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

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

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

(Goto FHI.320)