- Employer premiums broken down per cover and total
- Individual (employee) premiums broken down per cover and total
- Premiums applicable to the previous month = total premiums for plan participants with no changes in the current month
- Contract number: number applicable per insured
- First name and surname of the insured
- Previous premiums: for information purposes
- New premiums: the new premium after regularisation
- Regularisation (negative or positive) from xx/xx/xxxx to xx/xx/xxxx (= the previous month(s))
- Total for plan participant: sum of the new premium and the regularisation for employer and/or individual premiums