Survey Text

1996
1995
1994
1993
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1996
Survey form view entire document:  text  image

4. In (month), how much did [you/your family] spend for health insurance premiums for (plan name)? Please include payroll deductions for premiums.
Mark (x) only one.
Read if necessary: the cost of the plan refers to the premiums, which are regular payments for health insurance coverage only, not for health care services. Frequently, these payments are made by payroll deduction.

1[] Zero
2[] $1-$9
3[] $10-$19
4[] $20-$49
5[] $50-$99
6[] $100-$199
7[] $200-$499
8[] $500 or more
9[] DK

top
1995
Survey form view entire document:  text  image

4. In (month), how much did [you/your family] spend for health insurance premiums for (plan name)? Please include payroll deductions for premiums.
Mark (x) only one.
Read if necessary: the cost of the plan refers to the premiums, which are regular payments for health insurance coverage only, not for health care services. Frequently, these payments are made by payroll deduction.

1[] Zero
2[] $1-$9
3[] $10-$19
4[] $20-$49
5[] $50-$99
6[] $100-$199
7[] $200-$499
8[] $500 or more
9[] DK

top
1994
Survey form view entire document:  text  image

4. In (month), how much did (you/your family) spend for health insurance premiums for (plan name)? Please include payroll deductions for premiums.

[] 1 Zero
[] 2 $1-$9
[] 3 $10-$19
[] 4 $20-$49
[] 5 $50-$99
[] 6 $100-$199
[] 7 $200-$499
[] 8 $500 or more
[] 9 DK

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1993
Survey form view entire document:  text  image

HAND CARD FR3. Read each category if telephone interview.
CARD FR3
1. Zero
2. $1-$9
3. $10-$19
4. $20-$49
5. $50-$99
6. $100-$199
7. $200-$499
8. $500 or more

4. In (month), how much did [you/your family] spend for health insurance premiums for (plan name)? Please include payroll deductions for premiums.

1 [] Zero
2 [] $1-$9
3 [] $10-$19
4 [] $20-$49
5 [] $50-$99
6 [] $100-$199
7 [] $200-$499
8 [] $500 or more
9 [] DK