1975 |
b. What is the name? Record in Table P below. ____
c. Does anyone in the family belong to any other Health Maintenance Organization or prepaid group practice plan?
7a. (Besides ____ plan) Is anyone in the family covered by a health insurance plan which pays any part of a hospital, doctor's, or surgeon's bill?
b. What is the name of the plan? Record in Table H.I. below ____
c. Is anyone in the family covered by any other health insurance plan?