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Documentation for HCIC96FX6 - A file of federal person plan combinations from the 1996 MEPS-HC
Agency for Healthcare Research and Quality
Center for Financing, Access, and Cost Trends
540 Gaither Road
Rockville, MD 20850
(301) 427-1406


THE FILE "HCIC96FX" WAS CONSTRUCTED AFTER THE HC-IC LINK FILE FOR 1996 WAS CREATED. THIS FILE CONTAINS PLAN INFORMATION FOR THE PLAN HELD BY FEDERAL EMPLOYEES IN THE 1996 MEPS-HC SAMPLE AND FOR THE OTHER PLANS IN THEIR CHOICE SET. WHEN USED IN CONJUNCTION WITH THE ORIGINAL HC-IC LINK FILE FOR 1996, THIS FILE CAN SIGNIFICANTLY EXPAND THE NUMBER OF CASES FOR WHICH PLAN CHOICE INFORMATION IS AVAILABLE. THE ADDITIONAL WORK NECESSARY TO CREATE THIS FILE WAS DONE BY AN INDEPENDENT DATA USER AT THE AHRQ DATA CENTER WITH SUPPORT FROM AHRQ STAFF TO PROVIDE THE DATA. SIMILAR DATA FOR FUTURE YEARS HAVE BEEN INCORPORATED INTO THE HC-IC LINK FILES FOR 1997 THROUGH 1999.

The file HCIC96FX contains 6125 records. Each record corresponds to a person in the 1996 MEPS-HC survey who worked for the federal government in 1996 and a plan for which it was determined they were eligible. Eligibility was determined by comparing the county in which the person lived against the list of plans in the Federal Health Benefits program. Some judgment was used in this determination. For instance, plans for national plans for secret service employees were not considered available to employees because it was unlikely that a federal employee would be in the Secret Service.

The file contains the encrypted person level id, the plan id variable that indicates whether the person is the holder of employee health insurance, whether the person is covered by employee health insurance, whether the person is on the HC/IC linked and whether the plan on the particular record is the plan actually chosen by the person. The file also contains plan characteristics abstracted from federal plan booklets.

The file has 344 different person level id's. 253 of these match to the IC/HC linked file. Using the person id and indicator that the person has a particular plan gives a set of 253 persons with their selected plan. Any other plan is a plan choice that was not taken by these 253 persons.

The remaining 91 persons on the file have no chosen plan. If the variable indicates the person is enrolled in health insurance, then the chosen plan is unknown. If a person is not enrolled in employer health insurance, but is covered, then there should be a covered plan associated with another member of the health insurance unit. By the records on this file would give the federal plan choices the health insurance unit had aside from the plan taken. If the person is not enrolled or covered by health insurance, then the person had these federal plan choices and any through a spouse or other family member but no plan was taken.

By proper merging of this file with the HC/IC linked files, at least 253 more sets of known plan choices and plan taken are presented to the researcher.

Below is a list of variables and their definitions.

Note contributions are for non postal federal employees. Postal workers eligible for the plan pay a different contribution.

There are no imputed values on the file. Any variables which had no meaning for federal plans were left missing.

Variable

Size

Definition

DUPERSID

8

PERSON ID (DUID+PID)

FEHBP

3

FEHBP code

FLAGLINK

3

1 if person on linked file

PRIVEG1

8

1 if person has coverage from employer group plan

HPRIVEG1

8

1 if person is holder of employer group plan

PLANTKEN

3

1 if person and plan are on linked file

POSTAL

 

1 if JOBS.WORKUSPS=1

C001

1

Does the establishment offer health insurance? (Yes=1 for all Federal cases)

C003

2

Number of plans offered in State (Note that some plans are only available in certain areas of the state and some plans are only available to a subset of federal workers. Anyone interested in plans offered in a specific area of a State could reference the booklets to find that information)

C016

3

Percent of employees that are women

C017

3

Percent of employees that are 50 years old or older

C022

3

Percent of employees that earn $6.50/hr or less

C023

3

Percent of employees that earn between $6.50/hr and $15/hr

C024

3

Percent of employees that earn $15/hr or more

C034

10

Total number of Federal employees in ALL locations

C041

2

Number of hours considered Full-time (40 hrs for all Federal cases)

C050

1

Offers paid vacation (Yes=1 for all Federal cases)

C051

1

Offers paid sick leave (Yes=1 for all Federal cases)

C052

1

Offers life insurance (Yes=1 for all Federal cases)

C053

1

Offers disability insurance (Yes=1 for all Federal cases)

C054

1

Offers retirement/pension plan (Yes=1 for all Federal cases)

C055

1

Offers Medical Savings Account (No=2 for all Federal cases)

C056

1

Offers Flexible Spending Accounts (No=2 for all Federal cases)

C057

1

Offers Cafeteria-Style Benefit Plan (No-2 for all Federal cases)

C060

2

Principal Business Activity (Government=12 for all Federal cases)

C062

1

Type of Business Ownership (Government=5 for all Federal cases)

C063

1

Non-profit business (Yes=1 for all Federal cases)

C064

3

Years in business (220 = for all Federal cases)

C103

1

Provider type: 1=Exclusive, 2=Any, 3=Mixture of preferred and any

C104

1

Referral to see specialist? 1=yes, 2=no

C105

1

Indemnification: 1=purchased, 2=self-insured

C106

1

SI plan -TPA? (Blank for all federal cases)

C107

1

SI plan - Purchase Stop-loss (Blank for all federal cases)

C108

8

SI plan - total cost of coverage (Blank for all federal cases)

C109

4

SI plan - monthly single premium equivalent (Blank for all federal cases)

C110

4

SI plan - monthly family premium equivalent (Blank for all federal cases)

C111

1

SI plan - COBRA or premium equivalent? (Blank for all federal cases)

C112

1

Pooling arrangement (MEWA)? (No=2 for all Federal plans)

C113

1

Plan operated by a Union or Trade Association? (No=3 for all Federal plans)

C122

1

Subsidy from union or government? (No=2o for all Federal plans)

C123

2

Month in which the plan year begins. (January = 1 for all Federal plans)

C124

12

Total number of enrollees

C125

12

Total number of active employees enrollees

C126

12

Former employees enrolled through COBRA

C127

12

Total number of retirees enrolled

C128

12

Total number of retirees enrolled - age 65 and over

C129

12

Total enrollees with single coverage

C130

12

Total premium: single coverage

C131

12

Employer contribution: single coverage

C132

12

Employee contribution: single coverage

C133

1

Premium period 1=week, 2=2 weeks, 3=month, 4=year (4 = all federal plans)

C134

12

Total premium: family coverage

C135

12

Employer contribution: family coverage

C136

12

Employee contribution: family coverage

C137

1

Family coverage NOT offered (blank for all federal cases)

C138

1

Premiums vary by age? (No=2 for all federal cases)

C139

1

Premiums vary by sex? (No=2 for all federal cases)

C140

1

Premiums vary by number of persons in family? (No=2 for all federal cases)

C141

1

Premiums vary by wage levels? (No=2 for all federal cases)

C142

1

Premiums vary by other reason? (No=2 for all federal cases)

C143

1

Employee contribution varied by status (1=yes for all Federal employees)

C144

1

Premium includes life insurance? (No=2 for all federal cases)

C145

1

Premium includes disability insurance? (No=2 for all federal cases)

C146

12

Total annual deductible: individual

C147

12

Deductible for physician care

C148

12

Deductible for hospital care

C149

12

Total annual deductible: Family

C150

12

Number of persons required to meet individual deductible to fulfill family deductible

C151

1

Does the plan have a deductible?

For 1996 : blank =yes, 1=no
For 1997 and beyond: 1=yes, 2=no

C152

12

Hospital stay cost after deductible (in dollars)

C153

12

Hospital stay cost after deductible (percent)

C154

1

Hospital stay cost per day? Or per stay? Per day = 1, per stay = 2

C155

1

Was hospital care covered under this plan?

For 1996: blank=yes, 1=no
For 1997 and beyond: 1=yes, 2=no

C156

12

Physicians visit cost after deductible (in dollars)

C157

12

Physicians visit cost after deductible (percent)

C158

1

No maximum plan payment (No=1 no max for all federal plans)

C159

7

Maximum plan pays in lifetime (blank for all federal plans)

C160

8

Maximum plan pays annually (blank for all federal plans)

C161

12

Maximum annual out-of-pocket: individual

C162

12

Maximum annual out-of-pocket: family

C163

1

No maximum annual out-of-pocket - 1=no max

C164

1

Routine mammograms 1=yes, included in plan

C165

1

Adult routine physical exams 1=yes, included in plan

C166

1

Routine pap smears 1=yes, included in plan

C167

1

Office visit for prenatal care 1=yes, included in plan

C168

1

Adult immunization 1=yes, included in plan

C169

1

Child immunization 1=yes, included in plan

C170

1

Well-baby care - under 1 year 1=yes, included in plan

C171

1

Well-baby care - 1-4 years old 1=yes, included in plan

C172

1

100% Well-baby care 1=yes, included in plan

C173

1

Chiropractic care 1=yes, included in plan

C174

1

Other non-physician providers 1=yes, included in plan

C175

1

Outpatient prescriptions 1=yes, included in plan

C176

1

Routine dental care 1=yes, included in plan

C177

1

Orthodontic care 1=yes, included in plan

C178

1

Nursing home care 1=yes, included in plan

C179

1

Home health care 1=yes, included in plan

C180

1

Inpatient mental illness 1=yes, included in plan

C181

1

Outpatient mental illness 1=yes, included in plan

C182

1

Alcohol/substance abuse treatment 1=yes, included in plan

C183

1

Could plan refuse to cover due to preexisting conditions 2=no for all Federal plans)

C184

1

Pre-existing condition refused in reference year? (Blank for all federal plans)

C185

1

Could plan impose a waiting period due to preexisting conditions 2=no for all Federal plans

C186

1

Is the plan offered next year?(1997) 1=yes, 2=no

C187

1

If not offered, 1=replaced with similar plan, 2=replaced with different plan, 3=dropped, no replacement

C188

 

Next year data (available in next year's file)

C189

 

Next year data (available in next year's file)

C190

12

Total premium: single coverage for next year

C191

12

Total premium: family coverage for next year

C192

 

Next year data (available in next year's file)

C193

 

Next year data (available in next year's file)

C194

 

Next year data (available in next year's file)

C195

 

Next year data (available in next year's file)

C197

1

Did you impose a waiting period? No=2 for all Federal cases

C200

12

Total employees in state

C201

12

Total employees eligible for health insurance in state

C202

12

Total employees enrolled in health insurance in state

C203

12

Total part-time employees in state

C204

12

Total part-time employees eligible for health insurance in state

C205

12

Total part-time employees enrolled in health insurance in state

C206

12

Total temporary employees in state

C207

12

Total temporary employees eligible for health insurance in state

C208

12

Total temporary employees enrolled in health insurance in state

C209

1

Were retirees under 65 years old eligible to receive health insurance?

Yes=1 for all Federal cases

C210

1

Were retirees 65 years old and over eligible to receive health insurance?

Yes=1 for all Federal cases

C218

1

Physician care not covered? Blank for all federal cases

C012

51

Name of health insurance plan

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