• Employer premiums broken down per cover and total
• Individual (employee) premiums broken down per cover and total
• Contract number: number applicable per insured
• First name and surname of the insured
• Any regularisations (negative or positive) will be shown on a second line: regularisation from xx/xx/xxxx to xx/xx/xxxx (previous month(s))
• Total for plan participant: sum of current premium and regularisation for employer and/or individual premiums