| Name | Description | Type | Additional information |
|---|---|---|---|
| InsuranceCompany | string |
None. |
|
| InsuranceIDNumber | string |
None. |
|
| InsuredFirstName | string |
None. |
|
| InsuredMiddleName | string |
None. |
|
| InsuredLastName | string |
None. |
|
| InsuredAddress | RegistrationAddress |
None. |
|
| InsuredDateOfBirth | string |
None. |
|
| InsuredGenderCode | string |
None. |
|
| InsuredPolicyGroupNumber | string |
None. |
|
| InsurancePlanName | string |
None. |