Common use of Types of Coverage through the Establishment Clause in Contracts

Types of Coverage through the Establishment. The establishments in the PRPL file provide private health insurance covering hospital/physician, Medicare supplemental insurance, dental, vision, or prescription medication insurance. The variable PRIVCAT identifies the type of source for hospital and physician or Medicare supplemental insurance. HOSPINSX and MSUPINSX are edited establishment- policyholder flags for whether the policyholder has physician/hospital and Medigap coverage, respectively, through the establishment. However, even when PRIVCAT indicates there is either hospital/physician or Medigap coverage, both HOSPINSX and MSUPINSX may have missing values. Note also that both HOSPINSX and MSUPINSX may be coded “yes” (1) on the same record. DENTLINS, VISIONIN, and PMEDINS flags indicate the establishment provides coverage for dental care, vision care, and prescription medications, respectively. Below are examples of how to use these variables to identify types of insurance: Identifying Types of Insurance Variable and Values Hospital and physician or Medicare supplemental insurance PRIVCAT in (1,2,3,4,5,99) Medicare supplemental insurance MSUPINSX = 1 Hospital and physician insurance PRIVCAT in (1,2,3,4,5,99) & MSUPINSX ne 1 Dental insurance DENTLINS = 1 The variable COBRA is a flag for whether the respondent reported that the coverage was obtained through the requirements of the COBRA of 1986. This act requires that certain employers allow some former employees to continue their employment-based coverage by paying the employer the premium (U.S. Department of Labor). This flag does not, however, indicate all the coverage through former employers, which can be determined using TYPEFLAG and links to former jobs in the JOBS file. COBRA is set to “yes” if any of the three following conditions are met:

Types of Coverage through the Establishment. The establishments in the PRPL file provide private health insurance covering hospital/physician, Medicare supplemental insurance, dental, vision, or prescription medication insurance. The variable PRIVCAT identifies the type of source for hospital and physician or Medicare supplemental insurance. HOSPINSX and MSUPINSX are edited establishment- establishment-policyholder flags for whether the policyholder has physician/hospital and Medigap medigap coverage, respectively, through the establishment. However, even when PRIVCAT indicates there is either hospital/physician or Medigap medigap coverage, both HOSPINSX and MSUPINSX may have missing values. Note also that both HOSPINSX and MSUPINSX may be coded “yes” (1) ’ on the same record. DENTLINS, VISIONIN, and PMEDINS flags indicate the establishment provides coverage for dental care, vision care, and prescription medications, respectively. Below are examples of how to use these variables to identify types of insurance: Identifying Types of Insurance Variable and Values Hospital and physician or Medicare supplemental insurance PRIVCAT in (1,2,3,4,5,99) Medicare supplemental insurance MSUPINSX = 1 Hospital and physician insurance PRIVCAT in (1,2,3,4,5,99) & MSUPINSX ne 1 Dental insurance DENTLINS DNTLINS = 1 The variable COBRA is a flag for whether the respondent reported that the coverage was obtained through the requirements of the COBRA of 1986. This act requires that certain employers allow some former employees to continue their employment-based coverage by paying the employer the premium (U.S. Department of LaborLabor 1999). This flag does not, however, indicate all the coverage through former employers, which can be determined using TYPEFLAG and links to former jobs in the JOBS file. COBRA is set to “yes” if any of the three following conditions are met:

Types of Coverage through the Establishment. The establishments in the PRPL file provide private health insurance covering hospital/physician, Medicare supplemental insurance, dental, vision, or prescription medication insurance. The variable PRIVCAT identifies the type of source for hospital and physician or Medicare supplemental insurance. HOSPINSX and MSUPINSX are edited establishment- policyholder flags for whether the policyholder has physician/hospital and Medigap medigap coverage, respectively, through the establishment. However, even when PRIVCAT indicates there is either hospital/physician or Medigap medigap coverage, both HOSPINSX and MSUPINSX may have missing values. Note also that both HOSPINSX and MSUPINSX may be coded “yes” (1) ’ on the same record. DENTLINS, VISIONIN, and PMEDINS flags indicate the establishment provides coverage for dental care, vision care, and prescription medications, respectively. Below are examples of how to use these variables to identify types of insurance: Identifying Types of Insurance Variable and Values Hospital and physician or Medicare supplemental insurance PRIVCAT in (1,2,3,4,5,99) Medicare supplemental insurance MSUPINSX = 1 Hospital and physician insurance PRIVCAT in (1,2,3,4,5,99) & MSUPINSX ne 1 Dental insurance DENTLINS = 1 The variable COBRA is a flag for whether the respondent reported that the coverage was obtained through the requirements of the COBRA of 1986. This act requires that certain employers allow some former employees to continue their employment-based coverage by paying the employer the premium (U.S. Department of LaborLabor 2006). This flag does not, however, indicate all the coverage through former employers, which can be determined using TYPEFLAG and links to former jobs in the JOBS file. COBRA is set to “yes” if any of the three following conditions are met: