Pre-Analysis Plan for Endline Data in the Indian Health Insurance Experiment (amended) Note: This version amends the original version, posted March 14, 2019. The original, time …

We present the analysis plan for the Indian Health Insurance Experiment (IHIE). The IHIE is a randomized controlled trial examining the impacts of expanding Rastriya Swasthya Bima Yojana (RSBY), India’s first large, national public health insurance program. RSBY is an insurance plan that covers INR 30,000 of hospital expenses per year for a family of up to 5 individuals. Begun in 2013, the IHIE randomized roughly 11,000 above poverty line (APL) households in two districts of Karnataka into four treatment arms that provided different levels of access to RSBY. The four arms were:(A) free RSBY,(B) access to RSBY for roughly INR 200 plus an unconditional cash grant of INR Rs. 200,(C) access to RSBY for roughly INR 200 (the premium for RSBY), and (D) no intervention. The study also randomized the fraction of villages within each arm to address spillover effects. We examine impacts on insurance uptake, utilization, finances (including out-ofpocket expenses), and health. We present the questions we address, the outcomes of interest, and our econometric strategy.