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Household Component - Insurance Component Linked Data, 1998
Research File (non-nationally representative data)

May 2003
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 Survey Information
1.0 Household Component
2.0 Insurance Component
3.0 Medical Provider Component
4.0 Survey Management
C. Technical and Programming Information
1.0 General Information
2.0 Data File Description
3.0 Imputations in the HC-IC Link File
4.0 Codebook Structure
4.1 Reserved Codes
4.2 Codebook Format
4.3 Variable Naming
5.0 Data File Contents
5.1 Identifiers from the HC
5.2 Identifiers from the IC
5.3 Constructed Flags and Count Variables
5.4 Demographic Variables from the HC
5.5 Job Specific Information from the HC
5.6 Variables from the IC Questionnaires
5.7 Annualized Premium Variables in the Insurance Component
D. Variable -Source Crosswalk

User Note

This documentation describes the second in a series of research files providing linked data from the household and insurance components of the Medical Expenditure Panel Survey (MEPS) - the HC-IC Link files. This file contains data from the 1997 Medical Expenditure Panel Survey that is being released for research purposes only.

Significant survey non-response, compounded by the multiple stages of the collection process, prevents these data from being used to make nationally representative estimates. There are also respondent confidentiality concerns that could not be addressed in a public use file without significant modifications to the data that would affect data analysis. 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 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.

3. 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.

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B. Background Survey Information

The Medical Expenditure Panel Survey (MEPS) provides nationally representative estimates of health care use, expenditures, sources of payment, and insurance coverage for the U.S. civilian noninstitutionalized population. MEPS is cosponsored by the Agency for Healthcare Research and Quality (AHRQ) and the National Center for Health Statistics (NCHS).

MEPS is a family of three surveys. The Household Component (HC) is the core survey and forms the basis for the Medical Provider Component (MPC) and part of the Insurance Component (IC). 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 and the National Medical Expenditure Survey (NMES-2) in 1987. Since 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 systems.

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 advance these goals, MEPS includes linkage with the National Health Interview Survey (NHIS) - a survey conducted by NCHS from which the sample for the MEPS HC is drawn - and enhanced 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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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 is an annual survey that collects data on health insurance plans obtained through employers. 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. Data are collected from the selected organizations through a prescreening telephone interview, a mailed questionnaire, and a telephone follow-up for nonrespondents.

The sample for the 1997 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 MEPS IC household sample consists of employers of respondents to the HC and is the basis for the HC-IC Link file. These employers serve as proxy respondents for persons in the HC sample, providing details on health insurance choice and coverage, which are not readily known by employees. Data from the MEPS IC household sample are collected under the authority of AHRQ and NCHS and are linked with other person-level information from the HC survey in order to produce this research file. These data are only available to researchers using the CCFS research data center located in the AHRQ offices in Rockville, Maryland.

List Sample

The list sample is a nationally representative random sample of private-sector establishments and governments. Both of these groups were selected independent of one another and independent of the household sample. Private-sector establishments were selected from the most recent Census Bureau Business Register (a.k.a. the Standard Statistical Establishment List), a list of private-sector establishments maintained by Census. Governments were selected from the 1997 Census of Governments, maintained by the Census Bureau's Governments Division.

The list sample is designed to contain a large enough sample of private-sector establishments and governments to support employee and establishment estimates at the national level and at the state level for 40 States in a given year. Further details concerning strata used, sample and sample allocations can be found in Sommers, (1999).

Tables from the MEPS IC list sample providing both national and State level estimates are available on the MEPS web site.

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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. MPC data are released in conjunction with the MEPS HC.

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4.0 Survey Management

MEPS HC data and MEPS IC household sample 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, MEPS HC 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. By contrast, MEPS IC survey data including the HC-IC Link files are not released to the public.

Additional information on MEPS is available from the MEPS project manager or the MEPS public use data manager at:

Center for Cost and Financing Studies
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
E-mail address: MepsPD@ahrq.gov
Telephone number: 301 427-1406

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C. Technical and Programming Information

1.0  General Information

This documentation describes the 1998 Household Component - Insurance Component (HC-IC) linked data file from the Medical Expenditure Panel Survey. The 1998 HC-IC Link file is available as a research file in SAS file format in the CCFS data center. The HC-IC Link files cannot be released as public use files due to:

  • significant survey non-response, compounded by the multiple stages of the collection process, that prevents these data from being used to make nationally representative estimates, and

  • respondent confidentiality concerns that cannot be addressed in a public use file without significant modifications to the data that would affect data analysis.

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 link data and generalizing beyond the sample of persons for whom data exists.

The household sample of the MEPS IC is a follow-back survey of employers of persons interviewed in the MEPS HC survey during 1998. The 1998 IC household results and the HC results are linked to provide a data set with important information that cannot be obtained by a survey done solely of households or solely of establishments. For example, employers are able to supply information on plan choice and costs that is not known by jobholders. 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 collected from the IC household sample establishments and included in this file. Similarly, household respondents have information that is not easily obtainable from an employer, such as detailed demographic characteristics of the jobholder and their household. These data are collected in the MEPS HC and placed on the linked file.

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

  • Data File Description

  • Imputations in the HC-IC Link File

  • Codebook Structure

  • Data File Contents

For more information on MEPS HC survey design see S. Cohen, 1997 and J.Cohen, 1997.

Information on the MEPS IC and copies of the IC instruments are available on the MEPS web site:

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2.0  Data File Description

The 1998 MEPS IC household sample survey collected health insurance information from two samples of establishments from the MEPS HC survey:

  • All establishments identified in Panel 2 - Round 3 of the HC as the person's current main job or a secondary job through which they obtained health insurance.

  • A 25% sample of establishments identified in Panel 3 - Round 1 of the HC as the person's current main job or a secondary job through which they obtained health insurance.

The HC-IC Link file contains records for those resulting establishment/person pairs where health insurance was offered to employees by the establishment in 1998 and the establishment provided some information about the health insurance plans.

There is no record on the HC-IC Link file for establishment/person pairs where:

  • the household was unable or refused to provide the employer's address,

  • the employer could not be located with the information provided from the household,

  • the employer went out-of-business or closed the establishment before the IC collection date,

  • the employer did not respond to the IC survey,

  • the employer did not offer health insurance at that establishment, or

  • the employer did offer health insurance but did not provide plan-level data.

There are multiple records on the HC-IC Link file for establishment/person pairs where the establishment offered a choice of health insurance plan to its employees and provided data for those plans. The number of plans reported was limited to the four plans with the highest enrollments for private-sector establishments and to three plans for the largest companies that face the heaviest respondent burden. No collection limits were placed on the number of plans reported for State and local governments or the Federal government. There are constructed flags that identify which plan is believed to be the one held by the policyholder (see Section 5.3 for more information.). A person can also have multiple records on this file if they hold more than one job.

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 for that person. An establishment can be a private-sector or public-sector employer.

  • Plan refers to each health insurance plan offered by the employer.

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3.0  Imputations in the HC-IC Link File

This file contains both original and imputed variables. Variables from the MEPS IC survey whose names begin with the letter 'C' followed by three digits contain "collected" data while variables whose names begin with the letter 'I' followed by three digits contain 'imputed' 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. <http://www.meps.ahrq.gov/MEPSDATA/ic/2000/techappendix.htm>

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4.0  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 available 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 (HC)
Unique establishment, government unit and plan identifiers from the Insurance Component (IC)
Constructed variables to aid researchers
Demographic variables from the Household Component (HC)
Employment section variables from the Household Component (HC)
Variables from the Insurance Component instruments (IC)

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4.1  Reserved Codes

The following reserved code values are used for HC variables:

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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4.2  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 (NUM) or character (CHAR)

Start 

Beginning column position of variable in record

End 

Ending column position of variable in record

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4.3  Variable Naming

In general, HC variable names reflect the content of the variable with an 8 character limitation. Variables from the IC survey 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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5.0  Data File Contents

5.1  Identifiers from the HC

In the MEPS HC, 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 each person within the dwelling unit. The variable DUPERSID is the combination of the variables DUID and PID.

ESTBIDX is a unique four-digit ID number assigned to places of employment during the household interview. This identifier bears no relation to the establishment identifiers assigned during the Insurance Component survey. PANEL98 identifies whether the establishment is linked back to Panel 2 or Panel 3 of the MEPS-HC survey.

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5.2  Identifiers from the IC

FEHBP stands for the Federal Employees Health Benefits Program and the variable with this name contains a three-character code that uniquely identifies a specific federal employee health plan. The plan name and other plan identifiers were collected in the HC, but the FEHBP codes were assigned by MEPS staff using that data and information from the U.S. Office of Personnel Management. All plan-level data for federal health plans was abstracted from plan booklets available on the OPM website. http://archive.opm.gov/insure/archive/health/brochures/index.asp Plan options for federal employees were determined at the county level.

MID is a 6 character identifier that was assigned sequentially to identify each private establishment and governmental unit. MID = '006000' identifies the federal government. MPLANT is a 5 character identifier that can be used along with MID to identify subunits of State and local governments. PART_CD is a two character identifier that uniquely identifies each plan within each establishment or governmental unit.

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5.3  Constructed Flags and Count Variables

ICSOURCE is a constructed variable in the HC-IC link file which indicates where the IC data were collected. Private employers and State and local governments were surveyed separately within the IC survey. Information on federal health plans for federal jobholders was added later to the file using household reported plan identifiers and plan data obtained from the U.S. Office of Personnel Management. MIDPLAN counts the number of plans per establishment. As noted earlier, there is a unique record in this file for every person-establishment-plan combination.

Three variables were constructed to describe the relationship between the person and the health insurance plan during the processing stages of creating this file: PICK, MATCHPLN, and MATCHPLR. These variables were first created with the 1997 HC-IC link file in response to survey changes made between 1996 and 1997.

In the 1996 IC survey, a person-level questionnaire was used to ask the employer to identify the plan held by the specific HC person among the plans offered in the establishment. The link between the employee and their health insurance plan was made based on these data. There were significant processing problems and non-response issues with this data collection effort. Using a person-level form required the collection of a permission form from the person, granting the release of personal information from their employer, and distribution of this permission form to the employer as part of the data collection effort. In addition to employee concerns about AHRQ contacting their employers and asking for personal information, the employers also expressed significant reluctance in providing data from individual personnel files, even with signed permission forms from their employees. The large number of person-level forms also significantly increased the response burden for larger companies which, in turn, made them more reluctant to participate in the survey. In 1997 and beyond, the collection process was changed to reduce respondent burden and collection costs, while hopefully maintaining or improving on the number of linked cases.

The 1997 IC survey dropped the person-level questionnaires and permission forms and opted instead for a name match of plan names from the person and the establishment. This methodology was subsequently used in 1998 as well. The person was asked in the HC survey to provide the name of their insurance plan and the employer from which they obtained their coverage. The employer was then interviewed in the IC survey about health insurance offerings to all employees. No person-level information was available to the IC survey collectors and no person-level information was collected from the employer.

Therefore, the match of the plan held by the HC person with a plan offered by their employer had to be made based on the name of the plan and other plan characteristics such as provider type. While avoiding many of the problems associated with the 1996 matching, there were still data collection issues that contributed to non-response. Among these were non-unique plan names and limited or missing plan information from either the person or the establishment or both.

While more details of this matching process will be provided in a separate document, the process consisted of three basic steps:

  • Step 1 - Automated, computerized matching of plan names based on HC and IC variable character strings.

  • Step 2 - Manual matching of plan names by MEPS staff based on text and other variables.

  • Step 3 - Random matching to one of the equally probable choices remaining.

PICK indicates the results of the automated process for matching plan names (Step 1) and provides details about the status of the match at that stage. MATCHPLN indicates the results of the matching after MEPS staff individually reviewed cases not matched by the automated process (Step 2) to determine if additional matches could reasonably be made. In some cases, a unique employer plan could not be matched to the person. In those cases, all of the equally possible plan matches were assigned a value MATCHPLN=2. MATCHPLR takes matching one step further (Step 3); by randomly selecting one of those plans for those cases where MATCHPLN=2. All policyholders are matched to a plan at this point.

For persons whose employer reported a choice of health insurance plans, 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. If a person is not enrolled in any plan through a specific establishment, a value indicating that health insurance is not taken from that establishment is entered for PICK, MATCHPLN, and MATCHPLR for each plan record for the person-establishment pair. Examples are given below:

PERSID

MID + MPLANT

PART_CD

MATCHPLN

MATCHPLR

Person A

Employer 1

Health plan 1

1=unique match

1=unique match

Person B

Employer 1

Health plan 1

0=HI not taken fr job

0=HI not taken fr job

Person B

Employer 2

Health plan 1

1=unique match

1=unique match

Person C

Employer 3

Health plan 1

3=not matched

2=not matched

Person C

Employer 3

Health plan 2

1=unique match

1=unique match

Person C

Employer 3

Health plan 3

3=not matched

2=not matched

Person D

Employer 4

Health plan 1

2=mult. possbl mtchs

1=unique match

Person D

Employer 4

Health plan 2

2=mult. possbl mtchs

2=not matched

Person E

Employer 5

Health plan 1

3=not matched

2=not matched

Person E

Employer 5

Health plan 2

2=mult. possbl mtchs

1=unique match

Person E

Employer 5

Health plan 3

2=mult. possbl mtchs

2=not matched

The next three variables were constructed based on data from the HC. ENROLLED indicates whether the person is enrolled in a health insurance plan (not necessarily the plan on the record) through that establishment. OFFERED indicates whether the person was offered health insurance through the establishment. JOBSTAT identifies whether the job status of the person is as an active or former employee. Retirees are excluded from this file because retiree plans are not collected in the IC survey.

SINGFAM is defined for cases where MATCHPLR=1 (a unique match) to persons who held health insurance. SINGFAM indicates whether the plan held was a single or family policy. 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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5.4  Demographic Variables from the HC

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.

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5.5  Job Specific Information from the HC

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 HC job-related variables provide data on whether the person was self-employed or worked for someone else, an estimate of the total number of employees where the jobholder works, whether there was more than one location of the jobholder's firm, and other job-related benefits.

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5.6  Variables from the IC Questionnaires

The last and largest set of variables on this file is the variables collected from establishments during the IC survey. The IC survey uses 10 different questionnaires and a computer-based telephone follow-up collection instrument in its collection process. All of the IC questionnaires are available for downloading from the MEPS web site. The questionnaires vary due to the type of establishment receiving the questionnaire (private-sector establishment, large firm with multiple establishments, governmental agencies, large governments) and the type of data being collected (establishment data, plan data). The questionnaires for different types and sizes of establishments have many of the same questions, but with slight wording variations and different question numbers due to their location on the forms. For this reason, each question is assigned a keycode (a 3-digit code that appears on the forms in small print next to each question, box or check-off) that remains consistent across all survey questionnaires. This keycode is used in construction of the variables on the data base.

For example, the first question in the MEPS-10 questionnaire (administered to establishments), asks whether the establishment provided health insurance to its employees in 1998. The question is identified on the questionnaire with two numbers. The questionnaire number (A1a) guides the respondent through the instrument. Next to the response box for question A1a is the keycode 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 keycode.

Variables are positioned on the file in numeric order even when item numbers do not always follow consecutively through the instrument. 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 questionnaires because they were collected during telephone follow-up.

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5.7 Annualized 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.

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D. 1998 Variable - Source Crosswalk to IC Questionnaires

 

VARIABLE

LABEL

QUESTIONNAIRE

 

 

10

10M

11

11C

15

10
(S)

10M
(S)

11
(S)

11C
(S)

15
(S)

C001

ESTABLISHMENT PROVIDES H.I. TO EMPLOYEES

A1a

A1a

A1a

A1a

A2a

 

 

 

 

 

C003

NUMBER OF H.I. PLANS OFFERED

A1b

A1b

A1b

A1b

A2b

 

 

 

 

 

C016

% EMPLOYEES/MEMBERS - WOMEN

C6a

 

B4a

B4a

B5a

 

 

 

 

 

C017

% EMPLOYEES/MEMBERS - AGE 50+

C6b

 

B4b

B4b

B5b

 

 

 

 

 

C018

% EMPLOYEES WHO WERE UNION MEMBERS

C6c

B4

B4c

B4c

B5c

 

 

 

 

 

C022

% EMPLOYEES/MEMBERS EARN $6.50/HR OR LESS

C6d

 

B4d

B4d

B5d

 

 

 

 

 

C023

% EMPLOYEES/MEMBERS EARN $6.50-$15/HR

C6d

 

B4d

B4d

B5d

 

 

 

 

 

C024

% EMPLOYEES/MEMBERS EARN $15/HR OR MORE

C6d

 

B4d

B4d

B5d

 

 

 

 

 

C031

HEALTH INSURANCE OFFERED LAST FIVE YEARS

B1a

 

 

 

 

 

 

 

 

 

C032

LAST YEAR HEALTH INSURANCE OFFERED

B1b

 

 

 

 

 

 

 

 

 

C034

TOTAL EMPLOYEES/MEMBERS IN ALL LOCATIONS

C1

 

 

 

B1a

 

 

 

 

 

C041

NUMBER OF HOURS CONSIDERED FULL-TIME

C7

B2

B5

B5

 

 

 

 

 

 

C045

VOUCHER PROVIDED FOR INSURANCE PURCHASE

B3a

 

 

 

 

 

 

 

 

 

C046

VOUCHER FOR INSURANCE ONLY/OTHER PURPOSE

B3b

 

 

 

 

 

 

 

 

 

C047

AVERAGE VALUE OF VOUCHER PER EMPLOYEE

B3c

 

 

 

 

 

 

 

 

 

C048

VOUCHER PAYMENT CYCLE

B3d

 

 

 

 

 

 

 

 

 

C049

BUSINESS PAID PROVIDERS DIRECTLY

B2

 

 

 

 

 

 

 

 

 

C050

ESTABLISHMENT OFFERS PAID VACATION

D2a

 

C1a

C1a

D1a

 

 

 

 

 

C051

ESTABLISHMENT OFFERS PAID SICK LEAVE

D2a

 

C1a

C1a

D1a

 

 

 

 

 

C052

ESTABLISHMENT OFFERS LIFE INSURANCE

D2a

 

C1a

C1a

D1a

 

 

 

 

 

C053

ESTABLISHMENT OFFERS DISABILITY INSURANCE

D2a

 

C1a

C1a

D1a

 

 

 

 

 

C054

ESTABLISHMENT OFFERS PENSION PLAN

D2a

 

C1a

C1a

D1a

 

 

 

 

 

C055

ESTABLISHMENT OFFERS MEDICAL SAVINGS ACCTS

D2a

 

C1a

C1a

D1a

 

 

 

 

 

C056

ESTABLISHMENT OFFERS FLEXIBLE SPEND ACCTS

D2a

 

C1a

C1a

D1a

 

 

 

 

 

C057

ESTABLISHMENT OFFERS CAFETERIA PLAN

D2a

 

C1a

C1a

D1a

 

 

 

 

 

C058

AVERAGE ANNUAL VALUE CAFETERIA PLAN

D2b

 

C1b

C1b

D1b

 

 

 

 

 

C060

PRINCIPAL BUSINESS ACTIVITY

D5

 

 

 

D3

 

 

 

 

 

C062

TYPE OF OWNERSHIP

D3

 

 

 

D2

 

 

 

 

 

C063

NON-PROFIT BUSINESS

D4

 

 

 

 

 

 

 

 

 

C064

NUMBER OF YEARS COMPANY IN BUSINESS

D6

 

 

 

D4

 

 

 

 

 

C099

PREMIUMS VARIATION: OTHER SPECIFY

 

 

 

 

 

11a

 

10a

7a

10a

C103

PROVIDER TYPE: EXCLUSIVE / ALL / MIXTURE

 

 

 

 

 

2

2

2

 

1

C104

REFERRAL REQUIRED TO SEE SPECIALISTS

 

 

 

 

 

3

3

3

 

3

C105

INDEMNIFICATION: PURCHASED/SELF-INSURED

 

 

 

 

 

5

4

4

2

4

C106

SI PLAN:SELF-ADMINISTERED OR TPA

 

 

 

 

 

6a

5

5a

3a

5a

C107

SI PLAN:PURCHASE STOP-LOSS COVERAGE

 

 

 

 

 

6b

 

5b

3b

5b

C108

TOTAL COST OF COVERAGE

 

 

 

 

 

6c

 

5c

 

5c

C109

MONTHLY PREM EQUIVALENT - SINGLE COVERAGE

 

 

 

 

 

6d

 

5d

 

5d

C110

MONTHLY PREM EQUIVALENT - FAMILY COVERAGE

 

 

 

 

 

6e

 

5e

 

5e

C111

AMOUNT: PREMIUM EQUIVALENT OR COBRA

 

 

 

 

 

6f

 

5f

 

5f

C112

PURCHASED THROUGH A POOLING ARRANGEMENT

 

 

 

 

 

4

 

 

 

 

C113

OPERATED BY: UNION/TRADE ASSOC./NEITHER

 

 

 

 

 

7

 

6

 

6

C122

OUTSIDE CONTRIBUTION TOWARD PREMIUM

 

 

 

 

 

11c

 

10c

 

10c

C123

MONTH PLAN YEAR BEGIN

 

 

 

 

 

20

 

19

10

19

C124

FED ONLY: TOTAL # ENROLLEES IN PLAN - STATE

 

 

 

 

 

 

 

 

 

C124TOT

FED ONLY: TOTAL # ENROLLEES IN PLAN - USA

 

 

 

 

 

 

 

 

 

 

C125

TOTAL ACTIVE EMPLOYEES/MEMBERS ENROLLED

 

 

 

 

 

8a

10a

7a

4a

7a

C125TOT

FED ONLY: TOT. ACT. EMPLS ENROLLED - USA

 

 

 

 

 

 

 

 

 

 

C126

TOTAL NUMBER ENROLLED THROUGH COBRA

 

 

 

 

 

8c

 

7c

4c

7c

C127

FED ONLY: TOT. # RETIREES ENROLLED - STATE

 

 

 

 

 

 

 

C127TOT

FED ONLY: TOT. # RETIREES ENROLLED - USA

 

 

 

 

 

 

 

 

 

 

C128

FED ONLY: TOT. # RET 65+ ENROLLED - STATE

 

 

 

 

 

 

 

 

 

 

C128TOT

FED ONLY: TOT. # RET 65+ ENROLLED - USA

 

 

 

 

 

 

 

 

 

 

C129

TOTAL ENROLLEES WITH SINGLE COVERAGE

 

 

 

 

 

8b

10b

7b

4b

7b

C129TOT

FED ONLY: TOT ENROLLED - SINGLE COV. - USA

 

 

 

 

 

 

 

 

 

 

C130

TOTAL PREMIUM: SINGLE COVERAGE

 

 

 

 

 

9d

6c

8d

5c

8d

C131

EMPLOYER CONTRIBUTION: SINGLE COVERAGE

 

 

 

 

 

9b

 

8b

5a

8b

C132

EMPLOYEE CONTRIBUTION: SINGLE COVERAGE

 

 

 

 

 

9c

6b

8c

5b

8c

C133

PREMIUM PERIOD : TOTAL PREMIUM

 

 

 

 

 

9e

6d

8e

5d

8e

C134

TOTAL PREMIUM : FAMILY COVERAGE

 

 

 

 

 

10d

7c

9d

6d

9d

C135

EMPLOYER CONTRIBUTION: FAMILY COVERAGE

 

 

 

 

 

10b

 

9b

6b

9b

C136

EMPLOYEE CONTRIBUTION: FAMILY COVERAGE

 

 

 

 

 

10c

7b

9c

6c

9c

C137

FAMILY COVERAGE OFFERED

 

 

 

 

 

10a

7a

9a

6a

9a

C138

PREMIUMS VARIED BY AGE

 

 

 

 

 

11a

 

10a

7a

10a

C139

PREMIUMS VARIED BY SEX

 

 

 

 

 

11a

 

10a

7a

10a

C140

PREMIUMS VARIED BY # PERSONS IN FAMILY

 

 

 

 

 

11a

 

10a

7a

10a

C141

PREMIUMS VARIED BY WAGE LEVELS

 

 

 

 

 

11a

 

10a

7a

10a

C142

PREMIUMS VARIED BY OTHER REASON (SPECIFY)

 

 

 

 

 

11a

 

10a

7a

10a

C143

EMPLOYEE CONTRIBUTION VARIED BY STATUS

 

 

 

 

 

11b

 

10b

7b

10b

C144

PREMIUM INCLUDED LIFE INSURANCE

 

 

 

 

 

12

 

11

 

11

C145

PREMIUM INCLUDED DISABILITY INSURANCE

 

 

 

 

 

12

 

11

 

11

C146

TOTAL ANNUAL DEDUCTIBLE: INDIVIDUAL

 

 

 

 

 

13b

 

12b

 

12b

C147

DEDUCTIBLE - PHYSICIAN CARE

 

 

 

 

 

13b

 

12b

 

12b

C148

DEDUCTIBLE - HOSPITAL CARE

 

 

 

 

 

13b

 

12b

 

12b

C149

TOTAL ANNUAL DEDUCTIBLE: FAMILY

 

 

 

 

 

14c

 

13c

 

13c

C150

# OF PERSONS TO MEET FAMILY DEDUCTIBLE

 

 

 

 

 

14b

 

13b

 

13b

C151

PLAN HAS A DEDUCTIBLE

 

 

 

 

 

13a

8

12a

 

12a

C152

HOSPITAL STAY COST: AFTER DEDUCTIBLE MET

 

 

 

 

 

15b

 

14b

 

14b

C153

HOSPITAL STAY %: AFTER DEDUCTIBLE MET

 

 

 

 

 

15b

 

14b

 

14b

C154

COST PER DAY / PER STAY

 

 

 

 

 

15b

 

14b

 

14b

C155

HOSPITAL CARE COVERED

 

 

 

 

 

15a

 

14a

 

14a

C156

PHYSICIAN VISIT COST: AFTER DEDUCTIBLE

 

 

 

 

 

15d

 

14d

 

14d

C157

PHYSICIAN VISIT %: AFTER DEDUCTIBLE

 

 

 

 

 

15d

 

14d

 

14d

C158

NO MAXIMUM PLAN PAYMENT

 

 

 

 

 

16a

 

15a

 

15a

C159

MAXIMUM AMOUNT PLAN PAYS IN A LIFETIME

 

 

 

 

 

16a

 

15a

 

15a

C160

MAXIMUM AMOUNT PLAN PAYS IN ANNUALLY

 

 

 

 

 

16b

 

15b

 

15b

C161

MAXIMUM ANNUAL OUT-OF-POCKET: INDIVIDUAL

 

 

 

 

 

17a

 

16a

 

16a

C162

MAXIMUM ANNUAL OUT-OF-POCKET: FAMILY

 

 

 

 

 

17b

 

16b

 

16b

C163

NO MAXIMUM ANNUAL OUT-OF-POCKET AMOUNT

 

 

 

 

 

17a

 

16a

 

16a

C164

PLAN INCLUDES ROUTINE MAMMOGRAMS

 

 

 

 

 

21

 

20

 

20

C165

PLAN INCLUDES ADULT ROUTINE PHYSICALS

 

 

 

 

 

21

9

20

 

20

C166

PLAN INCLUDES ROUTINE PAP SMEARS

 

 

 

 

 

21

9

20

 

20

C167

PLAN INCLUDES OFFICE VISITS PRENATAL CARE

 

 

 

 

 

21

 

20

 

20

C168

PLAN INCLUDES ADULT IMMUNIZATIONS

 

 

 

 

 

21

 

20

 

20

C169

PLAN INCLUDES CHILD IMMUNIZATIONS

 

 

 

 

 

21

 

20

 

20

C170

PLAN INCLUDES WELL-BABY CARE, UNDER 1 YEAR

 

 

 

 

 

21

9

20

 

20

C171

PLAN INCLUDES WELL-CHILD CARE, 1-4 YEARS

 

 

 

 

 

21

 

20

 

20

C173

PLAN INCLUDES CHIROPRACTIC CARE

 

 

 

 

 

21

 

20

 

20

C174

PLAN INCLUDES OTHER NON-PHYSICIAN PROVIDERS

 

 

 

 

 

21

 

20

 

20

C175

PLAN INCLUDES OUTPATIENT PRESCRIPTIONS

 

 

 

 

 

21

 

20

 

20

C176

PLAN INCLUDES ROUTINE DENTAL CARE

 

 

 

 

 

21

9

20

 

20

C177

PLAN INCLUDES ORTHODONTIC CARE

 

 

 

 

 

21

 

20

 

20

C178

PLAN INCLUDES SKILLED NURSING FACILITY

 

 

 

 

 

21

 

20

 

20

C179

PLAN INCLUDES HOME HEALTH CARE

 

 

 

 

 

21

 

20

 

20

C180

PLAN INCLUDES INPATIENT MENTAL ILLNESS

 

 

 

 

 

21

9

20

 

20

C181

PLAN INCLUDES OUTPATIENT MENTAL ILLNESS

 

 

 

 

 

21

 

20

 

20

C182

PLAN INCL. ALCOHOL/SUBSTANCE ABUSE TREAT

 

 

 

 

 

21

 

20

 

20

C183

COULD REFUSE COVERAGE: PRE-EXISTING COND

 

 

 

 

 

18a

 

17a

8a

17a

C184

PRE-EXISTING CONDITION REFUSED IN REF. YEAR

 

 

 

 

 

18b

 

17b

8b

17b

C185

WAITING PERIOD FOR PRE-EXISTING CONDITIONS

 

 

 

 

 

19

 

18

9

18

C186

PLAN OFFERED IN CURRENT YEAR (1999)

 

 

 

 

 

22a

 

21a

11a

21a

C187

PLAN WAS REPLACED SIM/DIFF/DROPPED (1999)

 

 

 

 

 

22b

 

21b

11b

21b

C188

1999 PLAN-TOTAL SINGLE ENROLLMENT

 

 

 

 

 

22c

 

21c

11c

21c

C189

1999 PLAN-TOTAL FAMILY ENROLLMENT

 

 

 

 

 

22d

 

21d

11d

21d

C190

1999 PLAN PREMIUM - SINGLE COVERAGE

 

 

 

 

 

22e

 

21e

11e

21e

C191

1999 PLAN PREMIUM - FAMILY COVERAGE

 

 

 

 

 

22f

 

21f

11f

21f

C192

OFFERED OPTIONAL COVERAGE DENTAL

E2a

C7

D2a

D2a

E2a

 

 

 

 

 

C193

OFFERED OPTIONAL COVERAGE VISION

E2a

C7

D2a

D2a

E2a

 

 

 

 

 

C194

OFFERED OPTIONAL COVERAGE PRESCRIP DRUG

E2a

C7

D2a

D2a

E2a

 

 

 

 

 

C195

OFFERED OPTIONAL COVERAGE LONG-TERM CARE

E2a

C7

D2a

D2a

E2a

 

 

 

 

 

C196

TOTAL AMT PAID OPTIONAL COVERAGE 1998

E2b

 

D2b

D2b

E2b

 

 

 

 

 

C197

WAITING PERIOD FOR NEW EMPLOYEES

E3a

C6a

D3a

 

E3a

 

 

 

 

 

C198

LENGTH OF TYPICAL WAITING PERIOD

E3b

C6b

D3b

 

E3b

 

 

 

 

 

C199

TOTAL ANNUAL COST OF COVERAGE: ALL PLANS

E1

 

D1

D1

E1

 

 

 

 

 

C200

TOTAL NUMBER OF EMPLOYEES THIS LOCATION

C2a

B1a

B1a

B1a

*

 

 

 

 

 

C201

TOTAL EMPLOYEES ELIGIBLE FOR HEALTH INS.

C2b

 

B1b

B1b

B1b

 

 

 

 

 

C202

TOTAL EMPLOYEES ENROLLED IN HEALTH INS.

C2c

B1b

B1c

B1c

B1c

 

 

 

 

 

C203

TOTAL PART-TIME EMPLOYEES THIS LOCATION

C3a

 

B2a

B2a

B2a

 

 

 

 

 

C204

TOTAL PART-TIME EMPLOYEES ELIGIBLE HLTH INS.

C3b

 

B2b

B2b

B2b

 

 

 

 

 

C205

TOTAL PART-TIME EMPLOYEES ENROLLED HLTH INS

C3c

 

B2c

B2c

B2c

 

 

 

 

 

C206

TOTAL TEMPORARY EMPLOYEES THIS LOCATION

C4a

 

B3a

B3a

B3a

 

 

 

 

 

C207

TOTAL TEMP EMPL. ELIGIBLE FOR HEALTH INS.

C4b

 

B3b

B3b

B3b

 

 

 

 

 

C208

TOTAL TEMP EMPL. ENROLLED IN HEALTH INS.

C4c

 

B3c

B3c

B3c

 

 

 

 

 

C209

RETIREES LT 65 ELIGIBLE HEALTH INS

E5a

C2a

D5a

D4a

C2a

 

 

 

 

 

C210

RETIREES 65+ ELIGIBLE HEALTH INS

E5b

C2b

D5b

D4b

C2b

 

 

 

 

 

C218

PHYSICIAN CARE COVERED

 

 

 

 

 

15c

 

14c

 

14c

C221

NO ANNUAL OUT-OF-POCKET: INDIVIDUAL

 

 

 

 

 

16b

 

15b

 

15b

C222

NO ANNUAL OUT-OF-POCKET: FAMILY

 

 

 

 

 

17b

 

16b

 

16b

C224

MULT. INDIV. DEDUCT. TO MEET FAMILY DEDUCT.

 

 

 

 

 

14a

 

13a

 

13a

C540

DOES ESTAB HAVE PART-TIME EMPLOYEES

 

B3a

 

 

 

 

 

 

 

 

C541

OFFERS H.I. BENEFITS TO PART-TIME EES

 

B3b

 

 

 

 

 

 

 

 

C551

PROVIDED HEALTH INS TO RETIREES

E4

C1

D4

D3

C1

 

 

 

 

 

C552

SINGLE COVERAGE IS OFFERED

 

 

 

 

 

9a

6a

8a

 

8a

C553

TIME PERIOD PREMIUM PAID

 

 

 

 

 

10e

7d

9e

 

9e

Questionnaire key:
10=Establishment 10M=Establishment Telephone Follow-up 11=Government 11C=Certainty Government 15=Company-level S=Plan-level Information Sheet

* - Number prorated from company total and percentage identified at this location

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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