_dta: 1. plan2017 data set up by Jean Roth , jroth@nber.org , 8 Dec 2017 2. NBER URL: http://www.nber.org/data/cms-health-insurance-marketplace-public-use-files.html 3. Source Page: http://download.cms.gov/marketplace-puf/2017/plan-attributes-puf.zip 4. Source File URL: https://www.cms.gov/CCIIO/Resources/Data-Resources/marketplace-puf.html businessyear: 1. Year for which plan provides coverage to enrollees statecode: 1. Two-character state abbreviation indicating the state where the plan is offered issuerid: 1. Five-digit numeric code that identifies the issuer organization in the Health Insurance 2. Oversight System (HIOS) sourcename: 1. Categorical identifier of source of data import importdate: 1. Date of data import marketcoverage: 1. Categorical indicator of market coverage of plan dentalonlyplan: 1. Categorical indicator of dental-only status of plan tin: 1. Tax ID Number of issuer standardcomponentid: 1. Fourteen-character alpha-numeric code that identifies an insurance plan within 2. HIOS planmarketingname: 1. Marketing name of insurance plan hiosproductid: 1. Seven- character alpha-numeric code that identifies an insurance product within HIOS. hpid: 1. Identifies the insurance product using a National Health Plan Identifier 2. This field is optional; blanks indicate a value was not provided networkid: 1. Identifier for a health care provider network organization 2. Network IDs can be imported from the Network ID template based on the number of networks 3. and the issuer's state, or entered manually by issuer serviceareaid: 1. Identifier for a service area 2. Service Area IDs can be imported from the Service Area template based on the number of 3. service areas and the issuer's state, or entered manually by issuer formularyid: 1. Identifier for a drug formulary 2. Formulary IDs can be imported from the Prescription Drug template based on the number of 3. formularies and the issuer's state, or entered manually by issuer; this field is not 4. applicable for dental plans isnewplan: 1. Categorical indicator of whether the insurance plan is new for the current year or existed 2. previously in the marketplace plantype: 1. Type of insurance plan metallevel: 1. Metal level, or coverage category, of insurance plan based on its actuarial value 2. Values of High and Low are only applicable for dental plans; values other than High and 3. Low are only applicable to medical plans uniqueplandesign: 1. An indication that the health insurance plan has a unique design, for purposes of 2. the actuarial value calculator 3. This field is not applicable for dental plans qhpnonqhptypeid: 1. Categorical indicator of a plan's exchange marketplace (On the Exchange, Off the 2. Exchange) isnoticerequiredforpregnancy: 1. An indication of whether notice to the issuer is required before 2. pregnancy-related benefits will be covered 3. This field is not applicable for dental plans isreferralrequiredforspecialist: 1. An indication of whether pre-authorization is required before a 2. specialist visit 3. This field is not applicable for dental plans specialistrequiringreferral: 1. The types of specialists that require pre-authorization 2. This field is not applicable for dental plans; this field is only 3. required if IsReferralRequiredForSpecialist field equals Yes planlevelexclusions: 1. The list of exclusions to the insurance plan that apply to all benefits 2. This field is optional; blanks indicate a value was not provided indianplanvariationestimatedadva: 1. Estimated dollar amount of cost–sharing reductions for eligible 2. enrollees to be provided in the form of an advance payment to the 3. issuer 4. This field is not applicable for dental plans; this field should be 5. blank for medical plans compositeratingoffered: 1. An indication of whether issuers and employers can use the composite premium 2. field. 3. This field is not available for the 2014 or 2015 datasets. This field will 4. equal “No” for individual market plans childonlyoffering: 1. The types of child enrollment options (Allows Adult and Child-only, Allows 2. Adult-only, Allows Child-only) of an insurance plan 3. This field is not applicable for catastrophic plans childonlyplanid: 1. The HIOS Plan Identifier for the child-only insurance plan that corresponds to this 2. insurance plan 3. This field is only applicable for adult-only plans and does not apply to catastrophic 4. plans wellnessprogramoffered: 1. An indication of whether an insurance plan offers wellness programs according 2. to Section 2705 of the Public Health Service Act 3. This field is not applicable for dental plans diseasemanagementprogramsoffered: 1. Categorical indicator of whether the plan offers disease management 2. programs for specific conditions 3. This field is not applicable for dental plans ehbpercenttotalpremium: 1. The percent of the plan's total premium relative to the EHB benchmark plan 2. for the state. 3. This field is not available for the 2014 dataset. In the 2015 dataset, this 4. field name is EHBPercentPremiumS4. This field is only valid for medical plans 5. and is not required for catastrophic plans. ehbpediatricdentalapportionmentq: 1. The dollar amount of the EHB Apportionment for Pediatric Dental 2. This field is not applicable for medical plans isguaranteedrate: 1. An indication of whether the rates for the insurance plan are guaranteed or 2. estimated 3. This field is not applicable for medical plans planeffectivedate: 1. The activation date of enrollment coverage on an Insurance plan 2. The activation date of enrollment coverage on an Insurance plan planexpirationdate: 1. The end date of plan selection for enrollment on an Insurance plan 2. This field is optional, so blanks or zero values indicate a value was not provided outofcountrycoverage: 1. Indicates whether out of country coverage is provided for health services outofcountrycoveragedescription: 1. The conditions under which out of country health services are covered 2. This field is only applicable for plans that offer out of country 3. coverage outofserviceareacoverage: 1. Indicates whether out of service area coverage is provided outofserviceareacoveragedescript: 1. The conditions under which out of service area health services are 2. covered 3. This field is only applicable for plans that offer out of service 4. area coverage nationalnetwork: 1. Indicates whether the insurance plan is supported by a national network of health 2. service provider companies urlforenrollmentpayment: 1. The URL for Enrollment Payment 2. This field is optional, so blanks or zero values indicate a value was not 3. provided formularyurl: 1. The URL for the prescription drug formulary associated with this plan 2. This field is not available for the 2014 dataset. This field is only valid for medical 3. plans planid: 1. Seventeen-character alpha-numeric code that identifies an insurance plan's cost sharing 2. reduction (CSR) variant within HIOS 3. Prepopulated in template; character count includes '-' csrvariationtype: 1. Name of the cost sharing reduction options offered for a health insurance plan 2. Prepopulated in template issueractuarialvalue: 1. The numeric actuarial value (AV) generated manually for an insurance plan by the 2. issuer 3. This field is only applicable for dental plans and plans with a unique plan 4. design avcalculatoroutputnumber: 1. The numeric AV generated by the template's AV Calculator for an insurance 2. plan 3. This field is only applicable for medical plans and plans that do not have a 4. unique plan design medicaldrugdeductiblesintegrated: 1. An indication of whether the insurance plan specifies that the 2. medical and drug deductibles are combined into one deductible 3. This field is not applicable for dental plans medicaldrugmaximumoutofpocketint: 1. An indication of whether the insurance plan specifies that the 2. medical and drug maximum out of pocket (MOOP) limits are combined 3. into one limit 4. This field is not applicable for dental plans multipleinnetworktiers: 1. An indication of whether there are two in network tiers firsttierutilization: 1. The expected percentage of utilization for the first in network tier secondtierutilization: 1. The expected percentage of utilization for the second in network tier, based on 2. the value entered for the first tier 3. Calculated by template sbchavingababydeductible: 1. The dollar amount of the deductible for the sample Summary of Benefits & 2. Coverage (SBC) scenario of having a baby 3. This field is optional; blanks indicate a value was not provided; this field 4. is not applicable for dental plans sbchavingababycopayment: 1. The dollar amount of the copayment for the sample SBC scenario of having a 2. baby 3. This field is optional; blanks indicate a value was not provided; this field 4. is not applicable for dental plans sbchavingababycoinsurance: 1. The dollar amount of the coinsurance for the sample SBC scenario of having 2. a baby 3. This field is optional; blanks indicate a value was not provided; this 4. field is not applicable for dental plans sbchavingababylimit: 1. The dollar amount of the benefit limits or exclusions for the sample SBC scenario 2. of having a baby 3. This field is optional; blanks indicate a value was not provided; this field is 4. not applicable for dental plans sbchavingdiabetesdeductible: 1. The dollar amount of the deductible for the sample SBC scenario of having 2. diabetes 3. This field is optional; blanks indicate a value was not provided; this 4. field is not applicable for dental plans sbchavingdiabetescopayment: 1. The dollar amount of the copayment for the sample SBC scenario of having 2. diabetes 3. This field is optional; blanks indicate a value was not provided; this 4. field is not applicable for dental plans sbchavingdiabetescoinsurance: 1. The dollar amount of the coinsurance for the sample SBC scenario of 2. having diabetes 3. This field is optional; blanks indicate a value was not provided; this 4. field is not applicable for dental plans sbchavingdiabeteslimit: 1. The dollar amount of the benefit limits or exclusions for the sample SBC 2. scenario of having diabetes 3. This field is optional; blanks indicate a value was not provided; this field 4. is not applicable for dental plans specialtydrugmaximumcoinsurance: 1. The maximum dollar value of coinsurance for specialty high-cost drugs 2. This field is optional; blanks indicate a value was not provided inpatientcopaymentmaximumdays: 1. The maximum number of days for which a patient can be charged a 2. copayment for an inpatient stay, if the insurance plan design charges 3. inpatient stays by day 4. This field is optional, so blanks or zero values indicate a value was 5. not provided beginprimarycarecostsharingafter: 1. The maximum number of fully covered visits allowed, after which 2. primary care cost sharing will begin 3. This field is optional, so blanks or zero values indicate a value 4. was not provided beginprimarycaredeductiblecoinsu: 1. The maximum number of primary care visits with co-payment allowed, 2. after which all primary care visits will be subject to the 3. deductible or maximum out of pocket limits 4. This field is optional, blanks or zero values indicate a value was 5. not provided mehbinntier1individualmoop: 1. The dollar amount of the tier 1 in network, individual out-of-pocket cost 2. limit for medical EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. MOOP limits; for dental plans, this field contains the MOOP value for 5. dental benefits mehbinntier1familyperpersonmoop: 1. The dollar amount of the tier 1 in network, family per person out-of- 2. pocket cost limit for medical EHB benefits 3. This field is only applicable for plans with separate medical and 4. drug MOOP limits; for dental plans, this field contains the MOOP 5. value for dental benefits mehbinntier1familypergroupmoop: 1. The dollar amount of the tier 1 in network, family per group out-of- 2. pocket cost limit for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug MOOP 5. limits; for dental plans, this field contains the MOOP value for 6. dental benefits mehbinntier2individualmoop: 1. The dollar amount of the tier 2 in network, individual out-of-pocket cost 2. limit for medical EHB benefits 3. This field is only applicable for plans with multiple in network tiers and 4. separate medical and drug MOOP limits; for dental plans, this field 5. contains the MOOP value for dental benefits mehbinntier2familyperpersonmoop: 1. The dollar amount of the tier 2 in network, family per person out-of- 2. pocket cost limit for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. separate medical and drug MOOP limits; this field contains the MOOP 6. value for dental benefits mehbinntier2familypergroupmoop: 1. The dollar amount of the tier 2 in network, family per group out-of- 2. pocket cost limit for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. separate medical and drug MOOP limits; this field contains the MOOP 6. value for dental benefits mehboutofnetindividualmoop: 1. The dollar amount of the out of network, individual out-of-pocket cost 2. limit for medical EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. MOOP limits; for dental plans, this field contains the MOOP value for 5. dental benefits mehboutofnetfamilyperpersonmoop: 1. The dollar amount of the out of network, family per person out-of- 2. pocket cost limit for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug MOOP 5. limits; for dental plans, this field contains the MOOP value for 6. dental benefits mehboutofnetfamilypergroupmoop: 1. The dollar amount of the out of network, family per group out-of- 2. pocket cost limit for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug MOOP 5. limits; for dental plans, this field contains the MOOP value for 6. dental benefits mehbcombinnoonindividualmoop: 1. The dollar amount of the combined in/out of network, individual out- 2. of-pocket cost limit for medical EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. MOOP limits; for dental plans, this field contains the MOOP value for 5. dental benefits mehbcombinnoonfamilyperpersonmoo: 1. The dollar amount of the combined in/out of network, family per 2. person out-of-pocket cost limit for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with separate medical and drug 5. MOOP limits; for dental plans, this field contains the MOOP value 6. for dental benefits mehbcombinnoonfamilypergroupmoop: 1. The dollar amount of the combined in/out of network, family per 2. group out-of-pocket cost limit for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with separate medical and drug 5. MOOP limits; for dental plans, this field contains the MOOP value 6. for dental benefits dehbinntier1individualmoop: 1. The dollar amount of the tier 1 in network, individual out-of-pocket cost 2. limit for drug EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. MOOP limits; this field will be blank for dental plans dehbinntier1familyperpersonmoop: 1. The dollar amount of the tier 1 in network, family per person out-of- 2. pocket cost limit for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug MOOP 5. limits; this field will be blank for dental plans dehbinntier1familypergroupmoop: 1. The dollar amount of the tier 1 in network, family per group out-of- 2. pocket cost limit for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug MOOP 5. limits; this field will be blank for dental plans dehbinntier2individualmoop: 1. The dollar amount of the tier 2 in network, individual out-of-pocket cost 2. limit for drug EHB benefits 3. This field is only applicable for plans with multiple in network tiers and 4. separate medical and drug MOOP limits; this field will be blank for dental 5. plans dehbinntier2familyperpersonmoop: 1. The dollar amount of the tier 2 in network, family per person out-of- 2. pocket cost limit for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. separate medical and drug MOOP limits; this field will be blank for 6. dental plans dehbinntier2familypergroupmoop: 1. The dollar amount of the tier 2 in network, family per group out-of- 2. pocket cost limit for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. separate medical and drug MOOP limits; this field will be blank for 6. dental plans dehboutofnetindividualmoop: 1. The dollar amount of the out of network, individual out-of-pocket cost 2. limit for drug EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. MOOP limits; this field will be blank for dental plans dehboutofnetfamilyperpersonmoop: 1. The dollar amount of the out of network, family per person out-of- 2. pocket cost limit for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug MOOP 5. limits; this field will be blank for dental plans dehboutofnetfamilypergroupmoop: 1. The dollar amount of the out of network, family per group out-of- 2. pocket cost limit for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug MOOP 5. limits; this field will be blank for dental plans dehbcombinnoonindividualmoop: 1. The dollar amount of the combined in/out of network, individual out- 2. of-pocket cost limit for drug EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. MOOP limits; this field will be blank for dental plans dehbcombinnoonfamilyperpersonmoo: 1. The dollar amount of the combined in/out of network, family per 2. person out-of-pocket cost limit for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with separate medical and drug 5. MOOP limits; this field will be blank for dental plans dehbcombinnoonfamilypergroupmoop: 1. The dollar amount of the combined in/out of network, family per 2. group out-of-pocket cost limit for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with separate medical and drug 5. MOOP limits; this field will be blank for dental plans tehbinntier1individualmoop: 1. The dollar amount of the tier 1 in network, individual out-of-pocket cost 2. limit for medical and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug 4. MOOP limits; this field will be blank for dental plans tehbinntier1familyperpersonmoop: 1. The dollar amount of the tier 1 in network, family per person out-of- 2. pocket cost limit for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug MOOP 5. limits; this field will be blank for dental plans tehbinntier1familypergroupmoop: 1. The dollar amount of the tier 1 in network, family per group out-of- 2. pocket cost limit for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug MOOP 5. limits; this field will be blank for dental plans tehbinntier2individualmoop: 1. The dollar amount of the tier 2 in network, individual out-of-pocket cost 2. limit for medical and drug EHB benefits 3. This field is only applicable for plans with multiple in network tiers and 4. combined medical and drug MOOP limits; this field will be blank for dental 5. plans tehbinntier2familyperpersonmoop: 1. The dollar amount of the tier 2 in network, family per person out-of- 2. pocket cost limit for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. combined medical and drug MOOP limits; this field will be blank for 6. dental plans tehbinntier2familypergroupmoop: 1. The dollar amount of the tier 2 in network, family per group out-of- 2. pocket cost limit for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. combined medical and drug MOOP limits; this field will be blank for 6. dental plans tehboutofnetindividualmoop: 1. The dollar amount of the out of network, individual out-of-pocket cost 2. limit for medical and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug 4. MOOP limits; this field will be blank for dental plans tehboutofnetfamilyperpersonmoop: 1. The dollar amount of the out of network, family per person out-of- 2. pocket cost limit for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug MOOP 5. limits; this field will be blank for dental plans tehboutofnetfamilypergroupmoop: 1. The dollar amount of the out of network, family per group out-of- 2. pocket cost limit for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug MOOP 5. limits; this field will be blank for dental plans tehbcombinnoonindividualmoop: 1. The dollar amount of the combined in/out of network, individual out- 2. of-pocket cost limit for medical and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug 4. MOOP limits; this field will be blank for dental plans tehbcombinnoonfamilyperpersonmoo: 1. The dollar amount of the combined in/out of network, family per 2. person out-of-pocket cost limit for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with combined medical and drug 5. MOOP limits; this field will be blank for dental plans tehbcombinnoonfamilypergroupmoop: 1. The dollar amount of the combined in/out of network, family per 2. group out-of-pocket cost limit for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with combined medical and drug 5. MOOP limits; this field will be blank for dental plans mehbdedinntier1individual: 1. The dollar amount of the tier 1 in network, individual deductible for 2. medical EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. deductibles; for dental plans, this field contains the deductible for 5. dental benefits mehbdedinntier1familyperperson: 1. The dollar amount of the tier 1 in network, family per person 2. deductible for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; for dental plans, this field contains the deductible for 6. dental benefits mehbdedinntier1familypergroup: 1. The dollar amount of the tier 1 in network, family per group deductible 2. for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; for dental plans, this field contains the deductible for 6. dental benefits mehbdedinntier1coinsurance: 1. The percentage used for the tier 1 in network coinsurance for medical EHB 2. benefits, unless a different coinsurance is listed for a specific benefit 3. This field is only applicable for plans with separate medical and drug 4. deductibles; this field will be blank for dental plans mehbdedinntier2individual: 1. The dollar amount of the tier 2 in network, individual deductible for 2. medical EHB benefits 3. This field is only applicable for plans with multiple in network tiers and 4. separate medical and drug deductibles; for dental plans, this field 5. contains the deductible for dental benefits mehbdedinntier2familyperperson: 1. The dollar amount of the tier 2 in network, family per person 2. deductible for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. separate medical and drug deductibles; for dental plans, this field 6. contains the deductible for dental benefits mehbdedinntier2familypergroup: 1. The dollar amount of the tier 2 in network, family per group deductible 2. for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. separate medical and drug deductibles; for dental plans, this field 6. contains the deductible for dental benefits mehbdedinntier2coinsurance: 1. The percentage used for the tier 2 in network coinsurance for medical EHB 2. benefits, unless a different coinsurance is listed for a specific benefit 3. This field is only applicable for plans with multiple in network tiers and 4. separate medical and drug deductibles; this field will be blank for dental 5. plans mehbdedoutofnetindividual: 1. The dollar amount of the out of network, individual deductible for medical 2. EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. deductibles; for dental plans, this field contains the deductible for 5. dental benefits mehbdedoutofnetfamilyperperson: 1. The dollar amount of the out of network, family per person deductible 2. for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; for dental plans, this field contains the deductible for 6. dental benefits mehbdedoutofnetfamilypergroup: 1. The dollar amount of the out of network, family per group deductible 2. for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; for dental plans, this field contains the deductible for 6. dental benefits mehbdedcombinnoonindividual: 1. The dollar amount of the combined in/out of network, individual 2. deductible for medical EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. deductibles; for dental plans, this field contains the deductible for 5. dental benefits mehbdedcombinnoonfamilyperperson: 1. The dollar amount of the combined in/out of network, family per 2. person deductible for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with separate medical and drug 5. deductibles; for dental plans, this field contains the deductible 6. for dental benefits mehbdedcombinnoonfamilypergroup: 1. The dollar amount of the combined in/out of network, family per group 2. deductible for medical EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; for dental plans, this field contains the deductible for 6. dental benefits dehbdedinntier1individual: 1. The dollar amount of the tier 1 in network, individual deductible for drug 2. EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. deductibles; for dental plans, this field contains the deductible for 5. dental benefits dehbdedinntier1familyperperson: 1. The dollar amount of the tier 1 in network, family per person 2. deductible for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; for dental plans, this field contains the deductible for 6. dental benefits dehbdedinntier1familypergroup: 1. The dollar amount of the tier 1 in network, family per group deductible 2. for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; for dental plans, this field contains the deductible for 6. dental benefits dehbdedinntier1coinsurance: 1. The percentage used for the tier 1 in network coinsurance for drug EHB 2. benefits, unless a different coinsurance is listed for a specific benefit 3. This field is only applicable for plans with separate medical and drug 4. deductibles; this field will be blank for dental plans dehbdedinntier2individual: 1. The dollar amount of the tier 2 in network, individual deductible for drug 2. EHB benefits 3. This field is only applicable for plans with multiple in network tiers and 4. separate medical and drug deductibles; this field will be blank for dental 5. plans dehbdedinntier2familyperperson: 1. The dollar amount of the tier 2 in network, family per person 2. deductible for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. separate medical and drug deductibles; this field will be blank for 6. dental plans dehbdedinntier2familypergroup: 1. The dollar amount of the tier 2 in network, family per group deductible 2. for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. separate medical and drug deductibles; this field will be blank for 6. dental plans dehbdedinntier2coinsurance: 1. The percentage used for the tier 2 in network coinsurance for drug EHB 2. benefits, unless a different coinsurance is listed for a specific benefit 3. This field is only applicable for plans with multiple in network tiers and 4. separate medical and drug deductibles; this field will be blank for dental 5. plans dehbdedoutofnetindividual: 1. The dollar amount of the out of network, individual deductible for drug EHB 2. benefits 3. This field is only applicable for plans with separate medical and drug 4. deductibles; this field will be blank for dental plans dehbdedoutofnetfamilyperperson: 1. The dollar amount of the out of network, family per person deductible 2. for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; this field will be blank for dental plans dehbdedoutofnetfamilypergroup: 1. The dollar amount of the out of network, family per group deductible 2. for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; this field will be blank for dental plans dehbdedcombinnoonindividual: 1. The dollar amount of the combined in/out of network, individual 2. deductible for drug EHB benefits 3. This field is only applicable for plans with separate medical and drug 4. deductibles; this field will be blank for dental plans dehbdedcombinnoonfamilyperperson: 1. The dollar amount of the combined in/out of network, family per 2. person deductible for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with separate medical and drug 5. deductibles; this field will be blank for dental plans dehbdedcombinnoonfamilypergroup: 1. The dollar amount of the combined in/out of network, family per group 2. deductible for drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with separate medical and drug 5. deductibles; this field will be blank for dental plans tehbdedinntier1individual: 1. The dollar amount of the tier 1 in network, individual deductible for 2. medical and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug 4. deductibles; this field will be blank for dental plans tehbdedinntier1familyperperson: 1. The dollar amount of the tier 1 in network, family per person 2. deductible for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug 5. deductibles; this field will be blank for dental plans tehbdedinntier1familypergroup: 1. The dollar amount of the tier 1 in network, family per group deductible 2. for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug 5. deductibles; this field will be blank for dental plans tehbdedinntier1coinsurance: 1. The percentage used for the tier 1 in network coinsurance for medical and 2. drug EHB benefits, unless a different coinsurance is listed for a specific 3. benefit 4. This field is only applicable for plans with combined medical and drug 5. deductibles; this field will be blank for dental plans tehbdedinntier2individual: 1. The dollar amount of the tier 2 in network, individual deductible for 2. medical and drug EHB benefits 3. This field is only applicable for plans with multiple in network tiers and 4. combined medical and drug deductibles; this field will be blank for dental 5. plans tehbdedinntier2familyperperson: 1. The dollar amount of the tier 2 in network, family per person 2. deductible for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. combined medical and drug deductibles; this field will be blank for 6. dental plans tehbdedinntier2familypergroup: 1. The dollar amount of the tier 2 in network, family per group deductible 2. for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with multiple in network tiers and 5. combined medical and drug deductibles; this field will be blank for 6. dental plans tehbdedinntier2coinsurance: 1. The percentage used for the tier 2 in network coinsurance for medical and 2. drug EHB benefits, unless a different coinsurance is listed for a specific 3. benefit 4. This field is only applicable for plans with multiple in network tiers and 5. combined medical and drug deductibles; this field will be blank for dental 6. plans tehbdedoutofnetindividual: 1. The dollar amount of the out of network, individual deductible for medical 2. and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug 4. deductibles; this field will be blank for dental plans tehbdedoutofnetfamilyperperson: 1. The dollar amount of the out of network, family per person deductible 2. for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug 5. deductibles; this field will be blank for dental plans tehbdedoutofnetfamilypergroup: 1. The dollar amount of the out of network, family per group deductible 2. for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug 5. deductibles; this field will be blank for dental plans tehbdedcombinnoonindividual: 1. The dollar amount of the combined in/out of network, individual 2. deductible for medical and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug 4. deductibles; this field will be blank for dental plans tehbdedcombinnoonfamilyperperson: 1. The dollar amount of the combined in/out of network, family per 2. person deductible for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This 4. field is only applicable for plans with combined medical and drug 5. deductibles; this field will be blank for dental plans tehbdedcombinnoonfamilypergroup: 1. The dollar amount of the combined in/out of network, family per group 2. deductible for medical and drug EHB benefits 3. This field is not available for the 2014 or 2015 datasets. This field 4. is only applicable for plans with combined medical and drug 5. deductibles; this field will be blank for dental plans ishsaeligible: 1. An indication that the insurance plan qualifies for a health savings account (HSA) 2. This field is not applicable for dental plans hsaorhraemployercontribution: 1. An indication that the employer makes an HSA or health reimbursement 2. arrangement (HRA) contribution 3. This field is only applicable for medical plans in the SHOP market hsaorhraemployercontributionamou: 1. The dollar amount per employee that the employer contributes to the 2. HSA or HRA. 3. This field is only applicable for medical plans in the SHOP market 4. and only required if HSAOrHRAEmployerContribution field equals Yes urlforsummaryofbenefitscoverage: 1. The URL for the Summary of Benefits & Coverage 2. This field is optional, so blanks or zero values indicate a value was 3. not provided planbrochure: 1. The URL for the Plan Brochure 2. This field is optional, so blanks or zero values indicate a value was not provided obs: 21,232 vars: 152 8 Dec 2017 15:35 size: 172,297,680 (_dta has notes) ---------------------------------------------------------------------------------------------------------------------------------------------------------- storage display value variable name type format label variable label ---------------------------------------------------------------------------------------------------------------------------------------------------------- businessyear int %8.0g * Business Year statecode str2 %9s * State Code issuerid long %12.0g * Issuer ID sourcename str5 %9s * Source Name importdate str19 %19s * Import Date marketcoverage str18 %18s * Market Coverage dentalonlyplan str3 %9s * Dental-Only Plan Indicator tin str10 %10s * Tax Identification Number standardcomponentid str14 %14s * Plan ID planmarketingname str119 %119s * Plan Marketing Name hiosproductid str10 %10s * HIOS Product ID hpid double %10.0g * HPID (National Health Plan Identifier) networkid str6 %9s * Network ID serviceareaid str6 %9s * Service Area ID formularyid str6 %9s * Formulary ID isnewplan str8 %9s * New/Existing Plan plantype str9 %9s * Plan Type metallevel str12 %12s * Metal Level designtype str14 %14s DesignType uniqueplandesign str3 %9s * Unique Plan Design qhpnonqhptypeid str16 %16s * QHP/Non QHP isnoticerequiredforpregnancy str3 %9s * Notice Required for Pregnancy isreferralrequiredforspecialist str3 %9s * Is a Referral Required for Specialist? specialistrequiringreferral str1674 %1674s * Specialist Requiring a Referral planlevelexclusions str2000 %2000s * Plan Level Exclusions indianplanvariationestimatedadva str5 %9s * Limited Cost Sharing Plan Variation - Estimated Advanced Payment compositeratingoffered str3 %9s * Composite Rating Offered childonlyoffering str27 %27s * Child-Only Offering childonlyplanid byte %8.0g * Child Only Plan ID wellnessprogramoffered str3 %9s * Wellness Program Offered diseasemanagementprogramsoffered str148 %148s * Disease Management Programs Offered ehbpercenttotalpremium float %9.0g * EHB Percent of Total Premium ehbpediatricdentalapportionmentq float %9.0g * EHB Apportionment for Pediatric Dental isguaranteedrate str15 %15s * Guaranteed Rate planeffectivedate str10 %10s * Plan Effective Date planexpirationdate str10 %10s * Plan Expiration Date outofcountrycoverage str3 %9s * Out of Country Coverage outofcountrycoveragedescription str888 %888s * Out of Country Coverage Description outofserviceareacoverage str3 %9s * Out of Service Area Coverage outofserviceareacoveragedescript str614 %614s * Out of Service Area Coverage Description nationalnetwork str3 %9s * National Network urlforenrollmentpayment str137 %137s * URL for Enrollment Payment formularyurl str148 %148s * Formulary URL planid str17 %17s * Plan ID (Standard Component ID with Variant) planvariantmarketingname str119 %119s PlanVariantMarketingName csrvariationtype str39 %39s * CSR Variation Type issueractuarialvalue str7 %9s * Issuer Actuarial Value avcalculatoroutputnumber float %9.0g * AV Calculator Output Number medicaldrugdeductiblesintegrated str3 %9s * Medical Drug Deductibles Integrated medicaldrugmaximumoutofpocketint str3 %9s * Medical Drug Maximum Out of Pocket Integrated multipleinnetworktiers str3 %9s * Multiple In Network Tiers firsttierutilization str4 %9s * First Tier Utilization secondtierutilization str3 %9s * Second Tier Utilization sbchavingababydeductible str9 %9s * SBC Scenario, Having a Baby, Deductible sbchavingababycopayment str6 %9s * SBC Scenario, Having a Baby, Copayment sbchavingababycoinsurance str7 %9s * SBC Scenario, Having a Baby, Coinsurance sbchavingababylimit str7 %9s * SBC Scenario, Having a Baby, Limit sbchavingdiabetesdeductible str9 %9s * SBC Scenario, Having Diabetes, Deductible sbchavingdiabetescopayment str7 %9s * SBC Scenario, Having Diabetes, Copayment sbchavingdiabetescoinsurance str6 %9s * SBC Scenario, Having Diabetes, Coinsurance sbchavingdiabeteslimit str6 %9s * SBC Scenario, Having Diabetes, Limit sbchavingsimplefracturedeductibl str6 %9s SBCHavingSimplefractureDeductible sbchavingsimplefracturecopayment str6 %9s SBCHavingSimplefractureCopayment sbchavingsimplefracturecoinsuran str4 %9s SBCHavingSimplefractureCoinsurance sbchavingsimplefracturelimit str6 %9s SBCHavingSimplefractureLimit specialtydrugmaximumcoinsurance str6 %9s * Specialty Drug Maximum Coinsurance inpatientcopaymentmaximumdays byte %8.0g * Inpatient Copayment Maximum Days beginprimarycarecostsharingafter byte %8.0g * Begin Primary Care Cost-Sharing After Number Of Visits beginprimarycaredeductiblecoinsu byte %8.0g * Begin Primary Care Deductible Coinsurance After Number Of mehbinntier1individualmoop str14 %14s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehbinntier1familyperpersonmoop str25 %25s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehbinntier1familypergroupmoop str24 %24s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehbinntier2individualmoop str4 %9s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehbinntier2familyperpersonmoop str25 %25s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehbinntier2familypergroupmoop str14 %14s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehboutofnetindividualmoop str14 %14s * Maximum Out of Pocket for Medical EHB Benefits, Out of Network, mehboutofnetfamilyperpersonmoop str25 %25s * Maximum Out of Pocket for Medical EHB Benefits, Out of Network, mehboutofnetfamilypergroupmoop str24 %24s * Maximum Out of Pocket for Medical EHB Benefits, Out of Network, mehbcombinnoonindividualmoop str14 %14s * Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out mehbcombinnoonfamilyperpersonmoo str25 %25s * Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out mehbcombinnoonfamilypergroupmoop str24 %24s * Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out dehbinntier1individualmoop str6 %9s * Maximum Out of Pocket for Drug EHB Benefits, In Network (Tier 1), dehbinntier1familyperpersonmoop str16 %16s * Maximum Out of Pocket for Drug EHB Benefits, In Network (Tier 1), dehbinntier1familypergroupmoop str15 %15s * Maximum Out of Pocket for Drug EHB Benefits, In Network (Tier 1), dehbinntier2individualmoop byte %8.0g * Maximum Out of Pocket for Drug EHB Benefits, In Network (Tier 2), dehbinntier2familyperpersonmoop byte %8.0g * Maximum Out of Pocket for Drug EHB Benefits, In Network (Tier 2), dehbinntier2familypergroupmoop byte %8.0g * Maximum Out of Pocket for Drug EHB Benefits, In Network (Tier 2), dehboutofnetindividualmoop str14 %14s * Maximum Out of Pocket for Drug EHB Benefits, Out of Network, dehboutofnetfamilyperpersonmoop str25 %25s * Maximum Out of Pocket for Drug EHB Benefits, Out of Network, dehboutofnetfamilypergroupmoop str24 %24s * Maximum Out of Pocket for Drug EHB Benefits, Out of Network, dehbcombinnoonindividualmoop str14 %14s * Maximum Out of Pocket for Drug EHB Benefits, Combined In/Out dehbcombinnoonfamilyperpersonmoo str25 %25s * Maximum Out of Pocket for Drug EHB Benefits, Combined In/Out dehbcombinnoonfamilypergroupmoop str24 %24s * Maximum Out of Pocket for Drug EHB Benefits, Combined In/Out tehbinntier1individualmoop str14 %14s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehbinntier1familyperpersonmoop str25 %25s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehbinntier1familypergroupmoop str24 %24s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehbinntier2individualmoop str6 %9s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehbinntier2familyperpersonmoop str16 %16s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehbinntier2familypergroupmoop str16 %16s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehboutofnetindividualmoop str14 %14s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehboutofnetfamilyperpersonmoop str25 %25s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehboutofnetfamilypergroupmoop str24 %24s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehbcombinnoonindividualmoop str14 %14s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehbcombinnoonfamilyperpersonmoo str25 %25s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), tehbcombinnoonfamilypergroupmoop str24 %24s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), mehbdedinntier1individual str14 %14s * Medical EHB Deductible, In Network (Tier 1), Individual mehbdedinntier1familyperperson str25 %25s * Medical EHB Deductible, In Network (Tier 1), Family Per Person mehbdedinntier1familypergroup str24 %24s * Medical EHB Deductible, In Network (Tier 1), Family Per Group mehbdedinntier1coinsurance str6 %9s * Medical EHB Deductible, In Network (Tier 1), Default Coinsurance mehbdedinntier2individual str14 %14s * Medical EHB Deductible, In Network (Tier 2), Individual mehbdedinntier2familyperperson str25 %25s * Medical EHB Deductible, In Network (Tier 2), Family Per Person mehbdedinntier2familypergroup str24 %24s * Medical EHB Deductible, In Network (Tier 2), Family Per Group mehbdedinntier2coinsurance str6 %9s * Medical EHB Deductible, In Network (Tier 2), Default Coinsurance mehbdedoutofnetindividual str14 %14s * Medical EHB Deductible, Out of Network, Individual mehbdedoutofnetfamilyperperson str25 %25s * Medical EHB Deductible, Out of Network, Family Per Person mehbdedoutofnetfamilypergroup str24 %24s * Medical EHB Deductible, Out of Network, Family Per Group mehbdedcombinnoonindividual str14 %14s * Medical EHB Deductible, Combined In/Out of Network, Individual mehbdedcombinnoonfamilyperperson str25 %25s * Medical EHB Deductible, Combined In/Out of Network, Family Per mehbdedcombinnoonfamilypergroup str24 %24s * Medical EHB Deductible, Combined In/Out of Network, Family Per dehbdedinntier1individual str14 %14s * Drug EHB Deductible, In Network (Tier 1), Individual dehbdedinntier1familyperperson str25 %25s * Drug EHB Deductible, In Network (Tier 1), Family Per Person dehbdedinntier1familypergroup str24 %24s * Drug EHB Deductible, In Network (Tier 1), Family Per Group dehbdedinntier1coinsurance str6 %9s * Drug EHB Deductible, In Network (Tier 1), Default Coinsurance dehbdedinntier2individual str14 %14s * Drug EHB Deductible, In Network (Tier 2), Individual dehbdedinntier2familyperperson str25 %25s * Drug EHB Deductible, In Network (Tier 2), Family Per Person dehbdedinntier2familypergroup str24 %24s * Drug EHB Deductible, In Network (Tier 2), Family Per Group dehbdedinntier2coinsurance str6 %9s * Drug EHB Deductible, In Network (Tier 2), Default Coinsurance dehbdedoutofnetindividual str14 %14s * Drug EHB Deductible, Out of Network, Individual dehbdedoutofnetfamilyperperson str25 %25s * Drug EHB Deductible, Out of Network, Family Per Person dehbdedoutofnetfamilypergroup str24 %24s * Drug EHB Deductible, Out of Network, Family Per Group dehbdedcombinnoonindividual str14 %14s * Drug EHB Deductible, Combined In/Out of Network, Individual dehbdedcombinnoonfamilyperperson str25 %25s * Drug EHB Deductible, Combined In/Out of Network, Family Per dehbdedcombinnoonfamilypergroup str24 %24s * Drug EHB Deductible, Combined In/Out of Network, Family Per tehbdedinntier1individual str14 %14s * Combined Medical and Drug EHB Deductible, In Network (Tier 1), tehbdedinntier1familyperperson str25 %25s * Combined Medical and Drug EHB Deductible, In Network (Tier 1), tehbdedinntier1familypergroup str24 %24s * Combined Medical and Drug EHB Deductible, In Network (Tier 1), tehbdedinntier1coinsurance str7 %9s * Combined Medical and Drug EHB Deductible, In Network (Tier 1), tehbdedinntier2individual str6 %9s * Combined Medical and Drug EHB Deductible, In Network (Tier 2), tehbdedinntier2familyperperson str25 %25s * Combined Medical and Drug EHB Deductible, In Network (Tier 2), tehbdedinntier2familypergroup str16 %16s * Combined Medical and Drug EHB Deductible, In Network (Tier 2), tehbdedinntier2coinsurance str6 %9s * Combined Medical and Drug EHB Deductible, In Network (Tier 2), tehbdedoutofnetindividual str14 %14s * Combined Medical and Drug EHB Deductible, Out of Network, tehbdedoutofnetfamilyperperson str25 %25s * Combined Medical and Drug EHB Deductible, Out of Network, Family tehbdedoutofnetfamilypergroup str24 %24s * Combined Medical and Drug EHB Deductible, Out of Network, Family tehbdedcombinnoonindividual str14 %14s * Combined Medical and Drug EHB Deductible, Combined In/Out of tehbdedcombinnoonfamilyperperson str25 %25s * Combined Medical and Drug EHB Deductible, Combined In/Out of tehbdedcombinnoonfamilypergroup str24 %24s * Combined Medical and Drug EHB Deductible, Combined In/Out of ishsaeligible str3 %9s * HSA Eligible hsaorhraemployercontribution str3 %9s * HSA/HRA Employer Contribution hsaorhraemployercontributionamou str9 %9s * HSA/HRA Employer Contribution Amount urlforsummaryofbenefitscoverage str204 %204s * URL for Summary of Benefits & Coverage planbrochure str204 %204s * Plan Brochure * indicated variables have notes ---------------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: