RIC         1  2  $RIC                                  C RECORD IDENTIFICATION CODE

                                   0                    A Administrative Data
                                   0                    H HMO Supplement
                                   0                    K Key Record
                                   0                    N Non-Respondent
                                   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                    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
                              14,874                    4 Health Insurance
                                   0                    5 Enumeration
                                   0                    6 Facility Residence History
                                   0                    7 Facility Characteristics
                                   0                    8 Interview Description

VERSION     3  1  $VERSION                              C VERSION NUMBER

                              14,874                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C UNIQUE SP IDENTIFICATION NUMBER

                              14,874             LOW-HIGH BASEID Count

INTERVU    12  1  $INTRFMT                              C Type of interview

                              13,924                    C Community
                                 950                    F Facility

D_MCARE    13  1  MEDCOVG                               N Medicare coverage

                                   3                    0 No entitlement
                                 551                    1 Part A only
                                  65                    2 Part B only
                              14,255                    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

                               9,820                    0 No entitlement
                                 596                    1 Survey data only
                                 409                    2 CMS administrative data only
                               4,049                    3 Both survey and administrative data

D_PRIVAT   15  1  PHIFMT                                N Private insurance coverage

                               8,218                    0 No entitlement
                               3,322                    1 Employer-sponsored insurance (ESI)
                               2,664                    2 Self-purchased
                                 284                    3 Both ESI and self-purchased
                                 386                    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

                              14,518                    0 None
                                 356                      One or more

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

D_MCAID    18  1  SOURCE                                N Medicaid eligibility

                              11,336                    0 No entitlement
                                 384                    1 Survey data only
                                 964                    2 CMS administrative data only
                               2,190                    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?

                                 133                    . Inapplicable
                               2,820                    1 Yes
                              11,921                    2 No

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

                              12,300                    . Inapplicable
                                 230                   -8 Don't know
                                   2                   -7 Refused
                                   1                   -1 Inapplicable
                                 565                    1 Yes
                               1,776                    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

                              14,555                    . Inapplicable
                                   6                   -8 Don't know
                                   1                   -7 Refused
                                 284                    1 Yes
                                  28                    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

                              14,570                    . Inapplicable
                                   5                    0 Other government program
                                  54                    1 General insurance
                                   0                    2 Dental only
                                   0                    3 Vision only
                                   1                    4 LTC
                                 243                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   1                    8 Cancer/Dread disease
                                   0                    9 Military/Other

PU_RX      28  2  RXPLFMT                               N Type of drug coverage - Public

                              14,570                    . Inapplicable
                                 277                    1 Plan covers prescription drugs
                                   2                    2 Plan does not cover prescription drugs
                                  25                    3 Drug discount card

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

                              12,561                    . Inapplicable
                                   3                   -8 Don't know
                                 532                    1 Yes
                               1,778                    2 No

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

D_HMOCOV   33  2  COVFMT                                N SP covered by Medicare HMO at anytime?

                              10,229                    0 No enrollment
                               4,645                    1 Some enrollment

D_HMOCUR   35  2  CURFMT                                N Is SP currently covered by Mcare HMO?

                               4,645                    1 Currently enrolled
                              10,229                    2 Not currently enrolled

MHMORX     37  2  YES1FMT                               N Does Medicare HMO plan cover drugs?

                              10,229                    . Inapplicable
                                   2                   -9 Not ascertained
                                  45                   -8 Don't know
                               4,083                    1 Yes
                                 515                    2 No

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

MHMODENT   39  2  YES1FMT                               N Does Medicare HMO plan cover dental?

                              10,235                    . Inapplicable
                                   6                   -9 Not ascertained
                                 285                   -8 Don't know
                                   1                   -7 Refused
                               1,538                    1 Yes
                               2,809                    2 No

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

MHMOEYE    41  2  YES1FMT                               N Does Medicare HMO plan cover eye exams?

                              10,235                    . Inapplicable
                                   6                   -9 Not ascertained
                                 386                   -8 Don't know
                                   1                   -7 Refused
                               2,459                    1 Yes
                               1,787                    2 No

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

MHMONH     43  2  YES1FMT                               N Does Mcare HMO plan cover nursing home?

                              10,235                    . Inapplicable
                                   6                   -9 Not ascertained
                               2,124                   -8 Don't know
                                   4                   -7 Refused
                                 655                    1 Yes
                               1,850                    2 No

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

MHMOPAY    45  2  YES1FMT                               N Does SP pay additional for HMO coverage?

                              10,235                    . Inapplicable
                                   6                   -9 Not ascertained
                                 241                   -8 Don't know
                                   2                   -7 Refused
                               1,827                    1 Yes
                               2,563                    2 No

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

MHMOCOST   47  3  YES1FMT            HIMC12a            N Did anyone else pay portion of premium?

                              13,047                    . Inapplicable
                                   1                   -9 Not ascertained
                                  34                   -8 Don't know
                                   2                   -7 Refused
                                 355                    1 Yes
                               1,435                    2 No

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

MHMOWHO    50  3  WHOFMT             HIMC12b            N Who else pays a portion of the premium?

                              14,519                    . Inapplicable
                                  20                    1 Main insured person's current employer
                                 193                    2 Main insured person's former employer
                                  22                    3 Main insured person's union
                                   9                    4 Spouse's current employer
                                  92                    5 Spouse's former employer
                                   3                    6 Professional/fraternal organization
                                   8                    7 Medicaid/medical assistance
                                   8                   91 Other

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

D_ANHMO    53  8  PREM_F                                N Annual amnt paid for Mcare HMO coverage?

                              14,345                    . Inapplicable
                                  10                0-100 $100 or less
                                  99           100.01-500 $101-$500
                                 116          500.01-1000 $501-$1000
                                 121         1000.01-1500 $1001-$1500
                                  54         1500.01-2000 $1501-$2000
                                  44         2000.01-2500 $2001-$2500
                                  29         2500.01-3000 $2501-$3000
                                  15         3000.01-3500 $3001-$3500
                                  15         3500.01-4000 $3501-$4000
                                   6         4000.01-4500 $4001-$4500
                                   6         4500.01-5000 $4501-$5000
                                  14                      Over $5000

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

TRICOVER   61  3  YES1FMT            HIT1               N Is SP covered by tricare?

                              14,261                    . Inapplicable
                                 613                    1 Yes
                                   0                    2 No

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

MTRIRX     64  2  YES1FMT            HIST3              N Does tricare plan cover drugs?

                              14,261                    . Inapplicable
                                  21                   -8 Don't know
                                 569                    1 Yes
                                  23                    2 No

                  Note: First available in 2003

TRIMEDS    66  2  MEMMEDFM           HIT4a              N Where Tricare members get medicine

                              14,482                    . Missing
                                   2                   -8 Don't know
                                 154                    1 Mail order pharmacy
                                  56                    2 Retail network pharmacy
                                 111                    3 Military treatment facility
                                  65                    4 Non-network retail pharmacy
                                   4                   91 Other

                  Note: First available in 2005

D_TYPPL1   68  2  PLANFMT            HI17               N Type of plan - Plan #1

                               8,218                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               6,656                    4 Private plan
                                   0                    5 Medicare HMO

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

D_PHREL1   70  2  RELFMT                                N Policy holder relationship - Plan #1

                               8,515                    . Inapplicable
                                  12                   -9 Not ascertained
                                   1                   -7 Refused
                                   0                   -5 Never ask again
                               5,184                    1 Sample person
                               1,107                    2 Spouse
                                   0                    3 Son
                                   3                    4 Daughter
                                   1                    5 Brother
                                   0                    6 Sister
                                  24                    7 Father
                                  18                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   5                   50 Partner/roommate
                                   1                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   56 Partner
                                   0                   57 Roommate
                                   1                   91 Other relative
                                   2                   92 Other non-relative

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

D_COVNM1   72  2  COVGFMT                               N # of family members covered by Plan #1

                               8,515                    . Inapplicable
                                  34                   -8 Don't know
                               6,325                      Number reported covered

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

D_COVRX1   74  2  YES1FMT                               N Plan #1 covers prescribed medicines?

                               8,515                    . Inapplicable
                                 256                   -8 Don't know
                               2,665                    1 Yes
                               3,438                    2 No

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

D_COVNH1   76  2  YES1FMT                               N Plan #1 covers stay in nursing home?

                               8,515                    . Inapplicable
                               1,726                   -8 Don't know
                                   4                   -7 Refused
                               1,268                    1 Yes
                               3,361                    2 No

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

D_PAYSP1   78  2  YES1FMT                               N MIP pay any/all cost for Plan #1

                               8,515                    . Inapplicable
                                 152                   -8 Don't know
                                   2                   -7 Refused
                               5,272                    1 Yes
                                 933                    2 No

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

D_ANAMT1   80  7  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               9,602                    . Inapplicable
                                   5                   -9 Not ascertained
                               1,196                   -8 Don't know
                                  20                   -7 Refused
                                  74                0-100 $100 or less
                                 499           100.01-500 $101-$500
                                 296          500.01-1000 $501-$1000
                                 462         1000.01-1500 $1001-$1500
                                 560         1500.01-2000 $1501-$2000
                                 751         2000.01-2500 $2001-$2500
                                 554         2500.01-3000 $2501-$3000
                                 229         3000.01-3500 $3001-$3500
                                 202         3500.01-4000 $3501-$4000
                                  87         4000.01-4500 $4001-$4500
                                  99         4500.01-5000 $4501-$5000
                                 238                      Over $5000

                  Note: Applies only if D_PAYSP1 = 1

D_HMOPL1   87  2  YES1FMT            HI25               N Is Plan #1 an HMO

                               8,515                    . Inapplicable
                                 446                   -8 Don't know
                                   2                   -7 Refused
                               1,541                    1 Yes
                               4,370                    2 No

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

D_OBTNP1   89  2  MIPFMT                                N How did MIP get Plan #1

                               8,515                    . Inapplicable
                                  96                   -8 Don't know
                               2,379                    1 Directly
                                 593                    2 Main insured person's current employer
                               2,400                    3 Main insured person's prior employer
                                 128                    4 Union
                                  19                    5 Family business
                                 264                    6 AARP
                                 317                    7 Deceased spouse's employer
                                  26                    8 Deceased spouse's union
                                  22                    9 Fraternal/professional organization
                                 115                   91 Other

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

D_COVIP1   91  2  YES1FMT            HIS29b             N Plan #1 covers some inpatient costs

                               8,515                    . Inapplicable
                                 248                   -8 Don't know
                                   1                   -7 Refused
                               5,268                    1 Yes
                                 842                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_COVMD1   93  2  YES1FMT            HIS29b             N Plan #1 covers some MD/lab visit costs

                               8,515                    . Inapplicable
                                 112                   -8 Don't know
                               5,482                    1 Yes
                                 765                    2 No

                 Notes: Applies if D_TYPPL1 > 0
                        First available in 2003

D_RX1      95  2  RXPLFMT                               N Type of drug coverage - Priv1

                               8,682                    . Inapplicable
                               2,596                    1 Plan covers prescription drugs
                               3,595                    2 Plan does not cover prescription drugs
                                   1                    3 Drug discount card

D_INS1     97  2  INSPLFMT                              N Type of insurance plan - Priv1

                               8,682                    . Inapplicable
                                   3                    0 Other government program
                               5,447                    1 General insurance
                                 588                    2 Dental only
                                  45                    3 Vision only
                                  33                    4 LTC
                                  26                    5 Rx only
                                  17                    6 Dental/Vision
                                  10                    7 Life insurance
                                  19                    8 Cancer/Dread disease
                                   4                    9 Military/Other

D_TYPPL2   99  2  PLANFMT            HI17               N Type of plan - Plan #2

                              13,436                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                               1,438                    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  101  2  RELFMT                                N Policy holder relationship - Plan #2

                              13,439                    . Inapplicable
                                   3                   -9 Not ascertained
                                   0                   -5 Never ask again
                               1,036                    1 Sample person
                                 374                    2 Spouse
                                   1                    3 Son
                                   1                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   5                    7 Father
                                   8                    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                   56 Partner
                                   0                   57 Roommate
                                   0                   91 Other relative
                                   1                   92 Other non-relative

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

D_COVNM2  103  2  COVGFMT                               N # of family members covered by Plan #2

                              13,439                    . Inapplicable
                                   8                   -8 Don't know
                               1,427                      Number reported covered

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

D_COVRX2  105  2  YES1FMT                               N Plan #2 covers prescribed medicines?

                              13,439                    . Inapplicable
                                 111                   -8 Don't know
                                 247                    1 Yes
                               1,077                    2 No

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

D_COVNH2  107  2  YES1FMT                               N Plan #2 covers stay in nursing home?

                              13,439                    . Inapplicable
                                  96                   -8 Don't know
                                 154                    1 Yes
                               1,185                    2 No

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

D_PAYSP2  109  2  YES1FMT                               N MIP pay any/all cost for Plan #2

                              13,439                    . Inapplicable
                                  57                   -8 Don't know
                               1,034                    1 Yes
                                 344                    2 No

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

D_ANAMT2  111  7  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                              13,840                    . Inapplicable
                                   2                   -9 Not ascertained
                                 344                   -8 Don't know
                                   1                   -7 Refused
                                  83                0-100 $100 or less
                                 280           100.01-500 $101-$500
                                 139          500.01-1000 $501-$1000
                                  56         1000.01-1500 $1001-$1500
                                  31         1500.01-2000 $1501-$2000
                                  24         2000.01-2500 $2001-$2500
                                  21         2500.01-3000 $2501-$3000
                                  11         3000.01-3500 $3001-$3500
                                   9         3500.01-4000 $3501-$4000
                                   8         4000.01-4500 $4001-$4500
                                   5         4500.01-5000 $4501-$5000
                                  20                      Over $5000

                  Note: Applies only if D_PAYSP2 = 1

D_HMOPL2  118  2  YES1FMT            HI25               N Is Plan #2 an HMO

                              13,439                    . Inapplicable
                                 106                   -8 Don't know
                                 253                    1 Yes
                               1,076                    2 No

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

D_OBTNP2  120  2  MIPFMT                                N How did MIP get Plan #2

                              13,439                    . Inapplicable
                                  20                   -8 Don't know
                                 336                    1 Directly
                                 234                    2 Main insured person's current employer
                                 701                    3 Main insured person's prior employer
                                  42                    4 Union
                                   2                    5 Family business
                                  21                    6 AARP
                                  53                    7 Deceased spouse's employer
                                   4                    8 Deceased spouse's union
                                   5                    9 Fraternal/professional organization
                                  17                   91 Other

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

D_COVIP2  122  2  YES1FMT            HIS29b             N Plan #2 covers some inpatient costs

                              13,439                    . Inapplicable
                                 100                   -8 Don't know
                                 241                    1 Yes
                               1,094                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_COVMD2  124  2  YES1FMT            HIS29b             N Plan #2 covers some MD/lab visit costs

                              13,439                    . Inapplicable
                                  54                   -8 Don't know
                                 503                    1 Yes
                                 878                    2 No

                 Notes: Applies if D_TYPPL2 > 0
                        First available in 2003

D_RX2     126  2  RXPLFMT                               N Type of drug coverage - Priv2

                              13,528                    . Inapplicable
                                 166                    1 Plan covers prescription drugs
                               1,177                    2 Plan does not cover prescription drugs
                                   3                    3 Drug discount card

D_INS2    128  2  INSPLFMT                              N Type of insurance plan - Priv2

                              13,528                    . Inapplicable
                                   2                    0 Other government program
                                 384                    1 General insurance
                                 694                    2 Dental only
                                 145                    3 Vision only
                                  50                    4 LTC
                                  53                    5 Rx only
                                   9                    6 Dental/Vision
                                   1                    7 Life insurance
                                   7                    8 Cancer/Dread disease
                                   1                    9 Military/Other

D_TYPPL3  130  2  PLANFMT            HI17               N Type of plan - Plan #3

                              14,548                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                 326                    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  132  2  RELFMT                                N Policy holder relationship - Plan #3

                              14,548                    . Inapplicable
                                   1                   -9 Not ascertained
                                   0                   -5 Never ask again
                                 217                    1 Sample person
                                 104                    2 Spouse
                                   0                    3 Son
                                   2                    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
                                   1                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   56 Partner
                                   0                   57 Roommate
                                   0                   91 Other relative
                                   0                   92 Other non-relative

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

D_COVNM3  134  2  COVGFMT                               N # of family members covered by Plan #3

                              14,548                    . Inapplicable
                                   1                   -8 Don't know
                                   1                   -7 Refused
                                 324                      Number reported covered

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

D_COVRX3  136  2  YES1FMT                               N Plan #3 covers prescribed medicines?

                              14,548                    . Inapplicable
                                  18                   -8 Don't know
                                   1                   -7 Refused
                                  47                    1 Yes
                                 260                    2 No

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

D_COVNH3  138  2  YES1FMT                               N Plan #3 covers stay in nursing home?

                              14,548                    . Inapplicable
                                  27                   -8 Don't know
                                   1                   -7 Refused
                                  35                    1 Yes
                                 263                    2 No

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

D_PAYSP3  140  2  YES1FMT                               N MIP pay any/all cost for Plan #3

                              14,548                    . Inapplicable
                                  11                   -8 Don't know
                                   1                   -7 Refused
                                 235                    1 Yes
                                  79                    2 No

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

D_ANAMT3  142  7  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                              14,639                    . Inapplicable
                                  86                   -8 Don't know
                                  35                0-100 $100 or less
                                  58           100.01-500 $101-$500
                                  22          500.01-1000 $501-$1000
                                   6         1000.01-1500 $1001-$1500
                                   4         1500.01-2000 $1501-$2000
                                   8         2000.01-2500 $2001-$2500
                                   6         2500.01-3000 $2501-$3000
                                   1         3000.01-3500 $3001-$3500
                                   5         3500.01-4000 $3501-$4000
                                   1         4000.01-4500 $4001-$4500
                                   1         4500.01-5000 $4501-$5000
                                   2                      Over $5000

                  Note: Applies only if D_PAYSP3 = 1

D_HMOPL3  149  2  YES1FMT            HI25               N Is Plan #3 an HMO

                              14,548                    . Inapplicable
                                  19                   -8 Don't know
                                  48                    1 Yes
                                 259                    2 No

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

D_OBTNP3  151  2  MIPFMT                                N How did MIP get Plan #3

                              14,548                    . Inapplicable
                                   2                   -8 Don't know
                                   1                   -7 Refused
                                  52                    1 Directly
                                  65                    2 Main insured person's current employer
                                 183                    3 Main insured person's prior employer
                                   9                    4 Union
                                   0                    5 Family business
                                   1                    6 AARP
                                   8                    7 Deceased spouse's employer
                                   2                    8 Deceased spouse's union
                                   1                    9 Fraternal/professional organization
                                   2                   91 Other

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

D_COVIP3  153  2  YES1FMT            HIS29b             N Plan #3 covers some inpatient costs

                              14,548                    . Inapplicable
                                  20                   -8 Don't know
                                   1                   -7 Refused
                                  48                    1 Yes
                                 257                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_COVMD3  155  2  YES1FMT            HIS29b             N Plan #3 covers some MD/lab visit costs

                              14,548                    . Inapplicable
                                  12                   -8 Don't know
                                   1                   -7 Refused
                                 130                    1 Yes
                                 183                    2 No

                 Notes: Applies if D_TYPPL3 > 0
                        First available in 2003

D_RX3     157  2  RXPLFMT                               N Type of drug coverage - Priv3

                              14,576                    . Inapplicable
                                  35                    1 Plan covers prescription drugs
                                 263                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS3    159  2  INSPLFMT                              N Type of insurance plan - Priv3

                              14,576                    . Inapplicable
                                   0                    0 Other government program
                                  72                    1 General insurance
                                  69                    2 Dental only
                                 129                    3 Vision only
                                  16                    4 LTC
                                  10                    5 Rx only
                                   2                    6 Dental/Vision
                                   0                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL4  161  2  PLANFMT            HI17               N Type of plan - Plan #4

                              14,836                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                  38                    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  163  2  RELFMT                                N Policy holder relationship - Plan #4

                              14,836                    . Inapplicable
                                   0                   -5 Never ask again
                                  23                    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
                                   1                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   56 Partner
                                   0                   57 Roommate
                                   0                   91 Other relative
                                   0                   92 Other non-relative

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

D_COVNM4  165  2  COVGFMT                               N # of family members covered by Plan #4

                              14,836                    . Inapplicable
                                  38                      Number reported covered

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

D_COVRX4  167  2  YES1FMT                               N Plan #4 covers prescribed medicines?

                              14,836                    . Inapplicable
                                   3                   -8 Don't know
                                   9                    1 Yes
                                  26                    2 No

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

D_COVNH4  169  2  YES1FMT                               N Plan #4 covers stay in nursing home?

                              14,836                    . Inapplicable
                                   3                   -8 Don't know
                                   6                    1 Yes
                                  29                    2 No

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

D_PAYSP4  171  2  YES1FMT                               N MIP pay any/all cost for Plan #4

                              14,836                    . Inapplicable
                                   2                   -8 Don't know
                                  25                    1 Yes
                                  11                    2 No

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

D_ANAMT4  173  7  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              14,849                    . Inapplicable
                                   9                   -8 Don't know
                                   3                0-100 $100 or less
                                   6           100.01-500 $101-$500
                                   2          500.01-1000 $501-$1000
                                   2         1000.01-1500 $1001-$1500
                                   0         1500.01-2000 $1501-$2000
                                   1         2000.01-2500 $2001-$2500
                                   2         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  180  2  YES1FMT            HI25               N Is Plan #4 an HMO

                              14,836                    . Inapplicable
                                   2                   -8 Don't know
                                   6                    1 Yes
                                  30                    2 No

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

D_OBTNP4  182  2  MIPFMT                                N How did MIP get Plan #4

                              14,836                    . Inapplicable
                                   6                    1 Directly
                                   8                    2 Main insured person's current employer
                                  17                    3 Main insured person's prior employer
                                   5                    4 Union
                                   0                    5 Family business
                                   0                    6 AARP
                                   1                    7 Deceased spouse's employer
                                   1                    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  184  2  YES1FMT            HIS29b             N Plan #4 covers some inpatient costs

                              14,836                    . Inapplicable
                                   3                   -8 Don't know
                                   6                    1 Yes
                                  29                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_COVMD4  186  2  YES1FMT            HIS29b             N Plan #4 covers some MD/lab visit costs

                              14,836                    . Inapplicable
                                   3                   -8 Don't know
                                  14                    1 Yes
                                  21                    2 No

                 Notes: Applies if D_TYPPL4 > 0
                        First available in 2003

D_RX4     188  2  RXPLFMT                               N Type of drug coverage - Priv4

                              14,838                    . Inapplicable
                                   7                    1 Plan covers prescription drugs
                                  29                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS4    190  2  INSPLFMT                              N Type of insurance plan - Priv4

                              14,838                    . Inapplicable
                                   0                    0 Other government program
                                  10                    1 General insurance
                                   9                    2 Dental only
                                   9                    3 Vision only
                                   3                    4 LTC
                                   3                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   2                    8 Cancer/Dread disease
                                   0                    9 Military/Other

D_TYPPL5  192  2  PLANFMT            HI17               N Type of plan - Plan #5

                              14,873                    . Inapplicable
                                   0                    1 Medicare
                                   0                    2 Medicaid
                                   0                    3 Public plan
                                   1                    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  194  2  RELFMT                                N Policy holder relationship - Plan #5

                              14,873                    . Inapplicable
                                   0                   -5 Never ask again
                                   0                    1 Sample person
                                   1                    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                   56 Partner
                                   0                   57 Roommate
                                   0                   91 Other relative
                                   0                   92 Other non-relative

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

D_COVNM5  196  2  COVGFMT                               N # of family members covered by Plan #5

                              14,873                    . Inapplicable
                                   1                      Number reported covered

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

D_COVRX5  198  2  YES1FMT                               N Plan #5 covers prescribed medicines?

                              14,873                    . Inapplicable
                                   0                    1 Yes
                                   1                    2 No

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

D_COVNH5  200  2  YES1FMT                               N Plan #5 covers stay in nursing home?

                              14,873                    . Inapplicable
                                   0                    1 Yes
                                   1                    2 No

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

D_PAYSP5  202  2  YES1FMT                               N MIP pay any/all cost for Plan #5

                              14,873                    . Inapplicable
                                   0                    1 Yes
                                   1                    2 No

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

D_ANAMT5  204  7  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              14,874                    . Inapplicable
                                   0                0-100 $100 or less
                                   0           100.01-500 $101-$500
                                   0          500.01-1000 $501-$1000
                                   0         1000.01-1500 $1001-$1500
                                   0         1500.01-2000 $1501-$2000
                                   0         2000.01-2500 $2001-$2500
                                   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  211  2  YES1FMT            HI25               N Is Plan #5 an HMO

                              14,873                    . Inapplicable
                                   0                    1 Yes
                                   1                    2 No

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

D_OBTNP5  213  2  MIPFMT                                N How did MIP get Plan #5

                              14,873                    . Inapplicable
                                   0                    1 Directly
                                   0                    2 Main insured person's current employer
                                   0                    3 Main insured person's prior employer
                                   1                    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  215  2  YES1FMT            HIS29b             N Plan #5 covers some inpatient costs

                              14,873                    . Inapplicable
                                   0                    1 Yes
                                   1                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_COVMD5  217  2  YES1FMT            HIS29b             N Plan #5 covers some MD/lab visit costs

                              14,873                    . Inapplicable
                                   1                    1 Yes
                                   0                    2 No

                 Notes: Applies if D_TYPPL5 > 0
                        First available in 2003

D_RX5     219  2  RXPLFMT                               N Type of drug coverage - Priv5

                              14,873                    . Inapplicable
                                   0                    1 Plan covers prescription drugs
                                   1                    2 Plan does not cover prescription drugs
                                   0                    3 Drug discount card

D_INS5    221  2  INSPLFMT                              N Type of insurance plan - Priv5

                              14,873                    . Inapplicable
                                   0                    0 Other government program
                                   0                    1 General insurance
                                   0                    2 Dental only
                                   1                    3 Vision only
                                   0                    4 LTC
                                   0                    5 Rx only
                                   0                    6 Dental/Vision
                                   0                    7 Life insurance
                                   0                    8 Cancer/Dread disease
                                   0                    9 Military/Other

