RIC         1  2                                        C RECORD IDENTIFICATION CODE

VERSION     3  1                                        C VERSION NUMBER

BASEID      4  8  $BSIDFMT                              C UNIQUE SP IDENTIFICATION NUMBER

                              15,117             LOW-HIGH BASEID Count

INTERVU    12  1  $INTRFMT                              C Type of interview

                              14,189                    C Community
                                 928                    F Facility

D_MCARE    13  1  MEDCOVG                               N Medicare coverage

                                   1                    0 No entitlement
                                 587                    1 Part A only
                                  63                    2 Part B only
                              14,466                    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

                              10,197                    0 No entitlement
                                 614                    1 Survey data only
                                 368                    2 CMS administrative data only
                               3,938                    3 Both survey and administrative data

D_PRIVAT   15  1  PHIFMT                                N Private insurance coverage

                               8,195                    0 No entitlement
                               3,521                    1 Employer-sponsored insurance (ESI)
                               2,681                    2 Self-purchased
                                 327                    3 Both ESI and self-purchased
                                 393                    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

                              14,688                    0 None
                                 429                      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

                              11,562                    0 No entitlement
                                 404                    1 Survey data only
                                 930                    2 CMS administrative data only
                               2,221                    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?

                                 242                    . Inapplicable
                               2,685                    1 Yes
                              12,190                    2 No

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

                              12,492                    . Inapplicable
                                   1                   -9 Not ascertained
                                 253                   -8 Don't know
                                 545                    1 Yes
                               1,826                    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

                              14,735                    . Inapplicable
                                  10                   -8 Don't know
                                 326                    1 Yes
                                  46                    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

                              14,753                    . Inapplicable
                                   9                    0 Other government program
                                  81                    1 General insurance
                                   1                    2 Dental only
                                   1                    3 Vision only
                                   2                    4 LTC
                                 268                    5 Rx only
                                   0                    6 Dental/Vision
                                   1                    7 Life insurance
                                   1                    8 Cancer/Dread disease
                                   0                    9 Military/Other

PU_RX      28  2  RXPLFMT                               N Type of drug coverage - Public

                              14,752                    . Inapplicable
                                 318                    1 Plan covers prescription drugs
                                   7                    2 Plan does not cover prescription drugs
                                  40                    3 Drug discount card

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

                              12,778                    . Inapplicable
                                 546                    1 Yes
                               1,793                    2 No

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

D_HMOTYP   33  2  $PLNFMT                               C Type of Medicare HMO

                              10,763                      No enrollment
                                  24                   01 Health care prepayment plan
                                 152                   02 Cost HMO
                               4,130                   06 Risk HMO
                                  48                   16 Employer PDP

D_HMOCOV   35  2  COVFMT                                N SP covered by Medicare HMO at anytime?

                              10,565                    0 No enrollment
                               4,552                    1 Some enrollment

D_HMOCUR   37  2  CURFMT                                N Is SP currently covered by Mcare HMO?

                               4,552                    1 Currently enrolled
                              10,565                    2 Not currently enrolled

MHMORX     39  2  YES1FMT                               N Does Medicare HMO plan cover drugs?

                              10,565                    . Inapplicable
                                  38                   -8 Don't know
                               3,961                    1 Yes
                                 553                    2 No

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

MHMODENT   41  2  YES1FMT                               N Does Medicare HMO plan cover dental?

                              10,568                    . Inapplicable
                                   1                   -9 Not ascertained
                                 274                   -8 Don't know
                               1,471                    1 Yes
                               2,803                    2 No

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

MHMOEYE    43  2  YES1FMT                               N Does Medicare HMO plan cover eye exams?

                              10,568                    . Inapplicable
                                   1                   -9 Not ascertained
                                 381                   -8 Don't know
                               2,443                    1 Yes
                               1,724                    2 No

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

MHMOPCAR   45  2  YES1FMT                               N Does Mcare HMO plan cover preventiv care

                              10,568                    . Inapplicable
                                   1                   -9 Not ascertained
                                 366                   -8 Don't know
                               3,966                    1 Yes
                                 216                    2 No

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

MHMONH     47  2  YES1FMT                               N Does Mcare HMO plan cover nursing home?

                              10,568                    . Inapplicable
                                   1                   -9 Not ascertained
                               1,951                   -8 Don't know
                                   4                   -7 Refused
                                 636                    1 Yes
                               1,957                    2 No

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

MHMOPAY    49  2  YES1FMT                               N Does SP pay additional for HMO coverage?

                              10,568                    . Inapplicable
                                   1                   -9 Not ascertained
                                 228                   -8 Don't know
                                   2                   -7 Refused
                               1,849                    1 Yes
                               2,469                    2 No

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

MHMOCOST   51  3  YES1FMT            HIMC12a            N Did anyone else pay portion of premium?

                              13,268                    . Inapplicable
                                  33                   -8 Don't know
                                   1                   -7 Refused
                                 321                    1 Yes
                               1,494                    2 No

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

MHMOWHO    54  3  WHOFMT             HIMC12b            N Who else pays a portion of the premium?

                              14,796                    . Inapplicable
                                  16                    1 Main insured person's current employer
                                 182                    2 Main insured person's former employer
                                   9                    3 Main insured person's union
                                  15                    4 Spouse's current employer
                                  81                    5 Spouse's former employer
                                   3                    6 Professional/fraternal organization
                                   7                    7 Medicaid/medical assistance
                                   8                   91 Other

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

D_ANHMO    57  8  PREM_F                                N Annual amnt paid for Mcare HMO coverage?

                              14,566                    . Inapplicable
                                   8                0-100 $100 or less
                                 113           100.01-500 $101-$500
                                 122          500.01-1000 $501-$1000
                                 115         1000.01-1500 $1001-$1500
                                  63         1500.01-2000 $1501-$2000
                                  56         2000.01-2500 $2001-$2500
                                  39         2500.01-3000 $2501-$3000
                                  10         3000.01-3500 $3001-$3500
                                   8         3500.01-4000 $3501-$4000
                                   4         4000.01-4500 $4001-$4500
                                   4         4500.01-5000 $4501-$5000
                                   9                      Over $5000

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

TRICOVER   65  3  YES1FMT            HIT1               N Is SP covered by tricare?

                              14,489                    . Inapplicable
                                 628                    1 Yes
                                   0                    2 No

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

MTRIRX     68  2  YES1FMT            HIST3              N Does tricare plan cover drugs?

                              14,489                    . Inapplicable
                                  18                   -8 Don't know
                                 588                    1 Yes
                                  22                    2 No

                  Note: First available in 2003

TRIMEDS    70  2  MEMMEDFM           HIT4a              N Where Tricare members get medicine

                              14,710                    . Missing
                                   5                   -8 Don't know
                                   1                   -7 Refused
                                 133                    1 Mail order pharmacy
                                  54                    2 Retail network pharmacy
                                 126                    3 Military treatment facility
                                  86                    4 Non-network retail pharmacy
                                   2                   91 Other

                  Note: First available in 2005

D_TYPPL1   72  2  PLANFMT            HI17               N Type of plan - Plan #1

                               8,195                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               6,922                    4 Private plan
                                   0                    5 Medicare HMO

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

D_PHREL1   74  2  RELFMT                                N Policy holder relationship - Plan #1

                               8,493                    . Inapplicable
                                  21                   -9 Not ascertained
                                   1                   -7 Refused
                                   0                   -5 Never ask again
                               5,386                    1 Sample person
                               1,149                    2 Spouse
                                   4                    3 Son
                                   2                    4 Daughter
                                   0                    5 Brother
                                   1                    6 Sister
                                  27                    7 Father
                                  20                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   6                   50 Partner/roommate
                                   2                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   1                   55 Guardian
                                   1                   91 Other relative
                                   3                   92 Other non-relative

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

D_COVNM1   76  2  COVGFMT                               N # of family members covered by Plan #1

                               8,493                    . Inapplicable
                                  29                   -8 Don't know
                                   1                   -7 Refused
                               6,594                      Number reported covered

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

D_COVRX1   78  2  YES1FMT                               N Plan #1 covers prescribed medicines?

                               8,493                    . Inapplicable
                                 249                   -8 Don't know
                                   1                   -7 Refused
                               3,009                    1 Yes
                               3,365                    2 No

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

D_COVNH1   80  2  YES1FMT                               N Plan #1 covers stay in nursing home?

                               8,493                    . Inapplicable
                               1,795                   -8 Don't know
                                   5                   -7 Refused
                               1,346                    1 Yes
                               3,478                    2 No

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

D_PAYSP1   82  2  YES1FMT                               N MIP pay any/all cost for Plan #1

                               8,493                    . Inapplicable
                                 158                   -8 Don't know
                                   5                   -7 Refused
                               5,459                    1 Yes
                               1,002                    2 No

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

D_ANAMT1   84  7  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               9,658                    . Inapplicable
                                   4                   -9 Not ascertained
                               1,147                   -8 Don't know
                                  23                   -7 Refused
                                  97                0-100 $100 or less
                                 516           100.01-500 $101-$500
                                 345          500.01-1000 $501-$1000
                                 497         1000.01-1500 $1001-$1500
                                 625         1500.01-2000 $1501-$2000
                                 816         2000.01-2500 $2001-$2500
                                 540         2500.01-3000 $2501-$3000
                                 233         3000.01-3500 $3001-$3500
                                 169         3500.01-4000 $3501-$4000
                                 100         4000.01-4500 $4001-$4500
                                 100         4500.01-5000 $4501-$5000
                                 247                      Over $5000

                  Note: Applies only if D_PAYSP1 = 1

D_HMOPL1   91  2  YES1FMT            HI25               N Is Plan #1 an HMO

                               8,493                    . Inapplicable
                                 380                   -8 Don't know
                                   3                   -7 Refused
                               1,497                    1 Yes
                               4,744                    2 No

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

D_OBTNP1   93  2  MIPFMT                                N How did MIP get Plan #1

                               8,493                    . Inapplicable
                                  99                   -8 Don't know
                                   2                   -7 Refused
                               2,457                    1 Directly
                                 645                    2 Main insured person's current employer
                               2,542                    3 Main insured person's prior employer
                                 133                    4 Union
                                  27                    5 Family business
                                 267                    6 AARP
                                 329                    7 Deceased spouse's employer
                                  31                    8 Deceased spouse's union
                                  19                    9 Fraternal/professional organization
                                  73                   91 Other

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

D_COVIP1   95  2  YES1FMT            HIS29b             N Plan #1 covers some inpatient costs

                               8,493                    . Inapplicable
                                 225                   -8 Don't know
                                   1                   -7 Refused
                               5,501                    1 Yes
                                 897                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_COVMD1   97  2  YES1FMT            HIS29b             N Plan #1 covers some MD/lab visit costs

                               8,493                    . Inapplicable
                                 114                   -8 Don't know
                                   1                   -7 Refused
                               5,662                    1 Yes
                                 847                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_RX1      99  2  RXPLFMT                               N Type of drug coverage - Priv1

                               8,654                    . Inapplicable
                               2,940                    1 Plan covers prescription drugs
                               3,521                    2 Plan does not cover prescription drugs
                                   2                    3 Drug discount card

D_INS1    101  2  INSPLFMT                              N Type of insurance plan - Priv1

                               8,654                    . Inapplicable
                                   2                    0 Other government program
                               5,673                    1 General insurance
                                 588                    2 Dental only
                                  48                    3 Vision only
                                  71                    4 LTC
                                  42                    5 Rx only
                                   9                    6 Dental/Vision
                                  17                    7 Life insurance
                                  11                    8 Cancer/Dread disease
                                   2                    9 Military/Other

D_TYPPL2  103  2  PLANFMT            HI17               N Type of plan - Plan #2

                              13,561                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               1,556                    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  105  2  RELFMT                                N Policy holder relationship - Plan #2

                              13,563                    . Inapplicable
                                   8                   -9 Not ascertained
                                   0                   -5 Never ask again
                               1,134                    1 Sample person
                                 390                    2 Spouse
                                   2                    3 Son
                                   2                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   4                    7 Father
                                   7                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   6                   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  107  2  COVGFMT                               N # of family members covered by Plan #2

                              13,563                    . Inapplicable
                                   4                   -8 Don't know
                               1,550                      Number reported covered

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

D_COVRX2  109  2  YES1FMT                               N Plan #2 covers prescribed medicines?

                              13,563                    . Inapplicable
                                 126                   -8 Don't know
                                 336                    1 Yes
                               1,092                    2 No

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

D_COVNH2  111  2  YES1FMT                               N Plan #2 covers stay in nursing home?

                              13,563                    . Inapplicable
                                 100                   -8 Don't know
                                 214                    1 Yes
                               1,240                    2 No

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

D_PAYSP2  113  2  YES1FMT                               N MIP pay any/all cost for Plan #2

                              13,563                    . Inapplicable
                                  43                   -8 Don't know
                                   1                   -7 Refused
                               1,171                    1 Yes
                                 339                    2 No

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

D_ANAMT2  115  7  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                              13,946                    . Inapplicable
                                   2                   -9 Not ascertained
                                 375                   -8 Don't know
                                   7                   -7 Refused
                                  88                0-100 $100 or less
                                 288           100.01-500 $101-$500
                                 163          500.01-1000 $501-$1000
                                  92         1000.01-1500 $1001-$1500
                                  36         1500.01-2000 $1501-$2000
                                  46         2000.01-2500 $2001-$2500
                                  30         2500.01-3000 $2501-$3000
                                  10         3000.01-3500 $3001-$3500
                                   9         3500.01-4000 $3501-$4000
                                   5         4000.01-4500 $4001-$4500
                                   6         4500.01-5000 $4501-$5000
                                  14                      Over $5000

                  Note: Applies only if D_PAYSP2 = 1

D_HMOPL2  122  2  YES1FMT            HI25               N Is Plan #2 an HMO

                              13,563                    . Inapplicable
                                  82                   -8 Don't know
                                 238                    1 Yes
                               1,234                    2 No

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

D_OBTNP2  124  2  MIPFMT                                N How did MIP get Plan #2

                              13,563                    . Inapplicable
                                  13                   -8 Don't know
                                 387                    1 Directly
                                 264                    2 Main insured person's current employer
                                 768                    3 Main insured person's prior employer
                                  41                    4 Union
                                   1                    5 Family business
                                   7                    6 AARP
                                  56                    7 Deceased spouse's employer
                                   3                    8 Deceased spouse's union
                                   3                    9 Fraternal/professional organization
                                  11                   91 Other

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

D_COVIP2  126  2  YES1FMT            HIS29b             N Plan #2 covers some inpatient costs

                              13,563                    . Inapplicable
                                  80                   -8 Don't know
                                 260                    1 Yes
                               1,214                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_COVMD2  128  2  YES1FMT            HIS29b             N Plan #2 covers some MD/lab visit costs

                              13,563                    . Inapplicable
                                  45                   -8 Don't know
                                 466                    1 Yes
                               1,043                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_RX2     130  2  RXPLFMT                               N Type of drug coverage - Priv2

                              13,683                    . Inapplicable
                                 260                    1 Plan covers prescription drugs
                               1,172                    2 Plan does not cover prescription drugs
                                   2                    3 Drug discount card

D_INS2    132  2  INSPLFMT                              N Type of insurance plan - Priv2

                              13,683                    . Inapplicable
                                   2                    0 Other government program
                                 437                    1 General insurance
                                 665                    2 Dental only
                                 128                    3 Vision only
                                  89                    4 LTC
                                 100                    5 Rx only
                                   7                    6 Dental/Vision
                                   0                    7 Life insurance
                                   6                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL3  134  2  PLANFMT            HI17               N Type of plan - Plan #3

                              14,741                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                 376                    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  136  2  RELFMT                                N Policy holder relationship - Plan #3

                              14,741                    . Inapplicable
                                   2                   -9 Not ascertained
                                   0                   -5 Never ask again
                                 261                    1 Sample person
                                 112                    2 Spouse
                                   0                    3 Son
                                   0                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   0                    7 Father
                                   1                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   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  138  2  COVGFMT                               N # of family members covered by Plan #3

                              14,741                    . Inapplicable
                                 376                      Number reported covered

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

D_COVRX3  140  2  YES1FMT                               N Plan #3 covers prescribed medicines?

                              14,741                    . Inapplicable
                                  29                   -8 Don't know
                                  65                    1 Yes
                                 282                    2 No

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

D_COVNH3  142  2  YES1FMT                               N Plan #3 covers stay in nursing home?

                              14,741                    . Inapplicable
                                  18                   -8 Don't know
                                  36                    1 Yes
                                 322                    2 No

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

D_PAYSP3  144  2  YES1FMT                               N MIP pay any/all cost for Plan #3

                              14,741                    . Inapplicable
                                   9                   -8 Don't know
                                 267                    1 Yes
                                 100                    2 No

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

D_ANAMT3  146  7  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                              14,850                    . Inapplicable
                                  95                   -8 Don't know
                                   2                   -7 Refused
                                  57                0-100 $100 or less
                                  64           100.01-500 $101-$500
                                  13          500.01-1000 $501-$1000
                                  17         1000.01-1500 $1001-$1500
                                   5         1500.01-2000 $1501-$2000
                                   3         2000.01-2500 $2001-$2500
                                   4         2500.01-3000 $2501-$3000
                                   1         3000.01-3500 $3001-$3500
                                   2         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   2         4500.01-5000 $4501-$5000
                                   2                      Over $5000

                  Note: Applies only if D_PAYSP3 = 1

D_HMOPL3  153  2  YES1FMT            HI25               N Is Plan #3 an HMO

                              14,741                    . Inapplicable
                                  22                   -8 Don't know
                                  40                    1 Yes
                                 314                    2 No

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

D_OBTNP3  155  2  MIPFMT                                N How did MIP get Plan #3

                              14,741                    . Inapplicable
                                   3                   -8 Don't know
                                  47                    1 Directly
                                  64                    2 Main insured person's current employer
                                 223                    3 Main insured person's prior employer
                                  16                    4 Union
                                   0                    5 Family business
                                   1                    6 AARP
                                  18                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   2                    9 Fraternal/professional organization
                                   2                   91 Other

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

D_COVIP3  157  2  YES1FMT            HIS29b             N Plan #3 covers some inpatient costs

                              14,741                    . Inapplicable
                                  21                   -8 Don't know
                                  43                    1 Yes
                                 312                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_COVMD3  159  2  YES1FMT            HIS29b             N Plan #3 covers some MD/lab visit costs

                              14,741                    . Inapplicable
                                  15                   -8 Don't know
                                 129                    1 Yes
                                 232                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_RX3     161  2  RXPLFMT                               N Type of drug coverage - Priv3

                              14,780                    . Inapplicable
                                  49                    1 Plan covers prescription drugs
                                 288                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS3    163  2  INSPLFMT                              N Type of insurance plan - Priv3

                              14,780                    . Inapplicable
                                   0                    0 Other government program
                                  80                    1 General insurance
                                  86                    2 Dental only
                                 126                    3 Vision only
                                  14                    4 LTC
                                  25                    5 Rx only
                                   2                    6 Dental/Vision
                                   1                    7 Life insurance
                                   3                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL4  165  2  PLANFMT            HI17               N Type of plan - Plan #4

                              15,070                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                  47                    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  167  2  RELFMT                                N Policy holder relationship - Plan #4

                              15,070                    . Inapplicable
                                   1                   -9 Not ascertained
                                   0                   -5 Never ask again
                                  32                    1 Sample person
                                  14                    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  169  2  COVGFMT                               N # of family members covered by Plan #4

                              15,070                    . Inapplicable
                                   1                   -8 Don't know
                                  46                      Number reported covered

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

D_COVRX4  171  2  YES1FMT                               N Plan #4 covers prescribed medicines?

                              15,070                    . Inapplicable
                                   5                   -8 Don't know
                                   8                    1 Yes
                                  34                    2 No

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

D_COVNH4  173  2  YES1FMT                               N Plan #4 covers stay in nursing home?

                              15,070                    . Inapplicable
                                   3                   -8 Don't know
                                  11                    1 Yes
                                  33                    2 No

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

D_PAYSP4  175  2  YES1FMT                               N MIP pay any/all cost for Plan #4

                              15,070                    . Inapplicable
                                   1                   -8 Don't know
                                  35                    1 Yes
                                  11                    2 No

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

D_ANAMT4  177  7  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              15,082                    . Inapplicable
                                  15                   -8 Don't know
                                   5                0-100 $100 or less
                                   4           100.01-500 $101-$500
                                   5          500.01-1000 $501-$1000
                                   2         1000.01-1500 $1001-$1500
                                   3         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_PAYSP4 = 1

D_HMOPL4  184  2  YES1FMT            HI25               N Is Plan #4 an HMO

                              15,070                    . Inapplicable
                                   1                   -8 Don't know
                                   4                    1 Yes
                                  42                    2 No

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

D_OBTNP4  186  2  MIPFMT                                N How did MIP get Plan #4

                              15,070                    . Inapplicable
                                  12                    1 Directly
                                   2                    2 Main insured person's current employer
                                  28                    3 Main insured person's prior employer
                                   5                    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  188  2  YES1FMT            HIS29b             N Plan #4 covers some inpatient costs

                              15,070                    . Inapplicable
                                   4                   -8 Don't know
                                   6                    1 Yes
                                  37                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_COVMD4  190  2  YES1FMT            HIS29b             N Plan #4 covers some MD/lab visit costs

                              15,070                    . Inapplicable
                                   3                   -8 Don't know
                                  16                    1 Yes
                                  28                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_RX4     192  2  RXPLFMT                               N Type of drug coverage - Priv4

                              15,073                    . Inapplicable
                                   8                    1 Plan covers prescription drugs
                                  36                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS4    194  2  INSPLFMT                              N Type of insurance plan - Priv4

                              15,073                    . Inapplicable
                                   0                    0 Other government program
                                  15                    1 General insurance
                                   7                    2 Dental only
                                  13                    3 Vision only
                                   4                    4 LTC
                                   3                    5 Rx only
                                   1                    6 Dental/Vision
                                   0                    7 Life insurance
                                   1                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL5  196  2  PLANFMT            HI17               N Type of plan - Plan #5

                              15,114                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                   3                    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  198  2  RELFMT                                N Policy holder relationship - Plan #5

                              15,114                    . Inapplicable
                                   0                   -5 Never ask again
                                   3                    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  200  2  COVGFMT                               N # of family members covered by Plan #5

                              15,114                    . Inapplicable
                                   3                      Number reported covered

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

D_COVRX5  202  2  YES1FMT                               N Plan #5 covers prescribed medicines?

                              15,114                    . Inapplicable
                                   0                    1 Yes
                                   3                    2 No

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

D_COVNH5  204  2  YES1FMT                               N Plan #5 covers stay in nursing home?

                              15,114                    . Inapplicable
                                   0                    1 Yes
                                   3                    2 No

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

D_PAYSP5  206  2  YES1FMT                               N MIP pay any/all cost for Plan #5

                              15,114                    . Inapplicable
                                   3                    1 Yes
                                   0                    2 No

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

D_ANAMT5  208  7  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              15,114                    . 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
                                   1         2000.01-2500 $2001-$2500
                                   0         2500.01-3000 $2501-$3000
                                   0         3000.01-3500 $3001-$3500
                                   0         3500.01-4000 $3501-$4000
                                   0         4000.01-4500 $4001-$4500
                                   0         4500.01-5000 $4501-$5000

                  Note: Applies only if D_PAYSP5 = 1

D_HMOPL5  215  2  YES1FMT            HI25               N Is Plan #5 an HMO

                              15,114                    . Inapplicable
                                   0                    1 Yes
                                   3                    2 No

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

D_OBTNP5  217  2  MIPFMT                                N How did MIP get Plan #5

                              15,114                    . Inapplicable
                                   1                    1 Directly
                                   1                    2 Main insured person's current employer
                                   1                    3 Main insured person's prior employer
                                   0                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                   0                    7 Deceased spouse's employer
                                   0                    8 Deceased spouse's union
                                   0                    9 Fraternal/professional organization
                                   0                   91 Other

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

D_COVIP5  219  2  YES1FMT            HIS29b             N Plan #5 covers some inpatient costs

                              15,114                    . Inapplicable
                                   0                    1 Yes
                                   3                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_COVMD5  221  2  YES1FMT            HIS29b             N Plan #5 covers some MD/lab visit costs

                              15,114                    . Inapplicable
                                   1                    1 Yes
                                   2                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_RX5     223  2  RXPLFMT                               N Type of drug coverage - Priv5

                              15,114                    . Inapplicable
                                   0                    1 Plan covers prescription drugs
                                   3                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS5    225  2  INSPLFMT                              N Type of insurance plan - Priv5

                              15,114                    . Inapplicable
                                   0                    0 Other government program
                                   0                    1 General insurance
                                   0                    2 Dental only
                                   2                    3 Vision only
                                   0                    4 LTC
                                   0                    5 Rx only
                                   0                    6 Dental/Vision
                                   1                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

