Free-form name

CII01 is the Name of the Insurance Company.

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

CII02 is the Policy Number of the Insurance.

Four position designation of the year expressed as CCYY

CII03 is the Year policy in CII02 was Issued.

Code (Standard ISO) for country in whose currency the charges are specified

CII04 is USD (U.S. Dollars) if not stipulated.

Monetary amount

CII05 is the Amount of the Insurance on policy in CII02.