| Label | Type | Description | Mandatory |
| Updated On | CURAM_DATETIME | The date on which the last update was made to the evidence. | No |
| Effective Date of Change | CURAM_DATE | Date which the evidence becomes effective | No |
| Approval Requested | CURAM_INDICATOR | Approval Requested | No |
| Cost Of Coverage | CURAM_AMOUNT | Cost of medical insurance coverage. | No |
| Start Date | CURAM_DATE | Date the medical coverage starts. | No |
| End Date | CURAM_DATE | Date the medical coverage ends. | No |
| Waiting Period | CURAM_INDICATOR | shows whether or not a waiting period applies before coverage can begin under the medical insurance policy. | No |
| Enrollment Date | CURAM_DATE | Date the enrollment commences. | No |
|
| Updated By |
| Label | Type | Description | Mandatory |
| Updated By | USER_NAME | | No |
|
|
|
| Entitlement Details |
| Label | Type | Description | Mandatory |
| Household Member | FULL_NAME | As part of processing claims for a household, all persons who are a part of a household must be recorded as household members. Household members can be selected from previously registered persons or else they can be registered when recording household member evidence. | No |
|
| Comments |
| Label | Type | Description | Mandatory |
| Comments | COMMENTS | | No |
|
