?[F1]
A health insurance premium is the amount you or a family member pays each month for health care
coverage. Do you or a family member pay a premium for this CHIP plan?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+ with a CHIP plan

1,2,RF,DK [goto CHDEDUC_A]

?[F1]
A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+ with a CHIP plan

1,2,RF,DK [goto CHDEDUC_A]

?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this CHIP plan?

Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Children 0-17 with a CHIP plan

1,2,RF,DK [goto CHDEDUC_C]

?[F1]
A health insurance premium is the amount you or a family member pays each month for health care
coverage. Do you or a family member pay a premium for this CHIP plan?

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Adults 18+ with a CHIP plan

1,2,RF,DK [goto CHDEDUC_A]

?[F1]
A health insurance premium is the amount ^SCNAME or a family member pays each month for health
care coverage. Does ^SCNAME or a family member pay a premium for this CHIP plan?

Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1

1 - Yes
2 - No
7 - Refused
9 - Don't Know

Sample Children 0-17 with a CHIP plan

1,2,RF,DK [goto CHDEDUC_C]

?[F1]

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?

1 Yes
2 No
7 Refused
9 Do not Know

Sample Adults 18+ with a CHIP plan

1,2,RF,DK= [goto CHDEDUC_A]

Question Text:

?[F1]

A health insurance premium is the amount ^SCNAME or a family member pays each month for health care coverage. Does ^SCNAME or a family member pay a premium for this CHIP plan?

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

1 Yes
2 No
7 Refused
9 Do not Know

Sample Children 0-17 with a CHIP plan

1,2,RF,DK = [goto CHDEDUC_C]

Instrument Variable Name:STRFPRM1
QuestionText:

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: All persons with SCHIP
SkipInstructions:

(1) goto CHPRINC
(2,R,D) goto STDOC1

Instrument Variable Name:STRFPRM1
QuestionText:

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: All persons with SCHIP
SkipInstructions:

(1) goto CHPRINC
(2,R,D) goto STDOC1

Instrument Variable Name:STRFPRM1
QuestionText:

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: All persons with SCHIP
SkipInstructions:

(1) goto CHPRINC
(2,R,D) goto STDOC1

Instrument Variable Name:STRFPRM1
QuestionText:

A health insurance premium is the amount you or a family member pays each month for health care coverage. Do you or a family member pay a premium for this CHIP plan?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: All persons with SCHIP
SkipInstructions:

(1) goto CHPRINC
(2,R,D) goto STDOC1

Instrument Variable Name: STRFPRM1
QuestionText:

Under [fill 1: ^STNAME1/this CHIP plan] is there an enrollment fee or premium?

1 Yes
2 No
7 Refused
9 Don't know

UniverseText: All persons with CHIP
SkipInstructions:

(1) goto CHPRINC
(2,R,D) goto STDOC1