The Employer sub-category, found under the Insured sub-category, corresponds to the insured patient's other employer within the Patient section of the application under Other Insured.
| Name | Description |
| Address Line 1 | Associated with the first "Address" field. |
| Address Line 2 | Associated with the second "Address" field. |
| City | Associated with the "City" field. |
| Name | Associated with the "Employer Name" field. |
| State | Associated with the "State" field. |
| Status | Displays the selected option in the "Employed Status" selection field. |
| Zip Code | Associated with the "Zip" field. |