_dta: 1. plan2014 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/2014/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 versionnum: 1. Integer value for version of data import importdate: 1. Date of data import benefitpackageid: 1. Numeric identifier of benefit package issuerid2: 1. Five-digit numeric code that identifies the issuer organization in HIOS 2. Equal to IssuerId field statecode2: 1. Two-character state abbreviation indicating the state where the plan is offered 2. Equal to StateCode field 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 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 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 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 ehbpediatricdentalapportionmentq: 1. The dollar amount of the EHB Apportionment for Pediatric Dental 2. This field is not applicable for medical plans ehbpercentpremiums4: 1. The projected percent of the plan's total premium relative to the EHB benchmark 2. plan for the state. 3. This field is only valid 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 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 planeffectivedate: 1. 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 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 urlforenrollmentpayment: 1. The URL for Enrollment Payment 2. This field is optional, so blanks or zero values indicate a value was not 3. 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 formularyurl: 1. The URL for the prescription drug formulary associated with this plan 2. This field is only valid for medical 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 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 mehbinntier1familymoop: 1. The dollar amount of the tier 1 in network, family out-of-pocket cost limit 2. for medical EHB benefits 3. This field is only applicable for plans with separate medical and drug MOOP 4. limits; for dental plans, this field contains the MOOP value for dental 5. 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 mehbinntier2familymoop: 1. The dollar amount of the tier 2 in network, family out-of-pocket cost limit 2. 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 contains 5. the MOOP 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 mehboutofnetfamilymoop: 1. The dollar amount of the out of network, family out-of-pocket cost limit for 2. medical EHB benefits 3. This field is only applicable for plans with separate medical and drug MOOP 4. limits; for dental plans, this field contains the MOOP value for dental 5. 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 mehbcombinnoonfamilymoop: 1. The dollar amount of the combined in/out of network, family out-of- pocket 2. cost limit for medical EHB benefits 3. This field is only applicable for plans with separate medical and drug MOOP 4. limits; for dental plans, this field contains the MOOP value for dental 5. 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 dehbinntier1familymoop: 1. The dollar amount of the tier 1 in network, family out-of-pocket cost limit 2. for drug EHB benefits 3. This field is only applicable for plans with separate medical and drug MOOP 4. 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 dehbinntier2familymoop: 1. The dollar amount of the tier 2 in network, family out-of-pocket cost limit 2. 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 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 dehboutofnetfamilymoop: 1. The dollar amount of the out of network, family out-of-pocket cost limit for 2. drug EHB benefits 3. This field is only applicable for plans with separate medical and drug MOOP 4. 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 dehbcombinnoonfamilymoop: 1. The dollar amount of the combined in/out of network, family out-of- pocket 2. cost limit for drug EHB benefits 3. This field is only applicable for plans with separate medical and drug MOOP 4. 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 tehbinntier1familymoop: 1. The dollar amount of the tier 1 in network, family out-of-pocket cost limit 2. for medical and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug MOOP 4. 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 tehbinntier2familymoop: 1. The dollar amount of the tier 2 in network, family out-of-pocket cost limit 2. 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 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 tehboutofnetfamilymoop: 1. The dollar amount of the out of network, family out-of-pocket cost limit for 2. medical and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug MOOP 4. 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 tehbcombinnoonfamilymoop: 1. The dollar amount of the combined in/out of network, family out-of- pocket 2. cost limit for medical and drug EHB benefits 3. This field is only applicable for plans with combined medical and drug MOOP 4. 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 mehbdedinntier1family: 1. The dollar amount of the tier 1 in network, family deductible for medical EHB 2. 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 dental 5. 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 mehbdedinntier2family: 1. The dollar amount of the tier 2 in network, family deductible for medical EHB 2. 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 contains 5. 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 mehbdedoutofnetfamily: 1. The dollar amount of the out of network, family deductible for medical EHB 2. 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 dental 5. 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 mehbdedcombinnoonfamily: 1. The dollar amount of the combined in/out of network, family 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 dental 5. 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 dehbdedinntier1family: 1. The dollar amount of the tier 1 in network, family deductible for drug EHB 2. 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 dental 5. 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 dehbdedinntier2family: 1. The dollar amount of the tier 2 in network, family deductible for drug EHB 2. 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 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 dehbdedoutofnetfamily: 1. The dollar amount of the out of network, family 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 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 dehbdedcombinnoonfamily: 1. The dollar amount of the combined in/out of network, family deductible for 2. 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 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 tehbdedinntier1family: 1. The dollar amount of the tier 1 in network, family deductible for medical and 2. 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 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 tehbdedinntier2family: 1. The dollar amount of the tier 2 in network, family deductible for medical and 2. 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 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 tehbdedoutofnetfamily: 1. The dollar amount of the out of network, family deductible for medical and drug 2. 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 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 tehbdedcombinnoonfamily: 1. The dollar amount of the combined in/out of network, family 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 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 rownumber: 1. Integer value for template row number associated with this data record 2. Unavailable for some templates 1. Overview of the Plans Attributes PUF Oversight (CCIIO) is 3. releasing the Marketplace PUF in order to improve transparency and increase access to the 4. Marketplace data. The Marketplace PUF includes data on Qualified Health Plans (QHPs) and 5. Stand-alone Dental Plans (SADPs) offered in states with Federally-facilitated Marketplaces 6. (FFM), which include states with State Partnership Marketplaces (SPM), 7. Federally-facilitated Small Business Health Options Programs (FF-SHOP) and State-based 8. Marketplaces (SBM) that rely on the federal information technology platform for QHP 9. eligibility and enrollment functionality. The Marketplace PUF also includes data on Multi 10. State Plans (MSPs). The Marketplace PUF does not include data from SBMs that do not rely on 11. the federal platform for QHP eligibility and enrollment functionality. The Plan Attributes 12. PUF (Plan-PUF) is one of the seven files that make up the Marketplace PUF. The Plan-PUF 13. contains plan-level data on maximum out of pocket payments, deductibles, cost sharing, 14. health savings account (HSA) eligibility, formulary ID, and other plan attributes. These 15. data either originate from the Plans & Benefits template (i.e., template field), an Excel 16. based form used by issuers to describe their plans in the QHP/SADP application process, or 17. were generated by CCIIO for use in data processing (i.e., system-generated). The issuer can 18. also import data created in other templates (e.g., Network IDs from the Network ID 19. template, Service Area IDs from the Service Area template, and Formulary IDs from the 20. Prescription Drug template) to use as allowable values for the applicable fields in the 21. Plans & Benefits template, or enter these values manually. This data dictionary describes 22. the variables contained in the Plan-PUF. Each record relates to one issuer's insurance 23. plan. The Plan-PUF is available for plan year 2014 and plan year 2015. 2. Variable 24. Attributes 25. Template row number associated with this data record 26. Unavailable for some templates obs: 18,719 vars: 126 8 Dec 2017 14:20 size: 123,470,524 (_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 versionnum byte %8.0g * Version Number importdate str19 %19s * Import Date benefitpackageid byte %8.0g * Numeric identifier of benefit package issuerid2 long %12.0g * Issuer ID statecode2 str2 %9s * State Code marketcoverage str18 %18s * Market Coverage dentalonlyplan str3 %9s * Dental-Only Plan Indicator tin str10 %10s * Tax Identification Number standardcomponentid str14 %14s * Plan ID planmarketingname str105 %105s * 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 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 str1686 %1686s * Specialist Requiring a Referral planlevelexclusions str2000 %2000s * Plan Level Exclusions indianplanvariationestimatedadva str7 %9s * Limited Cost Sharing Plan Variation - Estimated Advanced Payment ishsaeligible str3 %9s * HSA Eligible hsaorhraemployercontribution str3 %9s * HSA/HRA Employer Contribution hsaorhraemployercontributionamou str9 %9s * HSA/HRA Employer Contribution Amount childonlyoffering str27 %27s * Child-Only Offering childonlyplanid str14 %14s * Child Only Plan ID wellnessprogramoffered str3 %9s * Wellness Program Offered diseasemanagementprogramsoffered str126 %126s * Disease Management Programs Offered ehbpediatricdentalapportionmentq str6 %9s * EHB Apportionment for Pediatric Dental ehbpercentpremiums4 float %9.0g * EHB Percent of Total Premium, Section 4 isguaranteedrate str15 %15s * Guaranteed Rate 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 planeffectivedate str10 %10s * Plan Effective Date planexpirationdate str10 %10s * Plan Expiration Date outofcountrycoverage str3 %9s * Out of Country Coverage outofcountrycoveragedescription str483 %483s * Out of Country Coverage Description outofserviceareacoverage str3 %9s * Out of Service Area Coverage outofserviceareacoveragedescript str444 %444s * Out of Service Area Coverage Description nationalnetwork str3 %9s * National Network urlforsummaryofbenefitscoverage str125 %125s * URL for Summary of Benefits & Coverage urlforenrollmentpayment str190 %190s * URL for Enrollment Payment planbrochure str141 %141s * Plan Brochure formularyurl str199 %199s * Formulary URL planid str17 %17s * Plan ID (Standard Component ID with Variant) csrvariationtype str39 %39s * CSR Variation Type issueractuarialvalue str7 %9s * Issuer Actuarial Value avcalculatoroutputnumber str17 %17s * 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 mehbinntier1individualmoop str14 %14s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehbinntier1familymoop str14 %14s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehbinntier2individualmoop str14 %14s * Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier mehbinntier2familymoop 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, mehboutofnetfamilymoop str14 %14s * 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 mehbcombinnoonfamilymoop str14 %14s * Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out dehbinntier1individualmoop str14 %14s * Maximum Out of Pocket for Drug EHB Benefits, In Network (Tier 1), dehbinntier1familymoop str14 %14s * 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), dehbinntier2familymoop 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, dehboutofnetfamilymoop str14 %14s * 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 dehbcombinnoonfamilymoop str14 %14s * 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), tehbinntier1familymoop str14 %14s * 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), tehbinntier2familymoop str7 %9s * 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), tehboutofnetfamilymoop str14 %14s * 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), tehbcombinnoonfamilymoop str14 %14s * Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), mehbdedinntier1individual str14 %14s * Medical EHB Deductible, In Network (Tier 1), Individual mehbdedinntier1family str14 %14s * Medical EHB Deductible, In Network (Tier 1), Family mehbdedinntier1coinsurance str4 %9s * Medical EHB Deductible, In Network (Tier 1), Default Coinsurance mehbdedinntier2individual str14 %14s * Medical EHB Deductible, In Network (Tier 2), Individual mehbdedinntier2family str14 %14s * Medical EHB Deductible, In Network (Tier 2), Family mehbdedinntier2coinsurance str4 %9s * Medical EHB Deductible, In Network (Tier 2), Default Coinsurance mehbdedoutofnetindividual str14 %14s * Medical EHB Deductible, Out of Network, Individual mehbdedoutofnetfamily str14 %14s * Medical EHB Deductible, Out of Network, Family mehbdedcombinnoonindividual str14 %14s * Medical EHB Deductible, Combined In/Out of Network, Individual mehbdedcombinnoonfamily str14 %14s * Medical EHB Deductible, Combined In/Out of Network, Family dehbdedinntier1individual str14 %14s * Drug EHB Deductible, In Network (Tier 1), Individual dehbdedinntier1family str14 %14s * Drug EHB Deductible, In Network (Tier 1), Family dehbdedinntier1coinsurance str4 %9s * Drug EHB Deductible, In Network (Tier 1), Default Coinsurance dehbdedinntier2individual str14 %14s * Drug EHB Deductible, In Network (Tier 2), Individual dehbdedinntier2family str14 %14s * Drug EHB Deductible, In Network (Tier 2), Family dehbdedinntier2coinsurance str4 %9s * Drug EHB Deductible, In Network (Tier 2), Default Coinsurance dehbdedoutofnetindividual str14 %14s * Drug EHB Deductible, Out of Network, Individual dehbdedoutofnetfamily str14 %14s * Drug EHB Deductible, Out of Network, Family dehbdedcombinnoonindividual str14 %14s * Drug EHB Deductible, Combined In/Out of Network, Individual dehbdedcombinnoonfamily str14 %14s * Drug EHB Deductible, Combined In/Out of Network, Family tehbdedinntier1individual str14 %14s * Combined Medical and Drug EHB Deductible, In Network (Tier 1), tehbdedinntier1family str14 %14s * Combined Medical and Drug EHB Deductible, In Network (Tier 1), tehbdedinntier1coinsurance str4 %9s * Combined Medical and Drug EHB Deductible, In Network (Tier 1), tehbdedinntier2individual str6 %9s * Combined Medical and Drug EHB Deductible, In Network (Tier 2), tehbdedinntier2family str7 %9s * Combined Medical and Drug EHB Deductible, In Network (Tier 2), tehbdedinntier2coinsurance str4 %9s * Combined Medical and Drug EHB Deductible, In Network (Tier 2), tehbdedoutofnetindividual str14 %14s * Combined Medical and Drug EHB Deductible, Out of Network, tehbdedoutofnetfamily str14 %14s * Combined Medical and Drug EHB Deductible, Out of Network, tehbdedcombinnoonindividual str14 %14s * Combined Medical and Drug EHB Deductible, Combined In/Out of tehbdedcombinnoonfamily str14 %14s * Combined Medical and Drug EHB Deductible, Combined In/Out of sbchavingababydeductible str6 %9s * SBC Scenario, Having a Baby, Deductible sbchavingababycopayment str6 %9s * SBC Scenario, Having a Baby, Copayment sbchavingababycoinsurance str9 %9s * SBC Scenario, Having a Baby, Coinsurance sbchavingababylimit str6 %9s * SBC Scenario, Having a Baby, Limit sbchavingdiabetesdeductible str7 %9s * SBC Scenario, Having Diabetes, Deductible sbchavingdiabetescopayment str6 %9s * SBC Scenario, Having Diabetes, Copayment sbchavingdiabetescoinsurance str9 %9s * SBC Scenario, Having Diabetes, Coinsurance sbchavingdiabeteslimit str6 %9s * SBC Scenario, Having Diabetes, Limit rownumber int %8.0g * Row Number * indicated variables have notes ---------------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: