RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Version Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              14,547             LOW-HIGH BASEID Count

INTERVU    12  1  $INTRFMT                              C Type of interview

                              13,651                    C Community
                                 896                    F Facility

D_MCARE    13  1  MEDCOVG                               N Medicare coverage

                                   3                    0 No entitlement
                                 534                    1 Part A only
                                  78                    2 Part B only
                              13,932                    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

                              10,862                    0 No entitlement
                                 721                    1 Survey data only
                                 421                    2 CMS administrative data only
                               2,543                    3 Both survey and administrative data

D_PRIVAT   15  1  PHIFMT                                N Private insurance coverage

                               6,970                    0 No entitlement
                               3,798                    1 Employer-sponsored insurance (ESI)
                               2,930                    2 Self-purchased
                                 511                    3 Both ESI and self-purchased
                                 338                    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

                              14,030                    0 None
                                 517                      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

                              11,150                    0 No entitlement
                                 521                    1 Survey data only
                                 513                    2 CMS administrative data only
                               2,363                    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?

                                 381                    . Inapplicable
                               2,533                    1 Yes
                              11,633                    2 No

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

                              11,637                    . Inapplicable
                                   1                   -9 Not ascertained
                                 149                   -8 Don't know
                                 513                    1 Yes
                               2,247                    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?

                              14,081                    . Inapplicable
                                   4                   -9 Not ascertained
                                 128                    1 SP had choice
                                 155                    2 SP had no choice
                                 179                    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

                              14,046                    . Inapplicable
                                   1                   -8 Don't know
                                 464                    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

                              14,051                    . Inapplicable
                                  15                    0 Other government program
                                  64                    1 General insurance
                                   2                    2 Dental only
                                   0                    3 Vision only
                                   0                    4 LTC
                                 412                    5 Rx only
                                   0                    6 Dental/Vision
                                   1                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   2                    9 Military/Other

PU_RX      30  2  RXPLFMT                               N Type of drug coverage - Public

                              14,051                    . Inapplicable
                                 453                    1 Plan covers prescription drugs
                                   6                    2 Plan does not cover prescription drugs
                                  37                    3 Drug discount card

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

                              11,874                    . Inapplicable
                                 640                    1 Yes
                               2,033                    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

                                 896                    . Inapplicable
                              13,297                    0 No discount card membership
                                 331                    1 One discount card membership
                                  21                    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

                                 896                    . Inapplicable
                              13,635                0-100 $100 or less
                                  15           100.01-500 $101-$500
                                   1          500.01-1000 $501-$1000
                                   0         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

                              11,545                      No enrollment
                                  17                   01 Health care prepayment plan
                                  70                   02 Cost HMO
                                   0                   05 Old Risk HMO
                               2,877                   06 Risk HMO
                                   0                   12 Demo Risk HMO
                                  38                   16 Employer PDP
                                   0                   17 Pace Demo plan
                                   0                   18 HCPP

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

                              11,283                    0 No enrollment
                               3,264                    1 Some enrollment

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

                               3,264                    1 Currently enrolled
                              11,283                    2 Not currently enrolled

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

                              11,283                    . Inapplicable
                                   3                   -9 Not ascertained
                                  29                   -8 Don't know
                               2,843                    1 Yes
                                 389                    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?

                              11,286                    . Inapplicable
                                   9                   -9 Not ascertained
                                 226                   -8 Don't know
                                 994                    1 Yes
                               2,032                    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?

                              11,286                    . Inapplicable
                                   9                   -9 Not ascertained
                                 253                   -8 Don't know
                               1,882                    1 Yes
                               1,117                    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

                              11,286                    . Inapplicable
                                  12                   -9 Not ascertained
                                 236                   -8 Don't know
                               2,814                    1 Yes
                                 199                    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?

                              11,286                    . Inapplicable
                                  10                   -9 Not ascertained
                               1,121                   -8 Don't know
                                   1                   -7 Refused
                                 415                    1 Yes
                               1,714                    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?

                              11,286                    . Inapplicable
                                   9                   -9 Not ascertained
                                 102                   -8 Don't know
                               1,372                    1 Yes
                               1,778                    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?

                              13,174                    . Inapplicable
                                   3                   -9 Not ascertained
                                  18                   -8 Don't know
                                   1                   -7 Refused
                                 212                    1 Yes
                               1,139                    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?

                              14,335                    . Inapplicable
                                   1                   -9 Not ascertained
                                  11                    1 Main insured person's current employer
                                 106                    2 Main insured person's former employer
                                   6                    3 Main insured person's union
                                  11                    4 Spouse's current employer
                                  64                    5 Spouse's former employer
                                   2                    6 Professional/fraternal organization
                                   4                    7 Medicaid/medical assistance
                                   7                   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?

                              13,335                    . Inapplicable
                                  18                0-100 $100 or less
                                 269           100.01-500 $101-$500
                                 347          500.01-1000 $501-$1000
                                 321         1000.01-1500 $1001-$1500
                                 106         1500.01-2000 $1501-$2000
                                  62         2000.01-2500 $2001-$2500
                                  38         2500.01-3000 $2501-$3000
                                  19         3000.01-3500 $3001-$3500
                                   9         3500.01-4000 $3501-$4000
                                   6         4000.01-4500 $4001-$4500
                                   4         4500.01-5000 $4501-$5000
                                  13                      Over $5000

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

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

                              13,935                    . Inapplicable
                                 612                    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?

                              13,935                    . Inapplicable
                                  11                   -8 Don't know
                                 569                    1 Yes
                                  32                    2 No

                  Note: First available in 2003

MTRIDENT   82  2  YES1FMT            HIST4              N Does tricare plan cover dental?

                              13,935                    . Inapplicable
                                  28                   -8 Don't know
                                  98                    1 Yes
                                 486                    2 No

                  Note: First available in 2003

MTRIEYE    84  2  YES1FMT            HIST5              N Does tricare plan cover eye exams?

                              13,935                    . Inapplicable
                                  50                   -8 Don't know
                                 141                    1 Yes
                                 421                    2 No

                  Note: First available in 2003

MTRIPCAR   86  2  YES1FMT            HIST6              N Does tricare plan cover preventiv care

                              13,935                    . Inapplicable
                                  71                   -8 Don't know
                                 434                    1 Yes
                                 107                    2 No

                  Note: First available in 2003

MTRINH     88  2  YES1FMT            HIST7              N Does tricare plan cover nursing home?

                              13,935                    . Inapplicable
                                 214                   -8 Don't know
                                   1                   -7 Refused
                                  63                    1 Yes
                                 334                    2 No

                  Note: First available in 2003

TRIMEDS    90  2  MEMMEDFM           HIT4a              N Where Tricare members get medicine

                              14,186                    . Missing
                                   1                   -8 Don't know
                                 101                    1 Mail order pharmacy
                                  65                    2 Retail network pharmacy
                                 117                    3 Military treatment facility
                                  73                    4 Non-network retail pharmacy
                                   4                   91 Other

                  Note: First available in 2005

D_TYPPL1   92  2  PLANFMT            HI17               N Type of plan - Plan #1

                               6,970                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               7,577                    4 Private plan
                                   0                    5 Medicare HMO

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

D_PHREL1   94  2  RELFMT                                N Policy holder relationship - Plan #1

                               7,246                    . Inapplicable
                                   0                   -5 Never ask again
                               6,071                    1 Sample person
                               1,180                    2 Spouse
                                   1                    3 Son
                                   5                    4 Daughter
                                   1                    5 Brother
                                   1                    6 Sister
                                  21                    7 Father
                                  16                    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
                                   2                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   2                   91 Other relative
                                   1                   92 Other non-relative

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

D_COVNM1   96  2  COVGFMT                               N # of family members covered by Plan #1

                               7,246                    . Inapplicable
                                   9                   -9 Not ascertained
                                  37                   -8 Don't know
                               7,255                      Number reported covered

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

D_COVRX1   98  2  YES1FMT                               N Plan #1 covers prescribed medicines?

                               7,246                    . Inapplicable
                                   3                   -9 Not ascertained
                                  99                   -8 Don't know
                                   1                   -7 Refused
                               3,662                    1 Yes
                               3,536                    2 No

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

D_COVNH1  100  2  YES1FMT                               N Plan #1 covers stay in nursing home?

                               7,246                    . Inapplicable
                                   7                   -9 Not ascertained
                               1,043                   -8 Don't know
                                   3                   -7 Refused
                               1,250                    1 Yes
                               4,998                    2 No

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

D_PAYSP1  102  2  YES1FMT                               N MIP pay any/all cost for Plan #1

                               7,246                    . Inapplicable
                                   7                   -9 Not ascertained
                                 192                   -8 Don't know
                                   5                   -7 Refused
                               5,604                    1 Yes
                               1,493                    2 No

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

D_ANAMT1  104  7  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               8,942                    . Inapplicable
                                   6                   -9 Not ascertained
                                 507                   -8 Don't know
                                  16                   -7 Refused
                                 135                0-100 $100 or less
                                 437           100.01-500 $101-$500
                                 441          500.01-1000 $501-$1000
                                 825         1000.01-1500 $1001-$1500
                               1,111         1500.01-2000 $1501-$2000
                                 903         2000.01-2500 $2001-$2500
                                 457         2500.01-3000 $2501-$3000
                                 199         3000.01-3500 $3001-$3500
                                 223         3500.01-4000 $3501-$4000
                                  89         4000.01-4500 $4001-$4500
                                  91         4500.01-5000 $4501-$5000
                                 165                      Over $5000

                  Note: Applies only if D_PAYSP1 = 1

D_HMOPL1  111  2  YES1FMT            HI25               N Is Plan #1 an HMO

                               7,246                    . Inapplicable
                                   1                   -9 Not ascertained
                                 266                   -8 Don't know
                                   1                   -7 Refused
                               1,087                    1 Yes
                               5,946                    2 No

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

D_OBTNP1  113  2  MIPFMT                                N How did MIP get Plan #1

                               7,246                    . Inapplicable
                                   7                   -9 Not ascertained
                                  63                   -8 Don't know
                                   1                   -7 Refused
                               2,804                    1 Directly
                                 625                    2 Main insured person's current employer
                               2,907                    3 Main insured person's prior employer
                                 108                    4 Union
                                  30                    5 Family business
                                 257                    6 AARP
                                 422                    7 Deceased spouse's employer
                                  21                    8 Deceased spouse's union
                                  22                    9 Fraternal/professional organization
                                  34                   91 Other

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

D_PLLTR1  117  2  $PLN1LTR                              C Medicare suppl./Medigap plan letter #1

                              11,456                      Inapplicable
                                 112                   -8 Don't know
                               1,174                   -9 Not ascertained
                                  26                    A Plan A
                                  60                    B Plan B
                                 132                    C Plan C
                                  61                    D Plan D
                                  14                    E Plan E
                                 426                    F Plan F
                                  39                    G Plan G
                                  12                    H Plan H
                                  18                    I Plan I
                                  76                    J Plan J
                                 926                   99 SP reports plan does not have a letter
                                  15                      Other plan

                 Notes: Applies only if INTERVU = C, D_TYPPL1 = 4, and D_OBTNP1 = 1, 5, or 6
                        First available in 2000

D_COVIP1  119  2  YES1FMT            HIS29b             N Plan #1 covers some inpatient costs

                               7,246                    . Inapplicable
                                   4                   -9 Not ascertained
                                  96                   -8 Don't know
                                   1                   -7 Refused
                               6,323                    1 Yes
                                 877                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_COVMD1  121  2  YES1FMT            HIS29b             N Plan #1 covers some MD/lab visit costs

                               7,246                    . Inapplicable
                                   4                   -9 Not ascertained
                                  64                   -8 Don't know
                               6,340                    1 Yes
                                 893                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_RX1     123  2  RXPLFMT                               N Type of drug coverage - Priv1

                               7,289                    . Inapplicable
                               2,911                    1 Plan covers prescription drugs
                               3,995                    2 Plan does not cover prescription drugs
                                 352                    3 Drug discount card

D_INS1    125  2  INSPLFMT                              N Type of insurance plan - Priv1

                               7,289                    . Inapplicable
                                   0                    0 Other government program
                               6,638                    1 General insurance
                                 342                    2 Dental only
                                  15                    3 Vision only
                                 163                    4 LTC
                                  68                    5 Rx only
                                   4                    6 Dental/Vision
                                  21                    7 Life insurance
                                   5                    8 Cancer/Dread disease
                                   2                    9 Military/Other

D_TYPPL2  127  2  PLANFMT            HI17               N Type of plan - Plan #2

                              12,692                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               1,855                    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  129  2  RELFMT                                N Policy holder relationship - Plan #2

                              12,730                    . Inapplicable
                                   0                   -5 Never ask again
                               1,401                    1 Sample person
                                 409                    2 Spouse
                                   0                    3 Son
                                   0                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   3                    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
                                   0                   50 Partner/roommate
                                   1                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   1                   91 Other relative
                                   0                   92 Other non-relative

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

D_COVNM2  131  2  COVGFMT                               N # of family members covered by Plan #2

                              12,730                    . Inapplicable
                                  11                   -8 Don't know
                               1,806                      Number reported covered

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

D_COVRX2  133  2  YES1FMT                               N Plan #2 covers prescribed medicines?

                              12,730                    . Inapplicable
                                  40                   -8 Don't know
                                 475                    1 Yes
                               1,302                    2 No

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

D_COVNH2  135  2  YES1FMT                               N Plan #2 covers stay in nursing home?

                              12,730                    . Inapplicable
                                  48                   -8 Don't know
                                 493                    1 Yes
                               1,276                    2 No

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

D_PAYSP2  137  2  YES1FMT                               N MIP pay any/all cost for Plan #2

                              12,730                    . Inapplicable
                                  62                   -8 Don't know
                                   3                   -7 Refused
                               1,166                    1 Yes
                                 586                    2 No

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

D_ANAMT2  139  7  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                              13,381                    . Inapplicable
                                   1                   -9 Not ascertained
                                 125                   -8 Don't know
                                   3                   -7 Refused
                                  80                0-100 $100 or less
                                 290           100.01-500 $101-$500
                                 165          500.01-1000 $501-$1000
                                 123         1000.01-1500 $1001-$1500
                                 125         1500.01-2000 $1501-$2000
                                  86         2000.01-2500 $2001-$2500
                                  50         2500.01-3000 $2501-$3000
                                  32         3000.01-3500 $3001-$3500
                                  35         3500.01-4000 $3501-$4000
                                  16         4000.01-4500 $4001-$4500
                                  11         4500.01-5000 $4501-$5000
                                  24                      Over $5000

                  Note: Applies only if D_PAYSP2 = 1

D_HMOPL2  146  2  YES1FMT            HI25               N Is Plan #2 an HMO

                              12,730                    . Inapplicable
                                  67                   -8 Don't know
                                 183                    1 Yes
                               1,567                    2 No

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

D_OBTNP2  148  2  MIPFMT                                N How did MIP get Plan #2

                              12,730                    . Inapplicable
                                  16                   -8 Don't know
                                 653                    1 Directly
                                 204                    2 Main insured person's current employer
                                 763                    3 Main insured person's prior employer
                                  32                    4 Union
                                   3                    5 Family business
                                  18                    6 AARP
                                 106                    7 Deceased spouse's employer
                                   4                    8 Deceased spouse's union
                                   6                    9 Fraternal/professional organization
                                  12                   91 Other

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

D_PLLTR2  152  2  $PLN2LTR                              C Medicare suppl./Medigap plan letter #2

                              13,873                      Missing
                                   6                   -8 Don't know
                                 254                   -9 Not ascertained
                                 384                   99 SP reports plan does not have a letter
                                  30                      Plan letter

                 Notes: Applies only if INTERVU = C, D_TYPPL2 = 4, and D_OBTNP2 = 1, 5, or 6
                        First available in 2000

D_COVIP2  154  2  YES1FMT            HIS29b             N Plan #2 covers some inpatient costs

                              12,730                    . Inapplicable
                                  34                   -8 Don't know
                                 397                    1 Yes
                               1,386                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_COVMD2  156  2  YES1FMT            HIS29b             N Plan #2 covers some MD/lab visit costs

                              12,730                    . Inapplicable
                                  22                   -8 Don't know
                                 409                    1 Yes
                               1,386                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_RX2     158  2  RXPLFMT                               N Type of drug coverage - Priv2

                              12,745                    . Inapplicable
                                 387                    1 Plan covers prescription drugs
                               1,395                    2 Plan does not cover prescription drugs
                                  20                    3 Drug discount card

D_INS2    160  2  INSPLFMT                              N Type of insurance plan - Priv2

                              12,745                    . Inapplicable
                                   0                    0 Other government program
                                 772                    1 General insurance
                                 500                    2 Dental only
                                  68                    3 Vision only
                                 236                    4 LTC
                                 204                    5 Rx only
                                   8                    6 Dental/Vision
                                   5                    7 Life insurance
                                   8                    8 Cancer/Dread disease
                                   1                    9 Military/Other

D_TYPPL3  162  2  PLANFMT            HI17               N Type of plan - Plan #3

                              14,069                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                 478                    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  164  2  RELFMT                                N Policy holder relationship - Plan #3

                              14,073                    . Inapplicable
                                   0                   -5 Never ask again
                                 322                    1 Sample person
                                 149                    2 Spouse
                                   0                    3 Son
                                   0                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   0                    7 Father
                                   1                    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_TYPPL3 = 4

D_COVNM3  166  2  COVGFMT                               N # of family members covered by Plan #3

                              14,073                    . Inapplicable
                                   4                   -8 Don't know
                                 470                      Number reported covered

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

D_COVRX3  168  2  YES1FMT                               N Plan #3 covers prescribed medicines?

                              14,073                    . Inapplicable
                                   8                   -8 Don't know
                                 111                    1 Yes
                                 355                    2 No

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

D_COVNH3  170  2  YES1FMT                               N Plan #3 covers stay in nursing home?

                              14,073                    . Inapplicable
                                   8                   -8 Don't know
                                  71                    1 Yes
                                 395                    2 No

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

D_PAYSP3  172  2  YES1FMT                               N MIP pay any/all cost for Plan #3

                              14,073                    . Inapplicable
                                   1                   -9 Not ascertained
                                  17                   -8 Don't know
                                 249                    1 Yes
                                 207                    2 No

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

D_ANAMT3  174  7  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                              14,298                    . Inapplicable
                                   1                   -9 Not ascertained
                                  35                   -8 Don't know
                                   1                   -7 Refused
                                  45                0-100 $100 or less
                                  76           100.01-500 $101-$500
                                  36          500.01-1000 $501-$1000
                                  12         1000.01-1500 $1001-$1500
                                  14         1500.01-2000 $1501-$2000
                                   7         2000.01-2500 $2001-$2500
                                   8         2500.01-3000 $2501-$3000
                                   2         3000.01-3500 $3001-$3500
                                   3         3500.01-4000 $3501-$4000
                                   1         4000.01-4500 $4001-$4500
                                   3         4500.01-5000 $4501-$5000
                                   5                      Over $5000

                  Note: Applies only if D_PAYSP3 = 1

D_HMOPL3  181  2  YES1FMT            HI25               N Is Plan #3 an HMO

                              14,073                    . Inapplicable
                                  19                   -8 Don't know
                                  57                    1 Yes
                                 398                    2 No

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

D_OBTNP3  183  2  MIPFMT                                N How did MIP get Plan #3

                              14,073                    . Inapplicable
                                   1                   -9 Not ascertained
                                   2                   -8 Don't know
                                  97                    1 Directly
                                  69                    2 Main insured person's current employer
                                 254                    3 Main insured person's prior employer
                                  18                    4 Union
                                   1                    5 Family business
                                   4                    6 AARP
                                  24                    7 Deceased spouse's employer
                                   1                    8 Deceased spouse's union
                                   3                    9 Fraternal/professional organization
                                   0                   91 Other

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

D_PLLTR3  187  2  $PLN2LTR                              C Medicare suppl./Medigap plan letter #3

                              14,445                      Missing
                                   1                   -8 Don't know
                                  30                   -9 Not ascertained
                                  64                   99 SP reports plan does not have a letter
                                   7                      Plan letter

                 Notes: Applies only if INTERVU = C, D_TYPPL3 = 4, and D_OBTNP3 = 1, 5, or 6
                        First available in 2000

D_COVIP3  189  2  YES1FMT            HIS29b             N Plan #3 covers some inpatient costs

                              14,073                    . Inapplicable
                                   9                   -8 Don't know
                                  65                    1 Yes
                                 400                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_COVMD3  191  2  YES1FMT            HIS29b             N Plan #3 covers some MD/lab visit costs

                              14,073                    . Inapplicable
                                   4                   -8 Don't know
                                  82                    1 Yes
                                 388                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_RX3     193  2  RXPLFMT                               N Type of drug coverage - Priv3

                              14,081                    . Inapplicable
                                  73                    1 Plan covers prescription drugs
                                 391                    2 Plan does not cover prescription drugs
                                   2                    3 Drug discount card

D_INS3    195  2  INSPLFMT                              N Type of insurance plan - Priv3

                              14,081                    . Inapplicable
                                   0                    0 Other government program
                                 135                    1 General insurance
                                 133                    2 Dental only
                                 109                    3 Vision only
                                  40                    4 LTC
                                  43                    5 Rx only
                                   0                    6 Dental/Vision
                                   2                    7 Life insurance
                                   4                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL4  197  2  PLANFMT            HI17               N Type of plan - Plan #4

                              14,471                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                  76                    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  199  2  RELFMT                                N Policy holder relationship - Plan #4

                              14,471                    . Inapplicable
                                   0                   -5 Never ask again
                                  55                    1 Sample person
                                  21                    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  201  2  COVGFMT                               N # of family members covered by Plan #4

                              14,471                    . Inapplicable
                                  76                      Number reported covered

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

D_COVRX4  203  2  YES1FMT                               N Plan #4 covers prescribed medicines?

                              14,471                    . Inapplicable
                                   2                   -8 Don't know
                                  10                    1 Yes
                                  64                    2 No

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

D_COVNH4  205  2  YES1FMT                               N Plan #4 covers stay in nursing home?

                              14,471                    . Inapplicable
                                   1                   -8 Don't know
                                  12                    1 Yes
                                  63                    2 No

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

D_PAYSP4  207  2  YES1FMT                               N MIP pay any/all cost for Plan #4

                              14,471                    . Inapplicable
                                   1                   -8 Don't know
                                  41                    1 Yes
                                  34                    2 No

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

D_ANAMT4  209  7  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              14,506                    . Inapplicable
                                   7                   -8 Don't know
                                   6                0-100 $100 or less
                                  14           100.01-500 $101-$500
                                   5          500.01-1000 $501-$1000
                                   2         1000.01-1500 $1001-$1500
                                   4         1500.01-2000 $1501-$2000
                                   1         2000.01-2500 $2001-$2500
                                   0         2500.01-3000 $2501-$3000
                                   0         3000.01-3500 $3001-$3500
                                   1         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   1         4500.01-5000 $4501-$5000

                  Note: Applies only if D_PAYSP4 = 1

D_HMOPL4  216  2  YES1FMT            HI25               N Is Plan #4 an HMO

                              14,471                    . Inapplicable
                                   4                   -8 Don't know
                                   6                    1 Yes
                                  66                    2 No

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

D_OBTNP4  218  2  MIPFMT                                N How did MIP get Plan #4

                              14,471                    . Inapplicable
                                  14                    1 Directly
                                  10                    2 Main insured person's current employer
                                  44                    3 Main insured person's prior employer
                                   4                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                   3                    7 Deceased spouse's employer
                                   1                    8 Deceased spouse's union
                                   0                    9 Fraternal/professional organization
                                   0                   91 Other

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

D_PLLTR4  222  2  $PLN2LTR                              C Medicare suppl./Medigap plan letter #4

                              14,533                      Missing
                                   2                   -9 Not ascertained
                                  10                   99 SP reports plan does not have a letter
                                   2                      Plan letter

                 Notes: Applies only if INTERVU = C, D_TYPPL4 = 4, and D_OBTNP4 = 1, 5, or 6
                        First available in 2000

D_COVIP4  224  2  YES1FMT            HIS29b             N Plan #4 covers some inpatient costs

                              14,471                    . Inapplicable
                                   1                   -8 Don't know
                                  11                    1 Yes
                                  64                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_COVMD4  226  2  YES1FMT            HIS29b             N Plan #4 covers some MD/lab visit costs

                              14,471                    . Inapplicable
                                   1                   -8 Don't know
                                  12                    1 Yes
                                  63                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_RX4     228  2  RXPLFMT                               N Type of drug coverage - Priv4

                              14,472                    . Inapplicable
                                   8                    1 Plan covers prescription drugs
                                  67                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS4    230  2  INSPLFMT                              N Type of insurance plan - Priv4

                              14,472                    . Inapplicable
                                   0                    0 Other government program
                                  18                    1 General insurance
                                  15                    2 Dental only
                                  30                    3 Vision only
                                   7                    4 LTC
                                   5                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL5  232  2  PLANFMT            HI17               N Type of plan - Plan #5

                              14,537                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                  10                    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  234  2  RELFMT                                N Policy holder relationship - Plan #5

                              14,537                    . Inapplicable
                                   0                   -5 Never ask again
                                   7                    1 Sample person
                                   3                    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  236  2  COVGFMT                               N # of family members covered by Plan #5

                              14,537                    . Inapplicable
                                  10                      Number reported covered

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

D_COVRX5  238  2  YES1FMT                               N Plan #5 covers prescribed medicines?

                              14,537                    . Inapplicable
                                   2                    1 Yes
                                   8                    2 No

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

D_COVNH5  240  2  YES1FMT                               N Plan #5 covers stay in nursing home?

                              14,537                    . Inapplicable
                                   3                    1 Yes
                                   7                    2 No

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

D_PAYSP5  242  2  YES1FMT                               N MIP pay any/all cost for Plan #5

                              14,537                    . Inapplicable
                                   5                    1 Yes
                                   5                    2 No

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

D_ANAMT5  244  7  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              14,542                    . Inapplicable
                                   1                   -8 Don't know
                                   0                0-100 $100 or less
                                   2           100.01-500 $101-$500
                                   0          500.01-1000 $501-$1000
                                   1         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  251  2  YES1FMT            HI25               N Is Plan #5 an HMO

                              14,537                    . Inapplicable
                                   1                    1 Yes
                                   9                    2 No

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

D_OBTNP5  253  2  MIPFMT                                N How did MIP get Plan #5

                              14,537                    . Inapplicable
                                   3                    1 Directly
                                   0                    2 Main insured person's current employer
                                   7                    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_PLLTR5  257  2  $PLN2LTR                              C Medicare suppl./Medigap plan letter #5

                              14,544                      Missing
                                   1                   -9 Not ascertained
                                   1                   99 SP reports plan does not have a letter
                                   1                      Plan letter

                 Notes: Applies only if INTERVU = C, D_TYPPL5 = 4, and D_OBTNP5 = 1, 5, or 6
                        First available in 2000

D_COVIP5  259  2  YES1FMT            HIS29b             N Plan #5 covers some inpatient costs

                              14,537                    . Inapplicable
                                   2                    1 Yes
                                   8                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_COVMD5  261  2  YES1FMT            HIS29b             N Plan #5 covers some MD/lab visit costs

                              14,537                    . Inapplicable
                                   2                    1 Yes
                                   8                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_RX5     263  2  RXPLFMT                               N Type of drug coverage - Priv5

                              14,538                    . Inapplicable
                                   2                    1 Plan covers prescription drugs
                                   7                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS5    265  2  INSPLFMT                              N Type of insurance plan - Priv5

                              14,538                    . Inapplicable
                                   0                    0 Other government program
                                   5                    1 General insurance
                                   0                    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

