| Name | Description | Type | Additional information |
|---|---|---|---|
| form | string |
None. |
|
| insType | string |
None. |
|
| insurerID | integer |
None. |
|
| insurer | string |
None. |
|
| policy | string |
None. |
|
| posted | string |
None. |
|
| effective | string |
None. |
|
| canceled | string |
None. |