RIC         1  2  $RIC                                  C Record Identification Code

                                   0                    A Administrative Data
                                   0                   DU Dental Events
                                   0                   FA Facility Events
                                   0                    H HMO Supplement
                                   0                   IA Income and Assets
                                   0                   IP Inpatient Hospital Events
                                   0                   IU Institutional Events
                                   0                    K Key Record
                                   0                   KN Knowledge and Information Needs
                                   0                   MD MDS
                                   0                   MP Medical Provider Events
                                   0                    N Non-Respondent
                                   0                   OA OASIS
                                   0                   OP Outpatient Events
                                   0                   PA Patient Activation
                                   0                   PM Prescribed Medicine Events
                                   0                   PS Person Summary
                                   0                   RX Drug Coverage
                                   0                   SS Service Summary
                                   0                    X Cross Sectional Weights
                                   0                   XE Ever Enrolled Weights
                                   0                   X2 2 year Weights
                                   0                   X3 3 year Weights
                                   0                   X4 4 year Weights
                                   0                    1 Survey Identification (Demographic)
                                   0                   10 MDS/OAS Timeline
                                   0                    2 Health Status/Functioning (Community)
                                   0                   2F Health Status/Functioning (Facility)
                                   0                   2H Health Status/Functioning (Helper)
                                   0                   2P Health Status/Functioning (Prevention)
                                   0                    3 Access to Care
                              11,049                    4 Health Insurance
                                   0                    5 Enumeration
                                   0                    6 Facility Residence History
                                   0                    7 Facility Characteristics
                                   0                   7S SNF Characteristics
                                   0                    8 Interview Description
                                   0                    9 Residence Timeline

VERSION     3  1  $VERSION                              C Version Number

                              11,049                    1 Version 1
                                   0                    2 Version 2
                                   0                    3 Version 3
                                   0                    4 Version 4

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                              11,049             LOW-HIGH BASEID Count

D_CARE1    12  1  $MEDCOVG                              C Medicare coverage - Jan

                                 332                    0 No entitlement
                                 452                    1 Part A only
                                  49                    2 Part B only
                              10,216                    3 Both A and B

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

                               8,262                    0 No entitlement
                                 337                    1 Survey data only
                                 280                    2 CMS administrative data only
                               2,170                    3 Both survey and administrative data

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

                               6,464                    0 No entitlement
                               2,342                    1 Employer-sponsored insurance (ESI)
                               1,824                    2 Self-purchased
                                 277                    3 Both ESI and self-purchased
                                 126                    4 Facility respondent, type unknown
                                  14                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   1                    7 ESI, self-purchased and unknown (facil)

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

                               1,268                    1 Yes
                               9,781                    2 No

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

                               7,221                    0 No Coverage
                                 577                    1 Survey Only
                                 336                    2 Admin Only
                               2,915                    3 Both Survey & Admin

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

                               2,793                    0 No Coverage
                                 367                    1 Survey Only
                               3,531                    2 Admin Only
                               4,358                    3 Both Survey & Admin

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

                              10,741                    0 No other plans
                                 289                    1 1 other plan
                                  18                    2 2 other plans
                                   1                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE2    19  1  $MEDCOVG                              C Medicare coverage - Feb

                                 359                    0 No entitlement
                                 453                    1 Part A only
                                  49                    2 Part B only
                              10,188                    3 Both A and B

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

                               8,273                    0 No entitlement
                                 330                    1 Survey data only
                                 288                    2 CMS administrative data only
                               2,158                    3 Both survey and administrative data

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

                               6,474                    0 No entitlement
                               2,323                    1 Employer-sponsored insurance (ESI)
                               1,825                    2 Self-purchased
                                 281                    3 Both ESI and self-purchased
                                 132                    4 Facility respondent, type unknown
                                  13                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

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

                               1,263                    1 Yes
                               9,786                    2 No

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

                               7,240                    0 No Coverage
                                 574                    1 Survey Only
                                 332                    2 Admin Only
                               2,903                    3 Both Survey & Admin

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

                               2,805                    0 No Coverage
                                 358                    1 Survey Only
                               3,526                    2 Admin Only
                               4,360                    3 Both Survey & Admin

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

                              10,743                    0 No other plans
                                 291                    1 1 other plan
                                  14                    2 2 other plans
                                   1                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE3    26  1  $MEDCOVG                              C Medicare coverage - Mar

                                 371                    0 No entitlement
                                 452                    1 Part A only
                                  49                    2 Part B only
                              10,177                    3 Both A and B

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

                               8,288                    0 No entitlement
                                 315                    1 Survey data only
                                 285                    2 CMS administrative data only
                               2,161                    3 Both survey and administrative data

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

                               6,474                    0 No entitlement
                               2,314                    1 Employer-sponsored insurance (ESI)
                               1,827                    2 Self-purchased
                                 278                    3 Both ESI and self-purchased
                                 141                    4 Facility respondent, type unknown
                                  14                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

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

                               1,252                    1 Yes
                               9,797                    2 No

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

                               7,260                    0 No Coverage
                                 550                    1 Survey Only
                                 337                    2 Admin Only
                               2,902                    3 Both Survey & Admin

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

                               2,836                    0 No Coverage
                                 338                    1 Survey Only
                               3,531                    2 Admin Only
                               4,344                    3 Both Survey & Admin

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

                              10,744                    0 No other plans
                                 288                    1 1 other plan
                                  14                    2 2 other plans
                                   2                    3 3 other plans
                                   1                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE4    33  1  $MEDCOVG                              C Medicare coverage - Apr

                                 390                    0 No entitlement
                                 453                    1 Part A only
                                  48                    2 Part B only
                              10,158                    3 Both A and B

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

                               8,299                    0 No entitlement
                                 308                    1 Survey data only
                                 295                    2 CMS administrative data only
                               2,147                    3 Both survey and administrative data

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

                               6,496                    0 No entitlement
                               2,299                    1 Employer-sponsored insurance (ESI)
                               1,818                    2 Self-purchased
                                 274                    3 Both ESI and self-purchased
                                 145                    4 Facility respondent, type unknown
                                  12                    5 Both ESI and unknown (facil)
                                   5                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

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

                               1,239                    1 Yes
                               9,810                    2 No

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

                               7,303                    0 No Coverage
                                 528                    1 Survey Only
                                 331                    2 Admin Only
                               2,887                    3 Both Survey & Admin

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

                               2,860                    0 No Coverage
                                 316                    1 Survey Only
                               3,543                    2 Admin Only
                               4,330                    3 Both Survey & Admin

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

                              10,749                    0 No other plans
                                 288                    1 1 other plan
                                  11                    2 2 other plans
                                   1                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE5    40  1  $MEDCOVG                              C Medicare coverage - May

                                 406                    0 No entitlement
                                 457                    1 Part A only
                                  48                    2 Part B only
                              10,138                    3 Both A and B

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

                               8,303                    0 No entitlement
                                 300                    1 Survey data only
                                 305                    2 CMS administrative data only
                               2,141                    3 Both survey and administrative data

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

                               6,522                    0 No entitlement
                               2,278                    1 Employer-sponsored insurance (ESI)
                               1,808                    2 Self-purchased
                                 286                    3 Both ESI and self-purchased
                                 137                    4 Facility respondent, type unknown
                                  14                    5 Both ESI and unknown (facil)
                                   3                    6 Both self-purchased and unknown (facil)
                                   1                    7 ESI, self-purchased and unknown (facil)

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

                               1,238                    1 Yes
                               9,811                    2 No

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

                               7,301                    0 No Coverage
                                 527                    1 Survey Only
                                 323                    2 Admin Only
                               2,898                    3 Both Survey & Admin

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

                               2,873                    0 No Coverage
                                 319                    1 Survey Only
                               3,496                    2 Admin Only
                               4,361                    3 Both Survey & Admin

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

                              10,744                    0 No other plans
                                 283                    1 1 other plan
                                  22                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE6    47  1  $MEDCOVG                              C Medicare coverage - Jun

                                 415                    0 No entitlement
                                 458                    1 Part A only
                                  48                    2 Part B only
                              10,128                    3 Both A and B

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

                               8,306                    0 No entitlement
                                 292                    1 Survey data only
                                 307                    2 CMS administrative data only
                               2,144                    3 Both survey and administrative data

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

                               6,497                    0 No entitlement
                               2,270                    1 Employer-sponsored insurance (ESI)
                               1,815                    2 Self-purchased
                                 293                    3 Both ESI and self-purchased
                                 149                    4 Facility respondent, type unknown
                                  18                    5 Both ESI and unknown (facil)
                                   6                    6 Both self-purchased and unknown (facil)
                                   1                    7 ESI, self-purchased and unknown (facil)

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

                               1,233                    1 Yes
                               9,816                    2 No

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

                               7,316                    0 No Coverage
                                 505                    1 Survey Only
                                 318                    2 Admin Only
                               2,910                    3 Both Survey & Admin

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

                               2,892                    0 No Coverage
                                 306                    1 Survey Only
                               3,442                    2 Admin Only
                               4,409                    3 Both Survey & Admin

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

                              10,744                    0 No other plans
                                 285                    1 1 other plan
                                  20                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE7    54  1  $MEDCOVG                              C Medicare coverage - Jul

                                 426                    0 No entitlement
                                 441                    1 Part A only
                                  45                    2 Part B only
                              10,137                    3 Both A and B

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

                               8,306                    0 No entitlement
                                 299                    1 Survey data only
                                 305                    2 CMS administrative data only
                               2,139                    3 Both survey and administrative data

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

                               6,494                    0 No entitlement
                               2,252                    1 Employer-sponsored insurance (ESI)
                               1,806                    2 Self-purchased
                                 291                    3 Both ESI and self-purchased
                                 182                    4 Facility respondent, type unknown
                                  20                    5 Both ESI and unknown (facil)
                                   3                    6 Both self-purchased and unknown (facil)
                                   1                    7 ESI, self-purchased and unknown (facil)

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

                               1,227                    1 Yes
                               9,822                    2 No

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

                               7,327                    0 No Coverage
                                 487                    1 Survey Only
                                 318                    2 Admin Only
                               2,917                    3 Both Survey & Admin

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

                               2,901                    0 No Coverage
                                 297                    1 Survey Only
                               3,437                    2 Admin Only
                               4,414                    3 Both Survey & Admin

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

                              10,737                    0 No other plans
                                 298                    1 1 other plan
                                  13                    2 2 other plans
                                   1                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE8    61  1  $MEDCOVG                              C Medicare coverage - Aug

                                 447                    0 No entitlement
                                 440                    1 Part A only
                                  46                    2 Part B only
                              10,116                    3 Both A and B

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

                               8,320                    0 No entitlement
                                 285                    1 Survey data only
                                 305                    2 CMS administrative data only
                               2,139                    3 Both survey and administrative data

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

                               6,503                    0 No entitlement
                               2,240                    1 Employer-sponsored insurance (ESI)
                               1,815                    2 Self-purchased
                                 290                    3 Both ESI and self-purchased
                                 178                    4 Facility respondent, type unknown
                                  21                    5 Both ESI and unknown (facil)
                                   2                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

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

                               1,223                    1 Yes
                               9,826                    2 No

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

                               7,346                    0 No Coverage
                                 472                    1 Survey Only
                                 311                    2 Admin Only
                               2,920                    3 Both Survey & Admin

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

                               2,920                    0 No Coverage
                                 278                    1 Survey Only
                               3,445                    2 Admin Only
                               4,406                    3 Both Survey & Admin

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

                              10,744                    0 No other plans
                                 298                    1 1 other plan
                                   7                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE9    68  1  $MEDCOVG                              C Medicare coverage - Sep

                                 451                    0 No entitlement
                                 441                    1 Part A only
                                  44                    2 Part B only
                              10,113                    3 Both A and B

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

                               8,330                    0 No entitlement
                                 285                    1 Survey data only
                                 312                    2 CMS administrative data only
                               2,122                    3 Both survey and administrative data

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

                               6,505                    0 No entitlement
                               2,238                    1 Employer-sponsored insurance (ESI)
                               1,820                    2 Self-purchased
                                 286                    3 Both ESI and self-purchased
                                 178                    4 Facility respondent, type unknown
                                  20                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   1                    7 ESI, self-purchased and unknown (facil)

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

                               1,216                    1 Yes
                               9,833                    2 No

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

                               7,307                    0 No Coverage
                                 503                    1 Survey Only
                                 311                    2 Admin Only
                               2,928                    3 Both Survey & Admin

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

                               2,933                    0 No Coverage
                                 273                    1 Survey Only
                               3,408                    2 Admin Only
                               4,435                    3 Both Survey & Admin

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

                              10,744                    0 No other plans
                                 294                    1 1 other plan
                                  10                    2 2 other plans
                                   1                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE10   75  1  $MEDCOVG                              C Medicare coverage - Oct

                                 467                    0 No entitlement
                                 443                    1 Part A only
                                  43                    2 Part B only
                              10,096                    3 Both A and B

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

                               8,331                    0 No entitlement
                                 282                    1 Survey data only
                                 324                    2 CMS administrative data only
                               2,112                    3 Both survey and administrative data

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

                               6,528                    0 No entitlement
                               2,211                    1 Employer-sponsored insurance (ESI)
                               1,807                    2 Self-purchased
                                 294                    3 Both ESI and self-purchased
                                 186                    4 Facility respondent, type unknown
                                  21                    5 Both ESI and unknown (facil)
                                   2                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

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

                               1,210                    1 Yes
                               9,839                    2 No

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

                               7,251                    0 No Coverage
                                 562                    1 Survey Only
                                 331                    2 Admin Only
                               2,905                    3 Both Survey & Admin

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

                               2,910                    0 No Coverage
                                 290                    1 Survey Only
                               3,406                    2 Admin Only
                               4,443                    3 Both Survey & Admin

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

                              10,748                    0 No other plans
                                 284                    1 1 other plan
                                  17                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE11   82  1  $MEDCOVG                              C Medicare coverage - Nov

                                 487                    0 No entitlement
                                 440                    1 Part A only
                                  44                    2 Part B only
                              10,078                    3 Both A and B

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

                               8,342                    0 No entitlement
                                 273                    1 Survey data only
                                 339                    2 CMS administrative data only
                               2,095                    3 Both survey and administrative data

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

                               6,648                    0 No entitlement
                               2,173                    1 Employer-sponsored insurance (ESI)
                               1,770                    2 Self-purchased
                                 298                    3 Both ESI and self-purchased
                                 140                    4 Facility respondent, type unknown
                                  19                    5 Both ESI and unknown (facil)
                                   1                    6 Both self-purchased and unknown (facil)
                                   0                    7 ESI, self-purchased and unknown (facil)

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

                               1,189                    1 Yes
                               9,860                    2 No

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

                               7,255                    0 No Coverage
                                 562                    1 Survey Only
                                 357                    2 Admin Only
                               2,875                    3 Both Survey & Admin

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

                               2,941                    0 No Coverage
                                 290                    1 Survey Only
                               3,435                    2 Admin Only
                               4,383                    3 Both Survey & Admin

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

                              10,759                    0 No other plans
                                 277                    1 1 other plan
                                  13                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE12   89  1  $MEDCOVG                              C Medicare coverage - Dec

                                 492                    0 No entitlement
                                 447                    1 Part A only
                                  44                    2 Part B only
                              10,066                    3 Both A and B

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

                               8,356                    0 No entitlement
                                 271                    1 Survey data only
                                 357                    2 CMS administrative data only
                               2,065                    3 Both survey and administrative data

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

                               6,751                    0 No entitlement
                               2,164                    1 Employer-sponsored insurance (ESI)
                               1,750                    2 Self-purchased
                                 293                    3 Both ESI and self-purchased
                                  76                    4 Facility respondent, type unknown
                                  14                    5 Both ESI and unknown (facil)
                                   0                    6 Both self-purchased and unknown (facil)
                                   1                    7 ESI, self-purchased and unknown (facil)

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

                               1,172                    1 Yes
                               9,877                    2 No

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

                               7,259                    0 No Coverage
                                 557                    1 Survey Only
                                 376                    2 Admin Only
                               2,857                    3 Both Survey & Admin

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

                               2,970                    0 No Coverage
                                 277                    1 Survey Only
                               3,452                    2 Admin Only
                               4,350                    3 Both Survey & Admin

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

                              10,767                    0 No other plans
                                 276                    1 1 other plan
                                   6                    2 2 other plans
                                   0                    3 3 other plans
                                   0                    4 4 other plans
                                   0                    5 5 other plans
                                   0                    6 6 other plans

D_CARE     96  1  $MEDCOVG                              C Annual Medicare coverage

                                   0                    0 No entitlement
                                 436                    1 Part A only
                                  48                    2 Part B only
                              10,565                    3 Both A and B

D_CAID     97  1  $SRC2FMT                              C Source of annual Medicaid coverage

                               8,058                    0 No entitlement
                                 272                    1 Survey data only
                                 325                    2 CMS administrative data only
                               2,394                    3 Both survey and administrative data

D_PHI      98  1  $PHIAFMT                              C Annual private health insurance coverage

                               6,205                    0 No entitlement
                               2,318                    1 Employer-sponsored insurance (ESI)
                               1,872                    2 Self-purchased
                                 374                    3 Both ESI and self-purchased
                                 189                    4 Facility respondent, type unknown
                                  47                    5 Both ESI and unknown (facil)
                                  38                    6 Both self-purchased and unknown (facil)
                                   6                    7 ESI, self-purchased and unknown (facil)

D_PMC      99  1  $YESCFMT                              C Annual Private Managed Care coverage

                               1,341                    1 Yes
                               9,708                    2 No

D_MA      100  1  $MAFMT                                C Annual Medicare Advantage Data Source

                               6,911                    0 No Coverage
                                 688                    1 Survey Only
                                 331                    2 Admin Only
                               3,119                    3 Both Survey & Admin

D_PDP     101  1  $MAFMT                                C Annual Part D Data Source

                               2,524                    0 No Coverage
                                 318                    1 Survey Only
                               3,230                    2 Admin Only
                               4,977                    3 Both Survey & Admin

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

                              10,680                    0 No other plans
                                 257                    1 1 other plan
                                  67                    2 2 other plans
                                  36                    3 3 other plans
                                   7                    4 4 other plans
                                   2                    5 5 other plans
                                   0                    6 6 other plans

TOT_PREM  103  8  PREM_F                                N Total health insurance premiums

                               3,723                    . Inapplicable
                               1,355                0-100 $100 or less
                               1,146           100.01-500 $101-$500
                               1,004          500.01-1000 $501-$1000
                                 772         1000.01-1500 $1001-$1500
                                 787         1500.01-2000 $1501-$2000
                                 430         2000.01-2500 $2001-$2500
                                 363         2500.01-3000 $2501-$3000
                                 386         3000.01-3500 $3001-$3500
                                 149         3500.01-4000 $3501-$4000
                                 120         4000.01-4500 $4001-$4500
                                 158         4500.01-5000 $4501-$5000
                                 656        5000.01-99999 Over $5000

                  Note: See Notes for derivation

DRUGCAID  111  2  YES1FMT                               N Medicaid prescription drug coverage

                              10,066                    . Inapplicable
                                  20                   -9 Not ascertained
                                  95                   -8 Don't know
                                 721                    1 Yes
                                 147                    2 No

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

S_TYPPL1  119  2  PLANFMT                               N Type of plan - Plan #1

                               5,342                    . Inapplicable
                               2,141                    1 Employer-sponsored insurance (ESI)
                               1,921                    2 Self-purchased
                                 169                    3 Private unknown
                               1,154                    4 Private Managed Care
                                 322                    5 Other Public Plan

S_BEGPL1  121  8  DTE8FMT                               N Date coverage began - plan #1

                               5,342                    . Inapplicable
                               5,707                      Date as YYYYMMDD

S_ENDPL1  129  8  DTE8FMT                               N Date coverage ended - plan #1

                               5,342                    . Inapplicable
                               5,707                      Date as YYYYMMDD

S_PHREL1  137  2  RELFMT                                N Policy holder relationship - Plan #1

                               7,036                    . Inapplicable
                                   0                   -5 Never ask again
                               3,244                    1 Sample person
                                 730                    2 Spouse
                                   1                    3 Son
                                   3                    4 Daughter
                                   1                    5 Brother
                                   0                    6 Sister
                                  17                    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
                                   5                   50 Partner/roommate
                                   1                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   1                   91 Other relative
                                   2                   92 Other non-relative

S_COVNM1  139  2  COVGFMT                               N # of family members covered by Plan #1

                               6,594                    . Inapplicable
                                  19                   -8 Don't know
                               4,436                      Number reported covered

S_COVRX1  141  2  YES2FMT                               N Does Plan #1 cover prescribed medicines?

                               5,536                    . Inapplicable
                               2,729                    1 Yes
                                 175                    2 Possibly
                               2,609                    3 No

S_COVNH1  143  2  YES1FMT                               N Does Plan #1 cover stay in nursing home?

                               6,594                    . Inapplicable
                               1,155                   -8 Don't know
                                   2                   -7 Refused
                                 896                    1 Yes
                               2,402                    2 No

S_PAYSP1  145  2  PAYSPFMT                              N MIP pay any/all cost for Plan #1

                               6,594                    . Inapplicable
                                 112                   -8 Don't know
                                   1                   -7 Refused
                               3,667                    1 Yes
                                 675                    2 No
                                   0                    3 Yes, but don't know how much

S_ANAMT1  147  8  PREM_F                                N Premium MIP pays for Plan #1-Annualized

                               6,714                    . Inapplicable
                                 856                   -8 Don't know
                                   7                   -7 Refused
                                 739                0-100 $100 or less
                                 349           100.01-500 $101-$500
                                 193          500.01-1000 $501-$1000
                                 306         1000.01-1500 $1001-$1500
                                 384         1500.01-2000 $1501-$2000
                                 520         2000.01-2500 $2001-$2500
                                 375         2500.01-3000 $2501-$3000
                                 181         3000.01-3500 $3001-$3500
                                 126         3500.01-4000 $3501-$4000
                                  59         4000.01-4500 $4001-$4500
                                  71         4500.01-5000 $4501-$5000
                                 169        5000.01-99999 Over $5000

S_HMOPL1  155  2  YES1FMT                               N Is Plan #1 an HMO

                               6,567                    . Inapplicable
                               1,154                    1 Yes
                               3,328                    2 No

S_OBTNP1  162  2  MIPFMT                                N How did MIP get Plan #1

                               6,594                    . Inapplicable
                                  66                   -8 Don't know
                               1,695                    1 Directly
                                 412                    2 Main insured person's current employer
                               1,685                    3 Main insured person's prior employer
                                  80                    4 Union
                                  10                    5 Family business
                                 172                    6 AARP
                                 238                    7 Deceased spouse's employer
                                  19                    8 Deceased spouse's union
                                  16                    9 Fraternal/professional organization
                                  62                   91 Other

S_TRI1    164  2  YES1FMT                               N Is Plan #1 TRICARE?

                              10,629                    . Inapplicable
                                  11                   -8 Don't know
                                 392                    1 Yes
                                  17                    2 No

S_INS1    166  2  INSPLFMT                              N Insurance coverage Plan #1

                               5,877                    . Inapplicable
                                   0                    0 Other government program
                               4,430                    1 General insurance
                                 436                    2 Dental only
                                  37                    3 Vision only
                                  29                    4 LTC
                                 211                    5 Rx only
                                   8                    6 Dental/Vision
                                  10                    7 Life insurance
                                  11                    8 Cancer/dread disease
                                   0                    9 Military/Other

S_RX1     168  2  RXPLFMT                               N Drug coverage Plan #1

                               5,953                    . Inapplicable
                               2,492                    1 Plan covers prescription drugs
                               2,573                    2 Plan does not cover prescription drugs
                                  31                    3 Drug discount card

S_TYPPL2  170  2  PLANFMT                               N Type of plan - Plan #2

                               8,220                    . Inapplicable
                               1,180                    1 Employer-sponsored insurance (ESI)
                                 945                    2 Self-purchased
                                  39                    3 Private unknown
                                 542                    4 Private Managed Care
                                 123                    5 Other Public Plan

S_BEGPL2  172  8  DTE8FMT                               N Date coverage began - plan #2

                               8,220                    . Inapplicable
                               2,829                      Date as YYYYMMDD

S_ENDPL2  180  8  DTE8FMT                               N Date coverage ended - plan #2

                               8,220                    . Inapplicable
                               2,829                      Date as YYYYMMDD

S_PHREL2  188  2  RELFMT                                N Policy holder relationship - Plan #2

                               8,863                    . Inapplicable
                                   0                   -5 Never ask again
                               1,723                    1 Sample person
                                 433                    2 Spouse
                                   1                    3 Son
                                   2                    4 Daughter
                                   1                    5 Brother
                                   0                    6 Sister
                                  13                    7 Father
                                   5                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   6                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   1                   91 Other relative
                                   1                   92 Other non-relative

S_COVNM2  190  2  COVGFMT                               N # of family members covered by Plan #2

                               8,595                    . Inapplicable
                                  16                   -8 Don't know
                               2,438                      Number reported covered

S_COVRX2  192  2  YES2FMT                               N Does Plan #2 cover prescribed medicines?

                               8,260                    . Inapplicable
                                 846                    1 Yes
                                 357                    2 Possibly
                               1,586                    3 No

S_COVNH2  194  2  YES1FMT                               N Does Plan #2 cover stay in nursing home?

                               8,595                    . Inapplicable
                                 496                   -8 Don't know
                                 418                    1 Yes
                               1,540                    2 No

S_PAYSP2  196  2  PAYSPFMT                              N MIP pay any/all cost for Plan #2

                               8,595                    . Inapplicable
                                  76                   -8 Don't know
                                   1                   -7 Refused
                               1,922                    1 Yes
                                 455                    2 No
                                   0                    3 Yes, but don't know how much

S_ANAMT2  198  8  PREM_F                                N Premium MIP pays for Plan #2-Annualized

                               8,677                    . Inapplicable
                                 533                   -8 Don't know
                                   2                   -7 Refused
                                 531                0-100 $100 or less
                                 294           100.01-500 $101-$500
                                 166          500.01-1000 $501-$1000
                                 161         1000.01-1500 $1001-$1500
                                 132         1500.01-2000 $1501-$2000
                                 200         2000.01-2500 $2001-$2500
                                 149         2500.01-3000 $2501-$3000
                                  64         3000.01-3500 $3001-$3500
                                  42         3500.01-4000 $3501-$4000
                                  26         4000.01-4500 $4001-$4500
                                  20         4500.01-5000 $4501-$5000
                                  52        5000.01-99999 Over $5000

S_HMOPL2  206  2  YES1FMT                               N Is Plan #2 an HMO

                               8,605                    . Inapplicable
                                 542                    1 Yes
                               1,902                    2 No

S_OBTNP2  213  2  MIPFMT                                N How did MIP get Plan #2

                               8,595                    . Inapplicable
                                  50                   -8 Don't know
                                 822                    1 Directly
                                 249                    2 Main insured person's current employer
                               1,018                    3 Main insured person's prior employer
                                  49                    4 Union
                                   3                    5 Family business
                                  77                    6 AARP
                                 122                    7 Deceased spouse's employer
                                  12                    8 Deceased spouse's union
                                   6                    9 Fraternal/professional organization
                                  46                   91 Other

S_TRI2    215  2  YES1FMT                               N Is Plan #2 TRICARE?

                              11,029                    . Inapplicable
                                   3                   -8 Don't know
                                  13                    1 Yes
                                   4                    2 No

S_INS2    217  2  INSPLFMT                              N Insurance coverage Plan #2

                               8,514                    . Inapplicable
                                   0                    0 Other government program
                               1,630                    1 General insurance
                                 642                    2 Dental only
                                  96                    3 Vision only
                                  50                    4 LTC
                                  89                    5 Rx only
                                   6                    6 Dental/Vision
                                   6                    7 Life insurance
                                  16                    8 Cancer/dread disease
                                   0                    9 Military/Other

S_RX2     219  2  RXPLFMT                               N Drug coverage Plan #2

                               8,573                    . Inapplicable
                                 797                    1 Plan covers prescription drugs
                               1,653                    2 Plan does not cover prescription drugs
                                  26                    3 Drug discount card

S_TYPPL3  221  2  PLANFMT                               N Type of plan - Plan #3

                               9,482                    . Inapplicable
                                 721                    1 Employer-sponsored insurance (ESI)
                                 459                    2 Self-purchased
                                  34                    3 Private unknown
                                 285                    4 Private Managed Care
                                  68                    5 Other Public Plan

S_BEGPL3  223  8  DTE8FMT                               N Date coverage began - plan #3

                               9,482                    . Inapplicable
                               1,567                      Date as YYYYMMDD

S_ENDPL3  231  8  DTE8FMT                               N Date coverage ended - plan #3

                               9,482                    . Inapplicable
                               1,567                      Date as YYYYMMDD

S_PHREL3  239  2  RELFMT                                N Policy holder relationship - Plan #3

                               9,798                    . Inapplicable
                                   0                   -5 Never ask again
                                 980                    1 Sample person
                                 255                    2 Spouse
                                   0                    3 Son
                                   2                    4 Daughter
                                   1                    5 Brother
                                   0                    6 Sister
                                   6                    7 Father
                                   3                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   4                   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

S_COVNM3  241  2  COVGFMT                               N # of family members covered by Plan #3

                               9,696                    . Inapplicable
                                   6                   -8 Don't know
                               1,347                      Number reported covered

S_COVRX3  243  2  YES2FMT                               N Does Plan #3 cover prescribed medicines?

                               9,516                    . Inapplicable
                                 462                    1 Yes
                                 239                    2 Possibly
                                 832                    3 No

S_COVNH3  245  2  YES1FMT                               N Does Plan #3 cover stay in nursing home?

                               9,696                    . Inapplicable
                                 260                   -8 Don't know
                                 227                    1 Yes
                                 866                    2 No

S_PAYSP3  247  2  PAYSPFMT                              N MIP pay any/all cost for Plan #3

                               9,696                    . Inapplicable
                                  51                   -8 Don't know
                               1,029                    1 Yes
                                 273                    2 No
                                   0                    3 Yes, but don't know how much

S_ANAMT3  249  8  PREM_F                                N Premium MIP pays for Plan #3-Annualized

                               9,749                    . Inapplicable
                                 316                   -8 Don't know
                                 327                0-100 $100 or less
                                 171           100.01-500 $101-$500
                                  88          500.01-1000 $501-$1000
                                  74         1000.01-1500 $1001-$1500
                                  59         1500.01-2000 $1501-$2000
                                 100         2000.01-2500 $2001-$2500
                                  65         2500.01-3000 $2501-$3000
                                  32         3000.01-3500 $3001-$3500
                                  22         3500.01-4000 $3501-$4000
                                  10         4000.01-4500 $4001-$4500
                                  12         4500.01-5000 $4501-$5000
                                  24        5000.01-99999 Over $5000

S_HMOPL3  257  2  YES1FMT                               N Is Plan #3 an HMO

                               9,708                    . Inapplicable
                                 285                    1 Yes
                               1,056                    2 No

S_OBTNP3  264  2  MIPFMT                                N How did MIP get Plan #3

                               9,696                    . Inapplicable
                                  30                   -8 Don't know
                                 401                    1 Directly
                                 159                    2 Main insured person's current employer
                                 610                    3 Main insured person's prior employer
                                  27                    4 Union
                                   1                    5 Family business
                                  29                    6 AARP
                                  59                    7 Deceased spouse's employer
                                   6                    8 Deceased spouse's union
                                   6                    9 Fraternal/professional organization
                                  25                   91 Other

S_TRI3    266  2  YES1FMT                               N Is Plan #3 TRICARE?

                              11,042                    . Inapplicable
                                   2                   -8 Don't know
                                   4                    1 Yes
                                   1                    2 No

S_INS3    268  2  INSPLFMT                              N Insurance coverage Plan #3

                               9,670                    . Inapplicable
                                   0                    0 Other government program
                                 788                    1 General insurance
                                 398                    2 Dental only
                                  83                    3 Vision only
                                  44                    4 LTC
                                  53                    5 Rx only
                                   4                    6 Dental/Vision
                                   2                    7 Life insurance
                                   7                    8 Cancer/dread disease
                                   0                    9 Military/Other

S_RX3     270  2  RXPLFMT                               N Drug coverage Plan #3

                               9,698                    . Inapplicable
                                 358                    1 Plan covers prescription drugs
                                 979                    2 Plan does not cover prescription drugs
                                  14                    3 Drug discount card

S_TYPPL4  272  2  PLANFMT                               N Type of plan - Plan #4

                              10,265                    . Inapplicable
                                 411                    1 Employer-sponsored insurance (ESI)
                                 219                    2 Self-purchased
                                   4                    3 Private unknown
                                 134                    4 Private Managed Care
                                  16                    5 Other Public Plan

S_BEGPL4  274  8  DTE8FMT                               N Date coverage began - plan #4

                              10,265                    . Inapplicable
                                 784                      Date as YYYYMMDD

S_ENDPL4  282  8  DTE8FMT                               N Date coverage ended - plan #4

                              10,265                    . Inapplicable
                                 784                      Date as YYYYMMDD

S_PHREL4  290  2  RELFMT                                N Policy holder relationship - Plan #4

                              10,412                    . Inapplicable
                                   0                   -5 Never ask again
                                 489                    1 Sample person
                                 137                    2 Spouse
                                   0                    3 Son
                                   1                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   4                    7 Father
                                   3                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   3                   50 Partner/roommate
                                   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

S_COVNM4  292  2  COVGFMT                               N # of family members covered by Plan #4

                              10,347                    . Inapplicable
                                   5                   -8 Don't know
                                 697                      Number reported covered

S_COVRX4  294  2  YES2FMT                               N Does Plan #4 cover prescribed medicines?

                              10,269                    . Inapplicable
                                 191                    1 Yes
                                 119                    2 Possibly
                                 470                    3 No

S_COVNH4  296  2  YES1FMT                               N Does Plan #4 cover stay in nursing home?

                              10,347                    . Inapplicable
                                 115                   -8 Don't know
                                  97                    1 Yes
                                 490                    2 No

S_PAYSP4  298  2  PAYSPFMT                              N MIP pay any/all cost for Plan #4

                              10,347                    . Inapplicable
                                  29                   -8 Don't know
                                 512                    1 Yes
                                 161                    2 No
                                   0                    3 Yes, but don't know how much

S_ANAMT4  300  8  PREM_F                                N Premium MIP pays for Plan #4-Annualized

                              10,376                    . Inapplicable
                                 175                   -8 Don't know
                                 200                0-100 $100 or less
                                 103           100.01-500 $101-$500
                                  52          500.01-1000 $501-$1000
                                  23         1000.01-1500 $1001-$1500
                                  18         1500.01-2000 $1501-$2000
                                  34         2000.01-2500 $2001-$2500
                                  28         2500.01-3000 $2501-$3000
                                  15         3000.01-3500 $3001-$3500
                                   5         3500.01-4000 $3501-$4000
                                   4         4000.01-4500 $4001-$4500
                                   6         4500.01-5000 $4501-$5000
                                  10        5000.01-99999 Over $5000

S_HMOPL4  308  2  YES1FMT                               N Is Plan #4 an HMO

                              10,345                    . Inapplicable
                                 134                    1 Yes
                                 570                    2 No

S_OBTNP4  315  2  MIPFMT                                N How did MIP get Plan #4

                              10,347                    . Inapplicable
                                  17                   -8 Don't know
                                 187                    1 Directly
                                  87                    2 Main insured person's current employer
                                 335                    3 Main insured person's prior employer
                                  15                    4 Union
                                   0                    5 Family business
                                   5                    6 AARP
                                  31                    7 Deceased spouse's employer
                                   3                    8 Deceased spouse's union
                                   5                    9 Fraternal/professional organization
                                  17                   91 Other

S_TRI4    317  2  YES1FMT                               N Is Plan #4 TRICARE?

                              11,048                    . Inapplicable
                                   1                    1 Yes
                                   0                    2 No

S_INS4    319  2  INSPLFMT                              N Insurance coverage Plan #4

                              10,365                    . Inapplicable
                                   0                    0 Other government program
                                 289                    1 General insurance
                                 262                    2 Dental only
                                  73                    3 Vision only
                                  29                    4 LTC
                                  23                    5 Rx only
                                   3                    6 Dental/Vision
                                   1                    7 Life insurance
                                   4                    8 Cancer/dread disease
                                   0                    9 Military/Other

S_RX4     321  2  RXPLFMT                               N Drug coverage Plan #4

                              10,371                    . Inapplicable
                                 121                    1 Plan covers prescription drugs
                                 554                    2 Plan does not cover prescription drugs
                                   3                    3 Drug discount card

S_TYPPL5  323  2  PLANFMT                               N Type of plan - Plan #5

                              10,682                    . Inapplicable
                                 222                    1 Employer-sponsored insurance (ESI)
                                  80                    2 Self-purchased
                                   7                    3 Private unknown
                                  53                    4 Private Managed Care
                                   5                    5 Other Public Plan

S_BEGPL5  325  8  DTE8FMT                               N Date coverage began - plan #5

                              10,682                    . Inapplicable
                                 367                      Date as YYYYMMDD

S_ENDPL5  333  8  DTE8FMT                               N Date coverage ended - plan #5

                              10,682                    . Inapplicable
                                 367                      Date as YYYYMMDD

S_PHREL5  341  2  RELFMT                                N Policy holder relationship - Plan #5

                              10,751                    . Inapplicable
                                   0                   -5 Never ask again
                                 230                    1 Sample person
                                  63                    2 Spouse
                                   0                    3 Son
                                   1                    4 Daughter
                                   0                    5 Brother
                                   0                    6 Sister
                                   2                    7 Father
                                   1                    8 Mother
                                   0                    9 Son-in-law
                                   0                   10 Daughter-in-law
                                   0                   11 Grandson
                                   0                   12 Granddaughter
                                   0                   13 Nephew
                                   0                   14 Niece
                                   1                   50 Partner/roommate
                                   0                   51 Friend/neighbor
                                   0                   52 Boarder
                                   0                   53 Nurse/nurses aide
                                   0                   54 Legal/financial officer
                                   0                   55 Guardian
                                   0                   91 Other relative
                                   0                   92 Other non-relative

S_COVNM5  343  2  COVGFMT                               N # of family members covered by Plan #5

                              10,720                    . Inapplicable
                                   2                   -8 Don't know
                                 327                      Number reported covered

S_COVRX5  345  2  YES2FMT                               N Does Plan #5 cover prescribed medicines?

                              10,689                    . Inapplicable
                                  94                    1 Yes
                                  59                    2 Possibly
                                 207                    3 No

S_COVNH5  347  2  YES1FMT                               N Does Plan #5 cover stay in nursing home?

                              10,720                    . Inapplicable
                                  49                   -8 Don't know
                                  39                    1 Yes
                                 241                    2 No

S_PAYSP5  349  2  PAYSPFMT                              N MIP pay any/all cost for Plan #5

                              10,720                    . Inapplicable
                                  24                   -8 Don't know
                                 228                    1 Yes
                                  77                    2 No
                                   0                    3 Yes, but don't know how much

S_ANAMT5  351  8  PREM_F                                N Premium MIP pays for Plan #5-Annualized

                              10,744                    . Inapplicable
                                  88                   -8 Don't know
                                  94                0-100 $100 or less
                                  43           100.01-500 $101-$500
                                  34          500.01-1000 $501-$1000
                                   4         1000.01-1500 $1001-$1500
                                   5         1500.01-2000 $1501-$2000
                                  15         2000.01-2500 $2001-$2500
                                   8         2500.01-3000 $2501-$3000
                                   3         3000.01-3500 $3001-$3500
                                   6         3500.01-4000 $3501-$4000
                                   1         4000.01-4500 $4001-$4500
                                   1         4500.01-5000 $4501-$5000
                                   3        5000.01-99999 Over $5000

S_HMOPL5  359  2  YES1FMT                               N Is Plan #5 an HMO

                              10,728                    . Inapplicable
                                  53                    1 Yes
                                 268                    2 No

S_OBTNP5  366  2  MIPFMT                                N How did MIP get Plan #5

                              10,720                    . Inapplicable
                                   6                   -8 Don't know
                                  65                    1 Directly
                                  41                    2 Main insured person's current employer
                                 186                    3 Main insured person's prior employer
                                   5                    4 Union
                                   1                    5 Family business
                                   1                    6 AARP
                                  16                    7 Deceased spouse's employer
                                   1                    8 Deceased spouse's union
                                   3                    9 Fraternal/professional organization
                                   4                   91 Other

S_TRI5    368  2  YES1FMT                               N Is Plan #5 TRICARE?

                              11,049                    . Inapplicable
                                   0                    1 Yes
                                   0                    2 No

S_INS5    370  2  INSPLFMT                              N Insurance coverage Plan #5

                              10,752                    . Inapplicable
                                   0                    0 Other government program
                                 101                    1 General insurance
                                 120                    2 Dental only
                                  48                    3 Vision only
                                   7                    4 LTC
                                  17                    5 Rx only
                                   3                    6 Dental/Vision
                                   0                    7 Life insurance
                                   1                    8 Cancer/dread disease
                                   0                    9 Military/Other

S_RX5     372  2  RXPLFMT                               N Drug coverage Plan #5

                              10,753                    . Inapplicable
                                  48                    1 Plan covers prescription drugs
                                 247                    2 Plan does not cover prescription drugs
                                   1                    3 Drug discount card

