| Name | Description | Type | Additional information |
|---|---|---|---|
| CompanyName | string |
None. |
|
| CompanyContact | string |
None. |
|
| ContactNumber | string |
None. |
|
| Employer | string |
None. |
|
| PolicyNumber | string |
None. |
|
| GroupNumber | string |
None. |
|
| IDNumber | string |
None. |
|
| OnlineAccessCode | string |
None. |
|
| IssueDate | date |
None. |
|
| ExpiryDate | date |
None. |