RIC         1  1                                        C Record Identification Code

VERSION     3  1                                        C Version Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              10,741             LOW-HIGH BASEID Count

D_CARE1    12  1  $MEDCOVG                              C Medicare coverage - Jan

                                 343                    0 No entitlement
                                 431                    1 Part A only
                                  51                    2 Part B only
                               9,916                    3 Both A and B

D_CAID1    13  1  $SRC2FMT                              C Source of Medicaid coverage status - Jan

                               8,276                    0 No entitlement
                                 401                    1 Survey data only
                                 264                    2 CMS administrative data only
                               1,800                    3 Both survey and administrative data

D_PHI1     14  1  $PHIFMT                               C Private health insurance coverage - Jan

                               5,574                    0 No entitlement
                               2,856                    1 Employer-sponsored insurance (ESI)
                               1,817                    2 Self-purchased
                                 371                    3 Both ESI and self-purchased
                                 123                    4 Facility respondent, type unknown

D_HMO1     15  1  $HMOFMT                               C HMO coverage - Jan

                               6,876                    0 No coverage
                                 754                    1 Private coverage
                               2,967                    2 Medicare coverage
                                 144                    3 Both Medicare and private coverage

D_OTH1     16  1  $OTHFMT                               C Number of other plans - Jan

                              10,398                    0 No other plans
                                 325                    1 1 other plan
                                  18                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE2    17  1  $MEDCOVG                              C Medicare coverage - Feb

                                 380                    0 No entitlement
                                 430                    1 Part A only
                                  51                    2 Part B only
                               9,880                    3 Both A and B

D_CAID2    18  1  $SRC2FMT                              C Source of Medicaid coverage status - Feb

                               8,285                    0 No entitlement
                                 393                    1 Survey data only
                                 260                    2 CMS administrative data only
                               1,803                    3 Both survey and administrative data

D_PHI2     19  1  $PHIFMT                               C Private health insurance coverage - Feb

                               5,564                    0 No entitlement
                               2,848                    1 Employer-sponsored insurance (ESI)
                               1,818                    2 Self-purchased
                                 378                    3 Both ESI and self-purchased
                                 133                    4 Facility respondent, type unknown

D_HMO2     20  1  $HMOFMT                               C HMO coverage - Feb

                               6,894                    0 No coverage
                                 760                    1 Private coverage
                               2,936                    2 Medicare coverage
                                 151                    3 Both Medicare and private coverage

D_OTH2     21  1  $OTHFMT                               C Number of other plans - Feb

                              10,394                    0 No other plans
                                 335                    1 1 other plan
                                  12                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE3    22  1  $MEDCOVG                              C Medicare coverage - Mar

                                 394                    0 No entitlement
                                 433                    1 Part A only
                                  50                    2 Part B only
                               9,864                    3 Both A and B

D_CAID3    23  1  $SRC2FMT                              C Source of Medicaid coverage status - Mar

                               8,266                    0 No entitlement
                                 408                    1 Survey data only
                                 261                    2 CMS administrative data only
                               1,806                    3 Both survey and administrative data

D_PHI3     24  1  $PHIFMT                               C Private health insurance coverage - Mar

                               5,530                    0 No entitlement
                               2,850                    1 Employer-sponsored insurance (ESI)
                               1,824                    2 Self-purchased
                                 377                    3 Both ESI and self-purchased
                                 160                    4 Facility respondent, type unknown

D_HMO3     25  1  $HMOFMT                               C HMO coverage - Mar

                               6,894                    0 No coverage
                                 767                    1 Private coverage
                               2,929                    2 Medicare coverage
                                 151                    3 Both Medicare and private coverage

D_OTH3     26  1  $OTHFMT                               C Number of other plans - Mar

                              10,389                    0 No other plans
                                 336                    1 1 other plan
                                  15                    2 2 other plans
                                   1                    3 3 other plans
                                   0                    4 4 other plans

D_CARE4    27  1  $MEDCOVG                              C Medicare coverage - Apr

                                 418                    0 No entitlement
                                 430                    1 Part A only
                                  49                    2 Part B only
                               9,844                    3 Both A and B

D_CAID4    28  1  $SRC2FMT                              C Source of Medicaid coverage status - Apr

                               8,253                    0 No entitlement
                                 415                    1 Survey data only
                                 269                    2 CMS administrative data only
                               1,804                    3 Both survey and administrative data

D_PHI4     29  1  $PHIFMT                               C Private health insurance coverage - Apr

                               5,543                    0 No entitlement
                               2,841                    1 Employer-sponsored insurance (ESI)
                               1,813                    2 Self-purchased
                                 377                    3 Both ESI and self-purchased
                                 167                    4 Facility respondent, type unknown

D_HMO4     30  1  $HMOFMT                               C HMO coverage - Apr

                               6,901                    0 No coverage
                                 778                    1 Private coverage
                               2,916                    2 Medicare coverage
                                 146                    3 Both Medicare and private coverage

D_OTH4     31  1  $OTHFMT                               C Number of other plans - Apr

                              10,385                    0 No other plans
                                 343                    1 1 other plan
                                  13                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE5    32  1  $MEDCOVG                              C Medicare coverage - May

                                 439                    0 No entitlement
                                 423                    1 Part A only
                                  47                    2 Part B only
                               9,832                    3 Both A and B

D_CAID5    33  1  $SRC2FMT                              C Source of Medicaid coverage status - May

                               8,250                    0 No entitlement
                                 416                    1 Survey data only
                                 275                    2 CMS administrative data only
                               1,800                    3 Both survey and administrative data

D_PHI5     34  1  $PHIFMT                               C Private health insurance coverage - May

                               5,531                    0 No entitlement
                               2,845                    1 Employer-sponsored insurance (ESI)
                               1,810                    2 Self-purchased
                                 380                    3 Both ESI and self-purchased
                                 175                    4 Facility respondent, type unknown

D_HMO5     35  1  $HMOFMT                               C HMO coverage - May

                               6,922                    0 No coverage
                                 779                    1 Private coverage
                               2,892                    2 Medicare coverage
                                 148                    3 Both Medicare and private coverage

D_OTH5     36  1  $OTHFMT                               C Number of other plans - May

                              10,382                    0 No other plans
                                 344                    1 1 other plan
                                  14                    2 2 other plans
                                   1                    3 3 other plans
                                   0                    4 4 other plans

D_CARE6    37  1  $MEDCOVG                              C Medicare coverage - Jun

                                 446                    0 No entitlement
                                 430                    1 Part A only
                                  47                    2 Part B only
                               9,818                    3 Both A and B

D_CAID6    38  1  $SRC2FMT                              C Source of Medicaid coverage status - Jun

                               8,249                    0 No entitlement
                                 422                    1 Survey data only
                                 276                    2 CMS administrative data only
                               1,794                    3 Both survey and administrative data

D_PHI6     39  1  $PHIFMT                               C Private health insurance coverage - Jun

                               5,518                    0 No entitlement
                               2,841                    1 Employer-sponsored insurance (ESI)
                               1,812                    2 Self-purchased
                                 395                    3 Both ESI and self-purchased
                                 175                    4 Facility respondent, type unknown

D_HMO6     40  1  $HMOFMT                               C HMO coverage - Jun

                               6,918                    0 No coverage
                                 780                    1 Private coverage
                               2,883                    2 Medicare coverage
                                 160                    3 Both Medicare and private coverage

D_OTH6     41  1  $OTHFMT                               C Number of other plans - Jun

                              10,380                    0 No other plans
                                 342                    1 1 other plan
                                  19                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE7    42  1  $MEDCOVG                              C Medicare coverage - Jul

                                 447                    0 No entitlement
                                 408                    1 Part A only
                                  47                    2 Part B only
                               9,839                    3 Both A and B

D_CAID7    43  1  $SRC2FMT                              C Source of Medicaid coverage status - Jul

                               8,247                    0 No entitlement
                                 413                    1 Survey data only
                                 290                    2 CMS administrative data only
                               1,791                    3 Both survey and administrative data

D_PHI7     44  1  $PHIFMT                               C Private health insurance coverage - Jul

                               5,529                    0 No entitlement
                               2,826                    1 Employer-sponsored insurance (ESI)
                               1,811                    2 Self-purchased
                                 396                    3 Both ESI and self-purchased
                                 179                    4 Facility respondent, type unknown

D_HMO7     45  1  $HMOFMT                               C HMO coverage - Jul

                               6,926                    0 No coverage
                                 779                    1 Private coverage
                               2,875                    2 Medicare coverage
                                 161                    3 Both Medicare and private coverage

D_OTH7     46  1  $OTHFMT                               C Number of other plans - Jul

                              10,369                    0 No other plans
                                 364                    1 1 other plan
                                   8                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE8    47  1  $MEDCOVG                              C Medicare coverage - Aug

                                 458                    0 No entitlement
                                 414                    1 Part A only
                                  46                    2 Part B only
                               9,823                    3 Both A and B

D_CAID8    48  1  $SRC2FMT                              C Source of Medicaid coverage status - Aug

                               8,244                    0 No entitlement
                                 414                    1 Survey data only
                                 295                    2 CMS administrative data only
                               1,788                    3 Both survey and administrative data

D_PHI8     49  1  $PHIFMT                               C Private health insurance coverage - Aug

                               5,537                    0 No entitlement
                               2,820                    1 Employer-sponsored insurance (ESI)
                               1,807                    2 Self-purchased
                                 396                    3 Both ESI and self-purchased
                                 181                    4 Facility respondent, type unknown

D_HMO8     50  1  $HMOFMT                               C HMO coverage - Aug

                               6,928                    0 No coverage
                                 777                    1 Private coverage
                               2,879                    2 Medicare coverage
                                 157                    3 Both Medicare and private coverage

D_OTH8     51  1  $OTHFMT                               C Number of other plans - Aug

                              10,369                    0 No other plans
                                 362                    1 1 other plan
                                  10                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE9    52  1  $MEDCOVG                              C Medicare coverage - Sep

                                 470                    0 No entitlement
                                 417                    1 Part A only
                                  49                    2 Part B only
                               9,805                    3 Both A and B

D_CAID9    53  1  $SRC2FMT                              C Source of Medicaid coverage status - Sep

                               8,230                    0 No entitlement
                                 421                    1 Survey data only
                                 303                    2 CMS administrative data only
                               1,787                    3 Both survey and administrative data

D_PHI9     54  1  $PHIFMT                               C Private health insurance coverage - Sep

                               5,541                    0 No entitlement
                               2,812                    1 Employer-sponsored insurance (ESI)
                               1,809                    2 Self-purchased
                                 396                    3 Both ESI and self-purchased
                                 183                    4 Facility respondent, type unknown

D_HMO9     55  1  $HMOFMT                               C HMO coverage - Sep

                               6,928                    0 No coverage
                                 773                    1 Private coverage
                               2,882                    2 Medicare coverage
                                 158                    3 Both Medicare and private coverage

D_OTH9     56  1  $OTHFMT                               C Number of other plans - Sep

                              10,366                    0 No other plans
                                 365                    1 1 other plan
                                  10                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE10   57  1  $MEDCOVG                              C Medicare coverage - Oct

                                 483                    0 No entitlement
                                 419                    1 Part A only
                                  50                    2 Part B only
                               9,789                    3 Both A and B

D_CAID10   58  1  $SRC2FMT                              C Source of Medicaid coverage status - Oct

                               8,239                    0 No entitlement
                                 408                    1 Survey data only
                                 312                    2 CMS administrative data only
                               1,782                    3 Both survey and administrative data

D_PHI10    59  1  $PHIFMT                               C Private health insurance coverage - Oct

                               5,555                    0 No entitlement
                               2,802                    1 Employer-sponsored insurance (ESI)
                               1,797                    2 Self-purchased
                                 404                    3 Both ESI and self-purchased
                                 183                    4 Facility respondent, type unknown

D_HMO10    60  1  $HMOFMT                               C HMO coverage - Oct

                               6,902                    0 No coverage
                                 767                    1 Private coverage
                               2,906                    2 Medicare coverage
                                 166                    3 Both Medicare and private coverage

D_OTH10    61  1  $OTHFMT                               C Number of other plans - Oct

                              10,364                    0 No other plans
                                 366                    1 1 other plan
                                  11                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE11   62  1  $MEDCOVG                              C Medicare coverage - Nov

                                 505                    0 No entitlement
                                 423                    1 Part A only
                                  51                    2 Part B only
                               9,762                    3 Both A and B

D_CAID11   63  1  $SRC2FMT                              C Source of Medicaid coverage status - Nov

                               8,243                    0 No entitlement
                                 416                    1 Survey data only
                                 330                    2 CMS administrative data only
                               1,752                    3 Both survey and administrative data

D_PHI11    64  1  $PHIFMT                               C Private health insurance coverage - Nov

                               5,610                    0 No entitlement
                               2,794                    1 Employer-sponsored insurance (ESI)
                               1,777                    2 Self-purchased
                                 392                    3 Both ESI and self-purchased
                                 168                    4 Facility respondent, type unknown

D_HMO11    65  1  $HMOFMT                               C HMO coverage - Nov

                               6,911                    0 No coverage
                                 757                    1 Private coverage
                               2,899                    2 Medicare coverage
                                 174                    3 Both Medicare and private coverage

D_OTH11    66  1  $OTHFMT                               C Number of other plans - Nov

                              10,371                    0 No other plans
                                 362                    1 1 other plan
                                   8                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE12   67  1  $MEDCOVG                              C Medicare coverage - Dec

                                 524                    0 No entitlement
                                 424                    1 Part A only
                                  50                    2 Part B only
                               9,743                    3 Both A and B

D_CAID12   68  1  $SRC2FMT                              C Source of Medicaid coverage status - Dec

                               8,264                    0 No entitlement
                                 421                    1 Survey data only
                                 340                    2 CMS administrative data only
                               1,716                    3 Both survey and administrative data

D_PHI12    69  1  $PHIFMT                               C Private health insurance coverage - Dec

                               5,680                    0 No entitlement
                               2,787                    1 Employer-sponsored insurance (ESI)
                               1,749                    2 Self-purchased
                                 390                    3 Both ESI and self-purchased
                                 135                    4 Facility respondent, type unknown

D_HMO12    70  1  $HMOFMT                               C HMO coverage - Dec

                               6,916                    0 No coverage
                                 755                    1 Private coverage
                               2,900                    2 Medicare coverage
                                 170                    3 Both Medicare and private coverage

D_OTH12    71  1  $OTHFMT                               C Number of other plans - Dec

                              10,376                    0 No other plans
                                 358                    1 1 other plan
                                   7                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE     72  1  $MEDCOVG                              C Annual Medicare coverage

                                   0                    0 No entitlement
                                 422                    1 Part A only
                                  51                    2 Part B only
                              10,268                    3 Both A and B

D_CAID     73  1  $SRC2FMT                              C Source of annual Medicaid coverage

                               7,998                    0 No entitlement
                                 469                    1 Survey data only
                                 296                    2 CMS administrative data only
                               1,978                    3 Both survey and administrative data

D_PHI      74  1  $PHIAFMT                              C Annual private health insurance coverage

                               5,176                    0 No entitlement
                               2,936                    1 Employer-sponsored insurance (ESI)
                               1,906                    2 Self-purchased
                                 467                    3 Both ESI and self-purchased
                                 168                    4 Facility respondent, type unknown
                                  52                    5 Both ESI and unknown (facil)
                                  32                    6 Both self-purchased and unknown (facil)
                                   4                    7 ESI, self-purchased and unknown (facil)

D_HMO      75  1  $HMOFMT                               C HMO coverage for the year

                               6,488                    0 No coverage
                                 803                    1 Private coverage
                               3,218                    2 Medicare coverage
                                 232                    3 Both Medicare and private coverage

D_OTH      76  1  $OTHFMT                               C Number of other plans for the year

                              10,305                    0 No other plans
                                 370                    1 1 other plan
                                  64                    2 2 other plans
                                   2                    3 3 other plans
                                   0                    4 4 other plans

TOT_PREM   77  8  PREM_F                                N Total health insurance premiums

                               5,120                0-100 $100 or less
                                 967           100.01-500 $101-$500
                                 856          500.01-1000 $501-$1000
                                 797         1000.01-1500 $1001-$1500
                                 976         1500.01-2000 $1501-$2000
                                 871         2000.01-2500 $2001-$2500
                                 448         2500.01-3000 $2501-$3000
                                 252         3000.01-3500 $3001-$3500
                                 164         3500.01-4000 $3501-$4000
                                  91         4000.01-4500 $4001-$4500
                                  58         4500.01-5000 $4501-$5000
                                 141        5000.01-99999 Over $5000

                  Note: See Notes for derivation

DRUGCAID   85  2  YES1FMT                               N Medicaid prescription drug coverage

                               9,853                    . Inapplicable
                                  20                   -9 Not ascertained
                                  92                   -8 Don't know
                                 630                    1 Yes
                                 146                    2 No

                 Notes: Applies only if D_CAID is greater than zero.
                        First available in 1999

DRUGOTH    87  2  YES1FMT                               N Other public plan pres drug cov

                              10,331                    . Inapplicable
                                  11                   -8 Don't know
                                 357                    1 Yes
                                  42                    2 No

                 Notes: Applies only if D_OTH is greater than zero.
                        First available in 1999

D_RXOTH    89  2  RXPLFMT                               N Other public plan pres drug cov - imp

                              10,329                    . Inapplicable
                                 364                    1 Plan covers prescription drugs
                                   8                    2 Plan does not cover prescription drugs
                                  40                    3 Drug discount card

                 Notes: Applies only if D_OTH is greater than zero.
                        First available in 2001

D_INSOTH   91  2  INSPLFMT                              N Other public plan insurance cov

                              10,329                    . Inapplicable
                                   7                    0 Other government program
                                  92                    1 General insurance
                                   2                    2 Dental only
                                   0                    3 Vision only
                                   0                    4 LTC
                                 308                    5 Rx only
                                   0                    6 Dental/Vision
                                   1                    7 Life insurance
                                   0                    8 Cancer/dread disease
                                   2                    9 Military/Other

                 Notes: Applies only if D_OTH is greater than zero.
                        First available in 2001

D_TYPPL1   93  2  PLANFMT            HI17               N Type of plan - Plan #1

                               2,452                    . Inapplicable
                               2,445                    1 Employer-sponsored insurance (ESI)
                               1,814                    2 Self-purchased
                                 160                    3 Private unknown
                                 819                    4 Private HMO
                               3,051                    5 Medicare HMO

                  Note: Applies only if D_PHI is not equal to zero or D_HMO is not equal to zero

D_BEGPL1   95  8  DTE8FMT                               N Date coverage began - plan #1

                               2,452                    . Inapplicable
                               8,289                      Date as YYYYMMDD

D_ENDPL1  103  8  DTE8FMT                               N Date coverage ended - plan #1

                               2,452                    . Inapplicable
                               8,289                      Date as YYYYMMDD

D_PHREL1  111  2  RELFMT                                N Policy holder relationship - Plan #1

                               2,613                    . Inapplicable
                                   2                   -7 Refused
                                   0                   -5 Never ask again
                               7,133                    1 Sample person
                                 950                    2 Spouse
                                   3                    3 Son
                                   3                    4 Daughter
                                   1                    5 Brother
                                   1                    6 Sister
                                  18                    7 Father
                                  12                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   2                   50 Partner/roommate
                                   2                   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

D_COVNM1  113  2  COVGFMT                               N # of family members covered by Plan #1

                               2,612                    . Inapplicable
                                  13                   -8 Don't know
                               8,116                      Number reported covered

D_COVRX1  115  2  YES1FMT                               N Does Plan #1 cover prescribed medicines?

                               2,848                    . Inapplicable
                               5,467                    1 Yes
                               2,426                    2 No

D_COVNH1  117  2  YES1FMT                               N Does Plan #1 cover stay in nursing home?

                               2,848                    . Inapplicable
                                  10                   -9 Not ascertained
                               2,079                   -8 Don't know
                                   4                   -7 Refused
                               1,083                    1 Yes
                               4,717                    2 No

D_PAYSP1  119  2  PAYSPFMT                              N MIP pay any/all cost for Plan #1

                               2,848                    . Inapplicable
                                  10                   -9 Not ascertained
                                 370                   -8 Don't know
                                   1                   -7 Refused
                               3,971                    1 Yes
                               2,595                    2 No
                                 946                    3 Yes, but don't know how much

D_ANAMT1  121  8  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               4,175                    . Inapplicable
                               2,763                0-100 $100 or less
                                 780           100.01-500 $101-$500
                                 645          500.01-1000 $501-$1000
                                 645         1000.01-1500 $1001-$1500
                                 527         1500.01-2000 $1501-$2000
                                 478         2000.01-2500 $2001-$2500
                                 272         2500.01-3000 $2501-$3000
                                 132         3000.01-3500 $3001-$3500
                                  94         3500.01-4000 $3501-$4000
                                  55         4000.01-4500 $4001-$4500
                                  59         4500.01-5000 $4501-$5000
                                 116        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP1 = 1

D_HMOPL1  129  2  YES1FMT            HI25               N Is Plan #1 an HMO

                               5,674                    . Inapplicable
                                   7                   -9 Not ascertained
                                 164                   -8 Don't know
                                   1                   -7 Refused
                                 826                    1 Yes
                               4,069                    2 No

D_PLNUM1  131  5                                        C Medicare HMO code or other plan code #1

D_OBTNP1  136  2  MIPFMT                                N How did MIP get Plan #1

                               5,663                    . Inapplicable
                                 200                   -8 Don't know
                                   1                   -7 Refused
                               1,754                    1 Directly
                                 498                    2 Main insured person's current employer
                               2,079                    3 Main insured person's prior employer
                                  58                    4 Union
                                  20                    5 Family business
                                 141                    6 AARP
                                 282                    7 Deceased spouse's employer
                                  15                    8 Deceased spouse's union
                                   6                    9 Fraternal/professional organization
                                  24                   91 Other

D_TRI1    138  2  YES1FMT                               N Is Plan #1 TRICARE?

                               8,296                    . Inapplicable
                                 409                    1 Yes
                               2,036                    2 No

D_INS1    140  2  INSPLFMT                              N Insurance coverage Plan #1

                               5,668                    . Inapplicable
                                   0                    0 Other government program
                               4,897                    1 General insurance
                                  79                    2 Dental only
                                   9                    3 Vision only
                                  32                    4 LTC
                                  32                    5 Rx only
                                   6                    6 Dental/Vision
                                  13                    7 Life insurance
                                   5                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPL1 = 1 or 2
                        First available in 2001

D_RX1     142  2  RXPLFMT                               N Drug coverage Plan #1

                               5,668                    . Inapplicable
                               2,284                    1 Plan covers prescription drugs
                               2,789                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

                 Notes: Applies only if D_TYPL1 = 1 or 2
                        First available in 2001

D_TYPPL2  144  2  PLANFMT            HI17               N Type of plan - Plan #2

                               4,857                    . Inapplicable
                               1,966                    1 Employer-sponsored insurance (ESI)
                               1,107                    2 Self-purchased
                                  60                    3 Private unknown
                                 357                    4 Private HMO
                               2,394                    5 Medicare HMO

                  Note: Applies only if D_PHI is not equal to zero or D_HMO is not equal to zero

D_BEGPL2  146  8  DTE8FMT                               N Date coverage began - plan #2

                               4,857                    . Inapplicable
                               5,884                      Date as YYYYMMDD

D_ENDPL2  154  8  DTE8FMT                               N Date coverage ended - plan #2

                               4,857                    . Inapplicable
                               5,884                      Date as YYYYMMDD

D_PHREL2  162  2  RELFMT                                N Policy holder relationship - Plan #2

                               4,917                    . Inapplicable
                                   2                   -7 Refused
                                   0                   -5 Never ask again
                               5,300                    1 Sample person
                                 500                    2 Spouse
                                   3                    3 Son
                                   3                    4 Daughter
                                   1                    5 Brother
                                   1                    6 Sister
                                  10                    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
                                   2                   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

D_COVNM2  164  2  COVGFMT                               N # of family members covered by Plan #2

                               4,917                    . Inapplicable
                                  14                   -8 Don't know
                               5,810                      Number reported covered

D_COVRX2  166  2  YES1FMT                               N Does Plan #2 cover prescribed medicines?

                               6,502                    . Inapplicable
                               2,210                    1 Yes
                               2,029                    2 No

D_COVNH2  168  2  YES1FMT                               N Does Plan #2 cover stay in nursing home?

                               6,502                    . Inapplicable
                                   2                   -9 Not ascertained
                               1,362                   -8 Don't know
                                   2                   -7 Refused
                                 604                    1 Yes
                               2,269                    2 No

D_PAYSP2  170  2  PAYSPFMT                              N MIP pay any/all cost for Plan #2

                               6,502                    . Inapplicable
                                   3                   -9 Not ascertained
                                 855                   -8 Don't know
                                   1                   -7 Refused
                               1,873                    1 Yes
                                 970                    2 No
                                 537                    3 Yes, but don't know how much

D_ANAMT2  172  8  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                               7,898                    . Inapplicable
                               1,145                0-100 $100 or less
                                 565           100.01-500 $101-$500
                                 387          500.01-1000 $501-$1000
                                 257         1000.01-1500 $1001-$1500
                                 189         1500.01-2000 $1501-$2000
                                 123         2000.01-2500 $2001-$2500
                                  74         2500.01-3000 $2501-$3000
                                  26         3000.01-3500 $3001-$3500
                                  30         3500.01-4000 $3501-$4000
                                  15         4000.01-4500 $4001-$4500
                                  12         4500.01-5000 $4501-$5000
                                  19        5000.01-99999 Over $5000
                                   1                0-100          119600

                  Note: Applies only if D_PAYSP2 = 1

D_HMOPL2  180  2  YES1FMT            HI25               N Is Plan #2 an HMO

                               7,338                    . Inapplicable
                                   3                   -9 Not ascertained
                                 115                   -8 Don't know
                                 335                    1 Yes
                               2,950                    2 No

D_PLNUM2  182  5                                        C Medicare HMO code or other plan code #2

D_OBTNP2  187  2  MIPFMT                                N How did MIP get Plan #2

                               7,311                    . Inapplicable
                                 769                   -8 Don't know
                                   1                   -7 Refused
                               1,093                    1 Directly
                                 292                    2 Main insured person's current employer
                               1,024                    3 Main insured person's prior employer
                                  35                    4 Union
                                   8                    5 Family business
                                  66                    6 AARP
                                 111                    7 Deceased spouse's employer
                                   6                    8 Deceased spouse's union
                                   6                    9 Fraternal/professional organization
                                  19                   91 Other

D_TRI2    189  2  YES1FMT                               N Is Plan #2 TRICARE?

                               8,775                    . Inapplicable
                                  15                    1 Yes
                               1,951                    2 No

D_INS2    191  2  INSPLFMT                              N Insurance coverage Plan #2

                               7,318                    . Inapplicable
                                   0                    0 Other government program
                               2,491                    1 General insurance
                                 640                    2 Dental only
                                  42                    3 Vision only
                                 155                    4 LTC
                                  80                    5 Rx only
                                   4                    6 Dental/Vision
                                   5                    7 Life insurance
                                   6                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPL2 = 1 or 2
                        First available in 2001

D_RX2     193  2  RXPLFMT                               N Drug coverage Plan #2

                               7,318                    . Inapplicable
                               1,123                    1 Plan covers prescription drugs
                               2,299                    2 Plan does not cover prescription drugs
                                   1                    3 Drug discount card

                 Notes: Applies only if D_TYPL2 = 1 or 2
                        First available in 2001

D_TYPPL3  195  2  PLANFMT            HI17               N Type of plan - Plan #3

                               8,182                    . Inapplicable
                               1,036                    1 Employer-sponsored insurance (ESI)
                                 367                    2 Self-purchased
                                  32                    3 Private unknown
                                 147                    4 Private HMO
                                 977                    5 Medicare HMO

                  Note: Applies only if D_PHI is not equal to zero or D_HMO is not equal to zero

D_BEGPL3  197  8  DTE8FMT                               N Date coverage began - plan #3

                               8,182                    . Inapplicable
                               2,559                      Date as YYYYMMDD

D_ENDPL3  205  8  DTE8FMT                               N Date coverage ended - plan #3

                               8,182                    . Inapplicable
                               2,559                      Date as YYYYMMDD

D_PHREL3  213  2  RELFMT                                N Policy holder relationship - Plan #3

                               8,214                    . Inapplicable
                                   2                   -7 Refused
                                   0                   -5 Never ask again
                               2,258                    1 Sample person
                                 259                    2 Spouse
                                   0                    3 Son
                                   2                    4 Daughter
                                   1                    5 Brother
                                   1                    6 Sister
                                   2                    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
                                   0                   92 Other non-relative

D_COVNM3  215  2  COVGFMT                               N # of family members covered by Plan #3

                               8,214                    . Inapplicable
                                  13                   -8 Don't know
                               2,514                      Number reported covered

D_COVRX3  217  2  YES1FMT                               N Does Plan #3 cover prescribed medicines?

                               8,988                    . Inapplicable
                                 959                    1 Yes
                                 794                    2 No

D_COVNH3  219  2  YES1FMT                               N Does Plan #3 cover stay in nursing home?

                               8,988                    . Inapplicable
                                   1                   -9 Not ascertained
                                 611                   -8 Don't know
                                 230                    1 Yes
                                 911                    2 No

D_PAYSP3  221  2  PAYSPFMT                              N MIP pay any/all cost for Plan #3

                               8,988                    . Inapplicable
                                 493                   -8 Don't know
                                 620                    1 Yes
                                 408                    2 No
                                 232                    3 Yes, but don't know how much

D_ANAMT3  223  8  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                               9,713                    . Inapplicable
                                 508                0-100 $100 or less
                                 228           100.01-500 $101-$500
                                 121          500.01-1000 $501-$1000
                                  64         1000.01-1500 $1001-$1500
                                  48         1500.01-2000 $1501-$2000
                                  18         2000.01-2500 $2001-$2500
                                  13         2500.01-3000 $2501-$3000
                                   7         3000.01-3500 $3001-$3500
                                   9         3500.01-4000 $3501-$4000
                                   3         4000.01-4500 $4001-$4500
                                   2         4500.01-5000 $4501-$5000
                                   7        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP3 = 1

D_HMOPL3  231  2  YES1FMT            HI25               N Is Plan #3 an HMO

                               9,215                    . Inapplicable
                                  46                   -8 Don't know
                                 127                    1 Yes
                               1,353                    2 No

D_PLNUM3  233  5                                        C Medicare HMO code or other plan code #3

D_OBTNP3  238  2  MIPFMT                                N How did MIP get Plan #3

                               9,191                    . Inapplicable
                                 466                   -8 Don't know
                                   1                   -7 Refused
                                 378                    1 Directly
                                 129                    2 Main insured person's current employer
                                 489                    3 Main insured person's prior employer
                                  20                    4 Union
                                   3                    5 Family business
                                   7                    6 AARP
                                  48                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   3                    9 Fraternal/professional organization
                                   6                   91 Other

D_TRI3    240  2  YES1FMT                               N Is Plan #3 TRICARE?

                               9,705                    . Inapplicable
                                   8                    1 Yes
                               1,028                    2 No

D_INS3    242  2  INSPLFMT                              N Insurance coverage Plan #3

                               9,196                    . Inapplicable
                                   0                    0 Other government program
                                 938                    1 General insurance
                                 342                    2 Dental only
                                  75                    3 Vision only
                                 102                    4 LTC
                                  80                    5 Rx only
                                   5                    6 Dental/Vision
                                   0                    7 Life insurance
                                   2                    8 Cancer/dread disease
                                   1                    9 Military/Other

                 Notes: Applies only if D_TYPL3 = 1 or 2
                        First available in 2001

D_RX3     244  2  RXPLFMT                               N Drug coverage Plan #3

                               9,196                    . Inapplicable
                                 670                    1 Plan covers prescription drugs
                                 873                    2 Plan does not cover prescription drugs
                                   2                    3 Drug discount card

                 Notes: Applies only if D_TYPL3 = 1 or 2
                        First available in 2001

D_TYPPL4  246  2  PLANFMT            HI17               N Type of plan - Plan #4

                               9,692                    . Inapplicable
                                 535                    1 Employer-sponsored insurance (ESI)
                                  98                    2 Self-purchased
                                  11                    3 Private unknown
                                  55                    4 Private HMO
                                 350                    5 Medicare HMO

                  Note: Applies only if D_PHI is not equal to zero or D_HMO is not equal to zero

D_BEGPL4  248  8  DTE8FMT                               N Date coverage began - plan #4

                               9,692                    . Inapplicable
                               1,049                      Date as YYYYMMDD

D_ENDPL4  256  8  DTE8FMT                               N Date coverage ended - plan #4

                               9,692                    . Inapplicable
                               1,049                      Date as YYYYMMDD

D_PHREL4  264  2  RELFMT                                N Policy holder relationship - Plan #4

                               9,703                    . Inapplicable
                                   0                   -5 Never ask again
                                 937                    1 Sample person
                                  99                    2 Spouse
                                   1                    3 Son
                                   1                    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

D_COVNM4  266  2  COVGFMT                               N # of family members covered by Plan #4

                               9,703                    . Inapplicable
                                   4                   -8 Don't know
                               1,034                      Number reported covered

D_COVRX4  268  2  YES1FMT                               N Does Plan #4 cover prescribed medicines?

                               9,987                    . Inapplicable
                                 474                    1 Yes
                                 280                    2 No

D_COVNH4  270  2  YES1FMT                               N Does Plan #4 cover stay in nursing home?

                               9,987                    . Inapplicable
                                   1                   -9 Not ascertained
                                 365                   -8 Don't know
                                  81                    1 Yes
                                 307                    2 No

D_PAYSP4  272  2  PAYSPFMT                              N MIP pay any/all cost for Plan #4

                               9,987                    . Inapplicable
                                 323                   -8 Don't know
                                 188                    1 Yes
                                 159                    2 No
                                  84                    3 Yes, but don't know how much

D_ANAMT4  274  8  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              10,394                    . Inapplicable
                                 192                0-100 $100 or less
                                  61           100.01-500 $101-$500
                                  43          500.01-1000 $501-$1000
                                  14         1000.01-1500 $1001-$1500
                                  16         1500.01-2000 $1501-$2000
                                   8         2000.01-2500 $2001-$2500
                                   5         2500.01-3000 $2501-$3000
                                   1         3000.01-3500 $3001-$3500
                                   1         3500.01-4000 $3501-$4000
                                   4         4000.01-4500 $4001-$4500
                                   1         4500.01-5000 $4501-$5000
                                   1        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP4 = 1

D_HMOPL4  282  2  YES1FMT            HI25               N Is Plan #4 an HMO

                              10,062                    . Inapplicable
                                  15                   -8 Don't know
                                  47                    1 Yes
                                 617                    2 No

D_PLNUM4  284  5                                        C Medicare HMO code or other plan code #4

D_OBTNP4  289  2  MIPFMT                                N How did MIP get Plan #4

                              10,053                    . Inapplicable
                                 309                   -8 Don't know
                                 104                    1 Directly
                                  38                    2 Main insured person's current employer
                                 204                    3 Main insured person's prior employer
                                  10                    4 Union
                                   0                    5 Family business
                                   3                    6 AARP
                                  14                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   3                    9 Fraternal/professional organization
                                   3                   91 Other

D_TRI4    291  2  YES1FMT                               N Is Plan #4 TRICARE?

                              10,206                    . Inapplicable
                                   2                    1 Yes
                                 533                    2 No

D_INS4    293  2  INSPLFMT                              N Insurance coverage Plan #4

                              10,054                    . Inapplicable
                                   0                    0 Other government program
                                 485                    1 General insurance
                                  88                    2 Dental only
                                  43                    3 Vision only
                                  37                    4 LTC
                                  27                    5 Rx only
                                   5                    6 Dental/Vision
                                   1                    7 Life insurance
                                   1                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPL4 = 1 or 2
                        First available in 2001

D_RX4     295  2  RXPLFMT                               N Drug coverage Plan #4

                              10,054                    . Inapplicable
                                 385                    1 Plan covers prescription drugs
                                 302                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

                 Notes: Applies only if D_TYPL4 = 1 or 2
                        First available in 2001

D_TYPPL5  297  2  PLANFMT            HI17               N Type of plan - Plan #5

                              10,344                    . Inapplicable
                                 244                    1 Employer-sponsored insurance (ESI)
                                  34                    2 Self-purchased
                                   5                    3 Private unknown
                                  15                    4 Private HMO
                                  99                    5 Medicare HMO

                  Note: Applies only if D_PHI is not equal to zero or D_HMO is not equal to zero

D_BEGPL5  299  8  DTE8FMT                               N Date coverage began - plan #5

                              10,344                    . Inapplicable
                                 397                      Date as YYYYMMDD

D_ENDPL5  307  8  DTE8FMT                               N Date coverage ended - plan #5

                              10,344                    . Inapplicable
                                 397                      Date as YYYYMMDD

D_PHREL5  315  2  RELFMT                                N Policy holder relationship - Plan #5

                              10,349                    . Inapplicable
                                   0                   -5 Never ask again
                                 340                    1 Sample person
                                  51                    2 Spouse
                                   1                    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

D_COVNM5  317  2  COVGFMT                               N # of family members covered by Plan #5

                              10,349                    . Inapplicable
                                   1                   -8 Don't know
                                 391                      Number reported covered

D_COVRX5  319  2  YES1FMT                               N Does Plan #5 cover prescribed medicines?

                              10,432                    . Inapplicable
                                 212                    1 Yes
                                  97                    2 No

D_COVNH5  321  2  YES1FMT                               N Does Plan #5 cover stay in nursing home?

                              10,432                    . Inapplicable
                                   1                   -9 Not ascertained
                                 160                   -8 Don't know
                                  30                    1 Yes
                                 118                    2 No

D_PAYSP5  323  2  PAYSPFMT                              N MIP pay any/all cost for Plan #5

                              10,432                    . Inapplicable
                                 147                   -8 Don't know
                                  66                    1 Yes
                                  60                    2 No
                                  36                    3 Yes, but don't know how much

D_ANAMT5  325  8  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              10,615                    . Inapplicable
                                  79                0-100 $100 or less
                                  24           100.01-500 $101-$500
                                   7          500.01-1000 $501-$1000
                                   7         1000.01-1500 $1001-$1500
                                   8         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
                                   1         4000.01-4500 $4001-$4500
                                   0         4500.01-5000 $4501-$5000
                                   0        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP5 = 1

D_HMOPL5  333  2  YES1FMT            HI25               N Is Plan #5 an HMO

                              10,452                    . Inapplicable
                                   7                   -8 Don't know
                                  11                    1 Yes
                                 271                    2 No

D_PLNUM5  335  5                                        C Medicare HMO code or other plan code #5

D_OBTNP5  340  2  MIPFMT                                N How did MIP get Plan #5

                              10,448                    . Inapplicable
                                 144                   -8 Don't know
                                  33                    1 Directly
                                  21                    2 Main insured person's current employer
                                  84                    3 Main insured person's prior employer
                                   3                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                   6                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   1                    9 Fraternal/professional organization
                                   1                   91 Other

D_TRI5    342  2  YES1FMT                               N Is Plan #5 TRICARE?

                              10,497                    . Inapplicable
                                   0                    1 Yes
                                 244                    2 No

D_INS5    344  2  INSPLFMT                              N Insurance coverage Plan #5

                              10,448                    . Inapplicable
                                   0                    0 Other government program
                                 206                    1 General insurance
                                  34                    2 Dental only
                                  29                    3 Vision only
                                   7                    4 LTC
                                  12                    5 Rx only
                                   2                    6 Dental/Vision
                                   1                    7 Life insurance
                                   2                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPL5 = 1 or 2
                        First available in 2001

D_RX5     346  2  RXPLFMT                               N Drug coverage Plan #5

                              10,448                    . Inapplicable
                                 174                    1 Plan covers prescription drugs
                                 119                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

                 Notes: Applies only if D_TYPL5 = 1 or 2
                        First available in 2001

MA_SRC    348  2  MASRCFMT                              N Annual Medicare Advantage Data Source

                               7,291                    0 No MA
                                 652                    1 Survey Only
                                 335                    2 Admin Only
                               2,463                    3 Both Survey & Admin

MA_SRC1   350  2  MASRCFMT                              N Medicare Advantage Data Source-Jan

                               7,602                    0 No MA
                                 509                    1 Survey Only
                                 325                    2 Admin Only
                               2,305                    3 Both Survey & Admin

MA_SRC2   352  2  MASRCFMT                              N Medicare Advantage Data Source-Feb

                               7,626                    0 No MA
                                 485                    1 Survey Only
                                 319                    2 Admin Only
                               2,311                    3 Both Survey & Admin

MA_SRC3   354  2  MASRCFMT                              N Medicare Advantage Data Source-Mar

                               7,639                    0 No MA
                                 463                    1 Survey Only
                                 321                    2 Admin Only
                               2,318                    3 Both Survey & Admin

MA_SRC4   356  2  MASRCFMT                              N Medicare Advantage Data Source-Apr

                               7,659                    0 No MA
                                 438                    1 Survey Only
                                 324                    2 Admin Only
                               2,320                    3 Both Survey & Admin

MA_SRC5   358  2  MASRCFMT                              N Medicare Advantage Data Source-May

                               7,683                    0 No MA
                                 422                    1 Survey Only
                                 323                    2 Admin Only
                               2,313                    3 Both Survey & Admin

MA_SRC6   360  2  MASRCFMT                              N Medicare Advantage Data Source-Jun

                               7,680                    0 No MA
                                 425                    1 Survey Only
                                 317                    2 Admin Only
                               2,319                    3 Both Survey & Admin

MA_SRC7   362  2  MASRCFMT                              N Medicare Advantage Data Source-Jul

                               7,691                    0 No MA
                                 412                    1 Survey Only
                                 319                    2 Admin Only
                               2,319                    3 Both Survey & Admin

MA_SRC8   364  2  MASRCFMT                              N Medicare Advantage Data Source-Aug

                               7,697                    0 No MA
                                 405                    1 Survey Only
                                 323                    2 Admin Only
                               2,316                    3 Both Survey & Admin

MA_SRC9   366  2  MASRCFMT                              N Medicare Advantage Data Source-Sep

                               7,695                    0 No MA
                                 416                    1 Survey Only
                                 315                    2 Admin Only
                               2,315                    3 Both Survey & Admin

MA_SRC10  368  2  MASRCFMT                              N Medicare Advantage Data Source-Oct

                               7,664                    0 No MA
                                 458                    1 Survey Only
                                 313                    2 Admin Only
                               2,306                    3 Both Survey & Admin

MA_SRC11  370  2  MASRCFMT                              N Medicare Advantage Data Source-Nov

                               7,664                    0 No MA
                                 459                    1 Survey Only
                                 310                    2 Admin Only
                               2,308                    3 Both Survey & Admin

MA_SRC12  372  2  MASRCFMT                              N Medicare Advantage Data Source-Dec

                               7,659                    0 No MA
                                 459                    1 Survey Only
                                 312                    2 Admin Only
                               2,311                    3 Both Survey & Admin

