RIC         1  2                                        C RECORD IDENTIFICATION CODE

VERSION     3  1                                        C VERSION NUMBER

BASEID      4  8  $BSIDFMT                              C UNIQUE SP IDENTIFICATION NUMBER

                              15,027             LOW-HIGH BASEID Count

INTERVU    12  1  $INTRFMT                              C Type of interview

                              14,120                    C Community
                                 907                    F Facility

D_MCARE    13  1  MEDCOVG                               N Medicare coverage

                                   2                    0 No entitlement
                                 592                    1 Part A only
                                  62                    2 Part B only
                              14,371                    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

                              10,355                    0 No entitlement
                                 566                    1 Survey data only
                                 404                    2 CMS administrative data only
                               3,702                    3 Both survey and administrative data

D_PRIVAT   15  1  PHIFMT                                N Private insurance coverage

                               8,048                    0 No entitlement
                               3,527                    1 Employer-sponsored insurance (ESI)
                               2,751                    2 Self-purchased
                                 343                    3 Both ESI and self-purchased
                                 358                    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

                              14,562                    0 None
                                 465                      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

                              11,417                    0 No entitlement
                                 449                    1 Survey data only
                                 846                    2 CMS administrative data only
                               2,315                    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?

                                 161                    . Inapplicable
                               2,694                    1 Yes
                              12,172                    2 No

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

                              12,263                    . Inapplicable
                                 214                   -8 Don't know
                                 514                    1 Yes
                               2,036                    2 No

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

PUBRXCOV   23  3  YES1FMT                               N Does SPs public plan cover prescrib meds

                              14,582                    . Inapplicable
                                  14                   -8 Don't know
                                 391                    1 Yes
                                  40                    2 No

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

PU_INS     26  2  INSPLFMT                              N Type of insurance plan - Public

                              14,609                    . Inapplicable
                                   5                    0 Other government program
                                  73                    1 General insurance
                                   1                    2 Dental only
                                   0                    3 Vision only
                                   2                    4 LTC
                                 333                    5 Rx only
                                   0                    6 Dental/Vision
                                   2                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   2                    9 Military/Other

PU_RX      28  2  RXPLFMT                               N Type of drug coverage - Public

                              14,608                    . Inapplicable
                                 375                    1 Plan covers prescription drugs
                                   6                    2 Plan does not cover prescription drugs
                                  38                    3 Drug discount card

MTFCOVER   30  3  YES1FMT            HIT11              N SP rec'd svcs at military treatment fac.

                              12,683                    . Inapplicable
                                 533                    1 Yes
                               1,811                    2 No

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

D_DMEM     33  3  NUMCARDS           DM1, 2             N Number of active discount card membershi

                                 907                    . Inapplicable
                              13,508                    0 No discount card membership
                                 560                    1 One discount card membership
                                  45                    2 Two discount card memberships
                                   6                    3 Three discount card memberships
                                   1                      Four or more discount card memberships

                  Note: First available in 2002

D_DMCOST   36  7  PREM_F             DM6                N annual cost of discount card

                                 907                    . Inapplicable
                              14,091                0-100 $100 or less
                                  24           100.01-500 $101-$500
                                   2          500.01-1000 $501-$1000
                                   2         1000.01-1500 $1001-$1500
                                   1         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   43  2  $PLNFMT                               C Type of Medicare HMO

                              10,871                      No enrollment
                                  29                   01 Health care prepayment plan
                                 137                   02 Cost HMO
                               3,940                   06 Risk HMO
                                  50                   16 Employer PDP

D_HMOCOV   45  2  COVFMT                                N SP covered by Medicare HMO at anytime?

                              10,759                    0 No enrollment
                               4,268                    1 Some enrollment

D_HMOCUR   47  2  CURFMT                                N Is SP currently covered by Mcare HMO?

                               4,268                    1 Currently enrolled
                              10,759                    2 Not currently enrolled

MHMORX     49  2  YES1FMT                               N Does Medicare HMO plan cover drugs?

                              10,759                    . Inapplicable
                                  26                   -8 Don't know
                               3,764                    1 Yes
                                 478                    2 No

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

MHMODENT   51  2  YES1FMT                               N Does Medicare HMO plan cover dental?

                              10,760                    . Inapplicable
                                   2                   -9 Not ascertained
                                 251                   -8 Don't know
                               1,347                    1 Yes
                               2,667                    2 No

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

MHMOEYE    53  2  YES1FMT                               N Does Medicare HMO plan cover eye exams?

                              10,760                    . Inapplicable
                                   1                   -9 Not ascertained
                                 354                   -8 Don't know
                               2,286                    1 Yes
                               1,626                    2 No

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

MHMOPCAR   55  2  YES1FMT                               N Does Mcare HMO plan cover preventiv care

                              10,760                    . Inapplicable
                                   2                   -9 Not ascertained
                                 317                   -8 Don't know
                               3,727                    1 Yes
                                 221                    2 No

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

MHMONH     57  2  YES1FMT                               N Does Mcare HMO plan cover nursing home?

                              10,760                    . Inapplicable
                                   2                   -9 Not ascertained
                               1,715                   -8 Don't know
                                   4                   -7 Refused
                                 545                    1 Yes
                               2,001                    2 No

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

MHMOPAY    59  2  YES1FMT                               N Does SP pay additional for HMO coverage?

                              10,760                    . Inapplicable
                                   1                   -9 Not ascertained
                                 195                   -8 Don't know
                                   2                   -7 Refused
                               1,759                    1 Yes
                               2,310                    2 No

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

MHMOCOST   61  3  YES1FMT            HIMC12a            N Did anyone else pay portion of premium?

                              13,268                    . Inapplicable
                                   2                   -9 Not ascertained
                                  29                   -8 Don't know
                                 323                    1 Yes
                               1,405                    2 No

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

MHMOWHO    64  3  WHOFMT             HIMC12b            N Who else pays a portion of the premium?

                              14,704                    . Inapplicable
                                  17                    1 Main insured person's current employer
                                 185                    2 Main insured person's former employer
                                   8                    3 Main insured person's union
                                   9                    4 Spouse's current employer
                                  78                    5 Spouse's former employer
                                   3                    6 Professional/fraternal organization
                                  11                    7 Medicaid/medical assistance
                                  12                   91 Other

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

D_ANHMO    67  8  PREM_F                                N Annual amnt paid for Mcare HMO coverage?

                              14,480                    . Inapplicable
                                  12                0-100 $100 or less
                                  98           100.01-500 $101-$500
                                 145          500.01-1000 $501-$1000
                                 120         1000.01-1500 $1001-$1500
                                  66         1500.01-2000 $1501-$2000
                                  35         2000.01-2500 $2001-$2500
                                  28         2500.01-3000 $2501-$3000
                                  14         3000.01-3500 $3001-$3500
                                  11         3500.01-4000 $3501-$4000
                                   9         4000.01-4500 $4001-$4500
                                   6         4500.01-5000 $4501-$5000
                                   3                      Over $5000

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

TRICOVER   75  3  YES1FMT            HIT1               N Is SP covered by tricare?

                              14,419                    . Inapplicable
                                 608                    1 Yes
                                   0                    2 No

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

MTRIRX     78  2  YES1FMT            HIST3              N Does tricare plan cover drugs?

                              14,419                    . Inapplicable
                                   6                   -8 Don't know
                                 577                    1 Yes
                                  25                    2 No

                  Note: First available in 2003

TRIMEDS    80  2  MEMMEDFM           HIT4a              N Where Tricare members get medicine

                              14,613                    . Missing
                                   4                   -8 Don't know
                                 105                    1 Mail order pharmacy
                                  77                    2 Retail network pharmacy
                                 117                    3 Military treatment facility
                                 108                    4 Non-network retail pharmacy
                                   3                   91 Other

                  Note: First available in 2005

D_TYPPL1   82  2  PLANFMT            HI17               N Type of plan - Plan #1

                               8,048                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               6,979                    4 Private plan
                                   0                    5 Medicare HMO

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

D_PHREL1   84  2  RELFMT                                N Policy holder relationship - Plan #1

                               8,356                    . Inapplicable
                                   0                   -5 Never ask again
                               5,476                    1 Sample person
                               1,130                    2 Spouse
                                   3                    3 Son
                                   5                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                  22                    7 Father
                                  22                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   1                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   6                   50 Partner/roommate
                                   1                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   1                   91 Other relative
                                   4                   92 Other non-relative

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

D_COVNM1   86  2  COVGFMT                               N # of family members covered by Plan #1

                               8,356                    . Inapplicable
                                  30                   -8 Don't know
                               6,641                      Number reported covered

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

D_COVRX1   88  2  YES1FMT                               N Plan #1 covers prescribed medicines?

                               8,356                    . Inapplicable
                                 137                   -8 Don't know
                               3,184                    1 Yes
                               3,350                    2 No

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

D_COVNH1   90  2  YES1FMT                               N Plan #1 covers stay in nursing home?

                               8,356                    . Inapplicable
                               1,209                   -8 Don't know
                                   2                   -7 Refused
                               1,037                    1 Yes
                               4,423                    2 No

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

D_PAYSP1   92  2  YES1FMT                               N MIP pay any/all cost for Plan #1

                               8,356                    . Inapplicable
                                 147                   -8 Don't know
                                   1                   -7 Refused
                               5,451                    1 Yes
                               1,072                    2 No

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

D_ANAMT1   94  7  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               9,575                    . Inapplicable
                                   4                   -9 Not ascertained
                               1,156                   -8 Don't know
                                  17                   -7 Refused
                                  75                0-100 $100 or less
                                 454           100.01-500 $101-$500
                                 340          500.01-1000 $501-$1000
                                 552         1000.01-1500 $1001-$1500
                                 641         1500.01-2000 $1501-$2000
                                 897         2000.01-2500 $2001-$2500
                                 500         2500.01-3000 $2501-$3000
                                 204         3000.01-3500 $3001-$3500
                                 175         3500.01-4000 $3501-$4000
                                  87         4000.01-4500 $4001-$4500
                                 112         4500.01-5000 $4501-$5000
                                 238                      Over $5000

                  Note: Applies only if D_PAYSP1 = 1

D_HMOPL1  101  2  YES1FMT            HI25               N Is Plan #1 an HMO

                               8,356                    . Inapplicable
                                 309                   -8 Don't know
                                   1                   -7 Refused
                               1,286                    1 Yes
                               5,075                    2 No

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

D_OBTNP1  103  2  MIPFMT                                N How did MIP get Plan #1

                               8,356                    . Inapplicable
                                  56                   -8 Don't know
                               2,589                    1 Directly
                                 662                    2 Main insured person's current employer
                               2,551                    3 Main insured person's prior employer
                                 117                    4 Union
                                  26                    5 Family business
                                 247                    6 AARP
                                 355                    7 Deceased spouse's employer
                                  29                    8 Deceased spouse's union
                                  26                    9 Fraternal/professional organization
                                  13                   91 Other

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

D_COVIP1  105  2  YES1FMT            HIS29b             N Plan #1 covers some inpatient costs

                               8,356                    . Inapplicable
                                 108                   -8 Don't know
                               5,759                    1 Yes
                                 804                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_COVMD1  107  2  YES1FMT            HIS29b             N Plan #1 covers some MD/lab visit costs

                               8,356                    . Inapplicable
                                  62                   -8 Don't know
                               5,816                    1 Yes
                                 793                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_RX1     109  2  RXPLFMT                               N Type of drug coverage - Priv1

                               8,524                    . Inapplicable
                               3,126                    1 Plan covers prescription drugs
                               3,373                    2 Plan does not cover prescription drugs
                                   4                    3 Drug discount card

D_INS1    111  2  INSPLFMT                              N Type of insurance plan - Priv1

                               8,524                    . Inapplicable
                                   1                    0 Other government program
                               5,820                    1 General insurance
                                 483                    2 Dental only
                                  25                    3 Vision only
                                  82                    4 LTC
                                  63                    5 Rx only
                                   8                    6 Dental/Vision
                                  10                    7 Life insurance
                                  10                    8 Cancer/Dread disease
                                   1                    9 Military/Other

D_TYPPL2  113  2  PLANFMT            HI17               N Type of plan - Plan #2

                              13,497                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               1,530                    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  115  2  RELFMT                                N Policy holder relationship - Plan #2

                              13,541                    . Inapplicable
                                   0                   -5 Never ask again
                               1,078                    1 Sample person
                                 394                    2 Spouse
                                   0                    3 Son
                                   1                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   5                    7 Father
                                   5                    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
                                   1                   92 Other non-relative

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

D_COVNM2  117  2  COVGFMT                               N # of family members covered by Plan #2

                              13,541                    . Inapplicable
                                   9                   -8 Don't know
                               1,477                      Number reported covered

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

D_COVRX2  119  2  YES1FMT                               N Plan #2 covers prescribed medicines?

                              13,541                    . Inapplicable
                                  52                   -8 Don't know
                                 298                    1 Yes
                               1,136                    2 No

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

D_COVNH2  121  2  YES1FMT                               N Plan #2 covers stay in nursing home?

                              13,541                    . Inapplicable
                                  47                   -8 Don't know
                                 191                    1 Yes
                               1,248                    2 No

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

D_PAYSP2  123  2  YES1FMT                               N MIP pay any/all cost for Plan #2

                              13,541                    . Inapplicable
                                  45                   -8 Don't know
                               1,043                    1 Yes
                                 398                    2 No

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

D_ANAMT2  125  7  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                              13,983                    . Inapplicable
                                   3                   -9 Not ascertained
                                 350                   -8 Don't know
                                   3                   -7 Refused
                                  64                0-100 $100 or less
                                 253           100.01-500 $101-$500
                                 130          500.01-1000 $501-$1000
                                  77         1000.01-1500 $1001-$1500
                                  45         1500.01-2000 $1501-$2000
                                  46         2000.01-2500 $2001-$2500
                                  21         2500.01-3000 $2501-$3000
                                  13         3000.01-3500 $3001-$3500
                                   8         3500.01-4000 $3501-$4000
                                   9         4000.01-4500 $4001-$4500
                                  11         4500.01-5000 $4501-$5000
                                  11                      Over $5000

                  Note: Applies only if D_PAYSP2 = 1

D_HMOPL2  132  2  YES1FMT            HI25               N Is Plan #2 an HMO

                              13,541                    . Inapplicable
                                  57                   -8 Don't know
                                 169                    1 Yes
                               1,260                    2 No

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

D_OBTNP2  134  2  MIPFMT                                N How did MIP get Plan #2

                              13,541                    . Inapplicable
                                  10                   -8 Don't know
                                 407                    1 Directly
                                 232                    2 Main insured person's current employer
                                 709                    3 Main insured person's prior employer
                                  47                    4 Union
                                   2                    5 Family business
                                  13                    6 AARP
                                  52                    7 Deceased spouse's employer
                                   6                    8 Deceased spouse's union
                                   7                    9 Fraternal/professional organization
                                   1                   91 Other

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

D_COVIP2  136  2  YES1FMT            HIS29b             N Plan #2 covers some inpatient costs

                              13,541                    . Inapplicable
                                  25                   -8 Don't know
                                 230                    1 Yes
                               1,231                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_COVMD2  138  2  YES1FMT            HIS29b             N Plan #2 covers some MD/lab visit costs

                              13,541                    . Inapplicable
                                  16                   -8 Don't know
                                 364                    1 Yes
                               1,106                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_RX2     140  2  RXPLFMT                               N Type of drug coverage - Priv2

                              13,642                    . Inapplicable
                                 255                    1 Plan covers prescription drugs
                               1,130                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS2    142  2  INSPLFMT                              N Type of insurance plan - Priv2

                              13,642                    . Inapplicable
                                   0                    0 Other government program
                                 417                    1 General insurance
                                 629                    2 Dental only
                                 105                    3 Vision only
                                 105                    4 LTC
                                 112                    5 Rx only
                                   9                    6 Dental/Vision
                                   3                    7 Life insurance
                                   5                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL3  144  2  PLANFMT            HI17               N Type of plan - Plan #3

                              14,662                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                 365                    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  146  2  RELFMT                                N Policy holder relationship - Plan #3

                              14,667                    . Inapplicable
                                   0                   -5 Never ask again
                                 248                    1 Sample person
                                 109                    2 Spouse
                                   0                    3 Son
                                   1                    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  148  2  COVGFMT                               N # of family members covered by Plan #3

                              14,667                    . Inapplicable
                                   2                   -8 Don't know
                                 358                      Number reported covered

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

D_COVRX3  150  2  YES1FMT                               N Plan #3 covers prescribed medicines?

                              14,667                    . Inapplicable
                                  12                   -8 Don't know
                                  70                    1 Yes
                                 278                    2 No

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

D_COVNH3  152  2  YES1FMT                               N Plan #3 covers stay in nursing home?

                              14,667                    . Inapplicable
                                   8                   -8 Don't know
                                  51                    1 Yes
                                 301                    2 No

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

D_PAYSP3  154  2  YES1FMT                               N MIP pay any/all cost for Plan #3

                              14,667                    . Inapplicable
                                  12                   -8 Don't know
                                 248                    1 Yes
                                 100                    2 No

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

D_ANAMT3  156  7  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                              14,779                    . Inapplicable
                                 101                   -8 Don't know
                                  30                0-100 $100 or less
                                  63           100.01-500 $101-$500
                                  16          500.01-1000 $501-$1000
                                  15         1000.01-1500 $1001-$1500
                                   3         1500.01-2000 $1501-$2000
                                   4         2000.01-2500 $2001-$2500
                                   4         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
                                   2                      Over $5000

                  Note: Applies only if D_PAYSP3 = 1

D_HMOPL3  163  2  YES1FMT            HI25               N Is Plan #3 an HMO

                              14,667                    . Inapplicable
                                  15                   -8 Don't know
                                  36                    1 Yes
                                 309                    2 No

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

D_OBTNP3  165  2  MIPFMT                                N How did MIP get Plan #3

                              14,667                    . Inapplicable
                                   5                   -8 Don't know
                                  63                    1 Directly
                                  51                    2 Main insured person's current employer
                                 200                    3 Main insured person's prior employer
                                  18                    4 Union
                                   0                    5 Family business
                                   1                    6 AARP
                                  17                    7 Deceased spouse's employer
                                   2                    8 Deceased spouse's union
                                   2                    9 Fraternal/professional organization
                                   1                   91 Other

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

D_COVIP3  167  2  YES1FMT            HIS29b             N Plan #3 covers some inpatient costs

                              14,667                    . Inapplicable
                                  10                   -8 Don't know
                                  41                    1 Yes
                                 309                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_COVMD3  169  2  YES1FMT            HIS29b             N Plan #3 covers some MD/lab visit costs

                              14,667                    . Inapplicable
                                   7                   -8 Don't know
                                 103                    1 Yes
                                 250                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_RX3     171  2  RXPLFMT                               N Type of drug coverage - Priv3

                              14,699                    . Inapplicable
                                  56                    1 Plan covers prescription drugs
                                 272                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS3    173  2  INSPLFMT                              N Type of insurance plan - Priv3

                              14,699                    . Inapplicable
                                   0                    0 Other government program
                                  70                    1 General insurance
                                  83                    2 Dental only
                                 104                    3 Vision only
                                  33                    4 LTC
                                  35                    5 Rx only
                                   1                    6 Dental/Vision
                                   1                    7 Life insurance
                                   1                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL4  175  2  PLANFMT            HI17               N Type of plan - Plan #4

                              14,984                    . 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  177  2  RELFMT                                N Policy holder relationship - Plan #4

                              14,985                    . Inapplicable
                                   0                   -5 Never ask again
                                  27                    1 Sample person
                                  15                    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  179  2  COVGFMT                               N # of family members covered by Plan #4

                              14,985                    . Inapplicable
                                  42                      Number reported covered

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

D_COVRX4  181  2  YES1FMT                               N Plan #4 covers prescribed medicines?

                              14,985                    . Inapplicable
                                   2                   -8 Don't know
                                  10                    1 Yes
                                  30                    2 No

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

D_COVNH4  183  2  YES1FMT                               N Plan #4 covers stay in nursing home?

                              14,985                    . Inapplicable
                                   6                    1 Yes
                                  36                    2 No

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

D_PAYSP4  185  2  YES1FMT                               N MIP pay any/all cost for Plan #4

                              14,985                    . Inapplicable
                                   1                   -8 Don't know
                                  27                    1 Yes
                                  14                    2 No

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

D_ANAMT4  187  7  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              15,000                    . Inapplicable
                                  10                   -8 Don't know
                                   2                0-100 $100 or less
                                   4           100.01-500 $101-$500
                                   4          500.01-1000 $501-$1000
                                   2         1000.01-1500 $1001-$1500
                                   2         1500.01-2000 $1501-$2000
                                   1         2000.01-2500 $2001-$2500
                                   1         2500.01-3000 $2501-$3000
                                   0         3000.01-3500 $3001-$3500
                                   0         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   0         4500.01-5000 $4501-$5000
                                   1                      Over $5000

                  Note: Applies only if D_PAYSP4 = 1

D_HMOPL4  194  2  YES1FMT            HI25               N Is Plan #4 an HMO

                              14,985                    . Inapplicable
                                   1                   -8 Don't know
                                   4                    1 Yes
                                  37                    2 No

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

D_OBTNP4  196  2  MIPFMT                                N How did MIP get Plan #4

                              14,985                    . Inapplicable
                                   8                    1 Directly
                                   5                    2 Main insured person's current employer
                                  27                    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
                                   0                    9 Fraternal/professional organization
                                   0                   91 Other

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

D_COVIP4  198  2  YES1FMT            HIS29b             N Plan #4 covers some inpatient costs

                              14,985                    . Inapplicable
                                   6                    1 Yes
                                  36                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_COVMD4  200  2  YES1FMT            HIS29b             N Plan #4 covers some MD/lab visit costs

                              14,985                    . Inapplicable
                                   9                    1 Yes
                                  33                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_RX4     202  2  RXPLFMT                               N Type of drug coverage - Priv4

                              14,991                    . Inapplicable
                                   7                    1 Plan covers prescription drugs
                                  29                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS4    204  2  INSPLFMT                              N Type of insurance plan - Priv4

                              14,991                    . Inapplicable
                                   0                    0 Other government program
                                  12                    1 General insurance
                                   6                    2 Dental only
                                  10                    3 Vision only
                                   3                    4 LTC
                                   2                    5 Rx only
                                   1                    6 Dental/Vision
                                   0                    7 Life insurance
                                   2                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL5  206  2  PLANFMT            HI17               N Type of plan - Plan #5

                              15,023                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                   4                    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  208  2  RELFMT                                N Policy holder relationship - Plan #5

                              15,023                    . Inapplicable
                                   0                   -5 Never ask again
                                   4                    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  210  2  COVGFMT                               N # of family members covered by Plan #5

                              15,023                    . Inapplicable
                                   4                      Number reported covered

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

D_COVRX5  212  2  YES1FMT                               N Plan #5 covers prescribed medicines?

                              15,023                    . Inapplicable
                                   1                    1 Yes
                                   3                    2 No

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

D_COVNH5  214  2  YES1FMT                               N Plan #5 covers stay in nursing home?

                              15,023                    . Inapplicable
                                   1                    1 Yes
                                   3                    2 No

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

D_PAYSP5  216  2  YES1FMT                               N MIP pay any/all cost for Plan #5

                              15,023                    . Inapplicable
                                   3                    1 Yes
                                   1                    2 No

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

D_ANAMT5  218  7  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              15,024                    . Inapplicable
                                   1                0-100 $100 or less
                                   1           100.01-500 $101-$500
                                   0          500.01-1000 $501-$1000
                                   0         1000.01-1500 $1001-$1500
                                   0         1500.01-2000 $1501-$2000
                                   0         2000.01-2500 $2001-$2500
                                   1         2500.01-3000 $2501-$3000
                                   0         3000.01-3500 $3001-$3500
                                   0         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   0         4500.01-5000 $4501-$5000

                  Note: Applies only if D_PAYSP5 = 1

D_HMOPL5  225  2  YES1FMT            HI25               N Is Plan #5 an HMO

                              15,023                    . Inapplicable
                                   0                    1 Yes
                                   4                    2 No

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

D_OBTNP5  227  2  MIPFMT                                N How did MIP get Plan #5

                              15,023                    . Inapplicable
                                   3                    1 Directly
                                   0                    2 Main insured person's current employer
                                   0                    3 Main insured person's prior employer
                                   0                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                   1                    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  229  2  YES1FMT            HIS29b             N Plan #5 covers some inpatient costs

                              15,023                    . Inapplicable
                                   1                    1 Yes
                                   3                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_COVMD5  231  2  YES1FMT            HIS29b             N Plan #5 covers some MD/lab visit costs

                              15,023                    . Inapplicable
                                   1                    1 Yes
                                   3                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_RX5     233  2  RXPLFMT                               N Type of drug coverage - Priv5

                              15,023                    . Inapplicable
                                   1                    1 Plan covers prescription drugs
                                   3                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS5    235  2  INSPLFMT                              N Type of insurance plan - Priv5

                              15,023                    . Inapplicable
                                   0                    0 Other government program
                                   2                    1 General insurance
                                   1                    2 Dental only
                                   0                    3 Vision only
                                   0                    4 LTC
                                   1                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

