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Household Component - Insurance Component Linked Data, 1996
Research File (non-nationally representative data)

August 2000
Agency for Healthcare Research and Quality
Center for Financing, Access, and Cost Trends
540 Gaither Road
Rockville, MD 20850
(301) 427-1406


Table of Contents

User Note
A. Data Use Agreement
B. Background
1.0 Household Component
2.0 Insurance Component
3.0 Medical Provider Component
4.0 Nursing Home Component
5.0 Survey Management
C. Technical and Programming Information
1.0 General Information
2.0 Data File Description
2.1 Imputations in the HC - IC File
2.2 Codebook Structure
2.3 Reserved Codes
2.4 Codebook Format
2.5 Variable Naming
3.0 Data File Contents
3.1 ID Variables
Identifiers from the Household Component
Identifiers from the Insurance Component
Constructed Flags and Count Variables
Demographic Variables
Job Specific Information
Variables from the IC Questionnaires
Premium Variables in the Insurance Component
D. Variable - Source Crosswalk 

User Note

This file contains data from the 1996 Medical Expenditure Panel Survey that is being released for research purposes only. Significant nonresponse prevents these data from being used to make nationally representative estimates. There is no sampling weight included in this file and users are warned to exercise caution in generalizing their results beyond the sample of persons included in the file.

The data on this file are being provided as a MEPS Research File, and as such are intended for sophisticated users who are familiar with the MEPS public use files and have experience analyzing complex survey data. The data file in this release has not been subjected to the same level of quality control as standard MEPS public use tapes. Therefore, the data from these files should be analyzed and interpreted with care.

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A. Data Use Agreement

Individual identifiers have been removed from the microdata contained in the files on this CD-ROM. Nevertheless, under sections 308 (d) and 903 (c) of the Public Health Service Act (42 U.S.C. 242m and 42 U.S.C. 299 a-1), data collected by the Agency for Healthcare Research and Quality (AHRQ) and/or the National Center for Health Statistics (NCHS) may not be used for any purpose other than for the purpose for which they were supplied; any effort to determine the identity of any reported cases, is prohibited by law.

Therefore in accordance with the above referenced Federal statute, it is understood that:

1. No one is to use the data in this data set in any way except for statistical reporting and analysis.

2. If the identity of any person or establishment should be discovered inadvertently, then (a) no use will be made of this knowledge, (b) the Director, Office of Management, AHRQ will be advised of this incident, (c) the information that would identify any individual or establishment will be safeguarded or destroyed, as requested by AHRQ, and (d) no one else will be informed of the discovered identity.

No one will attempt to link this data set with individually identifiable records from any data sets other than the Medical Expenditure Panel Survey or the National Health Interview Survey.

By using these data you signify your agreement to comply with the above-stated statutorily based requirements, with the knowledge that deliberately making a false statement in any matter within the jurisdiction of any department or agency of the Federal Government violates 18 U.S.C. 1001 and is punishable by a fine of up to $10,000 or up to 5 years in prison.

The Agency for Healthcare Research and Quality requests that users cite AHRQ and the Medical Expenditure Panel Survey as the data source in any publications or research based upon these data.

This documentation describes one in a series of public use files from the Medical Expenditure Panel Survey (MEPS). The survey provides a new and extensive data set on the use of health services and health care in the United States.

MEPS is conducted to provide nationally representative estimates of health care use, expenditures, sources of payment, and insurance coverage for the U.S. civilian noninstitutionalized population. MEPS also includes a nationally representative survey of nursing homes and their residents. MEPS is cosponsored by the Agency for Healthcare Research and Quality (AHRQ) (formerly the Agency for Health Care Policy and Research (AHCPR)) and the National Center for Health Statistics (NCHS).

MEPS comprises four component surveys: the Household Component (HC), the Medical Provider Component (MPC), the Insurance Component (IC), and the Nursing Home Component (NHC). The HC is the core survey, and it forms the basis for the MPC sample and part of the IC sample. The separate NHC sample supplements the other MEPS components. Together these surveys yield comprehensive data that provide national estimates of the level and distribution of health care use and expenditures, support health services research, and can be used to assess health care policy implications.

MEPS is the third in a series of national probability surveys conducted by AHRQ on the financing and use of medical care in the United States. The National Medical Care Expenditure Survey (NMCES, also known as NMES-1) was conducted in 1977, the National Medical Expenditure Survey (NMES-2) in 1987. Beginning in 1996, MEPS continues this series with design enhancements and efficiencies that provide a more current data resource to capture the changing dynamics of the health care delivery and insurance system.

The design efficiencies incorporated into MEPS are in accordance with the Department of Health and Human Services (DHHS) Survey Integration Plan of June 1995, which focused on consolidating DHHS surveys, achieving cost efficiencies, reducing respondent burden, and enhancing analytical capacities. To accommodate these goals, new MEPS design features include linkage with the National Health Interview Survey (NHIS), from which the sampling frame for the MEPS HC is drawn, and continuous longitudinal data collection for core survey components. The MEPS HC augments NHIS by selecting a sample of NHIS respondents, collecting additional data on their health care expenditures, and linking these data with additional information collected from the respondents' medical providers, employers, and insurance providers.

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B. Background

1.0 Household Component

The MEPS HC, a nationally representative survey of the U.S. civilian noninstitutionalized population, collects medical expenditure data at both the person and household levels. The HC collects detailed data on demographic characteristics, health conditions, health status, use of medical care services, charges and payments, access to care, satisfaction with care, health insurance coverage, income, and employment.

The HC uses an overlapping panel design in which data are collected through a preliminary contact followed by a series of five rounds of interviews over a 2-year period. Using computer-assisted personal interviewing (CAPI) technology, data on medical expenditures and use for two calendar years are collected from each household. This series of data collection rounds is launched each subsequent year on a new sample of households to provide overlapping panels of survey data and, when combined with other ongoing panels, will provide continuous and current estimates of health care expenditures.

The sampling frame for the MEPS HC is drawn from respondents to NHIS, conducted by NCHS. NHIS provides a nationally representative sample of the U.S. civilian noninstitutionalized population, with oversampling of Hispanics and blacks.

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2.0 Insurance Component

The MEPS - IC collects data on health insurance plans obtained through employers, unions, and other sources of private health insurance. Data obtained in the IC include the number and types of private insurance plans offered, benefits associated with these plans, premiums, contributions by employers and employees, eligibility requirements, and employer characteristics.

The sample for the 1996 MEPS - IC is made up of two parts, the household sample and the list sample. The data included in this file are limited to the household sample but both samples are described here for background purposes. Similar information is collected for each sample although the sources of the samples and their purposes and uses are very different. Because of the similarity in data to be collected the parts are combined for collection purposes only. They are not combined for analytic purposes.

Household Sample

The household sample consists of employers of respondents to the HC, as well as unions and insurance companies which provide insurance to persons who are respondents of the HC. For the household sample, the employers, unions and insurance companies which belong to the IC sample, serve as proxy respondents for persons in the HC sample. Data from the household sample is linked with other person level information from the HC in order to provide the final file. Note that significant sample nonresponse in the 1996 household sample prevents these data from supporting national estimates.

List Sample

The list sample is a nationally representative random sample of private-sector establishments, governments and self employed persons with no employees (SENE). Each of these three groups was selected independent of the others and the household sample. Each was selected from a list frame. Private-sector establishments were selected from the most recent Bureau of the Census' Standard Statistical Establishment List, a list of private sector establishments maintained by the Census. Governments were selected from the 1992 Census of Governments, maintained by the Census Governments Division. The SENE's were selected from a list of persons who filed taxes with the Internal Revenue Service as self employed persons.

The list sample is designed to contain a large enough sample of private-sector establishments and governments for 40 states that it can support estimates of totals for employees working in these 40 states and the nation as a whole. The sample of SENE's was allocated to provide national estimates only for the self-employed. Further details concerning strata used, sample and sample allocations can be found in Sommers, (1999). Tables from the MEPS - IC list sample can be found on the MEPS web site <http://www.meps.ahrq.gov>.

The MEPS IC is an annual survey. Data are collected from the selected organizations through a prescreening telephone interview, a mailed questionnaire, and a telephone followup for nonrespondents.

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3.0 Medical Provider Component

The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physicians:

  • Providing care for HC respondents receiving Medicaid.
  • Associated with a 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan.
  • Associated with a 25-percent sample of the remaining HC households.

Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including:

  • Diagnoses coded according to ICD-9-CM (9th Revision, International Classification of Diseases) and DSM-IV (Fourth Edition, Diagnostic and Statistical Manual of Mental Disorders).
  • Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4).
  • Inpatient stay codes classified by DRGs (diagnosis-related groups).
  • Prescriptions coded by national drug code (NDC), medication name, strength, and quantity dispensed.
  • Charges, payments, and the reasons for any difference between charges and payments.

The MPC is conducted through telephone interviews and mailed survey materials.

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4.0 Nursing Home Component

The 1996 MEPS NHC was a survey of nursing homes and persons residing in or admitted to nursing homes at any time during calendar year 1996. The NHC gathered information on the demographic characteristics, residence history, health and functional status, use of services, use of prescription medicines, and health care expenditures of nursing home residents. Nursing home administrators and designated staff also provided information on facility size, ownership, certification status, services provided, revenues and expenses, and other facility characteristics. Data on the income, assets, family relationships, and care-giving services for sampled nursing home residents were obtained from next-of-kin or other knowledgeable persons in the community.

The 1996 MEPS NHC sample was selected using a two-stage stratified probability design. In the first stage, facilities were selected; in the second stage, facility residents were sampled, selecting both persons in residence on January 1, 1996, and those admitted during the period January 1 through December 31.

The sample frame for facilities was derived from the National Health Provider Inventory, which is updated periodically by NCHS. The MEPS NHC data were collected in person in three rounds of data collection over a 1-year period using the CAPI system. Community data were collected by telephone using computer-assisted telephone interviewing (CATI) technology. At the end of three rounds of data collection, the sample consisted of approximately 815 responding facilities, 3,209 residents in the facility on January 1, and 2,690 eligible residents admitted during 1996.

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5.0 Survey Management

MEPS data are collected under the authority of the Public Health Service Act. They are edited and published in accordance with the confidentiality provisions of this act and the Privacy Act. NCHS provides consultation and technical assistance.

As soon as data collection and editing are completed, the MEPS survey data are released to the public in staged releases of summary reports and microdata files. Summary reports are released as printed documents and electronic files. Microdata files are released on CD-ROM and/or as electronic files.

Printed documents and CD-ROMs are available through the AHRQ Publications Clearinghouse. Write or call:

AHRQ Publications Clearinghouse
Attn: (publication number)
P.O. Box 8547
Silver Spring, MD 20907
800/358-9295
410/381-3150 (callers outside the United States only)
888/586-6340 (toll-free TDD service; hearing impaired only)

Be sure to specify the AHRQ number of the document or CD-ROM you are requesting. Selected electronic files are available from the Internet on the MEPS web site: <http://www.meps.ahrq.gov/>.

Additional information on MEPS is available from the MEPS project manager or the MEPS public use data manager at the Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850 (301/427-1406).

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C. Technical and Programming Information

1.0 General Information

This documentation describes the 1996 Household Component - Insurance Component linked data file from the Medical Expenditure Panel Survey. Released as an ASCII data file and SAS transport file, this public use research file contains information collected from the household sample of the MEPS - Insurance Component (IC). The household sample of the MEPS-IC is a followback survey of employers, unions and insurers of persons in the household component who are employed or who report private insurance in Round 1. Information on health insurance premiums, contributions to premiums by employers and employees, employer characteristics, number and types of private insurance plans offered and benefits associated with these plans are included in this file.

The following documentation offers a brief overview of the types and levels of data provided, the content and structure of the files and the codebook, and programming information. It contains the following sections:

Data File Description and Contents

Imputations in the HC-IC File

Programming Information

Codebook

For more information on MEPS HC survey design see S. Cohen, 1997; J.Cohen, 1997; and S. Cohen, 1996. For information on the MEPS - IC and for copies of the IC instruments see the MEPS web site at the following address: <http://www.meps.ahrq.gov>

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2.0 Data File Description

The 1996 MEPS HC - IC Linked File is being released despite the fact that significant nonresponse limits the uses of the data. Less than half of the potential population are included in the file because of nonresponse. Although the data in this file cannot support national estimates they can serve many other research purposes. Nonetheless, AHRQ urges researchers to exercise caution in interpreting the HC- IC linked data and generalizing beyond the sample of persons for whom data exists.

The potential population for this file is all persons in the HC who held private insurance or who held a job in Round 1 of the 1996 MEPS. This definition would include employed persons who did not get health insurance through their jobs whether or not the employer offered health insurance. Another way of describing the potential population for this file is all Round 1 policyholders and jobholders. Dependents are not included. In addition to employer characteristics, premiums, and other information about the health insurance plan that an employee holds, the IC also collects data on the other health insurance plans, if any, that were offered to the employee. This is limited to the four plans with the highest enrollment.

In order to present all this information in one flat data file, there is a unique record for every person-establishment-plan combination. Person refers to the policyholder or jobholder. Establishment refers to the source of employment or insurance. An establishment can be a private or public employer, a union, or an insurer. Plan refers to the health insurance plan(s) offered by the employer. A person can be listed more than once in this file if they hold more than one job, if they hold a job and a separate insurance policy, or if they have some other combination of jobs and insurance policies.

A person can also be listed more than once if they are employed at an establishment which offers a choice of health insurance plans. In this case the person is listed multiple times and the record containing data on the plan held by the employee is indicated with a flag (HELDPLN=1). The person level and establishment level data are repeated on each record while health insurance plan information is contained in the plan level variables, with each record reporting data on a different plan. An example is given below.

There are 15,884 unique records in the HC - IC file. This includes 6,981 policyholders or jobholders, who link to 6,071 establishments, and through an establishment to 6,879 plans.

PERSID

MID + MPLANT

PART_CD

HELDPLAN

Person A

Employer 1

Health plan 1

1=held

Person B

Employer 1

Health plan 1

1=held

Person C

Employer 2

Health plan 1

3=not held

Person D

Employer 3

Health plan 1

3=not held

Person D

Employer 3

Health plan 2

3=not held

Person D

Employer 3

Health plan 3

1=held

Person E

Employer 4

Health plan 1

1=held

Person E

Employer 5

Health plan 1

3=not held

Person F

Insurer 1

Health plan 1

1=held

Person F

Employer 6

-1 (inapp - no plan)

0 = no plans

Person F

Union 1

Health plan 1

1=held

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 2.1 Imputations in the HC - IC File

This file contains both original and imputed variables. All imputed data in this file are identified by variable name or by a flag which is explained in more detail in appropriate sections below. Variables whose names begin with the letter 'I' followed by three digits contain 'imputed' data while variables whose names begin with the letter 'C' followed by three digits contain "collected" data. Any differences between these two versions of the same variable are due to imputations. For a more detailed description of the imputation methods used for the core MEPS - IC variables in both the household and the list samples see Sommers, 1999.

As noted above, less than half of the potential population is included in this file. Records do not exist for MEPS household respondents who did not sign permission forms or were unable to provide accurate employer, union, or insurer addresses for the MEPS - IC data collection. Incomplete records exist in this file for persons who provided addresses but whose employers, unions, or insurers could not be located, closed their business, or failed to respond to the IC survey.

The variables ESTBRESP identifies establishments that responded (ESTBRESP=1) and failed to respond (ESTBRESP=2) to the IC survey. The variables PLANRESP identifies records with reported plan level data (PLANRESP=1) and records with imputed or missing plan level data (PLANRESP=2).

In a number of cases plan level data was imputed to a person when it was known that a person was holding a health insurance plan through the employer but it was not known in which plan the person was enrolled. In these cases the person was assigned to one plan following an algorithm that used household provided information on type of plan (HMO, non-HMO) or assigned the person to the most popular plan at the establishment. These records are identified with a flag (HELDPLAN=2).

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2.2 Codebook Structure

For each variable on the file, unweighted frequencies are provided. Weighted frequencies are not provided with this file because there is no sample weight. As stated above this file is being released for research purposes only and cannot support nationally representative estimates. The codebook and data file sequence list variables in the following order:

Unique person and establishment identifiers from Household Component
Unique establishment, government unit and plan identifiers from Insurance Component
Constructed variables to aid researchers
Demographic variables from the Household Component
Employment section variables from the Household Component
Variables from the Insurance Component instruments

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2.3 Reserved Codes

The following reserved code values are used:

VALUE DEFINITION
-1 INAPPLICABLE Question was not asked due to skip pattern.
-3 NO DATA IN ROUND Person has no data in round.
-6 MIXTURE Both inapplicable cases and not ascertained cases in situations where they could not be distinguished
-7 REFUSED Question was asked and respondent refused to answer question.
-8 DK Question was asked and respondent did not know answer.
-9 NOT ASCERTAINED Interviewer did not record the data.

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2.4 Codebook Format

This codebook describes an ASCII data set and provides the following information for each variable:

IDENTIFIER DESCRIPTION
Name Variable name (maximum of 8 characters)
Description  Variable descriptor (maximum of 40 characters)
Format  Number of bytes
Type Type of data: numeric (indicated by NUM) or character (indicated by CHAR)
Start Beginning column position of variable in record
End  Ending column position of variable in record

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2.5 Variable Naming

In general, variable names reflect the content of the variable or the item number from the MEPS - IC survey instrument, with an 8 character limitation. Variables beginning with the letter "C" followed by three digits refer to original collected data. Variables beginning with the letter "I" followed by three digits may contain imputed data.

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3.0 Data File Contents

3.1 ID Variables

There are identification variables from both the household component and the insurance component included in this file. Labels on each variable reflect the source of the variable.

Identifiers from the Household Component

In the MEPS Household Component the definitions of Dwelling Units (DUs) and Group Quarters are generally consistent with the definitions employed for the National Health Interview Survey. The dwelling unit ID (DUID) is a five-digit random ID number assigned after the case was sampled for MEPS. The person number (PID) uniquely identifies all persons within the dwelling unit. The variable DUPERSID is the combination of the variables DUID and PID.

ESTBID is a unique four-digit ID number assigned to places of employment and to sources of insurance during the household interview. This identifier bears no relation to the establishment identifiers assigned during the Insurance Component survey.

FEHBP stands for the Federal Employees Health Benefits Program and contains a three-character code that identifies specific federal employee health plans. This variable exists only for the approximately 250 policyholders of federal plans in the HC-IC linked file.

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Identifiers from the Insurance Component

MID is a 9 character identifier that was assigned sequentially to identify each private establishment, government, and insurance company. MID=006000000 identifies the federal government.

MPLANT is a 5 character identifier that should be used along with MID to identify subunits of state and local governments.

PART_CD is a two character identifier that uniquely identifies all plans within each establishment.

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Constructed Flags and Count Variables

Constructed variables in the HC - IC linked file begin with ICSOURCE which indicates where the IC data was collected. Private employers, state and local governments, and insurers were surveyed separately within the IC survey. Information on federal health plans for federal jobholders and retirees was added later to the file using household reported information. MIDPLAN counts the number of plans per establishment while PNPLANS counts the number of plans per person. As noted above, there is a unique record in this file for every person-establishment-plan combination. HELDPLAN indicates whether each record is linked to no plan specific data (HELDPLAN=0), to a held plan (HELDPLAN=1), to a held plan that has been imputed (HELDPLAN=2), or to a plan offered but not taken by the employee (HELDPLAN=3).

As a convenience for researchers using the file, the next four variables were constructed based on data from both the IC and the HC. Information on whether health insurance was offered, whether the employee was enrolled, the employee's status as active or retired, and whether the employee held a single or family policy was collected in both the HC instrument and in the IC instrument but is often missing in the IC data. The assumption used to create these variables is that the establishment provided data is correct and overrides household provided information. In cases where IC data is missing the variable is constructed using HC data.

ENROLLED indicates whether the person is enrolled in a health insurance plan through that establishment. It is based on data from the establishment (C231=1) but if that item is missing then it relies on household reported data. OFFERED indicates whether the person was offered health insurance through the establishment (C350=1).

EESTATUS indicates whether the person is an active employee, retired, or some other type at the establishment (C065). The last category includes former employees, relatives or survivors of former employees, temporary and contract employees as well as persons who were not recognized by the establishment and persons whom the establishment refused to identify.

SINGFAM is defined only for persons who held health insurance policies and indicates whether it was a single or family policy. This variable was based on IC establishment data (C239) unless the item was missing. Then SINGFAM was determined by the number of dependents linked to the policyholder in the household reported data or whether the plan covered a person outside of the household reporting unit.

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Demographic Variables

Age as of Round 1, race/ethnicity, and sex are added to this file for the convenience of researchers. This information was collected in the household interview.

Job Specific Information

In addition to the demographic variables, information from the HC employment section was also appended to the file. Job specific information was linked at the person-establishment level. JOBSINFO indicates whether there was a valid link to the employment section file. Other variables provide data on whether the person was self-employed or worked for someone else, an estimate of the total number of employees, whether there was more than one location, and benefits.

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Variables from the Insurance Component Questionnaires

Following the above described variables are the several hundred variables collected during the IC survey. The variables have numeric names corresponding to a number that appears in very small print next to each question, box or check-off in the IC instrument which includes a total of 13 written questionnaires and a telephone follow-up. For example, the first question in the "MEPS-10" questionnaire (administered to establishments), asks whether the establishment provided health insurance to its employees on July 1, 1996. The question is identified on the questionnaire with two numbers. The large print number (A1) guides the respondent through the instrument. Beneath A1 is the smaller number 001 which corresponds to the variable name used in the data file; thus the variable named C001 indicates whether the establishment offered health insurance to its employees. The "C" stands for collected data (as opposed to imputed data) and the 001 indicates the question number. Variables are positioned on the file in numeric order even when item numbers do not always follow consecutively through the instrument. All confidential information such as names and addresses have been stripped from this file. Descriptive labels have been added to the variables in order to make the file easier to use. In addition, a crosswalk table is provided below that indicates the item number on the IC questionnaire(s) corresponding to each variable. Some variables are not found in the written instruments because they were collected during telephone follow-up. All of the 13 written IC questionnaires indicated in the table are available for downloading from the MEPS web site.

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Premium Variables in the Insurance Component

For a typical employee, C130, C131, and C132 contain the total single premium and contributions while C134, C135, and C136 contain the total family premium and contributions for a family of four. Imputed versions of these six variables follow the collected versions and are named I130, I131, I132, I134, I135, and I136. The premium values in all twelve of these variables have already been annualized. C133 contains the periodicity of premiums as originally reported.

In addition to premiums for the typical employee, person-specific premiums and contributions were also collected. This information is contained in C361, C362, C363 and other variables.

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D. Variable - Source Crosswalk

 

 

IC QUESTIONNAIRE

VARIABLE NAME

10

11

12

13

10(P)
11(P)

12(P)

14(P)

10(S)

11(S)

12(S)

11(CS)

11(C)

C001

A1

A1

A1

 

 

 

 

 

 

 

 

A1

C003

 

 

A2

 

 

 

 

 

 

 

 

 

C011

 

 

 

 

NOT

 

 

 

 

 

 

 

C014

 

 

 

 

NOT

 

 

 

 

 

 

 

C015

 

 

 

 

NOT

 

 

 

 

 

 

 

C016

 

 

 

 

NOT

 

 

 

 

 

 

 

C017

 

 

 

 

NOT

 

 

 

 

 

 

 

C018

 

 

 

 

NOT

 

 

 

 

 

 

 

C019

 

 

 

 

NOT

 

 

 

 

 

 

 

C021_NUM

 

 

 

 

B2b

B2b

 

 

 

 

 

 

C022

 

 

 

 

NOT

 

 

 

 

 

 

 

C023

 

 

 

 

NOT

 

 

 

 

 

 

 

C024

 

 

 

 

NOT

 

 

 

 

 

 

 

C031

F1a

 

 

 

 

 

 

 

 

 

 

 

C032

F1b

 

 

 

 

 

 

 

 

 

 

 

C033

 

 

 

 

NOT

 

 

 

 

 

 

 

C034

E6

 

D4

 

 

 

 

 

 

 

 

 

C038

D2a

D2a

D2a

 

 

 

 

 

 

 

 

C3a

C039

D2b

D2b

D2b

 

 

 

 

 

 

 

 

C3b

C040

D2c

D2c

 

 

 

 

 

 

 

 

 

C3c

C041

D3

D3

 

 

 

 

 

 

 

 

 

C4

C042

D2d

D2d

D2c

 

 

 

 

 

 

 

 

C3d

C043

D2d

D2d

D2c

 

 

 

 

 

 

 

 

C3d

C044

D2d

D2d

D2c

 

 

 

 

 

 

 

 

C3d

C045

F3a

 

 

 

 

 

 

 

 

 

 

 

C046

F3b

 

 

 

 

 

 

 

 

 

 

 

C047

F3c

 

 

 

 

 

 

 

 

 

 

 

C048

F3c

 

 

 

 

 

 

 

 

 

 

 

C049

F2

 

 

 

 

 

 

 

 

 

 

 

C050

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C051

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C052

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C053

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C054

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C055

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C056

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C057

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C058

E1

D4

D3

 

 

 

 

 

 

 

 

C5

C060

E4

 

 

D2

 

 

 

 

 

 

 

 

C062

E2

 

 

 

 

 

 

 

 

 

 

 

C063

E3

 

 

 

 

 

 

 

 

 

 

 

C064

E5

 

 

D1

 

 

 

 

 

 

 

 

C065

 

 

 

 

A1

A1

 

 

 

 

 

 

C066

 

 

 

 

NOT

 

 

 

 

 

 

 

C073

 

 

 

 

NOT

 

 

 

 

 

 

 

C074

 

 

 

 

NOT

 

 

 

 

 

 

 

C099

B12a

B11a

B10a

 

 

 

 

B12a

B11a

B10a

 

 

C103

B2

B2

B2

B2

 

 

 

B2

B2

B2

 

 

C104

B3

B3

B3

B3

 

 

 

B3

B3

B3

 

 

C105

B4

B4

B4

 

 

 

 

B4

B4

B4

B4

B4

C106

B5a

B5a

B5a

 

 

 

 

B5a

B5a

B5a

 

 

C107

B5b

B5b

B5b

 

 

 

 

B5b

B5b

B5b

 

 

C108

B5c

B5c

B5c

 

 

 

 

B5c

B5c

B5c

 

 

C109

B5d

B5d

B5d

 

 

 

 

B5d

B5d

B5d

 

 

C110

B5d

B5d

B5d

 

 

 

 

B5d

B5d

B5d

 

 

C111

B5e

B5e

 

 

 

 

 

B5e

B5e

 

 

 

C112

B6

 

 

 

 

 

B6

 

 

 

 

C113

B7

B6

 

 

 

 

 

B7

B6

 

 

 

C122

B8

B7

B6

B6

 

 

 

B8

B7

B6

 

 

C123

B9

B8

B7

 

 

 

 

B9

B8

B7

 

 

C124

B10a

B9a

B8a

 

 

 

 

B10a

B9a

B8a

B2a

B2a

C124TOT

 

 

 

 

 

 

 

 

 

 

 

 

C125

B10b

B9b

B8b

 

 

 

 

B10b

B9b

B8b

B2b

B2b

C125TOT

 

 

 

 

 

 

 

 

 

 

 

 

C126

B10c

B9c

 

 

 

 

 

B10c

B9c

 

B2c

B2c

C126TOT

 

 

 

 

 

 

 

 

 

 

 

 

C127

B10d

B9d

B8c

 

 

 

 

B10d

B9d

B8c

B2d

B2d

C127TOT

 

 

 

 

 

 

 

 

 

 

 

 

C128

B10d

B9d

B8c

 

 

 

 

B10d

B9d

B8c

B2d

B2d

C128TOT

 

 

 

 

 

 

 

 

 

 

 

 

C129

B10e

B9e

B8d

 

 

 

 

B10e

B9e

B8d

B2e

B2e

C129TOT

 

 

 

 

 

 

 

 

 

 

 

 

C130

B11a

B10

B9a

 

 

 

 

B11a

B10a

B9a

B3a

B3a

C131

B11a

B10

B9a

 

 

 

 

B11a

B10a

B9a

B3a

B3a

C132

B11a

B10

B9a

 

 

 

 

B11a

B10a

B9a

B3a

B3a

C133

B11a

B10

B9a

 

 

 

 

B11a

B10a

B9a

B3a

B3a

C134

B11b

B10

B9b

 

 

 

 

B11b

B10b

B9b

B3b

B3b

C135

B11b

B10

B9b

 

 

 

 

B11b

B10b

B9b

B3b

B3b

C136

B11b

B10

B9b

 

 

 

 

B11b

B10b

B9b

B3b

B3b

C137

B11b

B10

B9b

 

 

 

 

B11b

B10b

B9b

B3b

B3b

C138

B12a

B11

B10a

 

 

 

 

B12a

B11a

B10a

 

 

C139

B12a

B11

B10a

 

 

 

 

B12a

B11a

B10a

 

 

C140

B12a

B11

B10a

 

 

 

 

B12a

B11a

B10a

 

 

C141

B12a

B11

 

 

 

 

 

B12a

B11a

 

 

 

C142

B12a

B11

B10a

 

 

 

 

B12a

B11a

B10a

 

 

C143

B12b

B11

B10b

 

 

 

 

B12b

B11b

B10b

 

 

C144

B13

B12

B11

 

 

 

 

B13

B12

B11

 

 

C145

B13

B12

B11

 

 

 

 

B13

B12

B11

 

 

C146

B14

B13

B12

B7

 

 

 

B14

B13

B12

 

 

C147

B14

B13

B12

B7

 

 

 

B14

B13

B12

 

 

C148

B14

B13

B12

B7

 

 

 

B14

B13

B12

 

 

C149

B14

B13

B12

B7

 

 

 

B14

B13

B12

 

 

C150

B14

B13

B12

B7

 

 

 

B14

B13

B12

 

 

C151

B14

B13

B12

B7

 

 

 

B14

B13

B12

 

 

C152

B15a

B14

B13a

B8a

 

 

 

B15a

B14a

B13a

 

 

C153

B15a

B14

B13a

B8a

 

 

 

B15a

B14a

B13a

 

 

C154

B15a

B14

B13a

B8a

 

 

 

B15a

B14a

B13a

 

 

C155

B15a

B14

B13a

B8a

 

 

 

B15a

B14a

B13a

 

 

C156

B15b

B14

B13b

B8b

 

 

 

B15b

B14b

B13b

 

 

C157

B15b

B14

B13b

B8b

 

 

 

B15b

B14b

B13b

 

 

C158

B16b

B15

B14b

B9b

 

 

 

B16b

B15b

B14b

 

 

C159

B16a

B15

B14a

B9a

 

 

 

B16a

B15a

B14a

 

 

C160

B16b

B15

B14b

B9b

 

 

 

B16b

B15b

B14b

 

 

C161

B17a

B16

B15a

 

 

 

 

B17a

B16a

B15a

 

 

C162

B17b

B16

B15b

 

 

 

 

B17b

B16b

B15b

 

 

C163

B17b

B16

B15b

B10

 

 

 

B17b

B16b

B15b

 

 

C164

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C165

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C166

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C167

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C168

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C169

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C170

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C171

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C172

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C173

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C174

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C175

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C176

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C177

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C178

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C179

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C180

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C181

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C182

B18

B17

B16

B11

 

 

 

B18

B17

B16

 

 

C183

B19

B18

B17

 

 

 

 

B19

B18

B17

 

 

C184

B19

B18

B17

 

 

 

 

B19

B18

B17

 

 

C185

B20

B19

B18

B12

 

 

 

B20

B19

B18

 

 

C186

B21a

B20

B19a

 

 

 

 

B21a

B20a

B19a

B5a

B5a

C187

B21b

B20

B19b

 

 

 

 

B21b

B20b

B19b

B5b

B5b

C188

B21c

B20

B19c

 

 

 

 

B21c

B20c

B19c

B5c

B5c

C189

B21c

B20

B19c

 

 

 

 

B21c

B20c

B19c

B5c

B5c

C190

B21c

B20

B19c

 

 

 

 

B21c

B20c

B19c

B5c

B5c

C191

B21c

B20

B19c

 

 

 

 

B21c

B20c

B19c

B5c

B5c

C192

C1a

C1a

C1a

 

 

 

 

 

 

 

 

 

C193

C1a

C1a

C1a

 

 

 

 

 

 

 

 

 

C194

C1a

C1a

C1a

 

 

 

 

 

 

 

 

 

C195

C1a

C1a

C1a

 

 

 

 

 

 

 

 

 

C196

C1b

C1b

C1b

 

 

 

 

 

 

 

 

 

C197

C2a

C2a

C2a

 

 

 

 

 

 

 

 

 

C198

C2b

C2b

C2b

 

 

 

 

 

 

 

 

 

C199

C3

C3

C3

 

 

 

 

 

 

 

 

C1

C200

D1a

D1a

D1a

 

 

 

 

 

 

 

 

C2a

C201

D1a

D1a

D1a

 

 

 

 

 

 

 

 

C2a

C202

D1a

D1a

D1a

 

 

 

 

 

 

 

 

C2a

C203

D1b

D1b

 

 

 

 

 

 

 

 

 

C2b

C204

D1b

D1b

 

 

 

 

 

 

 

 

 

C2b

C205

D1b

D1b

 

 

 

 

 

 

 

 

 

C2b

C206

D1c

D1c

 

 

 

 

 

 

 

 

 

C2c

C207

D1c

D1c

 

 

 

 

 

 

 

 

 

C2c

C208

D1c

D1c

 

 

 

 

 

 

 

 

 

C2c

C209

D1d

D1d

D1b

 

 

 

 

 

 

 

 

C2d

C210

D1d

D1d

D1b

 

 

 

 

 

 

 

 

C2d

C218

B15b

B14

B13b

B8b

 

 

 

B15b

B14b

B13b

 

 

C219

D1d

D1d

D1b

 

 

 

 

 

 

 

 

C2d

C231

 

 

 

A3a

B2a

B2a

 

 

 

 

 

 

C239

 

 

 

B4

B3

B3

B7

 

 

 

 

 

C246

 

 

 

C1

C1

C1

C1

 

 

 

 

 

C275

 

 

 

 

 

 

B2a

 

 

 

 

 

C276

 

 

 

 

 

 

B2b

 

 

 

 

 

C277

 

 

 

 

 

 

B2b

 

 

 

 

 

C278

 

 

 

 

 

 

B2c

 

 

 

 

 

C279

 

 

 

 

 

 

B3

 

 

 

 

 

C280

 

 

 

 

 

 

B4a

 

 

 

 

 

C281

 

 

 

 

 

 

B4b

 

 

 

 

 

C282

 

 

 

 

 

 

B5

 

 

 

 

 

C290

 

 

 

 

 

 

B8

 

 

 

 

 

C291

 

 

 

 

 

 

B9a

 

 

 

 

 

C292

 

 

 

 

 

 

B9b

 

 

 

 

 

C293

 

 

 

 

 

 

B10a

 

 

 

 

 

C294

 

 

 

 

 

 

B10b

 

 

 

 

 

C295

 

 

 

 

 

 

B10b

 

 

 

 

 

C296

 

 

 

 

 

 

B10b

 

 

 

 

 

C297

 

 

 

 

 

 

B11

 

 

 

 

 

C298

 

 

 

 

 

 

B11

 

 

 

 

 

C299

 

 

 

 

 

 

B11

 

 

 

 

 

C300

 

 

 

 

 

 

B11

 

 

 

 

 

C301

 

 

 

 

 

 

B11

 

 

 

 

 

C302

 

 

 

 

 

 

B11

 

 

 

 

 

C303

 

 

 

 

 

 

B11

 

 

 

 

 

C304

 

 

 

 

 

 

B12a

 

 

 

 

 

C305

 

 

 

 

 

 

B12b

 

 

 

 

 

C306

 

 

 

 

 

 

B12b

 

 

 

 

 

C307

 

 

 

 

 

 

B12b

 

 

 

 

 

C308

 

 

 

 

 

 

B12b

 

 

 

 

 

C309

 

 

 

 

 

 

B12b

 

 

 

 

 

C310

 

 

 

 

 

 

A1

 

 

 

 

 

C311

 

 

 

 

 

 

A2a

 

 

 

 

 

C312

 

 

 

 

 

 

A2b

 

 

 

 

 

C313

 

 

 

 

 

 

A2c

 

 

 

 

 

C314

 

 

 

 

 

 

C4

 

 

 

 

 

C350

 

 

 

 

B1a

B1a

 

 

 

 

 

 

C351

 

 

 

 

B1b

B1b

 

 

 

 

 

 

C352

 

 

 

 

B2b

B2b

 

 

 

 

 

 

C353

 

 

 

 

B4b

B4b

 

 

 

 

 

 

C354

 

 

 

 

B4c

B4c

 

 

 

 

 

 

C355

 

 

 

 

B4d

B4d

 

 

 

 

 

 

C356

 

 

 

 

B4d

B4d

 

 

 

 

 

 

C357

 

 

 

 

B4d

B4d

 

 

 

 

 

 

C358

 

 

 

 

B5

B5

 

 

 

 

 

 

C359

 

 

 

 

B6

N

 

 

 

 

 

 

C360

 

 

 

 

C3b

C3b

 

 

 

 

 

 

C361

 

 

 

B5

B4a

B4a

B6

 

 

 

 

 

C362

 

 

 

 

B4b

B4b

 

 

 

 

 

 

C363

 

 

 

 

B4c

B4c

 

 

 

 

 

 

C370

 

 

 

C2

C2

C2

C2

 

 

 

 

 

C371

 

 

 

C2

C2

C2

C2

 

 

 

 

 

C372

 

 

 

C2

C2

C2

C2

 

 

 

 

 

C373

 

 

 

C2

C2

C2

C2

 

 

 

 

 

C374

 

 

 

C3

C3a

C3a

C3

 

 

 

 

 

C375

 

 

 

 

C3b

C3b

 

 

 

 

 

 

C376

 

 

 

B5

B4a

B4a

B6

 

 

 

 

 

C380

 

 

 

C3

C3a

C3a

C3

 

 

 

 

 

C436

 

 

 

 

NOT

 

 

 

 

 

 

 

C498

 

 

 

 

NOT

 

 

 

 

 

 

 

C501_NUM

 

 

 

 

B1b

B1b

 

 

 

 

 

 

C502_NUM

 

 

 

 

B1b

B1b

 

 

 

 

 

 

C503_NUM

 

 

 

 

B1b

B1b

 

 

 

 

 

 

C504_NUM

 

 

 

 

B1b

B1b

 

 

 

 

 

 

C505_NUM

 

 

 

 

B2b

B2b

 

 

 

 

 

 

 

Questionnaire key:
10 = Establishment 11 = Government 12 = Union
13 = Self-Employed 14 = Insurance Provider  
C = Certainty P = Person-level S = Supplemental Sheet
NOT = data collected in telephone followup

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AHRQ
Get Social
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364
Improving the Quality, Safety, Efficiency, and Effectiveness of Health Care For All Americans