1 => [ [50, 26, "Ins Company Name"    , ""]],
2 => [ [50, 26, "Ins Street Address"  , ""]],
3 => [ [50, 26, "Ins Street Address 2", ""]],
4 => [ [50, 12, "Ins City" ,""],
       [64,  2, "Ins State",""],
       [67,  5, "Ins Zip"  ,""], ],
6 => [ [57, 22, "Unknown", ""]],
8 => [ [ 1,  1, "Medicare" ,"" , '1'],
       [ 8,  1, "Medicade" ,"" , '1'],
       [15,  1, "Champus"  ,"" , '1'],
       [24,  1, "Champva"  ,"" , '1'],
       [31,  1, "Group Health Plan"  ,"" , '1'],
       [39,  1, "FECA BLK LUNG"      ,"" , '1'],
       [45,  1, "Other"    ,"" , '1'],
       [50, 17, "Insured's I.D. Number"    ,"" , '1a'],  ],