Baseline Information for Evaluating the Implementation of the Health Insurance Portability and Accountability Act of 1996: Final Report. Employer Surveys

10/01/1998

1. KPMG

Organization KPMG (conducted by National Research, Inc.)
Contact Jon Gabel (703) 469-3369
Type proprietary 
Availability/Cost $150 for the written report. 

Data have been sold to some organizations, but KPMG prefers to be used as a subcontractor. 

Time Period conducted annually in late winter and early spring; most recent: 1997
Reference Period health insurance questions pertain to current status
Scope of coverage private and public firms

1992, 1994, 1997: firms with >=200 employees and who offer health benefits

1993, 1995, 1996, (1998): includes smaller firms and those who do not offer health benefits.

Analysis unit firm, employee
Sample size 1,500
Response rate 60%
Geography 50 states and DC

allows for national and regional analyses, but NOT state-level. 

Design random draw from D&B, stratified by industry, employee size and region (uses location of headquarters) 
Data collection mode telephone
Content premium (asked of the largest conventional, HMO, PPO, and POS health plans)

pre-existing limits (not asked of those in HMO)

covered employees

 


2. EBS

Organization BLS
Contact (202) 606-6222 or c2ideas@bls.gov
Type tabulation are public-use (actual database not available)
Availability/Cost selective access of tabulations available online at stats.bls.gov/ebshome.htm
Time Period annual; updates are generally available in the summer following the reference year.
Reference Period health insurance questions pertain to current status.
Scope of coverage even years: state and local government plus private non-farm establishments with fewer than 100 employees.

odd years: private establishments with at least 100 employees

limited to firms offering health benefits

Analysis unit employee
Sample size 1993: 2,325

1994: 2,135

Response rate 1993: 67%

1994: 69%

Geography 50 states and DC.

allows for regional, but NOT state-level, analyses.

Design two-stage probability sample -- establishments and then occupations within establishments. Occupation categories are grouped by professional, technical, and related; clerical and sales; and blue collar and service
Data collection mode in-person, telephone
Content average employee contribution 

Note: The data are presented as a percentage or average and can be classified by full- and part-time, public/private, small/medium/large private establishments, occupational group, and major industry sectors.

The EBS is being integrated with the Employment Cost Index (ECI) and Occupational Compensation Survey (OCS) into the National Compensation Survey (Comp2000). It will broaden the occupational coverage of the data, allow for state level analyses, and will eventually include information on costs for compensation and benefit plan provisions.


3. Foster-Higgins

Organization Mercer/Foster-Higgins
Contact Mitchell Stein (212) 345-7925 
Type proprietary
Availability/Cost entire database is not available for sale, but extracts can be purchased.

$500 for 1997 report

Time Period annual; most recent: 1997
Reference Period health insurance questions pertain to status as of July 1st of that year.
Scope of coverage private and public firms with at least 10 employees AND who offer health benefits
Analysis unit firm
Sample size 1997: 3,915 respondents (from random sample)
Response rate 50%
Geography all states and DC 

does NOT allow for state-level analyses, but can analyze census regions as well as five CMSA/MSAs (New York City, Chicago, Los Angeles, Dallas, Atlanta).

States can be identified.

Design private firms: random D&B draw stratified by employee size

gov: random draw from COG

convenience: sample of F-H clients

oversample of metro areas to allow for metro-level analyses

Data collection mode mail with telephone follow-up 
Content recent changes to benefit plans 

premium (asked of the largest conventional, HMO, PPO, and POS health plans)

pre-existing condition limitations

covered employees

average age of active employees

industry code


4. NEHIS

Organization NCHS/CDC (conducted by Westat) 
Contact (301) 436-8500
Type confidential
Availability/Cost not yet available to the public (due to confidentiality issues that are yet to be resolved)

check /www.cdc.gov/nchswww/nchshome.htm

Time Period data collected from April to December 1994
Reference Period provision of health insurance and employee characteristics pertain to status as of December 31, 1993.

characteristics of health insurance plan pertain to 1993 plan year (the plan year ending prior to April 1, 1994).

Scope of coverage private/public/self-employed companies (including those with no additional employees)
Analysis unit establishment
Sample size 35,000 private

3,000 public

919 self-employed

Response rate private: 71%

public: 87%

self-employed: 80%

Geography 50 states and DC,

allows for state-level analyses.

States can be identified.

Design private: random draw from D&B

public: random draw from 1992 COG

self-employed: 1993 NHIS

Data collection mode telephone
Content offer health insurance coverage 

recently dropped (for those not offering, when did you last offer?)

premium (probability sample of up to 5 plans)

pre-existing condition limitations (probability sample of up to 5 plans)

covered employees (total and by plan for up to 5 plans)

covered dependents (total and by plan for up to 5 plans) - data of poor quality

industry code

Note: includes information about employers who do not offer insurance

includes information about employers who are self-insured

Citation: National Center for Health Statistics. "Employer-sponsored health insurance: State and National Estimates." Hyattsville, MD. 1997.


5. EHIS-93

Organization Robert Wood Johnson Foundation (conducted by Westat)
Contact ICPSR (313)-763-5010
Type public-use
Availability/Cost available through ICPSR at /www.icpsr.umich.edu/archive1.html (study #=6908)
Time Period data collection: 1993 and early 1994
Reference Period health insurance questions pertain to status at time of survey
Scope of coverage private/public/self-employed establishments
Analysis unit establishment, insurance plan 
Sample size 22,890 establishments

22,465 plans

Response rate 71%
Geography 10 states (CO, FL, MN, NM, NY, ND, OK, OR, VT, WA)

allows for state-specific analyses of these 10 states.

States can be identified.

Design D&B probability sample of public and private employers stratified by employee size
Data collection mode telephone
Content employer offers

premiums (all plans)

pre-existing condition limitations

covered employees (total and by plan)

# of employees with family plans

industry code (open-ended)

age distribution of workers (by sex: % less than <25, 25-54, 55 or older)

Citation: Cantor, J.C., Long, S. H., Marquis, M. S., "Private Employment-based Health Insurance in Ten States," Health Affairs (Summer 1995): 199-211.


6. EHIS-97

Organization Robert Wood Johnson Foundation (conducted by Research Triangle Institute)
Contact Steve Long and Susan Marquis at RAND (202) 296-5000
Type public-use
Availability/Cost not yet available (plan to make available through ICPSR)
Time Period data collection: fall 1996 through 1997
Reference Period health insurance questions pertain to status at time of survey
Scope of coverage private/public/self-employed establishments
Analysis unit establishment, insurance plan 
Sample size 23,000 establishments
Response rate (preliminary estimate) 60%
Geography 48 states and DC (excludes Alaska and Hawaii)

allows for state-level analyses of CA, CT, FL, MA, MN, MD, NJ, NY, OR, WA 

also allow for analyses of 12 CTS intensive sites.

States can be identified.

Design stratify by geography (60 CTS sites, other selected states with significant rating reforms, and rest of nation) and by establishment size using D&B for private and COG for local government.

also used a list sample of firms participating in a health insurance purchasing alliance in CA, CT, FL. 

Data collection mode telephone, mail
Content employer offers

premiums (all plans)

pre-existing condition limitations

covered employees (total and by plan)

industry code

age of workers (% less than 30, 30-39, 40-49, 50 or older)


7. MEPS-IC

Organization AHCPR (conducted by Census Bureau)
Contact MEPS project manager at AHCPR (301) 594-1406
Type public-use
Availability/Cost to be available in fall 1998. 

$265/tape purchase from NTIS (800) 533-6847 or www.ntis.gov/fcpc

Time Period Data collection from March 1997 through November 1997.
Reference Period Health insurance questions such as premiums and enrollment pertain to the pay period that included 7/1/96. Health insurance questions such as annual totals pertain to calendar year 1996. 
Scope of coverage insurance providers identified by respondents in MEPS household component as well as private and government establishments
Analysis unit establishment
Sample size 7,000 insurance providers linked to MEPS household component

27,000 other private

1,900 government

1,000 self-employed

Response rate 70%
Geography 50 states and DC

allows for state-level analyses of 40 states (only 100 cases were sampled in AK, CT, DE, ID, MT, ND, NH, RI, SD, VT and DC)

Design
  1. employers who provide insurance for members of MEPS household component
  2. for remainder, by state: random draw from SSEL, COG, stratified by employee size.
Data collection mode phone call to determine whether they offer ins, then mail followed by telephone follow-up or in-person visit if necessary.
Content offers health insurance

recently dropped or added

premiums (up to 4 plans with highest enrollment)

pre-existing condition limitations (up to 4 plans)

number of enrolled employees (up to 4 plans)

industry code

number of workers 50 years or older

Note: provides person-specific information for sample linked to MEP-HC.

Citation: Cohen, J. W., Monheit, A. C., et al. "The Medical Expenditure Panel Survey: A National Health Information Resource," Inquiry 33: 373-389, 1996/1997.