_dta: 1. bencs2018 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/2018/benefits-and-cost-sharing-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 standardcomponentid: 1. Fourteen-character alpha-numeric code that identifies an insurance plan within 2. HIOS planid: 1. Seventeen-character alpha-numeric code that identifies an insurance plan's cost sharing 2. reduction variant within HIOS 3. Character count includes '-' benefitname: 1. Name assigned to benefit copayinntier1: 1. Dollar amount for In Network Copay for Tier 1 for a benefit 2. This field is only required for covered benefits; field will usually be blank for 3. benefits that are not covered but could contain a value; copay amount applies to each 4. enrollee copayinntier2: 1. Dollar amount for In Network Copay for Tier 2 for a benefit 2. This field is only required for covered benefits and plans with multiple in network 3. tiers; field will usually be blank for benefits that are not covered but could contain 4. a value; copay amount applies to each enrollee copayoutofnet: 1. Dollar amount for Out of Network Copay for a benefit 2. This field is only required for covered benefits; field will usually be blank for 3. benefits that are not covered but could contain a value; copay amount applies to each 4. enrollee coinsinntier1: 1. Numeric value for In Network Coinsurance percentage for Tier 1 for a benefit 2. This field is only required for covered benefits; field will usually be blank for 3. benefits that are not covered but could contain a value; coinsurance amount applies to 4. each enrollee coinsinntier2: 1. Numeric value for In Network Coinsurance percentage for Tier 2 for a benefit 2. This field is only required for covered benefits and plans with multiple in network 3. tiers; field will usually be blank for benefits that are not covered but could contain 4. a value; coinsurance amount applies to each enrollee coinsoutofnet: 1. Numeric value for Out of Network Coinsurance percentage for a benefit 2. This field is only required for covered benefits; field will usually be blank for 3. benefits that are not covered but could contain a value; coinsurance amount applies to 4. each enrollee isehb: 1. Categorical indicator of whether benefit is considered an essential health benefit 2. Blank values are equivalent to No iscovered: 1. Categorical indicator of whether benefit is covered by the insurance plan 2. Blank values are equivalent to Not Covered quantlimitonsvc: 1. Categorical indicator of whether benefit has a quantitative limit 2. This field is only required for covered benefits; blank values are equivalent to No limitqty: 1. Numeric value for coverage limit on the benefit 2. This field is required if QuantLimitOnSvc field equals Yes limitunit: 1. The unit of measure for the coverage limit on the benefit 2. This field is required if QuantLimitOnSvc field equals Yes exclusions: 1. The list of services or diagnoses that are excluded from the benefit 2. This field is optional; blanks indicate a value was not provided; field could be truncated 3. at 256 characters if exported to Excel or Access explanation: 1. Notes provided to further clarify benefit coverage limits or exclusions 2. This field is optional; blanks indicate a value was not provided; field could be 3. truncated at 256 characters if exported to Excel or Access ehbvarreason: 1. The justification for not using the prepopulated EHB benefit information from the 2. template 3. This field is only required if the issuer made changes to the prepopulated template 4. values isexclfrominnmoop: 1. Categorical indicator of whether the cost associated with this benefit is excluded 2. from the in network maximum out-of- pocket payment total isexclfromoonmoop: 1. Categorical indicator of whether the cost associated with this benefit is excluded 2. from the out of network maximum out-of- pocket payment total obs: 829,688 vars: 24 8 Dec 2017 13:29 size: 1,830,416,018 (_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 standardcomponentid str14 %14s * Plan ID planid str17 %17s * Plan ID (Standard Component ID with benefitname str63 %63s * Benefit Name copayinntier1 str40 %40s * Copay In Network (Tier 1) copayinntier2 str39 %39s * Copay In Network (Tier 2) copayoutofnet str39 %39s * Copay Out of Network coinsinntier1 str36 %36s * Coinsurance In Network (Tier 1) coinsinntier2 str36 %36s * Coinsurance In Network (Tier 2) coinsoutofnet str36 %36s * Coinsurance Out of Network isehb str3 %9s * EHB Indicator iscovered str11 %11s * Is this Benefit Covered? quantlimitonsvc str3 %9s * Quantitative Limit on Service limitqty long %12.0g * Limit Quantity limitunit str31 %31s * Limit Unit exclusions str1754 %1754s * Exclusions explanation strL %9s * Benefit Explanation ehbvarreason str26 %26s * EHB Variance Reason isexclfrominnmoop str3 %9s * Is Excluded from In Network MOOP isexclfromoonmoop str3 %9s * Is Excluded from Out of Network MOOP * indicated variables have notes ---------------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: