1FMT            HI25               N Is Plan #5 an HMO

                              14,689                    . Inapplicable
                                   1                    1 Yes
                                   5                    2 No

                  Note: Applies only if INTERVU = C and D_TYPPL5 = 4

D_OBTNP5  229  2  MIPFMT                                N How did MIP get Plan #5

                              14,689                    . Inapplicable
                                   1                    1 Directly
                                   0                    2 Main insured person's current employer
                                   5                    3 Main insured person's prior employer
                                   0                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                   0                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   0                    9 Fraternal/professional organization
                                   0                   91 Other

                  Note: Applies only if INTERVU = C and D_TYPPL5 = 4

D_COVIP5  231  2  YES1FMT            HIS29b             N Plan #5 covers some inpatient costs

                              14,689                    . Inapplicable
                                   1                    1 Yes
                                   5                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_COVMD5  233  2  YES1FMT            HIS29b             N Plan #5 covers some MD/lab visit costs

                              14,689                    . Inapplicable
                                   1                    1 Yes
                                   5                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_RX5     235  2  RXPLFMT                               N Type of drug coverage - Priv5

                              14,689                    . Inapplicable
                                   1                    1 Plan covers prescription drugs
                                   5                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS5    237  2  INSPLFMT                              N Type of insurance plan - Priv5

                              14,689                    . Inapplicable
                                   0                    0 Other government program
                                   1                    1 General insurance
                                   1                    2 Dental only
                                   2                    3 Vision only
                                   1                    4 LTC
                                   1                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

