|
Household Component - Insurance Component Linked Data, 1997
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.
Return To Table Of Contents
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.
Return To Table Of Contents
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 2½-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.
Return To Table Of Contents
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
Return To Table Of Contents
C. Technical and Programming Information
1.0 General Information
This documentation describes the 1997
Household Component - Insurance Component (HC-IC) linked data file from the
Medical Expenditure Panel Survey. The 1997 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 in Round 1 of the 1997 MEPS HC. The
1997 IC household results and the 1997 Round 1 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:
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 1997 MEPS IC household sample survey
collected health insurance information from establishments identified in Panel
2- Round 1 of the MEPS HC survey as:
-
a person's current main job, or
-
a person's 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 1997 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 id
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.
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.
Return To Table Of Contents
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://www.opm.gov/insure/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.
Return To Table Of Contents
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 are new for 1997 and are 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, 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. 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.
Return To Table Of Contents
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.
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.
Return To Table Of Contents
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 1997. 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.
Return To Table Of Contents
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.
Return To Table Of Contents
D. 1997 Variable - Source Crosswalk to IC
Questionnaires
|
|
|
QUESTIONNAIRE |
|
|
|
10 |
11 |
11C |
12 |
15 |
10
(S) |
11
(S) |
12
(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 |
D4a |
D4a |
D4a |
D2a |
B5a |
|
|
|
|
|
|
C017 |
% EMPLOYEES/MEMBERS - AGE 50+ |
D4b |
D4b |
D4b |
D2b |
B5b |
|
|
|
|
|
|
C018 |
% EMPLOYEES WHO WERE UNION MEMBERS |
D4c |
D4c |
D4c |
|
B5c |
|
|
|
|
|
|
C022 |
% EMPLOYEES/MEMBERS EARN $6.50/HR OR LESS |
D4d |
D4d |
D4d |
D2c |
B5d |
|
|
|
|
|
|
C023 |
% EMPLOYEES/MEMBERS EARN $6.50-$15/HR |
D4d |
D4d |
D4d |
D2c |
B5d |
|
|
|
|
|
|
C024 |
% EMPLOYEES/MEMBERS EARN $15/HR OR MORE |
D4d |
D4d |
D4d |
D2c |
B5d |
|
|
|
|
|
|
C031 |
HEALTH INSURANCE OFFERED LAST FIVE YEARS |
F1a |
|
|
|
|
|
|
|
|
|
|
C032 |
LAST YEAR HEALTH INSURANCE OFFERED |
F1b |
|
|
|
|
|
|
|
|
|
|
C034 |
TOTAL EMPLOYEES/MEMBERS IN ALL LOCATIONS |
E7 |
|
|
D4 |
B1a |
|
|
|
|
|
|
C041 |
NUMBER OF HOURS CONSIDERED FULL-TIME |
D5 |
D5 |
D5 |
|
|
|
|
|
|
|
|
C045 |
VOUCHER PROVIDED FOR INSURANCE PURCHASE |
F3a |
|
|
|
|
|
|
|
|
|
|
C046 |
VOUCHER FOR INSURANCE ONLY/OTHER PURPOSE |
F3b |
F3b |
|
|
|
|
|
|
|
|
|
C047 |
AVERAGE VALUE OF VOUCHER PER EMPLOYEE |
F3c |
|
|
|
|
|
|
|
|
|
|
C048 |
VOUCHER PAYMENT CYCLE |
F3d |
|
|
|
|
|
|
|
|
|
|
C049 |
BUSINESS PAID PROVIDERS DIRECTLY |
F2 |
|
|
|
|
|
|
|
|
|
|
C050 |
ESTABLISHMENT OFFERS PAID VACATION |
E1a |
D6 |
D6 |
D3a |
E2a |
|
|
|
|
|
|
C051 |
ESTABLISHMENT OFFERS PAID SICK LEAVE |
E1a |
D6 |
D6 |
D3a |
E2a |
|
|
|
|
|
|
C052 |
ESTABLISHMENT OFFERS LIFE INSURANCE |
E1a |
D6 |
D6 |
D3a |
E2a |
|
|
|
|
|
|
C053 |
ESTABLISHMENT OFFERS DISABILITY INSURANCE |
E1a |
D6 |
D6 |
D3a |
E2a |
|
|
|
|
|
|
C054 |
ESTABLISHMENT OFFERS PENSION PLAN |
E1a |
D6 |
D6 |
D3a |
E2a |
|
|
|
|
|
|
C055 |
ESTABLISHMENT OFFERS MEDICAL SAVINGS ACCTS |
E1a |
D6 |
D6 |
D3a |
E2a |
|
|
|
|
|
|
C056 |
ESTABLISHMENT OFFERS FLEXIBLE SPEND ACCTS |
E1a |
D6 |
D6 |
D3a |
E2a |
|
|
|
|
|
|
C057 |
ESTABLISHMENT OFFERS CAFETERIA PLAN |
E1a |
D6 |
D6 |
D3a |
E2a |
|
|
|
|
|
|
C058 |
AVERAGE ANNUAL VALUE CAFETERIA PLAN |
E1b |
D6 |
D6 |
D3b |
E2b |
|
|
|
|
|
|
C060 |
PRINCIPAL BUSINESS ACTIVITY |
E4 |
|
|
|
E6 |
|
|
|
|
|
|
C062 |
TYPE OF OWNERSHIP |
E2 |
|
|
|
E5 |
|
|
|
|
|
|
C063 |
NON-PROFIT BUSINESS |
E3 |
|
|
|
|
|
|
|
|
|
|
C064 |
NUMBER OF YEARS COMPANY IN BUSINESS |
E6 |
|
|
|
E3 |
|
|
|
|
|
|
C099 |
PREMIUMS VARIATION: OTHER SPECIFY |
B11a |
B10a |
B7a |
B9a |
|
B11a |
B10a |
B9a |
B7a |
10a |
|
C103 |
PROVIDER TYPE: EXCLUSIVE / ALL / MIXTURE |
B2 |
B2 |
|
B2 |
|
B2 |
B2 |
B2 |
|
1 |
|
C104 |
REFERRAL REQUIRED TO SEE SPECIALISTS |
B3 |
B3 |
|
B3 |
|
B3 |
B3 |
B3 |
|
3 |
|
C105 |
INDEMNIFICATION: PURCHASED/SELF-INSURED |
B4 |
B4 |
B2 |
B4 |
|
B4 |
B4 |
B4 |
B2 |
4 |
|
C106 |
SI PLAN: SELF-ADMINISTERED OR TPA |
B6a |
B5a |
B3a |
B5a |
|
B6a |
B5a |
B5a |
B3a |
5a |
|
C107 |
SI PLAN: PURCHASE STOP-LOSS COVERAGE |
B6b |
B5b |
B3b |
B5b |
|
B6b |
B5b |
B5b |
B3b |
5b |
|
C108 |
TOTAL COST OF COVERAGE |
B6c |
B5c |
|
B5c |
|
B6c |
B5c |
B5c |
|
5c |
|
C109 |
MONTHLY PREM EQUIVALENT - SINGLE COVERAGE |
B6d |
B5d |
|
B5d |
|
B6d |
B5d |
B5d |
|
5d |
|
C110 |
MONTHLY PREM EQUIVALENT - FAMILY COVERAGE |
B6e |
B5e |
|
B5e |
|
B6e |
B5e |
B5e |
|
5e |
|
C111 |
AMOUNT: PREMIUM EQUIVALENT OR COBRA |
B6f |
B5f |
|
|
|
B6f |
B5f |
|
|
5f |
|
C112 |
PURCHASED THROUGH A POOLING ARRANGEMENT |
B5 |
|
|
|
|
B5 |
|
|
|
|
|
C113 |
OPERATED BY: UNION/TRADE ASSOC./NEITHER |
B7 |
B6 |
|
|
|
B7 |
B6 |
|
|
6 |
|
C122 |
OUTSIDE CONTRIBUTION TOWARD PREMIUM |
B11c |
B10c |
|
B9c |
|
B11c |
B10c |
B9c |
|
10c |
|
C123 |
MONTH PLAN YEAR BEGIN |
B20 |
B19 |
B10 |
B18 |
|
B20 |
B19 |
B18 |
B10 |
19 |
|
C124 |
FED ONLY: TOTAL # ENROLLEES IN PLAN - STATE |
|
|
|
|
|
|
|
|
|
|
|
C124TOT |
FED ONLY: TOTAL # ENROLLEES IN PLAN - USA |
|
|
|
|
|
|
|
|
|
|
|
C125 |
TOTAL ACTIVE EMPLOYEES/MEMBERS ENROLLED |
B8a |
B7a |
B4a |
B6a |
|
B8a |
B7a |
B6a |
B4a |
7a |
|
C125TOT |
FED ONLY: TOT. ACT. EMPLS ENROLLED - USA |
|
|
|
|
|
|
|
|
|
|
|
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 |
B8b |
B7b |
B4b |
B6b |
|
B8b |
B7b |
B6b |
B4b |
7b |
|
C129TOT |
FED ONLY: TOT ENROLLED-SINGLE COV.-USA |
|
|
|
|
|
|
|
|
|
|
|
C130 |
TOTAL PREMIUM: SINGLE COVERAGE |
B9c |
B8c |
B5c |
B7c |
|
B9c |
B8c |
B7c |
B5c |
8c |
|
C131 |
EMPLOYER CONTRIBUTION: SINGLE COVERAGE |
B9a |
B8a |
B5a |
B7a |
|
B9a |
B8a |
B7a |
B5a |
8a |
|
C132 |
EMPLOYEE CONTRIBUTION: SINGLE COVERAGE |
B9b |
B8b |
B5b |
B7b |
|
B9b |
B8b |
B7b |
B5b |
8b |
|
C133 |
PREMIUM PERIOD : TOTAL PREMIUM |
B9d |
B8d |
B5d |
B7d |
|
B9d |
B8d |
B7d |
B5d |
8d |
|
C134 |
TOTAL PREMIUM : FAMILY COVERAGE |
B10d |
B9d |
B6d |
B8d |
|
B10d |
B9d |
B8d |
B6d |
9d |
|
C135 |
EMPLOYER CONTRIBUTION: FAMILY COVERAGE |
B10b |
B9b |
B6b |
B8b |
|
B10b |
B9b |
B8b |
B6b |
9b |
|
C136 |
EMPLOYEE CONTRIBUTION: FAMILY COVERAGE |
B10c |
B9c |
B6c |
B8c |
|
B10c |
B9c |
B8c |
B6c |
9c |
|
C137 |
FAMILY COVERAGE OFFERED |
B10a |
B9a |
B6a |
B8a |
|
B10a |
B9a |
B8a |
B6a |
9a |
|
C138 |
PREMIUMS VARIED BY AGE |
B11a |
B10a |
B7a |
B9a |
|
B11a |
B10a |
B9a |
B7a |
10a |
|
C139 |
PREMIUMS VARIED BY SEX |
B11a |
B10a |
B7a |
B9a |
|
B11a |
B10a |
B9a |
B7a |
10a |
|
C140 |
PREMIUMS VARIED BY # PERSONS IN FAMILY |
B11a |
B10a |
B7a |
B9a |
|
B11a |
B10a |
B9a |
B7a |
10a |
|
C141 |
PREMIUMS VARIED BY WAGE LEVELS |
B11a |
B10a |
B7a |
|
|
B11a |
B10a |
|
B7a |
10a |
|
C142 |
PREMIUMS VARIED BY OTHER REASON (SPECIFY) |
B11a |
B10a |
B7a |
B9a |
|
B11a |
B10a |
B9a |
B7a |
10a |
|
C143 |
EMPLOYEE CONTRIBUTION VARIED BY STATUS |
B11b |
B10b |
B7b |
B9b |
|
B11b |
B10b |
B9b |
B7b |
10b |
|
C144 |
PREMIUM INCLUDED LIFE INSURANCE |
B12 |
B11 |
|
B10 |
|
B12 |
B11 |
B10 |
|
11 |
|
C145 |
PREMIUM INCLUDED DISABILITY INSURANCE |
B12 |
B11 |
|
B10 |
|
B12 |
B11 |
B10 |
|
11 |
|
C146 |
TOTAL ANNUAL DEDUCTIBLE: INDIVIDUAL |
B13b |
B12b |
|
B11b |
|
B13b |
B12b |
B11b |
|
12b |
|
C147 |
DEDUCTIBLE - PHYSICIAN CARE |
B13b |
B12b |
|
B11b |
|
B13b |
B12b |
B11b |
|
12b |
|
C148 |
DEDUCTIBLE - HOSPITAL CARE |
B13b |
B12b |
|
B11b |
|
B13b |
B12b |
B11b |
|
12b |
|
C149 |
TOTAL ANNUAL DEDUCTIBLE: FAMILY |
B14c |
B13c |
|
B12c |
|
B14c |
B13c |
B12c |
|
13c |
|
C150 |
# OF PERSONS TO MEET FAMILY DEDUCTIBLE |
B14b |
B13b |
|
B12b |
|
B14b |
B13b |
B12b |
|
13b |
|
C151 |
PLAN HAS A DEDUCTIBLE |
B13a |
B12a |
|
B11a |
|
B13a |
B12a |
B11a |
|
12a |
|
C152 |
HOSPITAL STAY COST: AFTER DEDUCTIBLE MET |
B15b |
B14b |
|
B13b |
|
B15b |
B14b |
B13b |
|
14b |
|
C153 |
HOSPITAL STAY %: AFTER DEDUCTIBLE MET |
B15b |
B14b |
|
B13b |
|
B15b |
B14b |
B13b |
|
14b |
|
C154 |
COST PER DAY / PER STAY |
B15b |
B14b |
|
B13b |
|
B15b |
B14b |
B13b |
|
14b |
|
C155 |
HOSPITAL CARE COVERED |
B15a |
B14a |
|
B13a |
|
B15a |
B14a |
B13a |
|
14a |
|
C156 |
PHYSICIAN VISIT COST: AFTER DEDUCTIBLE |
B15d |
B14d |
|
B13d |
|
B15d |
B14d |
B13d |
|
14d |
|
C157 |
PHYSICIAN VISIT %: AFTER DEDUCTIBLE |
B15d |
B14d |
|
B13d |
|
B15d |
B14d |
B13d |
|
14d |
|
C158 |
NO MAXIMUM PLAN PAYMENT |
B16a |
B15a |
|
B14a |
|
B16a |
B15a |
B14a |
|
15a |
|
C159 |
MAXIMUM AMOUNT PLAN PAYS IN A LIFETIME |
B16a |
B15a |
|
B14a |
|
B16a |
B15a |
B14a |
|
15a |
|
C160 |
MAXIMUM AMOUNT PLAN PAYS IN ANNUALLY |
B16b |
B15b |
|
B14b |
|
B16b |
B15b |
B14b |
|
15b |
|
C161 |
MAXIMUM ANNUAL OUT-OF-POCKET: INDIVIDUAL |
B17a |
B16a |
|
B15a |
|
B17a |
B16a |
B15a |
|
16a |
|
C162 |
MAXIMUM ANNUAL OUT-OF-POCKET: FAMILY |
B17b |
B16b |
|
B16b |
|
B17b |
B16b |
B15b |
|
16b |
|
C163 |
NO MAXIMUM ANNUAL OUT-OF-POCKET AMOUNT |
B17a |
B16a |
|
B15a |
|
B17a |
B16a |
B15a |
|
16a |
|
C164 |
PLAN INCLUDES ROUTINE MAMMOGRAMS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C165 |
PLAN INCLUDES ADULT ROUTINE PHYSICALS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C166 |
PLAN INCLUDES ROUTINE PAP SMEARS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C167 |
PLAN INCLUDES OFFICE VISITS PRENATAL CARE |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C168 |
PLAN INCLUDES ADULT IMMUNIZATIONS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C169 |
PLAN INCLUDES CHILD IMMUNIZATIONS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C170 |
PLAN INCLUDES WELL-BABY CARE, UNDER 1YEAR |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C171 |
PLAN INCLUDES WELL-CHILD CARE, 1-4 YEARS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C173 |
PLAN INCLUDES CHIROPRACTIC CARE |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C174 |
PLAN INCLUDES OTHER NON-PHYSICIAN PROVIDERS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C175 |
PLAN INCLUDES OUTPATIENT PRESCRIPTIONS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C176 |
PLAN INCLUDES ROUTINE DENTAL CARE |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C177 |
PLAN INCLUDES ORTHODONTIC CARE |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C178 |
PLAN INCLUDES SKILLED NURSING FACILITY |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C179 |
PLAN INCLUDES HOME HEALTH CARE |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C180 |
PLAN INCLUDES INPATIENT MENTAL ILLNESS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C181 |
PLAN INCLUDES OUTPATIENT MENTAL ILLNESS |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C182 |
PLAN INCL. ALCOHOL/SUBSTANCE ABUSE TREAT |
B21 |
B20 |
|
B19 |
|
B21 |
B20 |
B19 |
|
20 |
|
C183 |
COULD REFUSE COVERAGE: PRE-EXISTING COND |
B18a |
B17a |
B8a |
B16a |
|
B18a |
B17a |
B16a |
B8a |
17a |
|
C184 |
PRE-EXISTING CONDITION REFUSED IN REF. YEAR |
B18b |
B17b |
B8b |
B16b |
|
B18b |
B17b |
B16b |
B8b |
17b |
|
C185 |
WAITING PERIOD FOR PRE-EXISTING CONDITIONS |
B19 |
B18 |
B9 |
B17 |
|
B19 |
B18 |
B17 |
B9 |
18 |
|
C186 |
PLAN OFFERED IN CURRENT YEAR (1998) |
B22a |
B21a |
B11a |
B20a |
|
B22a |
B21a |
B20a |
B11a |
21a |
|
C187 |
PLAN WAS REPLACED SIM/DIFF/DROPPED (1998) |
B22b |
B21b |
B11b |
B20b |
|
B22b |
B21b |
B20b |
B11b |
21b |
|
C188 |
1998 PLAN-TOTAL SINGLE ENROLLMENT |
B22c |
B21c |
B11c |
B20c |
|
B22c |
B21c |
B20c |
B11c |
21c |
|
C189 |
1998 PLAN-TOTAL FAMILY ENROLLMENT |
B22d |
B21d |
B11d |
B20d |
|
B22d |
B21d |
B20d |
B11d |
21d |
|
C190 |
1998 PLAN PREMIUM - SINGLE COVERAGE |
B22e |
B21e |
B11e |
B20e |
|
B22e |
B21e |
B20e |
B11e |
21e |
|
C191 |
1998 PLAN PREMIUM - FAMILY COVERAGE |
B22f |
B21f |
B11f |
B20f |
|
B22f |
B21f |
B20f |
B11f |
21f |
|
C192 |
OFFERED OPTIONAL COVERAGE DENTAL |
C9a |
C9a |
|
C9a |
D1a |
|
|
|
|
|
|
C193 |
OFFERED OPTIONAL COVERAGE VISION |
C9a |
C9a |
|
C9a |
D1a |
|
|
|
|
|
|
C194 |
OFFERED OPTIONAL COVERAGE PRESCRIP DRUG |
C9a |
C9a |
|
C9a |
D1a |
|
|
|
|
|
|
C195 |
OFFERED OPTIONAL COVERAGE LONG-TERM CARE |
C9a |
C9a |
|
C9a |
D1a |
|
|
|
|
|
|
C196 |
TOTAL AMT PAID OPTIONAL COVERAGE 1997 |
C9b |
C9b |
|
C9b |
D1b |
|
|
|
|
|
|
C197 |
WAITING PERIOD FOR NEW EMPLOYEES |
C2a |
C2a |
|
C2a |
E4a |
|
|
|
|
|
|
C198 |
LENGTH OF TYPICAL WAITING PERIOD |
C2b |
C2b |
|
C2b |
E4b |
|
|
|
|
|
|
C199 |
TOTAL ANNUAL COST OF COVERAGE: ALL PLANS |
C1 |
C1 |
C1 |
C1 |
A3 |
|
|
|
|
|
|
C200 |
TOTAL NUMBER OF EMPLOYEES THIS LOCATION |
D1a |
D1a |
D1a |
D1a |
* |
|
|
|
|
|
|
C201 |
TOTAL EMPLOYEES ELIGIBLE FOR HEALTH INS. |
D1b |
D1b |
D1b |
D1b |
B1b |
|
|
|
|
|
|
C202 |
TOTAL EMPLOYEES ENROLLED IN HEALTH INS. |
D1c |
D1c |
D1c |
D1c |
B1c |
|
|
|
|
|
|
C203 |
TOTAL PART-TIME EMPLOYEES THIS LOCATION |
D2a |
D2a |
D2a |
|
B2a |
|
|
|
|
|
|
C204 |
TOTAL PART-TIME EMPLOYEES ELIGIBLE HLTH INS. |
D2b |
D2b |
D2b |
|
B2b |
|
|
|
|
|
|
C205 |
TOTAL PART-TIME EMPLOYEES ENROLLED HLTH INS |
D2c |
D2c |
D2c |
|
B2c |
|
|
|
|
|
|
C206 |
TOTAL TEMPORARY EMPLOYEES THIS LOCATION |
D3a |
D3a |
D3a |
|
B3a |
|
|
|
|
|
|
C207 |
TOTAL TEMP EMPL. ELIGIBLE FOR HEALTH INS. |
D3b |
D3b |
D3b |
|
B3b |
|
|
|
|
|
|
C208 |
TOTAL TEMP EMPL. ENROLLED IN HEALTH INS. |
D3c |
D3c |
D3c |
|
B3c |
|
|
|
|
|
|
C209 |
RETIREES LT 65 ELIGIBLE HEALTH INS |
C4a |
C4a |
C3a |
C4a |
C2a |
|
|
|
|
|
|
C210 |
RETIREES 65+ ELIGIBLE HEALTH INS |
C4b |
C4b |
C3b |
C4b |
C2b |
|
|
|
|
|
|
C219 |
RETIREES ELIGIBLE HEALTH INSURANCE |
C3 |
C3 |
C2 |
C3 |
C1 |
|
|
|
|
|
|
C194 |
OFFERED OPTIONAL COVERAGE PRESCRIP DRUG |
C9a |
C9a |
|
C9a |
D1a |
|
|
|
|
|
* - Number prorated from company total and percentage
identified at this location
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