| Field Description | Field ID |
| Tertiary Last Name | @TILAST |
| Tertiary Insured First Name | @TIFIRST |
| Tertiary Insured Middle Name | @TIMI |
| Tertiary Insured Name (Last, First Middle) | @TINAME1 |
| Tertiary Insured Name (First Middle Last) | @TINAME2 |
| Tertiary Insured Address 1 | @TIADDR1 |
| Tertiary Insured Address 2 | @TIADDR2 |
| Tertiary Insured City | @TICITY |
| Tertiary Insured State | @TISTATE |
| Tertiary Insured Zip | @TIZIP |
| Tertiary Insured Home Phone | @TIHOME |
| Tertiary Insured Work Phone | @TIWORK |
| Tertiary Insured Cell Phone | @TICELL |