RIC         1  2  $RIC                                  C Record Identification Code

                                   0                    A Administrative Data
                                   0                   DU Dental Events
                                   0                   FA Facility Events
                                   0                    H HMO Supplement
                                   0                   IA Income and Assets
                                   0                   IP Inpatient Hospital Events
                                   0                   IU Institutional Events
                                   0                    K Key Record
                                   0                   KN Knowledge and Information Needs
                                   0                   MD MDS
                                   0                   MP Medical Provider Events
                                   0                    N Non-Respondent
                                   0                   OA OASIS
                                   0                   OP Outpatient Events
                                   0                   PA Patient Activation
                                   0                   PM Prescribed Medicine Events
                                   0                   PS Person Summary
                                   0                   RX Drug Coverage
                                   0                   SS Service Summary
                                   0                    X Cross Sectional Weights
                                   0                   XE Ever Enrolled Weights
                                   0                   X2 2 year Weights
                                   0                   X3 3 year Weights
                                   0                   X4 4 year Weights
                                   0                    1 Survey Identification (Demographic)
                                   0                   10 MDS/OAS Timeline
                                   0                    2 Health Status/Functioning (Community)
                                   0                   2F Health Status/Functioning (Facility)
                                   0                   2H Health Status/Functioning (Helper)
                                   0                   2P Health Status/Functioning (Prevention)
                                   0                    3 Access to Care
                              10,901                    4 Health Insurance
                                   0                    5 Enumeration
                                   0                    6 Facility Residence History
                                   0                    7 Facility Characteristics
                                   0                   7S SNF Characteristics
                                   0                    8 Interview Description
                                   0                    9 Residence Timeline

VERSION     3  1  $VERSION                              C Version Number

                              10,901                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              10,901             LOW-HIGH BASEID Count

D_CARE1    12  1  $MEDCOVG                              C Medicare coverage - Jan

                                 351                    0 No entitlement
                                 404                    1 Part A only
                                  52                    2 Part B only
                              10,094                    3 Both A and B

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

                               8,232                    0 No entitlement
                                 299                    1 Survey data only
                                 312                    2 CMS administrative data only
                               2,058                    3 Both survey and administrative data

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

                               5,842                    0 No entitlement
                               2,811                    1 Employer-sponsored insurance (ESI)
                               1,803                    2 Self-purchased
                                 307                    3 Both ESI and self-purchased
                                 109                    4 Facility respondent, type unknown
                                  28                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC1     15  1  $YESCFMT                              C Private Managed Care coverage-Jan

                                 972                    1 Yes
                               9,929                    2 No

D_MA1      16  1  $MAFMT                                C Medicare Advantage Data Source-Jan

                               7,478                    0 No Coverage
                                 565                    1 Survey Only
                                 304                    2 Admin Only
                               2,554                    3 Both Survey & Admin

D_PDP1     17  1  $MAFMT                                C Part D Data Source-Jan

                               3,708                    0 No Coverage
                                 358                    1 Survey Only
                               3,077                    2 Admin Only
                               3,758                    3 Both Survey & Admin

D_OTH1     18  1  $OTHFMT                               C Number of other plans - Jan

                              10,553                    0 No other plans
                                 334                    1 1 other plan
                                  14                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE2    19  1  $MEDCOVG                              C Medicare coverage - Feb

                                 368                    0 No entitlement
                                 404                    1 Part A only
                                  52                    2 Part B only
                              10,077                    3 Both A and B

D_CAID2    20  1  $SRC2FMT                              C Source of Medicaid coverage status - Feb

                               8,224                    0 No entitlement
                                 299                    1 Survey data only
                                 316                    2 CMS administrative data only
                               2,062                    3 Both survey and administrative data

D_PHI2     21  1  $PHIAFMT                              C Private health insurance coverage - Feb

                               5,836                    0 No entitlement
                               2,804                    1 Employer-sponsored insurance (ESI)
                               1,809                    2 Self-purchased
                                 311                    3 Both ESI and self-purchased
                                 108                    4 Facility respondent, type unknown
                                  32                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC2     22  1  $YESCFMT                              C Private Managed Care coverage-Feb

                                 982                    1 Yes
                               9,919                    2 No

D_MA2      23  1  $MAFMT                                C Medicare Advantage Data Source-Feb

                               7,487                    0 No Coverage
                                 556                    1 Survey Only
                                 303                    2 Admin Only
                               2,555                    3 Both Survey & Admin

D_PDP2     24  1  $MAFMT                                C Part D Data Source-Feb

                               3,715                    0 No Coverage
                                 350                    1 Survey Only
                               3,071                    2 Admin Only
                               3,765                    3 Both Survey & Admin

D_OTH2     25  1  $OTHFMT                               C Number of other plans - Feb

                              10,544                    0 No other plans
                                 343                    1 1 other plan
                                  14                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE3    26  1  $MEDCOVG                              C Medicare coverage - Mar

                                 384                    0 No entitlement
                                 408                    1 Part A only
                                  52                    2 Part B only
                              10,057                    3 Both A and B

D_CAID3    27  1  $SRC2FMT                              C Source of Medicaid coverage status - Mar

                               8,235                    0 No entitlement
                                 303                    1 Survey data only
                                 307                    2 CMS administrative data only
                               2,056                    3 Both survey and administrative data

D_PHI3     28  1  $PHIAFMT                              C Private health insurance coverage - Mar

                               5,827                    0 No entitlement
                               2,787                    1 Employer-sponsored insurance (ESI)
                               1,814                    2 Self-purchased
                                 310                    3 Both ESI and self-purchased
                                 127                    4 Facility respondent, type unknown
                                  33                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   2                    7 ESI, self-purchased and unknown (facil)

D_PMC3     29  1  $YESCFMT                              C Private Managed Care coverage-Mar

                                 986                    1 Yes
                               9,915                    2 No

D_MA3      30  1  $MAFMT                                C Medicare Advantage Data Source-Mar

                               7,513                    0 No Coverage
                                 526                    1 Survey Only
                                 308                    2 Admin Only
                               2,554                    3 Both Survey & Admin

D_PDP3     31  1  $MAFMT                                C Part D Data Source-Mar

                               3,740                    0 No Coverage
                                 333                    1 Survey Only
                               3,076                    2 Admin Only
                               3,752                    3 Both Survey & Admin

D_OTH3     32  1  $OTHFMT                               C Number of other plans - Mar

                              10,532                    0 No other plans
                                 353                    1 1 other plan
                                  16                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE4    33  1  $MEDCOVG                              C Medicare coverage - Apr

                                 421                    0 No entitlement
                                 410                    1 Part A only
                                  51                    2 Part B only
                              10,019                    3 Both A and B

D_CAID4    34  1  $SRC2FMT                              C Source of Medicaid coverage status - Apr

                               8,244                    0 No entitlement
                                 301                    1 Survey data only
                                 306                    2 CMS administrative data only
                               2,050                    3 Both survey and administrative data

D_PHI4     35  1  $PHIAFMT                              C Private health insurance coverage - Apr

                               5,851                    0 No entitlement
                               2,762                    1 Employer-sponsored insurance (ESI)
                               1,814                    2 Self-purchased
                                 308                    3 Both ESI and self-purchased
                                 132                    4 Facility respondent, type unknown
                                  33                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC4     36  1  $YESCFMT                              C Private Managed Care coverage-Apr

                                 972                    1 Yes
                               9,929                    2 No

D_MA4      37  1  $MAFMT                                C Medicare Advantage Data Source-Apr

                               7,546                    0 No Coverage
                                 495                    1 Survey Only
                                 313                    2 Admin Only
                               2,547                    3 Both Survey & Admin

D_PDP4     38  1  $MAFMT                                C Part D Data Source-Apr

                               3,776                    0 No Coverage
                                 318                    1 Survey Only
                               3,084                    2 Admin Only
                               3,723                    3 Both Survey & Admin

D_OTH4     39  1  $OTHFMT                               C Number of other plans - Apr

                              10,531                    0 No other plans
                                 358                    1 1 other plan
                                  12                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE5    40  1  $MEDCOVG                              C Medicare coverage - May

                                 427                    0 No entitlement
                                 418                    1 Part A only
                                  48                    2 Part B only
                              10,008                    3 Both A and B

D_CAID5    41  1  $SRC2FMT                              C Source of Medicaid coverage status - May

                               8,245                    0 No entitlement
                                 294                    1 Survey data only
                                 308                    2 CMS administrative data only
                               2,054                    3 Both survey and administrative data

D_PHI5     42  1  $PHIAFMT                              C Private health insurance coverage - May

                               5,868                    0 No entitlement
                               2,741                    1 Employer-sponsored insurance (ESI)
                               1,810                    2 Self-purchased
                                 322                    3 Both ESI and self-purchased
                                 125                    4 Facility respondent, type unknown
                                  32                    5 Both ESI and unknown (facil)
                                   2                    6 Both self-purchased and unknown (facil)
                                   1                    7 ESI, self-purchased and unknown (facil)

D_PMC5     43  1  $YESCFMT                              C Private Managed Care coverage-May

                                 969                    1 Yes
                               9,932                    2 No

D_MA5      44  1  $MAFMT                                C Medicare Advantage Data Source-May

                               7,554                    0 No Coverage
                                 489                    1 Survey Only
                                 310                    2 Admin Only
                               2,548                    3 Both Survey & Admin

D_PDP5     45  1  $MAFMT                                C Part D Data Source-May

                               3,793                    0 No Coverage
                                 310                    1 Survey Only
                               3,054                    2 Admin Only
                               3,744                    3 Both Survey & Admin

D_OTH5     46  1  $OTHFMT                               C Number of other plans - May

                              10,524                    0 No other plans
                                 359                    1 1 other plan
                                  16                    2 2 other plans
                                   1                    3 3 other plans
                                   1                    4 4 other plans

D_CARE6    47  1  $MEDCOVG                              C Medicare coverage - Jun

                                 433                    0 No entitlement
                                 420                    1 Part A only
                                  48                    2 Part B only
                              10,000                    3 Both A and B

D_CAID6    48  1  $SRC2FMT                              C Source of Medicaid coverage status - Jun

                               8,250                    0 No entitlement
                                 288                    1 Survey data only
                                 313                    2 CMS administrative data only
                               2,050                    3 Both survey and administrative data

D_PHI6     49  1  $PHIAFMT                              C Private health insurance coverage - Jun

                               5,882                    0 No entitlement
                               2,718                    1 Employer-sponsored insurance (ESI)
                               1,809                    2 Self-purchased
                                 329                    3 Both ESI and self-purchased
                                 129                    4 Facility respondent, type unknown
                                  32                    5 Both ESI and unknown (facil)
                                   2                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC6     50  1  $YESCFMT                              C Private Managed Care coverage-Jun

                                 966                    1 Yes
                               9,935                    2 No

D_MA6      51  1  $MAFMT                                C Medicare Advantage Data Source-Jun

                               7,557                    0 No Coverage
                                 484                    1 Survey Only
                                 308                    2 Admin Only
                               2,552                    3 Both Survey & Admin

D_PDP6     52  1  $MAFMT                                C Part D Data Source-Jun

                               3,806                    0 No Coverage
                                 315                    1 Survey Only
                               3,006                    2 Admin Only
                               3,774                    3 Both Survey & Admin

D_OTH6     53  1  $OTHFMT                               C Number of other plans - Jun

                              10,520                    0 No other plans
                                 356                    1 1 other plan
                                  25                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE7    54  1  $MEDCOVG                              C Medicare coverage - Jul

                                 442                    0 No entitlement
                                 413                    1 Part A only
                                  47                    2 Part B only
                               9,999                    3 Both A and B

D_CAID7    55  1  $SRC2FMT                              C Source of Medicaid coverage status - Jul

                               8,255                    0 No entitlement
                                 273                    1 Survey data only
                                 319                    2 CMS administrative data only
                               2,054                    3 Both survey and administrative data

D_PHI7     56  1  $PHIAFMT                              C Private health insurance coverage - Jul

                               5,915                    0 No entitlement
                               2,681                    1 Employer-sponsored insurance (ESI)
                               1,804                    2 Self-purchased
                                 332                    3 Both ESI and self-purchased
                                 130                    4 Facility respondent, type unknown
                                  34                    5 Both ESI and unknown (facil)
                                   4                    6 Both self-purchased and unknown (facil)
                                   1                    7 ESI, self-purchased and unknown (facil)

D_PMC7     57  1  $YESCFMT                              C Private Managed Care coverage-Jul

                                 971                    1 Yes
                               9,930                    2 No

D_MA7      58  1  $MAFMT                                C Medicare Advantage Data Source-Jul

                               7,560                    0 No Coverage
                                 468                    1 Survey Only
                                 314                    2 Admin Only
                               2,559                    3 Both Survey & Admin

D_PDP7     59  1  $MAFMT                                C Part D Data Source-Jul

                               3,792                    0 No Coverage
                                 305                    1 Survey Only
                               3,011                    2 Admin Only
                               3,793                    3 Both Survey & Admin

D_OTH7     60  1  $OTHFMT                               C Number of other plans - Jul

                              10,522                    0 No other plans
                                 363                    1 1 other plan
                                  16                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE8    61  1  $MEDCOVG                              C Medicare coverage - Aug

                                 458                    0 No entitlement
                                 418                    1 Part A only
                                  47                    2 Part B only
                               9,978                    3 Both A and B

D_CAID8    62  1  $SRC2FMT                              C Source of Medicaid coverage status - Aug

                               8,267                    0 No entitlement
                                 275                    1 Survey data only
                                 317                    2 CMS administrative data only
                               2,042                    3 Both survey and administrative data

D_PHI8     63  1  $PHIAFMT                              C Private health insurance coverage - Aug

                               5,950                    0 No entitlement
                               2,669                    1 Employer-sponsored insurance (ESI)
                               1,781                    2 Self-purchased
                                 329                    3 Both ESI and self-purchased
                                 137                    4 Facility respondent, type unknown
                                  34                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC8     64  1  $YESCFMT                              C Private Managed Care coverage-Aug

                                 966                    1 Yes
                               9,935                    2 No

D_MA8      65  1  $MAFMT                                C Medicare Advantage Data Source-Aug

                               7,584                    0 No Coverage
                                 446                    1 Survey Only
                                 315                    2 Admin Only
                               2,556                    3 Both Survey & Admin

D_PDP8     66  1  $MAFMT                                C Part D Data Source-Aug

                               3,808                    0 No Coverage
                                 297                    1 Survey Only
                               3,013                    2 Admin Only
                               3,783                    3 Both Survey & Admin

D_OTH8     67  1  $OTHFMT                               C Number of other plans - Aug

                              10,526                    0 No other plans
                                 370                    1 1 other plan
                                   5                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE9    68  1  $MEDCOVG                              C Medicare coverage - Sep

                                 464                    0 No entitlement
                                 425                    1 Part A only
                                  47                    2 Part B only
                               9,965                    3 Both A and B

D_CAID9    69  1  $SRC2FMT                              C Source of Medicaid coverage status - Sep

                               8,280                    0 No entitlement
                                 270                    1 Survey data only
                                 310                    2 CMS administrative data only
                               2,041                    3 Both survey and administrative data

D_PHI9     70  1  $PHIAFMT                              C Private health insurance coverage - Sep

                               5,963                    0 No entitlement
                               2,656                    1 Employer-sponsored insurance (ESI)
                               1,775                    2 Self-purchased
                                 333                    3 Both ESI and self-purchased
                                 138                    4 Facility respondent, type unknown
                                  36                    5 Both ESI and unknown (facil)
                                   0                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC9     71  1  $YESCFMT                              C Private Managed Care coverage-Sep

                                 959                    1 Yes
                               9,942                    2 No

D_MA9      72  1  $MAFMT                                C Medicare Advantage Data Source-Sep

                               7,563                    0 No Coverage
                                 464                    1 Survey Only
                                 313                    2 Admin Only
                               2,561                    3 Both Survey & Admin

D_PDP9     73  1  $MAFMT                                C Part D Data Source-Sep

                               3,806                    0 No Coverage
                                 296                    1 Survey Only
                               2,982                    2 Admin Only
                               3,817                    3 Both Survey & Admin

D_OTH9     74  1  $OTHFMT                               C Number of other plans - Sep

                              10,521                    0 No other plans
                                 365                    1 1 other plan
                                  13                    2 2 other plans
                                   2                    3 3 other plans
                                   0                    4 4 other plans

D_CARE10   75  1  $MEDCOVG                              C Medicare coverage - Oct

                                 466                    0 No entitlement
                                 431                    1 Part A only
                                  46                    2 Part B only
                               9,958                    3 Both A and B

D_CAID10   76  1  $SRC2FMT                              C Source of Medicaid coverage status - Oct

                               8,276                    0 No entitlement
                                 260                    1 Survey data only
                                 325                    2 CMS administrative data only
                               2,040                    3 Both survey and administrative data

D_PHI10    77  1  $PHIAFMT                              C Private health insurance coverage - Oct

                               5,986                    0 No entitlement
                               2,647                    1 Employer-sponsored insurance (ESI)
                               1,755                    2 Self-purchased
                                 335                    3 Both ESI and self-purchased
                                 139                    4 Facility respondent, type unknown
                                  36                    5 Both ESI and unknown (facil)
                                   3                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC10    78  1  $YESCFMT                              C Private Managed Care coverage-Oct

                                 962                    1 Yes
                               9,939                    2 No

D_MA10     79  1  $MAFMT                                C Medicare Advantage Data Source-Oct

                               7,538                    0 No Coverage
                                 496                    1 Survey Only
                                 326                    2 Admin Only
                               2,541                    3 Both Survey & Admin

D_PDP10    80  1  $MAFMT                                C Part D Data Source-Oct

                               3,802                    0 No Coverage
                                 307                    1 Survey Only
                               2,962                    2 Admin Only
                               3,830                    3 Both Survey & Admin

D_OTH10    81  1  $OTHFMT                               C Number of other plans - Oct

                              10,523                    0 No other plans
                                 352                    1 1 other plan
                                  25                    2 2 other plans
                                   0                    3 3 other plans
                                   1                    4 4 other plans

D_CARE11   82  1  $MEDCOVG                              C Medicare coverage - Nov

                                 475                    0 No entitlement
                                 429                    1 Part A only
                                  46                    2 Part B only
                               9,951                    3 Both A and B

D_CAID11   83  1  $SRC2FMT                              C Source of Medicaid coverage status - Nov

                               8,295                    0 No entitlement
                                 272                    1 Survey data only
                                 339                    2 CMS administrative data only
                               1,995                    3 Both survey and administrative data

D_PHI11    84  1  $PHIAFMT                              C Private health insurance coverage - Nov

                               6,071                    0 No entitlement
                               2,638                    1 Employer-sponsored insurance (ESI)
                               1,734                    2 Self-purchased
                                 330                    3 Both ESI and self-purchased
                                 100                    4 Facility respondent, type unknown
                                  27                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC11    85  1  $YESCFMT                              C Private Managed Care coverage-Nov

                                 954                    1 Yes
                               9,947                    2 No

D_MA11     86  1  $MAFMT                                C Medicare Advantage Data Source-Nov

                               7,525                    0 No Coverage
                                 510                    1 Survey Only
                                 338                    2 Admin Only
                               2,528                    3 Both Survey & Admin

D_PDP11    87  1  $MAFMT                                C Part D Data Source-Nov

                               3,809                    0 No Coverage
                                 310                    1 Survey Only
                               2,973                    2 Admin Only
                               3,809                    3 Both Survey & Admin

D_OTH11    88  1  $OTHFMT                               C Number of other plans - Nov

                              10,533                    0 No other plans
                                 353                    1 1 other plan
                                  15                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE12   89  1  $MEDCOVG                              C Medicare coverage - Dec

                                 499                    0 No entitlement
                                 430                    1 Part A only
                                  45                    2 Part B only
                               9,927                    3 Both A and B

D_CAID12   90  1  $SRC2FMT                              C Source of Medicaid coverage status - Dec

                               8,297                    0 No entitlement
                                 266                    1 Survey data only
                                 362                    2 CMS administrative data only
                               1,976                    3 Both survey and administrative data

D_PHI12    91  1  $PHIAFMT                              C Private health insurance coverage - Dec

                               6,171                    0 No entitlement
                               2,619                    1 Employer-sponsored insurance (ESI)
                               1,713                    2 Self-purchased
                                 326                    3 Both ESI and self-purchased
                                  52                    4 Facility respondent, type unknown
                                  18                    5 Both ESI and unknown (facil)
                                   2                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

D_PMC12    92  1  $YESCFMT                              C Private Managed Care coverage-Dec

                                 939                    1 Yes
                               9,962                    2 No

D_MA12     93  1  $MAFMT                                C Medicare Advantage Data Source-Dec

                               7,528                    0 No Coverage
                                 510                    1 Survey Only
                                 356                    2 Admin Only
                               2,507                    3 Both Survey & Admin

D_PDP12    94  1  $MAFMT                                C Part D Data Source-Dec

                               3,829                    0 No Coverage
                                 306                    1 Survey Only
                               2,998                    2 Admin Only
                               3,768                    3 Both Survey & Admin

D_OTH12    95  1  $OTHFMT                               C Number of other plans - Dec

                              10,551                    0 No other plans
                                 343                    1 1 other plan
                                   7                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans

D_CARE     96  1  $MEDCOVG                              C Annual Medicare coverage

                                   0                    0 No entitlement
                                 414                    1 Part A only
                                  48                    2 Part B only
                              10,439                    3 Both A and B

D_CAID     97  1  $SRC2FMT                              C Source of annual Medicaid coverage

                               8,023                    0 No entitlement
                                 247                    1 Survey data only
                                 353                    2 CMS administrative data only
                               2,278                    3 Both survey and administrative data

D_PHI      98  1  $PHIAFMT                              C Annual private health insurance coverage

                               5,652                    0 No entitlement
                               2,762                    1 Employer-sponsored insurance (ESI)
                               1,841                    2 Self-purchased
                                 409                    3 Both ESI and self-purchased
                                 147                    4 Facility respondent, type unknown
                                  58                    5 Both ESI and unknown (facil)
                                  29                    6 Both self-purchased and unknown (facil)
                                   3                    7 ESI, self-purchased and unknown (facil)

D_PMC      99  1  $YESCFMT                              C Annual Private Managed Care coverage

                               1,053                    1 Yes
                               9,848                    2 No

D_MA      100  1  $MAFMT                                C Annual Medicare Advantage Data Source

                               7,224                    0 No Coverage
                                 643                    1 Survey Only
                                 304                    2 Admin Only
                               2,730                    3 Both Survey & Admin

D_PDP     101  1  $MAFMT                                C Annual Part D Data Source

                               3,397                    0 No Coverage
                                 370                    1 Survey Only
                               2,852                    2 Admin Only
                               4,282                    3 Both Survey & Admin

D_OTH     102  1  $OTHFMT                               C Number of other plans for the year

                              10,466                    0 No other plans
                                 328                    1 1 other plan
                                  69                    2 2 other plans
                                  32                    3 3 other plans
                                   5                    4 4 other plans
                                   0                    5 5 other plans
                                   1                    6 6 other plans

TOT_PREM  103  8  PREM_F                                N Total health insurance premiums

                               3,655                    . Inapplicable
                               1,445                0-100 $100 or less
                               1,004           100.01-500 $101-$500
                                 943          500.01-1000 $501-$1000
                                 635         1000.01-1500 $1001-$1500
                                 757         1500.01-2000 $1501-$2000
                                 660         2000.01-2500 $2001-$2500
                                 349         2500.01-3000 $2501-$3000
                                 239         3000.01-3500 $3001-$3500
                                 250         3500.01-4000 $3501-$4000
                                 201         4000.01-4500 $4001-$4500
                                 111         4500.01-5000 $4501-$5000
                                 652        5000.01-99999 Over $5000

                  Note: See Notes for derivation

DRUGCAID  111  2  YES1FMT                               N Medicaid prescription drug coverage

                               9,942                    . Inapplicable
                                  15                   -9 Not ascertained
                                  94                   -8 Don't know
                                 694                    1 Yes
                                 156                    2 No

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

DRUGOTH   113  2  YES1FMT                               N Other public plan pres drug cov

                              10,506                    . Inapplicable
                                  10                   -8 Don't know
                                 335                    1 Yes
                                  50                    2 No

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

D_RXOTH   115  2  RXPLFMT                               N Other public plan pres drug cov - imp

                              10,506                    . Inapplicable
                                 346                    1 Plan covers prescription drugs
                                  15                    2 Plan does not cover prescription drugs
                                  34                    3 Drug discount card

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

D_INSOTH  117  2  INSPLFMT                              N Other public plan insurance cov

                              10,506                    . Inapplicable
                                   3                    0 Other government program
                                 113                    1 General insurance
                                   0                    2 Dental only
                                   0                    3 Vision only
                                   3                    4 LTC
                                 273                    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  119  2  PLANFMT            HI17               N Type of plan - Plan #1

                               2,617                    . Inapplicable
                               2,266                    1 Employer-sponsored insurance (ESI)
                               1,732                    2 Self-purchased
                                 170                    3 Private unknown
                                 817                    4 Private Managed Care
                               3,299                    5 Medicare Advantage

                  Note: Applies if D_PHI or D_MA is not equal to zero or D_PMC = 1

D_BEGPL1  121  8  DTE8FMT                               N Date coverage began - plan #1

                               2,617                    . Inapplicable
                               8,284                      Date as YYYYMMDD

D_ENDPL1  129  8  DTE8FMT                               N Date coverage ended - plan #1

                               2,617                    . Inapplicable
                               8,284                      Date as YYYYMMDD

D_PHREL1  137  2  RELFMT                                N Policy holder relationship - Plan #1

                               6,611                    . Inapplicable
                                   0                   -5 Never ask again
                               3,808                    1 Sample person
                                 471                    2 Spouse
                                   0                    3 Son
                                   2                    4 Daughter
                                   0                    5 Brother
                                   1                    6 Sister
                                   4                    7 Father
                                   4                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   0                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   91 Other relative
                                   0                   92 Other non-relative

D_COVNM1  139  2  COVGFMT                               N # of family members covered by Plan #1

                               6,086                    . Inapplicable
                                   7                   -8 Don't know
                                   1                   -7 Refused
                               4,807                      Number reported covered

D_COVRX1  141  2  YES2FMT                               N Does Plan #1 cover prescribed medicines?

                               6,086                    . Inapplicable
                               2,740                    1 Yes
                                  60                    2 Possibly
                               2,015                    3 No

D_COVNH1  143  2  YES1FMT                               N Does Plan #1 cover stay in nursing home?

                               6,086                    . Inapplicable
                               1,002                   -8 Don't know
                                   4                   -7 Refused
                                 825                    1 Yes
                               2,984                    2 No

D_PAYSP1  145  2  PAYSPFMT                              N MIP pay any/all cost for Plan #1

                               6,086                    . Inapplicable
                                 125                   -8 Don't know
                                   2                   -7 Refused
                               3,556                    1 Yes
                               1,132                    2 No
                                   0                    3 Yes, but don't know how much

D_ANAMT1  147  8  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               6,222                    . Inapplicable
                                 804                   -8 Don't know
                                  12                   -7 Refused
                               1,158                0-100 $100 or less
                                 200           100.01-500 $101-$500
                                 180          500.01-1000 $501-$1000
                                 339         1000.01-1500 $1001-$1500
                                 393         1500.01-2000 $1501-$2000
                                 618         2000.01-2500 $2001-$2500
                                 369         2500.01-3000 $2501-$3000
                                 166         3000.01-3500 $3001-$3500
                                 116         3500.01-4000 $3501-$4000
                                  61         4000.01-4500 $4001-$4500
                                  79         4500.01-5000 $4501-$5000
                                 184        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP1 = 1

D_HMOPL1  155  2                     HI25               N Is Plan #1 an HMO

D_PLNUM1  157  5                                        C Medicare HMO code or other plan code #1

D_OBTNP1  162  2  MIPFMT                                N How did MIP get Plan #1

                               6,086                    . Inapplicable
                                  63                   -8 Don't know
                                   2                   -7 Refused
                               1,661                    1 Directly
                                 442                    2 Main insured person's current employer
                               2,082                    3 Main insured person's prior employer
                                  66                    4 Union
                                  18                    5 Family business
                                 160                    6 AARP
                                 259                    7 Deceased spouse's employer
                                  26                    8 Deceased spouse's union
                                  16                    9 Fraternal/professional organization
                                  20                   91 Other

D_TRI1    164  2  YES1FMT                               N Is Plan #1 TRICARE?

                              10,473                    . Inapplicable
                                   4                   -8 Don't know
                                 410                    1 Yes
                                  14                    2 No

D_INS1    166  2  INSPLFMT                              N Insurance coverage Plan #1

                               6,194                    . Inapplicable
                                   0                    0 Other government program
                               4,514                    1 General insurance
                                  98                    2 Dental only
                                   7                    3 Vision only
                                  26                    4 LTC
                                  37                    5 Rx only
                                   3                    6 Dental/Vision
                                  13                    7 Life insurance
                                   9                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPPL1 = 1,2 or 4
                        First available in 2001

D_RX1     168  2  RXPLFMT                               N Drug coverage Plan #1

                               6,194                    . Inapplicable
                               2,624                    1 Plan covers prescription drugs
                               2,081                    2 Plan does not cover prescription drugs
                                   2                    3 Drug discount card

                 Notes: Applies only if D_TYPPL1 = 1,2 or 4
                        First available in 2001

D_TYPPL2  170  2  PLANFMT            HI17               N Type of plan - Plan #2

                               7,124                    . Inapplicable
                               1,231                    1 Employer-sponsored insurance (ESI)
                               1,035                    2 Self-purchased
                                  39                    3 Private unknown
                                 417                    4 Private Managed Care
                               1,055                    5 Medicare Advantage

                  Note: Applies if D_PHI or D_MA is not equal to zero or D_PMC = 1

D_BEGPL2  172  8  DTE8FMT                               N Date coverage began - plan #2

                               7,124                    . Inapplicable
                               3,777                      Date as YYYYMMDD

D_ENDPL2  180  8  DTE8FMT                               N Date coverage ended - plan #2

                               7,124                    . Inapplicable
                               3,777                      Date as YYYYMMDD

D_PHREL2  188  2  RELFMT                                N Policy holder relationship - Plan #2

                               8,458                    . Inapplicable
                                   0                   -5 Never ask again
                               2,206                    1 Sample person
                                 220                    2 Spouse
                                   1                    3 Son
                                   2                    4 Daughter
                                   0                    5 Brother
                                   1                    6 Sister
                                   3                    7 Father
                                   6                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   3                   50 Partner/roommate
                                   1                   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  190  2  COVGFMT                               N # of family members covered by Plan #2

                               8,218                    . Inapplicable
                                  13                   -8 Don't know
                                   1                   -7 Refused
                               2,669                      Number reported covered

D_COVRX2  192  2  YES2FMT                               N Does Plan #2 cover prescribed medicines?

                               6,784                    . Inapplicable
                               2,258                    1 Yes
                                 141                    2 Possibly
                               1,718                    3 No

D_COVNH2  194  2  YES1FMT                               N Does Plan #2 cover stay in nursing home?

                               8,218                    . Inapplicable
                                 394                   -8 Don't know
                                   3                   -7 Refused
                                 462                    1 Yes
                               1,824                    2 No

D_PAYSP2  196  2  PAYSPFMT                              N MIP pay any/all cost for Plan #2

                               8,218                    . Inapplicable
                                  84                   -8 Don't know
                                   1                   -7 Refused
                               2,083                    1 Yes
                                 515                    2 No
                                   0                    3 Yes, but don't know how much

D_ANAMT2  198  8  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                               8,308                    . Inapplicable
                                 557                   -8 Don't know
                                   9                   -7 Refused
                                 581                0-100 $100 or less
                                 312           100.01-500 $101-$500
                                 186          500.01-1000 $501-$1000
                                 174         1000.01-1500 $1001-$1500
                                 152         1500.01-2000 $1501-$2000
                                 254         2000.01-2500 $2001-$2500
                                 126         2500.01-3000 $2501-$3000
                                  66         3000.01-3500 $3001-$3500
                                  48         3500.01-4000 $3501-$4000
                                  29         4000.01-4500 $4001-$4500
                                  34         4500.01-5000 $4501-$5000
                                  65        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP2 = 1

D_HMOPL2  206  2                     HI25               N Is Plan #2 an HMO

D_PLNUM2  208  5                                        C Medicare HMO code or other plan code #2

D_OBTNP2  213  2  MIPFMT                                N How did MIP get Plan #2

                               8,218                    . Inapplicable
                                  38                   -8 Don't know
                                   2                   -7 Refused
                                 989                    1 Directly
                                 311                    2 Main insured person's current employer
                               1,035                    3 Main insured person's prior employer
                                  44                    4 Union
                                   7                    5 Family business
                                  85                    6 AARP
                                 124                    7 Deceased spouse's employer
                                  12                    8 Deceased spouse's union
                                  12                    9 Fraternal/professional organization
                                  24                   91 Other

D_TRI2    215  2  YES1FMT                               N Is Plan #2 TRICARE?

                              10,877                    . Inapplicable
                                   2                   -8 Don't know
                                  20                    1 Yes
                                   2                    2 No

D_INS2    217  2  INSPLFMT                              N Insurance coverage Plan #2

                               8,417                    . Inapplicable
                                   0                    0 Other government program
                               1,631                    1 General insurance
                                 612                    2 Dental only
                                  39                    3 Vision only
                                 105                    4 LTC
                                  72                    5 Rx only
                                   9                    6 Dental/Vision
                                   8                    7 Life insurance
                                   8                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPPL2 = 1,2 or 4
                        First available in 2001

D_RX2     219  2  RXPLFMT                               N Drug coverage Plan #2

                               8,417                    . Inapplicable
                                 773                    1 Plan covers prescription drugs
                               1,708                    2 Plan does not cover prescription drugs
                                   3                    3 Drug discount card

                 Notes: Applies only if D_TYPPL2 = 1,2 or 4
                        First available in 2001

D_TYPPL3  221  2  PLANFMT            HI17               N Type of plan - Plan #3

                               8,874                    . Inapplicable
                                 688                    1 Employer-sponsored insurance (ESI)
                                 539                    2 Self-purchased
                                  18                    3 Private unknown
                                 238                    4 Private Managed Care
                                 544                    5 Medicare Advantage

                  Note: Applies if D_PHI or D_MA is not equal to zero or D_PMC = 1

D_BEGPL3  223  8  DTE8FMT                               N Date coverage began - plan #3

                               8,874                    . Inapplicable
                               2,027                      Date as YYYYMMDD

D_ENDPL3  231  8  DTE8FMT                               N Date coverage ended - plan #3

                               8,874                    . Inapplicable
                               2,027                      Date as YYYYMMDD

D_PHREL3  239  2  RELFMT                                N Policy holder relationship - Plan #3

                               9,581                    . Inapplicable
                                   0                   -5 Never ask again
                               1,190                    1 Sample person
                                 126                    2 Spouse
                                   1                    3 Son
                                   1                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   1                    7 Father
                                   0                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   0                   50 Partner/roommate
                                   1                   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  241  2  COVGFMT                               N # of family members covered by Plan #3

                               9,436                    . Inapplicable
                                  11                   -8 Don't know
                               1,454                      Number reported covered

D_COVRX3  243  2  YES2FMT                               N Does Plan #3 cover prescribed medicines?

                               8,998                    . Inapplicable
                                 971                    1 Yes
                                 134                    2 Possibly
                                 798                    3 No

D_COVNH3  245  2  YES1FMT                               N Does Plan #3 cover stay in nursing home?

                               9,436                    . Inapplicable
                                 244                   -8 Don't know
                                   2                   -7 Refused
                                 246                    1 Yes
                                 973                    2 No

D_PAYSP3  247  2  PAYSPFMT                              N MIP pay any/all cost for Plan #3

                               9,436                    . Inapplicable
                                  54                   -8 Don't know
                               1,127                    1 Yes
                                 284                    2 No
                                   0                    3 Yes, but don't know how much

D_ANAMT3  249  8  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                               9,492                    . Inapplicable
                                 326                   -8 Don't know
                                   3                   -7 Refused
                                 341                0-100 $100 or less
                                 186           100.01-500 $101-$500
                                  76          500.01-1000 $501-$1000
                                  93         1000.01-1500 $1001-$1500
                                  93         1500.01-2000 $1501-$2000
                                 108         2000.01-2500 $2001-$2500
                                  68         2500.01-3000 $2501-$3000
                                  32         3000.01-3500 $3001-$3500
                                  21         3500.01-4000 $3501-$4000
                                  11         4000.01-4500 $4001-$4500
                                  17         4500.01-5000 $4501-$5000
                                  34        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP3 = 1

D_HMOPL3  257  2                     HI25               N Is Plan #3 an HMO

D_PLNUM3  259  5                                        C Medicare HMO code or other plan code #3

D_OBTNP3  264  2  MIPFMT                                N How did MIP get Plan #3

                               9,436                    . Inapplicable
                                  29                   -8 Don't know
                                 508                    1 Directly
                                 164                    2 Main insured person's current employer
                                 589                    3 Main insured person's prior employer
                                  26                    4 Union
                                   4                    5 Family business
                                  48                    6 AARP
                                  74                    7 Deceased spouse's employer
                                   6                    8 Deceased spouse's union
                                   6                    9 Fraternal/professional organization
                                  11                   91 Other

D_TRI3    266  2  YES1FMT                               N Is Plan #3 TRICARE?

                              10,893                    . Inapplicable
                                   5                    1 Yes
                                   3                    2 No

D_INS3    268  2  INSPLFMT                              N Insurance coverage Plan #3

                               9,579                    . Inapplicable
                                   0                    0 Other government program
                                 825                    1 General insurance
                                 286                    2 Dental only
                                  80                    3 Vision only
                                  62                    4 LTC
                                  54                    5 Rx only
                                   6                    6 Dental/Vision
                                   6                    7 Life insurance
                                   3                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPPL3 = 1,2 or 4
                        First available in 2001

D_RX3     270  2  RXPLFMT                               N Drug coverage Plan #3

                               9,579                    . Inapplicable
                                 406                    1 Plan covers prescription drugs
                                 914                    2 Plan does not cover prescription drugs
                                   2                    3 Drug discount card

                 Notes: Applies only if D_TYPPL3 = 1,2 or 4
                        First available in 2001

D_TYPPL4  272  2  PLANFMT            HI17               N Type of plan - Plan #4

                               9,991                    . Inapplicable
                                 386                    1 Employer-sponsored insurance (ESI)
                                 217                    2 Self-purchased
                                   8                    3 Private unknown
                                 112                    4 Private Managed Care
                                 187                    5 Medicare Advantage

                  Note: Applies if D_PHI or D_MA is not equal to zero or D_PMC = 1

D_BEGPL4  274  8  DTE8FMT                               N Date coverage began - plan #4

                               9,991                    . Inapplicable
                                 910                      Date as YYYYMMDD

D_ENDPL4  282  8  DTE8FMT                               N Date coverage ended - plan #4

                               9,991                    . Inapplicable
                                 910                      Date as YYYYMMDD

D_PHREL4  290  2  RELFMT                                N Policy holder relationship - Plan #4

                              10,257                    . Inapplicable
                                   0                   -5 Never ask again
                                 568                    1 Sample person
                                  72                    2 Spouse
                                   0                    3 Son
                                   1                    4 Daughter
                                   0                    5 Brother
                                   0                    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
                                   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  292  2  COVGFMT                               N # of family members covered by Plan #4

                              10,186                    . Inapplicable
                                   4                   -8 Don't know
                                 711                      Number reported covered

D_COVRX4  294  2  YES2FMT                               N Does Plan #4 cover prescribed medicines?

                               9,898                    . Inapplicable
                                 508                    1 Yes
                                  70                    2 Possibly
                                 425                    3 No

D_COVNH4  296  2  YES1FMT                               N Does Plan #4 cover stay in nursing home?

                              10,186                    . Inapplicable
                                  90                   -8 Don't know
                                 106                    1 Yes
                                 519                    2 No

D_PAYSP4  298  2  PAYSPFMT                              N MIP pay any/all cost for Plan #4

                              10,186                    . Inapplicable
                                  30                   -8 Don't know
                                 501                    1 Yes
                                 184                    2 No
                                   0                    3 Yes, but don't know how much

D_ANAMT4  300  8  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              10,216                    . Inapplicable
                                 153                   -8 Don't know
                                 223                0-100 $100 or less
                                  92           100.01-500 $101-$500
                                  49          500.01-1000 $501-$1000
                                  40         1000.01-1500 $1001-$1500
                                  30         1500.01-2000 $1501-$2000
                                  39         2000.01-2500 $2001-$2500
                                  22         2500.01-3000 $2501-$3000
                                  11         3000.01-3500 $3001-$3500
                                   3         3500.01-4000 $3501-$4000
                                   5         4000.01-4500 $4001-$4500
                                   5         4500.01-5000 $4501-$5000
                                  13        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP4 = 1

D_HMOPL4  308  2                     HI25               N Is Plan #4 an HMO

D_PLNUM4  310  5                                        C Medicare HMO code or other plan code #4

D_OBTNP4  315  2  MIPFMT                                N How did MIP get Plan #4

                              10,186                    . Inapplicable
                                  10                   -8 Don't know
                                 214                    1 Directly
                                  80                    2 Main insured person's current employer
                                 337                    3 Main insured person's prior employer
                                  20                    4 Union
                                   1                    5 Family business
                                  11                    6 AARP
                                  35                    7 Deceased spouse's employer
                                   1                    8 Deceased spouse's union
                                   2                    9 Fraternal/professional organization
                                   4                   91 Other

D_TRI4    317  2  YES1FMT                               N Is Plan #4 TRICARE?

                              10,894                    . Inapplicable
                                   2                   -8 Don't know
                                   3                    1 Yes
                                   2                    2 No

D_INS4    319  2  INSPLFMT                              N Insurance coverage Plan #4

                              10,275                    . Inapplicable
                                   0                    0 Other government program
                                 307                    1 General insurance
                                 185                    2 Dental only
                                  43                    3 Vision only
                                  38                    4 LTC
                                  46                    5 Rx only
                                   4                    6 Dental/Vision
                                   1                    7 Life insurance
                                   2                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPPL4 = 1,2 or 4
                        First available in 2001

D_RX4     321  2  RXPLFMT                               N Drug coverage Plan #4

                              10,275                    . Inapplicable
                                 184                    1 Plan covers prescription drugs
                                 441                    2 Plan does not cover prescription drugs
                                   1                    3 Drug discount card

                 Notes: Applies only if D_TYPPL4 = 1,2 or 4
                        First available in 2001

D_TYPPL5  323  2  PLANFMT            HI17               N Type of plan - Plan #5

                              10,469                    . Inapplicable
                                 187                    1 Employer-sponsored insurance (ESI)
                                  97                    2 Self-purchased
                                   2                    3 Private unknown
                                  52                    4 Private Managed Care
                                  94                    5 Medicare Advantage

                  Note: Applies if D_PHI or D_MA is not equal to zero or D_PMC = 1

D_BEGPL5  325  8  DTE8FMT                               N Date coverage began - plan #5

                              10,469                    . Inapplicable
                                 432                      Date as YYYYMMDD

D_ENDPL5  333  8  DTE8FMT                               N Date coverage ended - plan #5

                              10,469                    . Inapplicable
                                 432                      Date as YYYYMMDD

D_PHREL5  341  2  RELFMT                                N Policy holder relationship - Plan #5

                              10,600                    . Inapplicable
                                   0                   -5 Never ask again
                                 272                    1 Sample person
                                  28                    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  343  2  COVGFMT                               N # of family members covered by Plan #5

                              10,565                    . Inapplicable
                                 336                      Number reported covered

D_COVRX5  345  2  YES2FMT                               N Does Plan #5 cover prescribed medicines?

                              10,565                    . Inapplicable
                                 115                    1 Yes
                                  41                    2 Possibly
                                 180                    3 No

D_COVNH5  347  2  YES1FMT                               N Does Plan #5 cover stay in nursing home?

                              10,565                    . Inapplicable
                                  28                   -8 Don't know
                                  47                    1 Yes
                                 261                    2 No

D_PAYSP5  349  2  PAYSPFMT                              N MIP pay any/all cost for Plan #5

                              10,565                    . Inapplicable
                                  11                   -8 Don't know
                                 236                    1 Yes
                                  89                    2 No
                                   0                    3 Yes, but don't know how much

D_ANAMT5  351  8  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              10,576                    . Inapplicable
                                  77                   -8 Don't know
                                 110                0-100 $100 or less
                                  50           100.01-500 $101-$500
                                  24          500.01-1000 $501-$1000
                                  21         1000.01-1500 $1001-$1500
                                  13         1500.01-2000 $1501-$2000
                                  10         2000.01-2500 $2001-$2500
                                  10         2500.01-3000 $2501-$3000
                                   3         3000.01-3500 $3001-$3500
                                   1         3500.01-4000 $3501-$4000
                                   2         4000.01-4500 $4001-$4500
                                   1         4500.01-5000 $4501-$5000
                                   3        5000.01-99999 Over $5000

                  Note: Applies only if D_PAYSP5 = 1

D_HMOPL5  359  2                     HI25               N Is Plan #5 an HMO

D_PLNUM5  361  5                                        C Medicare HMO code or other plan code #5

D_OBTNP5  366  2  MIPFMT                                N How did MIP get Plan #5

                              10,565                    . Inapplicable
                                   3                   -8 Don't know
                                 100                    1 Directly
                                  39                    2 Main insured person's current employer
                                 164                    3 Main insured person's prior employer
                                   9                    4 Union
                                   0                    5 Family business
                                   2                    6 AARP
                                  13                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   5                    9 Fraternal/professional organization
                                   1                   91 Other

D_TRI5    368  2  YES1FMT                               N Is Plan #5 TRICARE?

                              10,901                    . Inapplicable
                                   0                    1 Yes
                                   0                    2 No

D_INS5    370  2  INSPLFMT                              N Insurance coverage Plan #5

                              10,617                    . Inapplicable
                                   0                    0 Other government program
                                 117                    1 General insurance
                                  84                    2 Dental only
                                  27                    3 Vision only
                                  22                    4 LTC
                                  30                    5 Rx only
                                   2                    6 Dental/Vision
                                   1                    7 Life insurance
                                   1                    8 Cancer/dread disease
                                   0                    9 Military/Other

                 Notes: Applies only if D_TYPPL5 = 1,2 or 4
                        First available in 2001

D_RX5     372  2  RXPLFMT                               N Drug coverage Plan #5

                              10,617                    . Inapplicable
                                  78                    1 Plan covers prescription drugs
                                 206                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

                 Notes: Applies only if D_TYPPL5 = 1,2 or 4
                        First available in 2001

