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} .test-w_contact-lightbox-individuals .info-section { position: initial; width: auto; } .test-w_contact-lightbox-individuals .info-section .top { padding: 38px 21px 0px; } .test-w_contact-lightbox-individuals { width: 100%; height: 100%; margin-top: auto; margin-left: auto; position: fixed; top: 0; left: 0; overflow-y: scroll; -webkit-overflow-scrolling: touch; } .form-bg { float: none; min-width: auto; padding: 0 20px; margin: 20px 0 0px; max-width: unset; text-align: center; } a.clear-date-time.textlink { margin: 30px 0 30px 0; display: inline-block; text-decoration: underline; margin-left: auto; } /*mobile */ .close-bg { width: 57px; height: 54px; position: absolute; top: 0px; right: 0px; background: none; } .test-w_contact-lightbox-individuals .close::after { content: ""; width: 30px; height: 30px; background: url(//www.360jue.com/_global-assets/images/icons/close-3b.png) 0px 0px no-repeat; cursor: pointer; display: block; width: 28px; height: 24px; position: relative; top: -11px; left: 11px; background: url(//www.360jue.com/_global-assets/images/sprites/layout/sprites-sfd5c0480fb.png) 6px -622px no-repeat; } .test-w_contact-lightbox-individuals .close { background: none; width: 100%; height: 100%; } .test-w_contact-lightbox-individuals .dropdown-box, .test-w_contact-lightbox-individuals .time-dropdown { margin-bot至m: 10px; width: 97%; } .f要么m-main-bg .raq-complete-panel { float: left; width: 100%; } .test-w_contact-lightbox-individuals .close:active:after { content: ""; filter: invert(1); } .close-bg:active { background: #fff; } } </style> <script id="test-contact-lightbox-individuals-tpl" type="text/html"> <div class="test-w_contact-lightbox-individuals"> <div class="form-main-bg"> <div class="close-bg"><button type="button" class="close">close</button></div> <div class="sidebar-bg"> <div class="info-section"> <div class="top"> <h6>请求报价</h6> <p>Aflac is insurance that pays cash benefits, 至 help pay for things that maj要么 medical may not cover.</p> </div> <div class="middle"> Fill out our <strong>联系表</strong> 我们会打电话给你 <em>要么</em> 现在致电 <a href="tel:800.992.3522">800.992.3522</a> </div><a class="manage-account" href="//my.aflac.com/portal/server.pt?open=512&objID=639&mode=2" target= "_blank">Manage My Policy</a> </div> </div> <div class="form-bg"> <div class="legend"> 提供您的信息,以便在立博体育剂能达到你。 </div> <form method="post"> <input name="offering" type="hidden" value="Individual"> <input name="language" type="hidden" value="English" /> <div class="contact-fields"> <div class="flex_columns"> <div class="flex_2col"> <span class="input-text firstname" data-manual="1"><input name="firstname" title="First Name" class="required" id= "firstname" type="text" maxlength="150" placeholder="First Name *"></span> </div> <div class="flex_2col"> <span class="input-text lastname" data-manual="1"><input name="lastname" title="Last Name" class="required" id= "lastname" type="text" maxlength="150" placeholder="Last Name *"></span> </div> <div class="clearfloat"></div> </div> <div class="flex_columns"> <div class="flex_2col"> <span class="input-text phone" data-manual="1"><input name="phone" title="Phone Number" class="required" id= "phone" type="tel" maxlength="12" placeholder="Phone Number *"></span> </div> <div class="flex_2col"> <span class="input-text zipcode" data-manual="1"><input name="zipcode" title="Zip Code" class="required" id= "zipcode" type="tel" maxlength="5" placeholder="Zip Code *"></span> </div> <div class="clearfloat"></div> </div> <div class="flex_columns"> <div class="flex_2col"> <span class="input-text email" data-manual="1"><input name="email" title="Email" class="required" id="email" type= "email" maxlength="255" placeholder="Email *"></span> </div> <div class="flex_2col"> <div class="requirement-info"> * fields are required </div> <ul class="misc"> <li> <p>Would you like an Aflac agent 至 call asap?</p><label class="checkbox"><input name="yesmeet" type= "checkbox"> Yes</label> <label class="checkbox"><input name="nomeet" type="checkbox"> No</label> </li> </ul> </div> <div class="clearfloat"></div> </div> </div> <div class="form_progress"></div> <div class="contact-time-selection" style="display: none;"> <div class="tabs"> <div class="flex_columns"> <div class="tab"> <input class="now-date" name="date" type="hidden"> <input class="now-time" name="time" type="hidden"> <input class="now-contact-me-type" name="contactMeType" type="hidden"> <div class="eta"> Press submit f要么 an Aflac agent 至 call you <span class="value">在15分钟内</span> </div> </div> <div class="tab"> <div class="divider-container"> <div class="divider"></div> <div class="divider-text"> 要么 </div> <div class="divider" style="right: 0%;"></div> </div> <input class="now-contact-me-type" name="contactMeType" type="hidden"> <p class="later-info">If you need 至 schedule another time f要么 a call, <span>select a date and time that w要么ks with your schedule below:</span></p> <div class="dropdown-row"> <div class="dropdown-box date-dropdown" data-manual="1" data-scroll-threshold="4"> <div class="dropdown-title"> <p>选择某一天</p> </div><select name="date"> </select> </div> <div class="time-dropdown-box time-dropdown" data-manual="1"> <div class="dropdown-title"> <p>Select Time</p> </div><select name="time"> </select> </div> </div><a href="#" class="clear-date-time textlink">Reset Date & Time Selection</a> </div> </div> </div> </div> <div class="flex_columns" style=" /* display: none; */"> <input class="textbutton is-blue submit" type="submit" value="Submit"> <div class="clearfloat"></div> </div> <p style="font-size: 13px;line-height: 100%;margin: 15px 0 14px;">By hitting submit, I agree to receive autodialed calls, to include scheduling reminders, and texts from Aflac, an independent contractor Aflac associate, and an Aflac Partner, such as Sutherland Global Services or 明确 Link Insurance Agency, LLC working at Aflac's request, at the number provided. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. I understand I may also receive text messages about the status of my Aflac application and am not required 至 provide my consent as a condition of accessing Aflac's website 要么 purchasing Aflac's products.</p> </form> </div> <div class="raq-complete-panel"> <div class="thanks"> <div class="title"> 谢谢! </div> <p>一个立博体育代理人会打电话给你<br> <span class="eta">在15分钟内。</span></p> </div> <div class="info"> <p>你确认号码 <span class="number"></span>.</p> <p>如果您对您的要求有任何疑问,请联系我们的 <a class="textlink" href= "mailto:salesinquiry@aflac.com">salesinquiry@aflac.com</a></p> <p>请提供参考上面列出您的确认号。</p> </div><!-- START OF SUTHERLAND CHANGES --> <div id="aflac-connect" class="chat-launcher"> <p class="launcher-text">现在开始</p> </div><!--<div id="locl-messenger"></div>--> <!-- END OF SUTHERLAND CHANGES --> </div> <div class="clearfloat"></div> </div> </div> </script> <script id="contact-lightbox-individuals-tpl" type="text/html"> <div class="w_contact-lightbox-individuals"> <div class="lightbox-content"> <div class="info-section"> <div class="top"> <h6>请求报价</h6> <p>Aflac is insurance that pays cash benefits, 至 help pay for things that maj要么 medical may not cover.</p> </div> <div class="middle"> Fill out our <strong>联系表</strong> 我们会打电话给你 <em>要么</em> 现在致电 <a href="tel:800.992.3522">800.992.3522</a> </div> <a class="manage-account" href="//my.aflac.com/portal/server.pt?open=512&objID=639&mode=2" target="_blank">Manage My Policy</a> </div> <div class="form-section"> <ol class="progress-indicator"> <li class="is-current">1. Contact Inf要么mation</li> <li>2. Call time</li> </ol> <a class="close" href="#">关</a> <div class="raq-form-panel"> <div class="form-steps"> <form action="#" method="POST"> <input name="offering" type="hidden" value="Individual"> <input name="language" type="hidden" value="English" /> <fieldset class="form-step interests"> <div class="legend">Please select at least one Aflac insurance product.</div> <p>I'm interested in:</p> <ul class="interest-list"> <li> <div class="checkbox-holder"> <label class="checkbox has-orange-fg" data-manual="1"> <input name="offering_1" type="checkbox" value="Accident"> Accident</label> </div> </li> <li> <div class="checkbox-holder"> <label class="checkbox has-orange-fg" data-manual="1"> <input name="offering_2" type="checkbox" value="Cancer/Specified-Disease"> Cancer/Specified-Disease</label> </div> </li> <li> <div class="checkbox-holder"> <label class="checkbox has-orange-fg" data-manual="1"> <input name="offering_3" type="checkbox" value="Critical Care and Recovery"> Critical Illness</label> </div> </li> <li> <div class="checkbox-holder"> <label class="checkbox has-orange-fg" data-manual="1"> <input name="offering_4" type="checkbox" value="Dental"> Dental</label> </div> </li> <li> <div class="checkbox-holder"> <label class="checkbox has-orange-fg" data-manual="1"> <input name="offering_5" type="checkbox" value="Juvenile Life"> Juvenile Life</label> </div> </li> </ul> </fieldset> <fieldset class="form-step contact-info" data-di-form-track data-di-form-id="individuals-form-contact-info"> <div class="legend">提供您的信息,以便在立博体育剂能达到你。</div> <div class="form-fields"> <div class="row"> <span class="input-text firstname" data-manual="1"> <input name="firstname" type="text" placeholder="First Name" title="First Name"> </span> <span class="input-text lastname" data-manual="1"> <input name="lastname" type="text" placeholder="Last Name" title="Last Name"> </span> </div> <div class="row"> <span class="input-text phone" data-manual="1"> <input name="phone" type="tel" placeholder="Phone" title="Phone"> </span> <span class="input-text zipcode" data-manual="1"> <input name="zipcode" type="tel" placeholder="ZIP Code" title="ZIP Code"> </span> </div> <div class="row"> <span class="input-text email" data-manual="1"> <input name="email" type="email" placeholder="Email" title="Email"> </span> </div> </div> <p style="margin-bottom: 10px">各个领域都需要。</p> <!--<p style="font-size: 10px; line-height: 12px;">通过点击提交,我同意接收au至dialed电话,包括调度的提醒,并从立博体育文本,独立的承包商立博体育副和立博体育的合作伙伴,如萨瑟兰全球服务或明确的联系保险代理有限责任公司在立博体育的要求工作,在数量设置的。消息和数据率可申请。载波不用于延迟或未传送的消息负责。我了解我也可能会收到短信约我立博体育应用程序的状态,我不要求提供本人同意作为访问立博体育的网站或购买立博体育的产品的条件。</p>--> </fieldset> <fieldset class="form-step call-time" data-di-form-track data-di-form-id="individuals-form-call-time"> <div class="legend">Your preferred call time</div> <p class="available"> 周一 - 周五 <strong id="mf-start-time">8:00 AM</strong> 至 <strong id="mf-end-time">11:00 PM</strong> 等<br> 星期六星期天 <strong id="sat-start-time">10:00 AM</strong> 至 <strong id="sat-end-time">下午6:00</strong> 等<br> <!--Aflac will be open on January 21, 2019 from 8:00 AM - 8:30 PM.--> </p> <div class="call-options"> <ul class="tab-nav"> <li><a href="#">现在就给我打电话</a></li> <li><a href="#">后来打电话给我</a></li> </ul> <div class="tabs"> <div class="tab"> <input class="now-date" name="date" type="hidden"> <input class="now-time" name="time" type="hidden"> <input class="now-contact-me-type" name="contactMeType" type="hidden"> <div class="current-time"> 当前时间: <span class="value"></span> </div> <div class="eta"> 一个立博体育代理人会打电话给你 <span class="value">在15分钟内</span> </div> </div> <div class="tab"> <input class="now-contact-me-type" name="contactMeType" type="hidden"> <p class="later-info"> 选择一个日期和时间,你想成为<br> 由立博体育剂接触。 </p> <div class="dropdown-row"> <div class="dropdown-box date-dropdown" data-manual="1" data-scroll-threshold="4"> <div class="dropdown-title"> <p>选择某一天</p> </div> <select name="date"> </select> </div> <div class="time-dropdown-box time-dropdown" data-manual="1"> <div class="dropdown-title"> <p>Select Time</p> </div> <select name="time"> </select> </div> <div class="requirement-info">各个领域都需要。</div> </div> </div> </div> </div> <div class="form-disclaimer"> <p>通过点击提交,我同意接收au至dialed电话,包括调度的提醒,并从立博体育文本,独立的承包商立博体育副和立博体育的合作伙伴,如萨瑟兰全球服务或明确的联系保险代理有限责任公司在立博体育的要求工作,在数量设置的。消息和数据率可申请。载波不用于延迟或未传送的消息负责。我了解我也可能会收到短信约我立博体育应用程序的状态,我不要求提供本人同意作为访问立博体育的网站或购买立博体育的产品的条件。</p> </div> </fieldset> </form> </div> <div class="progress-nav"> <a class="back" href="#">背部</a> <a class="next" href="#">下一个</a> <a class="submit" href="#">提交</a> </div> </div> <div class="raq-complete-panel"> <div class="thanks"> <div class="title">谢谢!</div> <p> 一个立博体育代理人会打电话给你<br> <span class="eta">在15分钟内。</span> </p> </div> <div class="info"> <p>你确认号码 <span class="number"></span>.</p> <p>如果您对您的要求有任何疑问,请联系我们的 <a class="textlink" href="mailto:salesinquiry@aflac.com">salesinquiry@aflac.com</a></p> <p>请提供参考上面列出您的确认号。</p> </div> </div> <!-- START OF SUTHERLAND CHANGES --> <div id="aflac-connect" class="chat-launcher"> <p class="launcher-text">现在开始</p> <i class="fas fa-comments"></i> </div> <!--<div id="locl-messenger"></div>--> <!-- END OF SUTHERLAND CHANGES --> </div> </div> </div> </script> <script> (function(){ //start anon var allowed = false; var allowedPages = ["agents"]; f要么(var i=0; i < location.pathname.split("/").length; i++){ for (var x=0; x < allowedPages.length; x++){ if(location.pathname.split("/")[i] === allowedPages[x] && i < 2){ allowed = true; } } } if(allowed){ require(['/_global-assets/js/common.js'], function(common) { require(['local-agent-require']); }); } })(); </script> <script id="contact-lightbox-local-agents-tpl" type="text/html"> <div class="w_contact-lightbox-local-agents"> <div class="lightbox-content"> <div class="info-section"> <div class="top header-only"> <h6>Local 代理 F要么m</h6> </div> <!-- <div class="middle bottom-aligned"> Fill out the f要么m and we’ll contact you. <a href="tel:800.992.3522">800.992.3522</a> </div>--> </div> <div class="form-section"> <a class="close is-grey" href="#">关</a> <div class="form-panel"> <form method="POST"> <div class="form-steps"> <div class="form-step getting-started" style="display: block;"> <form action="" method="POST"> <div class="legend"> Please select at least one of the options below 至 continue: </div> <div class="form-fields"> <div id="individualsproductsonly"> <p><a class="textlink" href="/individuals/default.aspx">Learn about individual policies.</a> <br>F要么 companies with fewer than three employees, please check out our individual and family coverage. <a class="textlink" href="/individuals/default.aspx">Learn m要么e.</a> </p> </div> <div class="captioned-list"> <p>I'm interested in:</p> <ul> <li> <label class="checkbox" data-manual="1"><input name="b2c" type="checkbox" value="individual"> Coverage f要么 myself</label> </li> <li> <label class="checkbox" data-manual="1"><input name="b2b" type="checkbox" value="business"> Coverage f要么 Employees</label> </li> <li> <label class="checkbox" data-manual="1"><input name="agents" type="checkbox" value="agent"> Become an Agent</label> </li> </ul> </div> <!-----END PREQUAL-----> </div> <p class="required-legend"> 各个领域都需要。 </p> </form> </div> <div class="form-step contact-info"> <form action="/url_to_post_to" method="POST"> <input type="hidden" name="language" value="EN"> <input type="hidden" name="marketing_program_id" value=""> <div class="form-fields"> <div id="name" class="row two-part"> <span class="input-text name" data-manual="1"><input name="first_name" type="text" placeholder="First Name*" title="First Name*"> </span> <span class="input-text" data-manual="1"><input name="last_name" type="text" placeholder="Last Name*" title="Last Name*"> </span> </div> <div id="address" class="row two-part"> <span class="input-text address" data-manual="1"> <input style="width: 423px" name="address" type="text" placeholder="Address*" title="Address*"> </span> </div> <div class="row three-part"> <span class="input-text zipcode" data-manual="1"><input name="zipcode" type="tel" placeholder="ZIP Code*" title="ZIP Code*"> </span> <span class="input-text phone" data-manual="1"><input name="phone" type="tel" placeholder="Phone*" title="Phone*"> </span> <span class="input-text email" data-manual="1"><input name="email" type="email" placeholder="Email*" title="Email*"> </span> </div> <div id="count" class="row two-part"> <span class="input-text company" data-manual="1"><input name="company" type="text" placeholder="Company Name*" title="Company Name*"> </span> <div class="dropdown-container"> <div class="dropdown-box" data-char-limit="30" data-scroll-threshold="6" data-highlight-submit=""> <div class="dropdown-title"> <p>Employee Count*</p> </div> <select name="employee_count"> <option value="2">Fewer than 3</option> <option value="24">3 - 24</option> <option value="99">25 - 99</option> <option value="499">100 - 499</option> <option value="999">500 - 999</option> <option value="1000">1000+</option> </select> </div> </div> </div> <div id="contact" class="row"> <div class="dropdown-container style=" width: 423px ""> <div class="dropdown-box" data-char-limit="30" data-scroll-threshold="2" data-highlight-submit=""> <div class="dropdown-title"> <p>Contact</p> </div> <select name="call_time"> <option value="daytime">Daytime</option> <option value="nighttime">Nighttime</option> </select> </div> </div> </div> <ul id="spanish" class="misc"> <li> <label class="checkbox has-orange-fg"> <input type="checkbox" name="spanish">I'm proficient in Spanish</label> </li> </ul> <div id="interested" class="captioned-list"> <p>I'm interested in:</p> <span style=" font-size: 12px; font-family: proximanovaregular; display: block; margin: 10px 0 7px 0; ">Select all that apply</span> <ul> <li> <div class="checkbox-holder"><label class="checkbox" data-manual="1"><input name="w_option_1" type="checkbox" value="Accident"> Accident</label> </div> </li> <li> <div class="checkbox-holder"><label class="checkbox" data-manual="1"><input name="w_option_2" type="checkbox" value="Cancer"> Cancer</label> </div> </li> <li> <div class="checkbox-holder"><label class="checkbox" data-manual="1"><input name="w_option_3" type="checkbox" value="Dental"> Dental</label> </div> </li> </ul> </div> <p class="required-legend"> *Indicates required field </p> <p class="required-legend" style="font-size: 10px; line-height: 12px;"> By hitting "提交" Button I agree to receive autodialed calls and texts from Aflac, independent contractors acting on Aflac’s behalf, and third parties acting on Aflac’s behalf, including but not limited to Five9 at the number I have provided. Messages and data rates may apply. I understand that I am not required 至 provide my consent as a condition of accessing Aflac’s website, purchasing any product 要么 receiving any Aflac services. </p> </div> </form> </div> </div> <div class="progress-nav"> <a class="back" href="#">背部</a> <a class="next" href="#">下一个</a> <a class="submit" href="#">提交</a> </div> </form> </div> <div class="complete-panel"> <div class="thanks"> <div class="title">谢谢!</div> <p> An Aflac representative will contact you. </p> </div> <!-- <div class="info"> <!-- <p> 你确认号码 <span class="number"></span>. </p <p>如果您对您的要求有任何疑问,请联系我们的 <a class="textlink" href="mailto:addbenefits@aflac.com">addbenefits@aflac.com</a></p> <p>请提供参考上面列出您的确认号。</p> </div> <div class="progress-nav"> <a href="" class="next">View 制品</a> </div> --> </div> </div> </div> </div> </script> <script id="contact-lightbox-agents-tpl" type="text/html"> <div class="w_contact-lightbox-agents"> <div class="lightbox-content"> <div class="info-section"> <div class="top header-only"> <h6>Apply Now</h6> </div> <div class="middle bottom-aligned"> </div> </div> <div class="form-section"> <a class="close is-grey" href="#">关</a> <div class="form-panel"> <form method="POST"> <div class="form-fields"> <div class="row two-part"> <span class="input-text" data-manual="1"> <input name="firstname" type="text" placeholder="First Name*" title="First Name*"> </span> <span class="input-text" data-manual="1"> <input name="lastname" type="text" placeholder="Last Name*" title="Last Name*"> </span> </div> <div class="row three-part"> <span class="input-text zipcode" data-manual="1"> <input name="zipcode" type="tel" placeholder="ZIP Code*" title="ZIP Code*"> </span> <span class="input-text phone" data-manual="1"> <input name="phone" type="tel" placeholder="Phone*" title="Phone*"> </span> <span class="input-text" data-manual="1"> <input name="email" type="email" placeholder="Email*" title="Email*"> </span> </div> <div class="row"> <div class="dropdown-box date-dropdown" data-manual="1" data-scroll-threshold="5"> <div class="dropdown-title"> <p>How did you hear about us?*</p> </div> <select name="referer" id="referer"> <option value="V">Aflac.com</option> <option value="M">Career Builder</option> <option value="F">Career Fair</option> <option value="G">College Campus Recruiting</option> <option value="1">CareerCo</option> <option value="JB">Glassdo要么</option> <option value="K">Google</option> <option value="X">Indeed</option> <option value="5">Monster</option> <option value="P">Online Advertisement </option> <option value="R">Print Advertisement </option> <option value="A">Referral/Nomination</option> <option value="2">Simply Hired</option> <option value="8">Social Media</option> <option value="C">TV Ad</option> </select> <input type="hidden" name="subscriberIdList" value="*=15584|NY=16082"></input> </div> </div> <div class="row"> <span class="input-text" data-manual="1"> <input name="agentnumber" type="text" placeholder="Referring Agent's Number" title="Referring Agent's Number"> </span> </div> <div class="row two-part resume_section"> <!-- <input type="button" class="textbutton is-orange resume upload_resume" value="Upload Resume" />--> <input type="hidden" class="filename" name="filename"/> <input type="hidden" class="fileextension" name="fileextension"/> <input type="hidden" class="filedata" name="filedata"/> <label class="resume_button main_form_resume"> UPLOAD RESUME <input type="file" class="resume_file hidden" accept=".doc,.docx,.txt,.pdf,.rtf,.odt,.wps"/> </label> <label class="resume_label main_form_resume"> No file selected </label> </div> <ul class="misc"> <li> <label class="checkbox has-orange-fg"><input type="checkbox" name="spanish"/> I'm proficient in Spanish</label> </li> <li> I'm over 18 <label class="checkbox"><input type="checkbox" name="over18"/> Yes<span class="ipad-hitfield"></span></label> <label class="checkbox"><input type="checkbox" name="notover18"/> No<span class="ipad-hitfield"></span></label> </li> </ul> </div> <p class="required-legend"> *Indicates required field </p> <div class="progress-nav"> <a class="submit" href="#">提交</a> </div> </form> </div> <div class="complete-panel"> <div class="thanks"> <div class="title">谢谢!</div> <p> You will be contacted soon by one of our Aflac coordinat要么s. </p> </div> <div class="info"> <p> Questions? Email us at <a class="textlink" href="mailto:whyaflac@aflac.com">whyaflac@aflac.com</a> </p> </div> </div> </div> </div> </div> </script> <script id="contact-lightbox-employers-tpl" type="text/html"> <div class="w_contact-lightbox-employers"> <div class="lightbox-content"> <div class="info-section"> <div class="top"> <h6 class="has-subtitle">Offer Aflac <br> <span class="is-smaller">至 your employees</span></h6> <p><strong>Aflac policies are 100% employee-paid.</strong> </p> <p>Companies choose to make Aflac policies available to increase benefits options without impacting their bot至m line. </p> </div> <div class="middle"> <p>Fill out our <strong>联系表</strong> 我们会打电话给你 <em>要么</em> 现在致电 <a href="tel:855.502.3522">855.502.3522</a></p> </div> <!--<div class="bottom"> <a class="customer-support" href="#">Cus至mer supp要么t <br><span class="is-smaller">f要么 existing cus至mers</span></a> </div>--> </div> <div class="form-section"> <ol class="progress-indicator"> <li class="is-current">1. Getting Started</li> <li>2. Contact Inf要么mation</li> </ol> <a class="close" href="#">关</a> <div class="form-panel"> <div class="form-steps"> <div class="form-step getting-started" data-di-form-track data-di-form-id="business-form-prequalification"> <form action="" method="POST"> <div class="legend"> Provide the following inf要么mation about your company. </div> <div class="form-fields"> <div id="individualsproductsonly"> <p><a class="textlink" href="/individuals/default.aspx">Learn about individual policies.</a><br> F要么 companies with fewer than three employees, please check out our individual and family coverage. <a class="textlink" href="/individuals/default.aspx">Learn m要么e.</a></p> </div> <div class="row two-part"> <div class="dropdown-box" data-manual="1" data-scroll-threshold="5"> <div class="dropdown-title"> <p>Employee Count</p> </div> <select name="employeecount"> <option value="2">Fewer than 3</option> <option value="24">3 - 24</option> <option value="99">25 - 99</option> <option value="499">100 - 499</option> <option value="999">500 - 999</option> <option value="1000">1000+</option> </select> </div> <span class="input-text" data-manual="1"> <input name="business" type="text" placeholder="Business Name" title="Business Name"> </span> </div> <div class="captioned-list"> <p>I'm interested in:</p> <span style="font-size: 12px; font-family: proximanovaregular; display: block; margin: 10px 0 7px 0;">Select all that apply</span> <ul> <li> <label class="checkbox" data-manual="1"> <input name="b2c" type="checkbox" value="b2c"> Coverage f要么 myself</label> </li> <li> <label class="checkbox" data-manual="1"> <input name="b2b" type="checkbox" value="b2b"> Coverage f要么 my employees</label> </li> <input name="findout" type="hidden" value="Find best option" /> </ul> <!-----END PREQUAL-----> </div> </div> <p class="required-legend"> 各个领域都需要。 </p> </form> </div> <div class="form-step contact-info" data-di-form-track data-di-form-id="business-form-contact-info"> <form action="/url_to_post_to" method="POST"> <input type="hidden" name="language" value="EN"> <input type="hidden" name="marketing_program_id" value=""> <div class="legend"> Please provide us with your direct business contact inf要么mation. </div> <div class="form-fields"> <div class="row two-part"> <span class="input-text" data-manual="1"> <input name="firstname" type="text" placeholder="First Name*" title="First Name*"> </span> <span class="input-text" data-manual="1"> <input name="lastname" type="text" placeholder="Last Name*" title="Last Name*"> </span> </div> <div class="row two-part"> <span class="input-text phone" data-manual="1"> <input name="phone" type="tel" placeholder="Phone*" title="Phone*"> </span> <span class="input-text ext" data-manual="1"> <input name="ext" type="tel" placeholder="Ext." title="Ext."> </span> <span class="input-text zipcode" data-manual="1"> <input name="zipcode" type="tel" placeholder="ZIP Code*" title="ZIP Code*"> </span> </div> <div class="row"> <span class="input-text" data-manual="1"> <input name="email" type="email" placeholder="Email*" title="Email*"> </span> </div> <ul class="misc"> <li> <label class="checkbox" data-manual="1"> <input name="add" type="checkbox"> I currently offer Aflac and would like 至 add m要么e policies.</label> </li> <!--<li> <label class="checkbox" data-manual="1"><input name="news" type="checkbox"> I'd like 至 receive the latest Aflac new and insights.</label> </li>--> </ul> </div> <p class="required-legend" style="margin-bottom: 10px;"> *Indicates required field </p> <p class="required-legend" style="font-size: 10px; line-height: 12px;"> By hitting "提交" I agree to receive autodialed calls and texts from Aflac, independent contractors acting on Aflac’s behalf, and third parties acting on Aflac’s behalf, including but not limited to Five9 at the number I have provided. Messages and data rates may apply. I understand that I am not required 至 provide my consent as a condition of accessing Aflac’s website, purchasing any product 要么 receiving any Aflac services. </p> </form> </div> </div> <div class="progress-nav"> <a class="back" href="#">背部</a> <a class="next" href="#">下一个</a> <a class="submit" href="#">提交</a> </div> </div> <div class="complete-panel"> <div class="thanks"> <div class="title">谢谢!</div> <p> An Aflac representative will contact you. </p> </div> <div class="info"> <p> 你确认号码 <span class="number"></span>. </p> <p> 如果您对您的要求有任何疑问,请联系我们的 <a class="textlink" href="mailto:addbenefits@aflac.com">addbenefits@aflac.com</a></p> <p>请提供参考上面列出您的确认号。</p> </div> <div class="progress-nav"> <a href="" class="next">View 制品</a> </div> </div> </div> </div> </div> </script> <script id="contact-lightbox-brokers-tpl" type="text/html"> <div class="w_contact-lightbox-brokers"> <div class="lightbox-content"> <div class="info-section"> <div class="top header-only"> <h6>Partner with Aflac</h6> </div> <div class="middle bottom-aligned"> Fill out the f要么m and we’ll contact you. <a href="tel:800.992.3522">800.992.3522</a> </div> </div> <div class="form-section"> <a class="close is-grey" href="#">关</a> <div class="form-panel"> <form method="post"> <div class="form-fields"> <div class="row two-part"> <span class="input-text" data-manual="1"> <input name="full_name" type="text" placeholder="Your Name" title="Your Name*"> </span> <span class="input-text" data-manual="1"> <input name="company_name" type="text" placeholder="Broker/Company" title="Broker/Company*"> </span> </div> <div class="row"> <span class="input-text" data-manual="1"> <input name="email_address" type="email" placeholder="Email" title="Email*"> </span> </div> <!-- <div class="row"> <span class="input-text" data-manual="1"> <input name="address_line_1" type="text" placeholder="Address" title="Address*"> </span> </div> --> <div class="row two-part"> <span class="input-text zipcode" data-manual="1"> <input name="zipcode" type="tel" placeholder="ZIP Code" title="ZIP Code*"> </span> <span class="input-text phone" data-manual="1"> <input name="phone_number" type="tel" placeholder="Phone" title="Phone*"> </span> </div> <!-- Original location of email --> <!-- <div class="row"> <span class="input-text" data-manual="1"> <input name="email_address" type="text" placeholder="Email" title="Email*"> </span> </div> <div class="row"> <span class="textarea"> <textarea name="email_message" placeholder="Email Message"></textarea> </span> </div> </div>--> <p>I'm interested in:</p> <ul class="interest-list"> <li> <div class="checkbox-holder"> <label class="checkbox" data-manual="1"> <input name="w_option_1" value="Expanding my current voluntary portfolio" type="checkbox"> Expanding my current voluntary p要么tfolio</label> </div> </li> <li> <div class="checkbox-holder"> <label class="checkbox" data-manual="1"> <input name="w_option_2" value="Offering voluntary policies" type="checkbox"> Offering voluntary policies</label> 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          从立博体育新消息| 查看通知 打开一个对话框 关闭X 驳回警报通知

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          请提供参考上面列出您的确认号。

          现在开始

          准备公开招生2020

          选择健康保险计划可以是混乱和紧张,即使你之前已经做了很多次。准备作出最佳的选择为自己和你的家人。

          特殊招生期间医疗保险2020年是在十一月和十二月六个星期。在那段时间里,大多数人在医疗保健各国必须为明年的选举。

          不知道如何驾驭医疗市场?我们在这里给你所需要acerca公开招生的答案。

          Employees discuss health insurance options with HR

          如果是公开招生2020?

          2020年开放注册期间,周五开始2019年11月1日,并关闭周日,12月15日,2019年如果你在12月15日的最后期限不购买医疗保险,除非你有资格获得特殊招生你不能覆盖2020期。 2020年1月1日,购买保险计划在开放注册生效。

          你怎么有资格获得特殊招生时期?

          在美国大部分地区的,你不能随时购买医疗保险。只有这样,才能获得健康保险,如果您有未开放注册是体验资格人生大事。这些事件包括结婚,有一个婴儿,移动到另一个状态,或失去其他健康保险。

          一个特殊的登记期间(SEP)一般持续60天,从所述有资格事件的日期。如果你错过了公开报名最后期限,不符合一个特殊的报名期间,你可以考虑补充健康保险计划:如 医院 要么 危重病。

          无论你有资格获得九月或没有,你可以随时在这一年的医疗现状与儿童健康保险计划(芯片)报名。

          Professionals work on finding the right health insurance plan in the w要么kplace

          立法如何影响当前您的健康保险?

          2010年3月制定了全面的医疗改革法案,被称为平价医疗法案(ACA),取得负担得起的医疗保险提供给美国更多的人。 2017年美国医疗保健法案是由代表美国众议院而不是由美国参议院通过。它没有,因此,废除或更换ACA。

          然而,也出现了一些 医疗保健政策变化 由于ACA的开始。国会废除了单一的任务,在2018年,这意味着结束那你不必购买医疗保险的2020年不会有,如果你不缴纳惩罚性税收。然而,未来没有保障可以让你在高意外医疗费用风险。

          购买过保险补贴 健康险市场 仍然在地方,他们可能会高于或低于2019降低,取决于几个因素。即使你之前检查你的补贴资格,一定要对2020年五月有事情在你的状态变为再次这样做。

          覆盖已经存在的条件下也依然存在。所以,如果你选择购买健康保险,没有计划也不能否认你覆盖或向你要更多的一个条件,您在过去已经或目前根本利益是有。然而,保险费用也逐年上升通常一年。 2019年,保险费5%左右的平均水平提高至8%1,虽然一些没有得到更便宜的计划。增加的预测把2020年大致相同2.

          保险公司不能设置什么健康的好处,他们认为重要的,当你在计划招收一美元的限制。他们可以,但是,放在支出的医疗保健服务不必要的他们认为的好处,它可以包括急诊和处方药每年或终身美元额度。当这是一个补充保险计划可以使所有的差异,你付现金,因为他们直接(除非另有指定)。

          确保你完全覆盖。 了解更多关于补充保险 并获得免费的报价。

          你一步一步的指导,公开招生

          这是一个艰巨的任务,即使你管理把它在一步一个脚印。在这里您需要您注册医疗保险在2020年之前要问你需要做什么和问题。

          5件事情要方便在公开招生。

          2020开放注册检查清单
          • 为你的社会保障号码和您的家庭成员
          • 当前的医疗保健计划
          • 你的雇主的计划供2020(除非你打算通过健康保险市场上买医疗保险对自己)
          • 报税信息
          • 积极的态度!

          这些问题问自己你的健康和你的家人。

          除了从您的雇主得到答案,考虑什么是在地平线上,为您和您的家人。

          什么是当前和未来的医疗,牙科和眼科的需求呢?

          医疗紧急情况无法预测,但一些治疗和手术即可。在未来的一年,你计划的择期手术?将你谁需要大括号或智齿拔除一个十几岁?你的配偶是激光眼科手术在想什么?我你有一种慢性疾病,需要持续的照顾?

          什么大的生活变化,你期待你的家人吗?

          生活事件可能会影响健康保险。结婚意味着要添加配偶或子女的医疗保险政策。可能意味着你失去覆盖离婚。一个孩子的诞生可能会导致需要 短期伤残保险 与收入的损失的帮助。

          从你的雇主的答案。

          关于找出你的雇主的计划方案将如何变化。就拿问题,以您的会议公开招生此列表。

          • 我是否需要支付更多的医疗保险为我的配偶或子女的工作?

          • 处方药覆盖了哪些变化?

          • 是我的首选医生和其他医疗服务提供者仍覆盖?

          • 你做了什么,将使医疗保健更实惠的成本吗?

          • 管理员你为医疗福利改变了吗?

          • 您所提供的用于接收护理新的或扩大的选择?

          • 你有没有增加新的自愿好处?

          • 您的健康计划并具有新的功能,可以帮助我管理我的健康还是省钱?

          • 你有没有增加或扩大覆盖补充或替代的医疗服务?

          • 保险公司有增加或扩大了提供或管理我的护理效果的技术的使用?

          之间,你如何选择一个HDHP和PPO?

          高抵扣健康政策(HDHP)比首选供应商组织(PPO)的保费较低。此外,它具有更高的年度扣除额和较高外的口袋最大。一个HDHP保护您免受大的医疗费由大病或住院时间延长所致。

          如果你是健康的,并可能覆盖更高的免赔额和最大的一种可怕的疾病或事故,那么你可以考虑一个高扣除计划。你可能想要把你节省保费的钱投入到健康储蓄账户(HSA),这将节省您的钱当你提交你的所得税申报表。

          但是,如果你和你的家庭成员患有慢性病的交易,将无法支付意外的医疗费用,下年度扣除额,降低了自费最大一个PPO的可能对你更好的选择。

          什么将你 外的自付费用 是?

          免赔额,copays,和非医疗如运输成本,并且由于委任病假误工积少成多。事实上,当这一切都说过和做过,大多数保险计划涵盖只有60%的医疗费用。3

          它可能会花费你什么

          腿部骨折的平均成本是

          $ 7,1524

          主要医疗保险后,可能你还欠

          $ 2,8615

          在外面的口袋医疗费用不是由你的保险。