?[F1]
Think about the last time that you did have health care coverage that paid for doctor's visits
or hospital stays. I am going to read a list of reasons why someone might no longer be enrolled
in coverage. Please tell me, yes or no, if this is a reason why you are no longer enrolled in
your last health care plan.
You or the policyholder retired, lost a job, or changed employers?

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

Sample Adults 18+ who have been uninsured for less than 3 years

1,2,RF,DK [goto HISTOPMISS_A]

?[F1]
Think about the last time that you did have health care coverage that paid for doctor's visits or hospital stays. I am going to read a list of reasons why someone might no longer be enrolled in coverage. Please tell me, yes or no, if this is a reason why you are no longer enrolled in your last health care plan.
You or the policyholder retired, lost a job, or changed employers?

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

Sample Adults 18+ who have been uninsured for less than 3 years

1,2,RF,DK [goto HISTOPMISS_A]

?[F1]
Think about the last time that ^SCNAME did have health care coverage. I am going to read a list of reasons why someone might no longer be enrolled in coverage. Please tell me, yes or no, if this is a reason why ^SCNAME is no longer enrolled in ^hisher_C last health care plan.
The policyholder retired, lost a job, or changed employer?

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

Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

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

Sample Children 0-17 who have been uninsured for less than 3 years

1,2,RF,DK [goto HISTOPMISS_C]

?[F1]
Think about the last time that you did have health care coverage that paid for doctor's visits
or hospital stays. I am going to read a list of reasons why someone might no longer be enrolled
in coverage. Please tell me, yes or no, if this is a reason why you are no longer enrolled in
your last health care plan.
You or the policyholder retired, lost a job, or changed employers?

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

Sample Adults 18+ who have been uninsured for less than 3 years

1,2,RF,DK [goto HISTOPMISS_A]

?[F1]
Think about the last time that ^SCNAME did have health care coverage. I am going to read a list
of reasons why someone might no longer be enrolled in coverage. Please tell me, yes or no, if
this is a reason why ^SCNAME is no longer enrolled in ^hisher_C last health care plan.
The policyholder retired, lost a job, or changed employer?

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

Description: his/her/their
Instruction:
if GEN.SEX_FINAL[PX_C]=1 fill "his"; else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

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

Sample Children 0-17 who have been uninsured for less than 3 years

1,2,RF,DK [goto HISTOPMISS_C]

Think about the last time that you did have health care coverage that paid for doctor's visits or hospital stays. I am going to read a list of reasons why someone might no longer be enrolled in coverage. Please tell me, yes or no, if this is a reason why you are no longer enrolled in your last health care plan.

You or the policyholder retired, lost a job, or changed employers?

1 Yes
2 No
7 Refused
9 Do not Know

Sample Adults 18+ who have been uninsured for less than 3 years

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

Think about the last time that ^SCNAME did have health care coverage. I am going to read a list of reasons why someone might no longer be enrolled in coverage. Please tell me, yes or no, if this is a reason why ^SCNAME is no longer enrolled in ^hisher_C last health care plan.

The policyholder retired, lost a job, or changed employer?

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

Description his/her/their
Instruction if GEN.SEX_FINAL[PX_C]=1 fill "his";
else if GEN.SEX_FINAL[PX_C]=2 fill "her";
else if GEN.SEX_FINAL[PX_C] in (blank,DK,RF): fill "their"

1 Yes
2 No
7 Refused
9 Do not Know

Sample Children 0-17 who have been uninsured for less than 3 years

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

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

Instrument Variable Name: HISTOP
Question Text:

(book) F18 [fill1: Which of these are reasons [fill2: you/ALIAS] stopped being covered?/Which of these are reasons [fill3:you do/ALIAS does] not have health insurance?]
* Enter up to 5 reasons, separate with commas.

01 Person in family with health insurance lost job or changed employers
02 Got divorced or separated/death of spouse or parent
03 Became ineligible because of age/left school
04 Employer does not offer coverage/or not eligible for coverage
05 Cost is too high
06 Insurance company refused coverage
07 Medicaid/Medical plan stopped after pregnancy
08 Lost Medicaid/Medical plan because of new job or increase in income
09 Lost Medicaid (other)
10 Other (specify)
97 Refused
99 Don't know

Universe Text All persons without known health insurance or with only single service plans
Skip Instructions:

(1-9,R,D) [go to HCSPFYR]
(10) [go to HISTOPOT]

Instrument Variable Name: HISTOPOT
Question Text:

? [F1] * Other reason for not having coverage

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons without known health insurance and an "other" reason for stopping or not having coverage
Skip Instructions:

go to HISTOP for the next person without known health insurance coverage or only single service plans; else, go to HCSPFYR

FR: SHOW CARD F14.

Which of these are reasons {you/subject name} stopped being covered or {do/does} not have health insurance?

FR: ENTER UP TO 5 REASONS. ENTER (N) FOR NO MORE.

You may choose more than one.
1. Person in family with health insurance lost job or changed employers
3. Became ineligible because of age/left school
2. Got divorced or separated/death of spouse or parent
4. Employer does not offer coverage/or not eligible for coverage
5. Cost is too high
6. Insurance company refused coverage
7. Medicaid/Medical plan stopped after pregnancy
8. Lost Medicaid/Medical plan because of new job or increase in income
9. Lost Medicaid (other)
10. Other (specify)

(1) Person in family with health insurance lost job or changed employers
(2) Got divorced or separated / death of spouse or parent
(3) Became ineligible because of age/left school
(4) Employer does not offer coverage/or not eligible for coverage
(5) Cost is too high
(6) Insurance company refused coverage
(7) Medicaid / Medical plan stopped after pregnancy
(8) Lost Medicaid/Medical plan because of new job or increase in income
(9) Lost Medicaid (other)
(10) Other (specify) @SPC
(97) Refused
(99) Don't know (other)

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHI.320)

FR: SHOW CARD F14.

Which of these are reasons {you/subject name} stopped being covered or {do/does} not have health insurance?

FR: ENTER UP TO 5 REASONS. ENTER (N) FOR NO MORE.

You may choose more than one.
1. Person in family with health insurance lost job or changed employers
3. Became ineligible because of age/left school
2. Got divorced or separated/death of spouse or parent
4. Employer does not offer coverage/or not eligible for coverage
5. Cost is too high
6. Insurance company refused coverage
7. Medicaid/Medical plan stopped after pregnancy
8. Lost Medicaid/Medical plan because of new job or increase in income
9. Lost Medicaid (other)
10. Other (specify)

(1) Person in family with health insurance lost job or changed employers
(2) Got divorced or separated / death of spouse or parent
(3) Became ineligible because of age/left school
(4) Employer does not offer coverage/or not eligible for coverage
(5) Cost is too high
(6) Insurance company refused coverage
(7) Medicaid / Medical plan stopped after pregnancy
(8) Lost Medicaid/Medical plan because of new job or increase in income
(9) Lost Medicaid (other)
(10) Other (specify) @SPC
(97) Refused
(99) Don't know (other)

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHI.320)

FR: SHOW CARD F14.

Which of these are reasons {you/subject name} stopped being covered or {do/does} not have health insurance?

FR: ENTER UP TO 5 REASONS. ENTER (N) FOR NO MORE.

You may choose more than one.
1. Person in family with health insurance lost job or changed employers
3. Became ineligible because of age/left school
2. Got divorced or separated/death of spouse or parent
4. Employer does not offer coverage/or not eligible for coverage
5. Cost is too high
6. Insurance company refused coverage
7. Medicaid/Medical plan stopped after pregnancy
8. Lost Medicaid/Medical plan because of new job or increase in income
9. Lost Medicaid (other)
10. Other (specify)

(1) Person in family with health insurance lost job or changed employers
(2) Got divorced or separated / death of spouse or parent
(3) Became ineligible because of age/left school
(4) Employer does not offer coverage/or not eligible for coverage
(5) Cost is too high
(6) Insurance company refused coverage
(7) Medicaid / Medical plan stopped after pregnancy
(8) Lost Medicaid/Medical plan because of new job or increase in income
(9) Lost Medicaid (other)
(10) Other (specify) @SPC
(97) Refused
(99) Don't know (other)

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHI.320)

FR: SHOW CARD F14.

Which of these are reasons {you/subject name} stopped being covered or {do/does} not have health insurance?

FR: ENTER UP TO 5 REASONS. ENTER (N) FOR NO MORE.

You may choose more than one.
1. Person in family with health insurance lost job or changed employers
3. Became ineligible because of age/left school
2. Got divorced or separated/death of spouse or parent
4. Employer does not offer coverage/or not eligible for coverage
5. Cost is too high
6. Insurance company refused coverage
7. Medicaid/Medical plan stopped after pregnancy
8. Lost Medicaid/Medical plan because of new job or increase in income
9. Lost Medicaid (other)
10. Other (specify)

(1) Person in family with health insurance lost job or changed employers
(2) Got divorced or separated / death of spouse or parent
(3) Became ineligible because of age/left school
(4) Employer does not offer coverage/or not eligible for coverage
(5) Cost is too high
(6) Insurance company refused coverage
(7) Medicaid / Medical plan stopped after pregnancy
(8) Lost Medicaid/Medical plan because of new job or increase in income
(9) Lost Medicaid (other)
(10) Other (specify) @SPC
(97) Refused
(99) Don't know (other)

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHI.320)

FR: SHOW CARD F14.

Which of these are reasons {you/subject name} stopped being covered or {do/does} not have health insurance?

FR: ENTER UP TO 5 REASONS. ENTER (N) FOR NO MORE.

You may choose more than one.
1. Person in family with health insurance lost job or changed employers
3. Became ineligible because of age/left school
2. Got divorced or separated/death of spouse or parent
4. Employer does not offer coverage/or not eligible for coverage
5. Cost is too high
6. Insurance company refused coverage
7. Medicaid/Medical plan stopped after pregnancy
8. Lost Medicaid/Medical plan because of new job or increase in income
9. Lost Medicaid (other)
10. Other (specify)

(1) Person in family with health insurance lost job or changed employers
(2) Got divorced or separated / death of spouse or parent
(3) Became ineligible because of age/left school
(4) Employer does not offer coverage/or not eligible for coverage
(5) Cost is too high
(6) Insurance company refused coverage
(7) Medicaid / Medical plan stopped after pregnancy
(8) Lost Medicaid/Medical plan because of new job or increase in income
(9) Lost Medicaid (other)
(10) Other (specify) @SPC
(97) Refused
(99) Don't know (other)

[ ]
[ ]
[ ]
[ ]
[ ]

(Go to FHI.320)

FR: SHOW CARD F14.

Which of these are reasons {you/subject name} stopped being covered or {do/does} not have health insurance?

FR: ENTER UP TO 5 REASONS. ENTER (N) FOR NO MORE.

You may choose more than one.
1. Person in family with health insurance lost job or changed employers
3. Became ineligible because of age/left school
2. Got divorced or separated/death of spouse or parent
4. Employer does not offer coverage/or not eligible for coverage
5. Cost is too high
6. Insurance company refused coverage
7. Medicaid/Medical plan stopped after pregnancy
8. Lost Medicaid/Medical plan because of new job or increase in income
9. Lost Medicaid (other)
10. Other (specify)

(1) Person in family with health insurance lost job or changed employers
(2) Got divorced or separated / death of spouse or parent
(3) Became ineligible because of age/left school
(4) Employer does not offer coverage/or not eligible for coverage
(5) Cost is too high
(6) Insurance company refused coverage
(7) Medicaid / Medical plan stopped after pregnancy
(8) Lost Medicaid/Medical plan because of new job or increase in income
(9) Lost Medicaid (other)
(10) Other (specify) @SPC
(97) Refused
(99) Don't know (other)

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(Go to FHI.320)

Which of these are reasons {you/subject's name} stopped being covered by health insurance?

FR: HAND CARD F11. ENTER UP TO 5 REASONS. ENTER 'N' FOR NO MORE.

1. Lost job or changed employers
2. Spouse/parent lost job or changed employers
3. Got divorced or separated/death of spouse or parent
4. Became ineligible because of age/left school
5. Employer stopped offering coverage
6. Cut back to part-time/became temporary employee
7. Benefits from employer/former employer ran out
8. Couldn't afford to pay premiums
9. Insurance plan raised cost of premiums
10. Insurance company refused coverage
11. Other

(1) Lost job or changed employers
(2) Spouse/parent lost job or changed employers
(3) Got divorced or separated/death of spouse or parent
(4) Became ineligible because of age/left school
(5) Employer stopped offering coverage
(6) Cut back to part-time/became temporary employee
(7) Benefits from employer/former employer ran out
(8) Couldn't afford to pay premiums
(9) Insurance plan raised cost of premiums
(10) Insurance company refused coverage
(11) Other (specify) @SPC
(97) Refused
(99) DK

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(Goto FHI.320)