Instrument Variable Name: HICOSTN
Question Text:

1 of 2 ? [F1] How much [fill1: do you/does your family] currently spend for health insurance premiums for [fill2: ^HIPNAM1/^HIPNAM2/^HIPNAM3/^HIPNAM4/Plan 1/Plan 2/Plan 3/Plan 4]? Please include payroll deductions for premiums.
*Enter dollar amount for premium payments.

00001-99995 $1-$99,995
99997 Refused
99999 Don't know

Universe Text All private health insurance plans paid for by self or family
Skip Instructions:

if gt 9999, [go to ERR_HICOSTN]
(1-9999) [go to HICOSTT]
(D) [store (D) in HICOSTT, go to EMPPAY if PLNPAY=2; else go to PLNMGD]
(R) [store (R) in HICOSTT, go to EMPPAY if PLNPAY=2; else go to PLNMGD]

NOTE: Detailed questions about private health insurance plans are looped through for each plan mentioned in a family. Information on up to 4 plans per family.

Soft Edit: ERR_HICOSTN

* [fill # from HICOSTN] is unusually high. Please verify.
Make corrections if necessary.

Instrument Variable Name: HICOSTT
Question Text:

2 of 2 ? [F1] * Enter time period for premium payments.

01 Once a week
02 Once every 2 weeks
03 Once a month
04 Twice a month
05 Every 2 months
06 Quarterly (every 3 months)
07 Once a year
08 Twice a year
97 Refused
99 Don't know

Universe Text All private health insurance plans with a valid response to HICOSTN
Skip Instructions:

(1-8,R,D) if PLNPAY=2 [go to EMPPAY]; else [go to PLNMGD]

NOTE: Detailed questions about private health insurance plans are looped through for each plan mentioned in a family. Information on up to 4 plans per family.

Instrument Variable Name: HICOSTN
Question Text:

1 of 2 ? [F1] How much [fill1: do you/does your family] currently spend for health insurance premiums for [fill2: ^HIPNAM1/^HIPNAM2/^HIPNAM3/^HIPNAM4/Plan 1/Plan 2/Plan 3/Plan 4]? Please include payroll deductions for premiums.
*Enter dollar amount for premium payments.

00001-99995 $1-$99,995
99997 Refused
99999 Don't know

Universe Text All private health insurance plans paid for by self or family
Skip Instructions:

if gt 9999, [go to ERR_HICOSTN]
(1-9999) [go to HICOSTT]
(D) [store (D) in HICOSTT, go to EMPPAY if PLNPAY=2; else go to PLNMGD]
(R) [store (R) in HICOSTT, go to EMPPAY if PLNPAY=2; else go to PLNMGD]

NOTE: Detailed questions about private health insurance plans are looped through for each plan mentioned in a family. Information on up to 4 plans per family.

Soft Edit: ERR_HICOSTN

* [fill # from HICOSTN] is unusually high. Please verify.
Make corrections if necessary.

Instrument Variable Name: HICOSTT
Question Text:

2 of 2 ? [F1] * Enter time period for premium payments.

01 Once a week
02 Once every 2 weeks
03 Once a month
04 Twice a month
05 Every 2 months
06 Quarterly (every 3 months)
07 Once a year
08 Twice a year
97 Refused
99 Don't know

Universe Text All private health insurance plans with a valid response to HICOSTN
Skip Instructions:

(1-8,R,D) if PLNPAY=2 [go to EMPPAY]; else [go to PLNMGD]

NOTE: Detailed questions about private health insurance plans are looped through for each plan mentioned in a family. Information on up to 4 plans per family.

During the PAST 12 MONTHS, how much did (you/your family) spend for health insurance premiums for (plan name)? Please include payroll deductions for premiums.

[ ] NUMBER

(1-9,999) $1-$9,999
(99,997) Refused
(99,999) Don't know

[ ] TIME PERIOD

(1) Once a week
(2) Once every two weeks
(3) Once a month
(4) Twice a month
(5) Quarterly
(6) Once a year
(7) Twice a year
(97) Refused
(99) Don't know

During the PAST 12 MONTHS, how much did (you/your family) spend for health insurance premiums for (plan name)? Please include payroll deductions for premiums.

[ ] NUMBER

(1-9,999) $1-$9,999
(99,997) Refused
(99,999) Don't know

[ ] TIME PERIOD

(1) Once a week
(2) Once every two weeks
(3) Once a month
(4) Twice a month
(5) Quarterly
(6) Once a year
(7) Twice a year
(97) Refused
(99) Don't know

During the PAST 12 MONTHS, how much did (you/your family) spend for health insurance premiums for (plan name)? Please include payroll deductions for premiums.

[ ] NUMBER

(1-9,999) $1-$9,999
(99,997) Refused
(99,999) Don't know

[ ] TIME PERIOD

(1) Once a week
(2) Once every two weeks
(3) Once a month
(4) Twice a month
(5) Quarterly
(6) Once a year
(7) Twice a year
(97) Refused
(99) Don't know