RIC         1  2                                        C RECORD IDENTIFICATION CODE

VERSION     3  1                                        C VERSION NUMBER

BASEID      4  8  $BSIDFMT                              C UNIQUE SP IDENTIFICATION NUMBER

                              14,762             LOW-HIGH BASEID Count

INTERVU    12  1  $INTRFMT                              C Type of interview

                              13,879                    C Community
                                 883                    F Facility

D_MCARE    13  1  MEDCOVG                               N Medicare coverage

                                   0                    0 No entitlement
                                 559                    1 Part A only
                                  71                    2 Part B only
                              14,132                    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

                              10,359                    0 No entitlement
                                 547                    1 Survey data only
                                 419                    2 CMS administrative data only
                               3,437                    3 Both survey and administrative data

D_PRIVAT   15  1  PHIFMT                                N Private insurance coverage

                               7,686                    0 No entitlement
                               3,646                    1 Employer-sponsored insurance (ESI)
                               2,743                    2 Self-purchased
                                 360                    3 Both ESI and self-purchased
                                 327                    4 Unknown

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

D_PUBLIC   16  2  POLICIES           HI11               N Public health coverage

                              14,325                    0 None
                                 437                      One or more

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

D_MCAID    18  1  SOURCE                                N Medicaid eligibility

                              11,336                    0 No entitlement
                                 417                    1 Survey data only
                                 825                    2 CMS administrative data only
                               2,184                    3 Both survey and administrative data

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

PART_D     19  1  YES1FMT                               N Was SP enrolled in a Part D Plan?

                                 157                    . Inapplicable
                               2,586                    1 Yes
                              12,019                    2 No

MCAIDHMO   20  3  YES1FMT                               N Was SP enrolled in a Medicaid HMO?

                              12,161                    . Inapplicable
                                   1                   -9 Not ascertained
                                 187                   -8 Don't know
                                   2                   -7 Refused
                                 502                    1 Yes
                               1,909                    2 No

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

CHOICHMO   23  3  CHOICFMT                              N SP given choice to enroll in Mcaid HMO?

                              14,287                    . Inapplicable
                                   3                   -9 Not ascertained
                                 126                    1 SP had choice
                                 163                    2 SP had no choice
                                 183                    3 SP does not remember if he/she had choic

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

PUBRXCOV   26  3  YES1FMT                               N Does SPs public plan cover prescrib meds

                              14,329                    . Inapplicable
                                   9                   -8 Don't know
                                 387                    1 Yes
                                  37                    2 No

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

PU_INS     29  2  INSPLFMT                              N Type of insurance plan - Public

                              14,332                    . Inapplicable
                                   4                    0 Other government program
                                  56                    1 General insurance
                                   2                    2 Dental only
                                   0                    3 Vision only
                                   0                    4 LTC
                                 365                    5 Rx only
                                   0                    6 Dental/Vision
                                   1                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   2                    9 Military/Other

PU_RX      31  2  RXPLFMT                               N Type of drug coverage - Public

                              14,332                    . Inapplicable
                                 391                    1 Plan covers prescription drugs
                                   5                    2 Plan does not cover prescription drugs
                                  34                    3 Drug discount card

MTFCOVER   33  3  YES1FMT            HIT11              N SP rec'd svcs at military treatment fac.

                              12,493                    . Inapplicable
                                 525                    1 Yes
                               1,744                    2 No

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

D_DMEM     36  3  NUMCARDS           DM1, 2             N Number of active discount card membershi

                                 883                    . Inapplicable
                              13,329                    0 No discount card membership
                                 529                    1 One discount card membership
                                  19                    2 Two discount card memberships
                                   2                    3 Three discount card memberships

                  Note: First available in 2002

D_DMCOST   39  7  PREM_F             DM6                N annual cost of discount card

                                 883                    . Inapplicable
                              13,862                0-100 $100 or less
                                  15           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   46  2  $PLNFMT                               C Type of Medicare HMO

                              10,854                      No enrollment
                                  34                   01 Health care prepayment plan
                                 114                   02 Cost HMO
                                   0                   05 Old Risk HMO
                               3,708                   06 Risk HMO
                                   0                   12 Demo Risk HMO
                                  52                   16 Employer PDP
                                   0                   17 Pace Demo plan
                                   0                   18 HCPP

D_HMOCOV   48  2  COVFMT                                N SP covered by Medicare HMO at anytime?

                              10,778                    0 No enrollment
                               3,984                    1 Some enrollment

D_HMOCUR   50  2  CURFMT                                N Is SP currently covered by Mcare HMO?

                               3,984                    1 Currently enrolled
                              10,778                    2 Not currently enrolled

MHMORX     52  2  YES1FMT                               N Does Medicare HMO plan cover drugs?

                              10,778                    . Inapplicable
                                  29                   -8 Don't know
                                   1                   -7 Refused
                               3,506                    1 Yes
                                 448                    2 No

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

MHMODENT   54  2  YES1FMT                               N Does Medicare HMO plan cover dental?

                              10,779                    . Inapplicable
                                   6                   -9 Not ascertained
                                 276                   -8 Don't know
                               1,227                    1 Yes
                               2,474                    2 No

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

MHMOEYE    56  2  YES1FMT                               N Does Medicare HMO plan cover eye exams?

                              10,779                    . Inapplicable
                                   5                   -9 Not ascertained
                                 354                   -8 Don't know
                               2,168                    1 Yes
                               1,456                    2 No

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

MHMOPCAR   58  2  YES1FMT                               N Does Mcare HMO plan cover preventiv care

                              10,779                    . Inapplicable
                                   7                   -9 Not ascertained
                                 303                   -8 Don't know
                               3,433                    1 Yes
                                 240                    2 No

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

MHMONH     60  2  YES1FMT                               N Does Mcare HMO plan cover nursing home?

                              10,779                    . Inapplicable
                                   8                   -9 Not ascertained
                               1,596                   -8 Don't know
                                   1                   -7 Refused
                                 515                    1 Yes
                               1,863                    2 No

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

MHMOPAY    62  2  YES1FMT                               N Does SP pay additional for HMO coverage?

                              10,779                    . Inapplicable
                                   7                   -9 Not ascertained
                                 168                   -8 Don't know
                                   2                   -7 Refused
                               1,670                    1 Yes
                               2,136                    2 No

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

MHMOCOST   64  3  YES1FMT            HIMC12a            N Did anyone else pay portion of premium?

                              13,092                    . Inapplicable
                                   2                   -9 Not ascertained
                                  25                   -8 Don't know
                                 279                    1 Yes
                               1,364                    2 No

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

MHMOWHO    67  3  WHOFMT             HIMC12b            N Who else pays a portion of the premium?

                              14,483                    . Inapplicable
                                  16                    1 Main insured person's current employer
                                 147                    2 Main insured person's former employer
                                  11                    3 Main insured person's union
                                  11                    4 Spouse's current employer
                                  74                    5 Spouse's former employer
                                   1                    6 Professional/fraternal organization
                                  13                    7 Medicaid/medical assistance
                                   6                   91 Other

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

D_ANHMO    70  8  PREM_F                                N Annual amnt paid for Mcare HMO coverage?

                              14,164                    . Inapplicable
                                   6                0-100 $100 or less
                                 117           100.01-500 $101-$500
                                 138          500.01-1000 $501-$1000
                                 137         1000.01-1500 $1001-$1500
                                  88         1500.01-2000 $1501-$2000
                                  43         2000.01-2500 $2001-$2500
                                  25         2500.01-3000 $2501-$3000
                                  15         3000.01-3500 $3001-$3500
                                  11         3500.01-4000 $3501-$4000
                                   7         4000.01-4500 $4001-$4500
                                   2         4500.01-5000 $4501-$5000
                                   9                      Over $5000

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

TRICOVER   78  3  YES1FMT            HIT1               N Is SP covered by tricare?

                              14,161                    . Inapplicable
                                 601                    1 Yes
                                   0                    2 No

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

MTRIRX     81  2  YES1FMT            HIST3              N Does tricare plan cover drugs?

                              14,161                    . Inapplicable
                                   6                   -8 Don't know
                                 571                    1 Yes
                                  24                    2 No

                  Note: First available in 2003

TRIMEDS    83  2  MEMMEDFM           HIT4a              N Where Tricare members get medicine

                              14,342                    . Missing
                                   4                   -8 Don't know
                                 125                    1 Mail order pharmacy
                                  61                    2 Retail network pharmacy
                                 123                    3 Military treatment facility
                                 103                    4 Non-network retail pharmacy
                                   4                   91 Other

                  Note: First available in 2005

D_TYPPL1   85  2  PLANFMT            HI17               N Type of plan - Plan #1

                               7,686                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               7,076                    4 Private plan
                                   0                    5 Medicare HMO

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

D_PHREL1   87  2  RELFMT                                N Policy holder relationship - Plan #1

                               7,972                    . Inapplicable
                                   1                   -7 Refused
                                   0                   -5 Never ask again
                               5,602                    1 Sample person
                               1,136                    2 Spouse
                                   3                    3 Son
                                   3                    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
                                   3                   50 Partner/roommate
                                   2                   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_TYPPL1 = 4

D_COVNM1   89  2  COVGFMT                               N # of family members covered by Plan #1

                               7,972                    . Inapplicable
                                  25                   -8 Don't know
                               6,765                      Number reported covered

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

D_COVRX1   91  2  YES1FMT                               N Plan #1 covers prescribed medicines?

                               7,972                    . Inapplicable
                                 138                   -8 Don't know
                                   2                   -7 Refused
                               3,317                    1 Yes
                               3,333                    2 No

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

D_COVNH1   93  2  YES1FMT                               N Plan #1 covers stay in nursing home?

                               7,972                    . Inapplicable
                               1,238                   -8 Don't know
                                   2                   -7 Refused
                               1,098                    1 Yes
                               4,452                    2 No

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

D_PAYSP1   95  2  YES1FMT                               N MIP pay any/all cost for Plan #1

                               7,972                    . Inapplicable
                                 116                   -8 Don't know
                                   2                   -7 Refused
                               5,503                    1 Yes
                               1,169                    2 No

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

D_ANAMT1   97  7  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               9,259                    . Inapplicable
                                   7                   -9 Not ascertained
                               1,096                   -8 Don't know
                                  34                   -7 Refused
                                  69                0-100 $100 or less
                                 427           100.01-500 $101-$500
                                 371          500.01-1000 $501-$1000
                                 615         1000.01-1500 $1001-$1500
                                 768         1500.01-2000 $1501-$2000
                                 834         2000.01-2500 $2001-$2500
                                 478         2500.01-3000 $2501-$3000
                                 203         3000.01-3500 $3001-$3500
                                 193         3500.01-4000 $3501-$4000
                                 114         4000.01-4500 $4001-$4500
                                 111         4500.01-5000 $4501-$5000
                                 183                      Over $5000

                  Note: Applies only if D_PAYSP1 = 1

D_HMOPL1  104  2  YES1FMT            HI25               N Is Plan #1 an HMO

                               7,972                    . Inapplicable
                                 296                   -8 Don't know
                                   1                   -7 Refused
                               1,221                    1 Yes
                               5,272                    2 No

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

D_OBTNP1  106  2  MIPFMT                                N How did MIP get Plan #1

                               7,972                    . Inapplicable
                                  46                   -8 Don't know
                                   1                   -7 Refused
                               2,600                    1 Directly
                                 639                    2 Main insured person's current employer
                               2,676                    3 Main insured person's prior employer
                                 112                    4 Union
                                  29                    5 Family business
                                 231                    6 AARP
                                 385                    7 Deceased spouse's employer
                                  30                    8 Deceased spouse's union
                                  11                    9 Fraternal/professional organization
                                  30                   91 Other

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

D_COVIP1  108  2  YES1FMT            HIS29b             N Plan #1 covers some inpatient costs

                               7,972                    . Inapplicable
                                 118                   -8 Don't know
                                   2                   -7 Refused
                               5,823                    1 Yes
                                 847                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_COVMD1  110  2  YES1FMT            HIS29b             N Plan #1 covers some MD/lab visit costs

                               7,972                    . Inapplicable
                                  76                   -8 Don't know
                                   2                   -7 Refused
                               5,888                    1 Yes
                                 824                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_RX1     112  2  RXPLFMT                               N Type of drug coverage - Priv1

                               8,038                    . Inapplicable
                               2,755                    1 Plan covers prescription drugs
                               3,968                    2 Plan does not cover prescription drugs
                                   1                    3 Drug discount card

D_INS1    114  2  INSPLFMT                              N Type of insurance plan - Priv1

                               8,038                    . Inapplicable
                                   0                    0 Other government program
                               6,037                    1 General insurance
                                 444                    2 Dental only
                                  23                    3 Vision only
                                 118                    4 LTC
                                  61                    5 Rx only
                                  12                    6 Dental/Vision
                                  16                    7 Life insurance
                                  12                    8 Cancer/Dread disease
                                   1                    9 Military/Other

D_TYPPL2  116  2  PLANFMT            HI17               N Type of plan - Plan #2

                              13,220                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               1,542                    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  118  2  RELFMT                                N Policy holder relationship - Plan #2

                              13,254                    . Inapplicable
                                   1                   -7 Refused
                                   0                   -5 Never ask again
                               1,096                    1 Sample person
                                 400                    2 Spouse
                                   0                    3 Son
                                   0                    4 Daughter
                                   2                    5 Brother
                                   1                    6 Sister
                                   4                    7 Father
                                   4                    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_TYPPL2 = 4

D_COVNM2  120  2  COVGFMT                               N # of family members covered by Plan #2

                              13,254                    . Inapplicable
                                   7                   -8 Don't know
                               1,501                      Number reported covered

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

D_COVRX2  122  2  YES1FMT                               N Plan #2 covers prescribed medicines?

                              13,254                    . Inapplicable
                                  55                   -8 Don't know
                                 396                    1 Yes
                               1,057                    2 No

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

D_COVNH2  124  2  YES1FMT                               N Plan #2 covers stay in nursing home?

                              13,254                    . Inapplicable
                                   1                   -9 Not ascertained
                                  70                   -8 Don't know
                                 259                    1 Yes
                               1,178                    2 No

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

D_PAYSP2  126  2  YES1FMT                               N MIP pay any/all cost for Plan #2

                              13,254                    . Inapplicable
                                  37                   -8 Don't know
                               1,078                    1 Yes
                                 393                    2 No

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

D_ANAMT2  128  7  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                              13,684                    . Inapplicable
                                 317                   -8 Don't know
                                   3                   -7 Refused
                                  54                0-100 $100 or less
                                 272           100.01-500 $101-$500
                                 146          500.01-1000 $501-$1000
                                  90         1000.01-1500 $1001-$1500
                                  59         1500.01-2000 $1501-$2000
                                  44         2000.01-2500 $2001-$2500
                                  33         2500.01-3000 $2501-$3000
                                  12         3000.01-3500 $3001-$3500
                                  14         3500.01-4000 $3501-$4000
                                   7         4000.01-4500 $4001-$4500
                                  13         4500.01-5000 $4501-$5000
                                  14                      Over $5000

                  Note: Applies only if D_PAYSP2 = 1

D_HMOPL2  135  2  YES1FMT            HI25               N Is Plan #2 an HMO

                              13,254                    . Inapplicable
                                   1                   -9 Not ascertained
                                  47                   -8 Don't know
                                 170                    1 Yes
                               1,290                    2 No

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

D_OBTNP2  137  2  MIPFMT                                N How did MIP get Plan #2

                              13,254                    . Inapplicable
                                   9                   -8 Don't know
                                   1                   -7 Refused
                                 427                    1 Directly
                                 217                    2 Main insured person's current employer
                                 711                    3 Main insured person's prior employer
                                  34                    4 Union
                                   6                    5 Family business
                                  21                    6 AARP
                                  63                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   7                    9 Fraternal/professional organization
                                  12                   91 Other

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

D_COVIP2  139  2  YES1FMT            HIS29b             N Plan #2 covers some inpatient costs

                              13,254                    . Inapplicable
                                  53                   -8 Don't know
                                 300                    1 Yes
                               1,155                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_COVMD2  141  2  YES1FMT            HIS29b             N Plan #2 covers some MD/lab visit costs

                              13,254                    . Inapplicable
                                  33                   -8 Don't know
                                 395                    1 Yes
                               1,080                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_RX2     143  2  RXPLFMT                               N Type of drug coverage - Priv2

                              13,275                    . Inapplicable
                                 310                    1 Plan covers prescription drugs
                               1,174                    2 Plan does not cover prescription drugs
                                   3                    3 Drug discount card

D_INS2    145  2  INSPLFMT                              N Type of insurance plan - Priv2

                              13,275                    . Inapplicable
                                   1                    0 Other government program
                                 533                    1 General insurance
                                 573                    2 Dental only
                                  86                    3 Vision only
                                 132                    4 LTC
                                 147                    5 Rx only
                                   7                    6 Dental/Vision
                                   2                    7 Life insurance
                                   6                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL3  147  2  PLANFMT            HI17               N Type of plan - Plan #3

                              14,419                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                 343                    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  149  2  RELFMT                                N Policy holder relationship - Plan #3

                              14,424                    . Inapplicable
                                   0                   -5 Never ask again
                                 231                    1 Sample person
                                 103                    2 Spouse
                                   0                    3 Son
                                   2                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   0                    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
                                   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  151  2  COVGFMT                               N # of family members covered by Plan #3

                              14,424                    . Inapplicable
                                 338                      Number reported covered

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

D_COVRX3  153  2  YES1FMT                               N Plan #3 covers prescribed medicines?

                              14,424                    . Inapplicable
                                   1                   -9 Not ascertained
                                  14                   -8 Don't know
                                  75                    1 Yes
                                 248                    2 No

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

D_COVNH3  155  2  YES1FMT                               N Plan #3 covers stay in nursing home?

                              14,424                    . Inapplicable
                                   1                   -9 Not ascertained
                                  12                   -8 Don't know
                                  62                    1 Yes
                                 263                    2 No

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

D_PAYSP3  157  2  YES1FMT                               N MIP pay any/all cost for Plan #3

                              14,424                    . Inapplicable
                                   6                   -8 Don't know
                                 219                    1 Yes
                                 113                    2 No

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

D_ANAMT3  159  7  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                              14,543                    . Inapplicable
                                   1                   -9 Not ascertained
                                  80                   -8 Don't know
                                  26                0-100 $100 or less
                                  54           100.01-500 $101-$500
                                  21          500.01-1000 $501-$1000
                                  11         1000.01-1500 $1001-$1500
                                   8         1500.01-2000 $1501-$2000
                                   3         2000.01-2500 $2001-$2500
                                   5         2500.01-3000 $2501-$3000
                                   5         3000.01-3500 $3001-$3500
                                   5         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   0         4500.01-5000 $4501-$5000

                  Note: Applies only if D_PAYSP3 = 1

D_HMOPL3  166  2  YES1FMT            HI25               N Is Plan #3 an HMO

                              14,424                    . Inapplicable
                                  17                   -8 Don't know
                                  32                    1 Yes
                                 289                    2 No

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

D_OBTNP3  168  2  MIPFMT                                N How did MIP get Plan #3

                              14,424                    . Inapplicable
                                   1                   -8 Don't know
                                  74                    1 Directly
                                  46                    2 Main insured person's current employer
                                 187                    3 Main insured person's prior employer
                                  12                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                  16                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   1                    9 Fraternal/professional organization
                                   1                   91 Other

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

D_COVIP3  170  2  YES1FMT            HIS29b             N Plan #3 covers some inpatient costs

                              14,424                    . Inapplicable
                                   1                   -9 Not ascertained
                                  10                   -8 Don't know
                                  50                    1 Yes
                                 277                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_COVMD3  172  2  YES1FMT            HIS29b             N Plan #3 covers some MD/lab visit costs

                              14,424                    . Inapplicable
                                   1                   -9 Not ascertained
                                   9                   -8 Don't know
                                  89                    1 Yes
                                 239                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_RX3     174  2  RXPLFMT                               N Type of drug coverage - Priv3

                              14,436                    . Inapplicable
                                  56                    1 Plan covers prescription drugs
                                 270                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS3    176  2  INSPLFMT                              N Type of insurance plan - Priv3

                              14,436                    . Inapplicable
                                   0                    0 Other government program
                                  93                    1 General insurance
                                  76                    2 Dental only
                                  83                    3 Vision only
                                  37                    4 LTC
                                  31                    5 Rx only
                                   2                    6 Dental/Vision
                                   1                    7 Life insurance
                                   2                    8 Cancer/Dread disease
                                   1                    9 Military/Other

D_TYPPL4  178  2  PLANFMT            HI17               N Type of plan - Plan #4

                              14,719                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                  43                    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  180  2  RELFMT                                N Policy holder relationship - Plan #4

                              14,719                    . Inapplicable
                                   0                   -5 Never ask again
                                  27                    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  182  2  COVGFMT                               N # of family members covered by Plan #4

                              14,719                    . Inapplicable
                                  43                      Number reported covered

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

D_COVRX4  184  2  YES1FMT                               N Plan #4 covers prescribed medicines?

                              14,719                    . Inapplicable
                                   2                   -8 Don't know
                                   8                    1 Yes
                                  33                    2 No

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

D_COVNH4  186  2  YES1FMT                               N Plan #4 covers stay in nursing home?

                              14,719                    . Inapplicable
                                   2                   -8 Don't know
                                   6                    1 Yes
                                  35                    2 No

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

D_PAYSP4  188  2  YES1FMT                               N MIP pay any/all cost for Plan #4

                              14,719                    . Inapplicable
                                  29                    1 Yes
                                  14                    2 No

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

D_ANAMT4  190  7  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              14,733                    . Inapplicable
                                  14                   -8 Don't know
                                   1                0-100 $100 or less
                                   4           100.01-500 $101-$500
                                   4          500.01-1000 $501-$1000
                                   2         1000.01-1500 $1001-$1500
                                   3         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
                                   1         4500.01-5000 $4501-$5000

                  Note: Applies only if D_PAYSP4 = 1

D_HMOPL4  197  2  YES1FMT            HI25               N Is Plan #4 an HMO

                              14,719                    . Inapplicable
                                   6                    1 Yes
                                  37                    2 No

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

D_OBTNP4  199  2  MIPFMT                                N How did MIP get Plan #4

                              14,719                    . Inapplicable
                                   5                    1 Directly
                                   4                    2 Main insured person's current employer
                                  31                    3 Main insured person's prior employer
                                   2                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                   0                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   1                    9 Fraternal/professional organization
                                   0                   91 Other

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

D_COVIP4  201  2  YES1FMT            HIS29b             N Plan #4 covers some inpatient costs

                              14,719                    . Inapplicable
                                   1                   -8 Don't know
                                   8                    1 Yes
                                  34                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_COVMD4  203  2  YES1FMT            HIS29b             N Plan #4 covers some MD/lab visit costs

                              14,719                    . Inapplicable
                                   1                   -8 Don't know
                                  11                    1 Yes
                                  31                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_RX4     205  2  RXPLFMT                               N Type of drug coverage - Priv4

                              14,720                    . Inapplicable
                                   7                    1 Plan covers prescription drugs
                                  35                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS4    207  2  INSPLFMT                              N Type of insurance plan - Priv4

                              14,720                    . Inapplicable
                                   0                    0 Other government program
                                  17                    1 General insurance
                                  11                    2 Dental only
                                   7                    3 Vision only
                                   3                    4 LTC
                                   4                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL5  209  2  PLANFMT            HI17               N Type of plan - Plan #5

                              14,757                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                   5                    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  211  2  RELFMT                                N Policy holder relationship - Plan #5

                              14,757                    . Inapplicable
                                   0                   -5 Never ask again
                                   5                    1 Sample person
                                   0                    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  213  2  COVGFMT                               N # of family members covered by Plan #5

                              14,757                    . Inapplicable
                                   1                   -8 Don't know
                                   4                      Number reported covered

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

D_COVRX5  215  2  YES1FMT                               N Plan #5 covers prescribed medicines?

                              14,757                    . Inapplicable
                                   1                   -8 Don't know
                                   0                    1 Yes
                                   4                    2 No

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

D_COVNH5  217  2  YES1FMT                               N Plan #5 covers stay in nursing home?

                              14,757                    . Inapplicable
                                   1                   -8 Don't know
                                   3                    1 Yes
                                   1                    2 No

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

D_PAYSP5  219  2  YES1FMT                               N MIP pay any/all cost for Plan #5

                              14,757                    . Inapplicable
                                   4                    1 Yes
                                   1                    2 No

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

D_ANAMT5  221  7  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              14,758                    . Inapplicable
                                   2                   -8 Don't know
                                   0                0-100 $100 or less
                                   1           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

                  Note: Applies only if D_PAYSP5 = 1

D_HMOPL5  228  2  YES1FMT            HI25               N Is Plan #5 an HMO

                              14,757                    . Inapplicable
                                   2                    1 Yes
                                   3                    2 No

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

D_OBTNP5  230  2  MIPFMT                                N How did MIP get Plan #5

                              14,757                    . Inapplicable
                                   3                    1 Directly
                                   1                    2 Main insured person's current employer
                                   1                    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  232  2  YES1FMT            HIS29b             N Plan #5 covers some inpatient costs

                              14,757                    . Inapplicable
                                   1                   -8 Don't know
                                   0                    1 Yes
                                   4                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_COVMD5  234  2  YES1FMT            HIS29b             N Plan #5 covers some MD/lab visit costs

                              14,757                    . Inapplicable
                                   1                    1 Yes
                                   4                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_RX5     236  2  RXPLFMT                               N Type of drug coverage - Priv5

                              14,757                    . Inapplicable
                                   0                    1 Plan covers prescription drugs
                                   5                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS5    238  2  INSPLFMT                              N Type of insurance plan - Priv5

                              14,757                    . Inapplicable
                                   0                    0 Other government program
                                   4                    1 General insurance
                                   0                    2 Dental only
                                   1                    3 Vision only
                                   0                    4 LTC
                                   0                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

