Section 14, Part A.1 - Hospitalization and Health Insurance - Screening Questions (For New
Households Go to Part A.2)
Section 14, Part A.1 is used in subsequent interviews to update information on previously
recorded health insurance policies and to find out if any new health
insurance policies have been purchased during the reference period.
Now I am going to ask about hospitalization and health
insurance.
- Enter 1 to continue
- No policies were previously reported
For definitions Information Booklet »
Do you/Does your household still make payments on the hospitalization and health
insurance from {the inventory of insurance previously reported} for someone outside your household?
- Yes
-
No
Since the first of the reference month were any payments made on this
policy by you or any members of your household?
(Include those
made by payroll deductions.)
- Yes
- No
How much was paid? [enter value]
How much was paid this month? [enter value]
{The following two questions will be asked IF the amount paid falls outside a range of
90% to 110% of previous reported value}
Have there been any changes to the terms of this policy such as premium amount or payment period?
- Yes
- No
What were the changes? (specify):
[enter text] ______________
Since the first of the reference month, have you or any members of
your household purchased any [additional] health or hospitalization insurance? Include any policies paid for
someone outside your household.
Include those
made by payroll deductions.
*Do not report Medicare Prescription Drug plans (Medicare Part D) here. Medicare Prescription Drug plans are
collected in Section 14C in Interviews 2 through 5.
- Yes [Go to Section 14 B - Detailed Questions]
- No
End of Section 14A.1
Go to Section 14 Part B - Detailed Questions »
Go to CE CAPI Survey Instrument Home Page »
Last Modified Date: April 12, 2011
|
United States Department of Labor
