{"id":1924,"date":"2022-05-12T10:20:54","date_gmt":"2022-05-12T15:20:54","guid":{"rendered":"https:\/\/healthdepotassociation.com\/awa-plans\/?page_id=1924"},"modified":"2022-05-12T11:23:07","modified_gmt":"2022-05-12T16:23:07","slug":"accident-insurance-benefits","status":"publish","type":"page","link":"https:\/\/healthdepotassociation.com\/awa-plans\/accident-insurance-benefits\/","title":{"rendered":"Accident Insurance Benefits Accessible Through AWA"},"content":{"rendered":"<div id=\"pl-1924\"  class=\"panel-layout\" ><div id=\"pg-1924-0\"  class=\"panel-grid panel-has-style\" ><div class=\"landingpage__row panel-row-style panel-row-style-for-1924-0\" ><div id=\"pgc-1924-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-1924-0-0-0\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce panel-first-child\" data-index=\"0\" ><div class=\"textwidget\"><p>Accident insurance benefits help you prepare for the unexpected and provide an affordable way for individuals and families to be protected from the extra expenses that can come after an accident.<\/p>\n<p>Recovering from an accident is hard enough without the added stress unforeseen expenses can bring. Accident insurance can help ease this burden.<\/p>\n<\/div><\/div><div id=\"panel-1924-0-0-1\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce\" data-index=\"1\" ><h3 class=\"widget-title\">The Main Benefits of Accident Insurance<\/h3><div class=\"textwidget\"><p>There are many benefits that come along with adding accident insurance accessible through membership in AWA. While the specific benefits will vary based on which insurance product you choose, available benefits include:<\/p>\n<ul>\n<li>Minimizing out-of-pocket health care expenses specifically related to a covered accident<\/li>\n<li>Receiving cash benefits towards medical services related to a covered accident<\/li>\n<li>Protecting your finances while dealing with a covered critical illness<\/li>\n<\/ul>\n<\/div><\/div><div id=\"panel-1924-0-0-2\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce\" data-index=\"2\" ><h3 class=\"widget-title\">Get the Right Level of Accident Insurance Benefits at the Right Price<\/h3><div class=\"textwidget\"><p>Three of our <a href=\"https:\/\/awaplans.com\/about-awa\/\" target=\"_blank\" rel=\"noopener\">AWA memberships<\/a> include access to accident insurance benefits. You can choose the right membership that offers the level of insurance that works best for your needs.<\/p>\n<h3>AWA SecureElite<\/h3>\n<p>When you choose the <a href=\"https:\/\/awaplans.com\/products\/awa-secureelite\/\" target=\"_blank\" rel=\"noopener\">AWA SecureElite Membership<\/a>, you will have access to Supplemental Critical Illness and\/or Group Accident Only Insurance.<\/p>\n<p>What does this include? In the case of an unforeseen accident or severe illness, members receive cash benefits they can use for anything they like, including out-of-pocket medical expenditures, transportation costs, childcare, food, or paying monthly bills.<\/p>\n<\/div><\/div><div id=\"panel-1924-0-0-3\" class=\"so-panel widget widget_sow-button\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-fe671603164d-1924\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-left\">\n\t<a href=\"https:\/\/awaplans.com\/products\/awa-secureelite\/\" class=\"ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t\t>\n\t\t<span>\n\t\t\t\n\t\t\tLearn More\t\t<\/span>\n\t<\/a>\n<\/div>\n<\/div><\/div><div id=\"panel-1924-0-0-4\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce\" data-index=\"4\" ><div class=\"textwidget\"><p>&nbsp;<\/p>\n<h3>AWA Life Plus Triad<\/h3>\n<p><a href=\"https:\/\/awaplans.com\/products\/life-plus-triad\/\" target=\"_blank\" rel=\"noopener\">AWA Life Plus Triad<\/a> gives people and families affordable access to health care with simple-to-use benefits that kick in immediately. They include:<\/p>\n<ul>\n<li><a href=\"https:\/\/awaplans.com\/term-life-insurance-benefits\/\" target=\"_blank\" rel=\"noopener\">Term Life<\/a><\/li>\n<li>Critical Illness<\/li>\n<li>Accidental Death &amp; Dismemberment<\/li>\n<\/ul>\n<p>Members don't have to worry about deductibles or copays since they pay specified cash amounts for covered health care services. The AWA Life Plus Triad membership will help you cope with escalating healthcare costs and provide you peace of mind in the future.<\/p>\n<\/div><\/div><div id=\"panel-1924-0-0-5\" class=\"so-panel widget widget_sow-button\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-fe671603164d-1924\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-left\">\n\t<a href=\"https:\/\/awaplans.com\/products\/life-plus-triad\/\" class=\"ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t\t>\n\t\t<span>\n\t\t\t\n\t\t\tLearn More\t\t<\/span>\n\t<\/a>\n<\/div>\n<\/div><\/div><div id=\"panel-1924-0-0-6\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce\" data-index=\"6\" ><div class=\"textwidget\"><h3>AWA Life Plus ADD<\/h3>\n<p>Members of <a href=\"https:\/\/awaplans.com\/products\/awa-life-plus-add\/\" target=\"_blank\" rel=\"noopener\">AWA Life Plus ADD<\/a> have access to Term Life and Accidental Death and Dismemberment insurance coverage, which can be beneficial in the case of an unforeseen accident.<\/p>\n<p>This coverage allows members to more easily plan for the unexpected with AWA Life Plus ADD, which is partnered with AirMed Emergency Medical Air Transport and FreeWill, a leading estate planning tool.<\/p>\n<\/div><\/div><div id=\"panel-1924-0-0-7\" class=\"so-panel widget widget_sow-button\" data-index=\"7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-fe671603164d-1924\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-left\">\n\t<a href=\"https:\/\/awaplans.com\/products\/awa-life-plus-add\/\" class=\"ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t\t>\n\t\t<span>\n\t\t\t\n\t\t\tLearn More\t\t<\/span>\n\t<\/a>\n<\/div>\n<\/div><\/div><div id=\"panel-1924-0-0-8\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce panel-last-child\" data-index=\"8\" ><h3 class=\"widget-title\">Get Answers to Frequently Asked Questions About Accident Insurance?<\/h3><div class=\"textwidget\"><p>If you have additional questions about accident insurance, we invite you to <a href=\"https:\/\/awaplans.com\/contact-us\/\" target=\"_blank\" rel=\"noopener\">contact AWA<\/a> to get direct answers. In the meantime, keep reading to get answers to some of the most frequently asked questions.<\/p>\n<h3>What is accident insurance?<\/h3>\n<p>Accident insurance can assist you in covering medical and other out-of-pocket expenses that may arise as a result of an accident. This provides coverage toward items like emergency care, hospital stays, medical tests, and ancillary costs like transportation and housing.<\/p>\n<h3>How is accident insurance beneficial?<\/h3>\n<p>If a person covered by accident insurance is injured in an accident covered by their policy, they receive a benefit paid directly to them that they can use in whatever manner they see fit. It is often used to cover:<\/p>\n<ul>\n<li>Emergency care<\/li>\n<li>Hospital stays<\/li>\n<li>Medical exams<\/li>\n<li>Necessary supplies<\/li>\n<li>Accommodations<\/li>\n<\/ul>\n<p>It can also be used to pay rent, the mortgage, utility bills \u2013 anything a person needs after an accident.<\/p>\n<p>In the event the covered party dies in a covered accident, the accident benefit is paid directly to their beneficiaries. It is often used to pay for funeral or medical expenses.<\/p>\n<h3>What does a personal accident insurance policy cover?<\/h3>\n<p>Personal accident insurance is different from health insurance in that the funds aren't limited to solely covering medical expenditures; you may spend the money for whatever you like. It might assist you in paying for uninsured medical expenses such as your ambulance travel or the amount you need to contribute to fulfill your deductible.<\/p>\n<p>However, the funds can be used for non-medical expenses such as hiring additional daycare while you heal or paying your rent and purchasing groceries if you cannot work.<\/p>\n<p>The insurance will most likely include limits on how much you may claim and how often you can submit a claim for a qualifying accident. In a typical accident insurance policy, you may have coverage toward the following:<\/p>\n<ul>\n<li>Injuries (including burns, fractures, lacerations, and concussions)<\/li>\n<li>Medical treatment and other out-of-pocket services<\/li>\n<li>Hospitalization costs<\/li>\n<\/ul>\n<p>You can also utilize the money for day-to-day costs. Check your policy to see how payouts are handled. The amount you receive is typically proportional to the severity of your injuries.<\/p>\n<h3>What is not covered in accident insurance?<\/h3>\n<p>Your particular policy will specify what is covered by accident insurance, and it will also specify what is not covered. While you can use the benefits for whatever expenses you need, certain types of accidents will not be eligible for benefits. These include:<\/p>\n<ul>\n<li>Self-inflicted injuries<\/li>\n<li>Most dental injuries<\/li>\n<li>Injuries sustained while under the influence of drugs or alcohol<\/li>\n<li>Injuries sustained while committing a crime<\/li>\n<li>Accidents caused by a prior illness<\/li>\n<\/ul>\n<p>Read your policy carefully, as there might be additional examples of accidents that are not covered.<\/p>\n<h3>How many types of accident insurance are there?<\/h3>\n<p>There are two main types of accident insurance:<\/p>\n<ul>\n<li><strong>Accident expense insurance. <\/strong>This covers the costs associated with injuries that result from a covered accident.<\/li>\n<li><strong>Accident death and\/or dismemberment insurance.<\/strong> This coverage is for you or your beneficiaries, who are paid a lump sum in the event of a loss due to a covered accident.<\/li>\n<\/ul>\n<h3>What is the difference between accident insurance, disability insurance, and health insurance?<\/h3>\n<p>Each of these types of insurance has its own uses and advantages.<\/p>\n<ul>\n<li><strong>Accident insurance <\/strong>pays a lump sum when the covered injury occurs.\n<ul>\n<li><strong>Pro: <\/strong>You have total flexibility on how funds can be used.<\/li>\n<li><strong>Con: <\/strong>You can only file a certain number of claims per your particular policy.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Disability insurance <\/strong>is designed to replace your lost wages if you cannot work due to a covered injury, illness, or another medical event.\n<ul>\n<li><strong>Pro: <\/strong>You receive payments monthly. There are both long- and short-term disability options.<\/li>\n<li><strong>Con: <\/strong>You must be disabled for a certain period of time before you are eligible for benefits.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Health insurance <\/strong>covers visits to the doctor, hospitalization, surgeries, medications, etc.\n<ul>\n<li><strong>Pro: <\/strong>It can significantly lower the cost of visiting the doctor and medical treatments.<\/li>\n<li><strong>Con: <\/strong>Co-pay, deductibles, and co-insurance can make medical care expensive, even with insurance.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Can accident insurance be used in conjunction with disability, health, and other types of insurance?<\/h3>\n<p>Yes. In fact, if you look at the previous question, you can easily see how accident insurance benefits the covered party even if they have disability and health insurance.<\/p>\n<p>Remember that disability requires a waiting period for coverage. During this time, a person could receive their lump sum benefit from an accident insurance policy.<\/p>\n<p>Likewise, that accident insurance policy lump sum could cover co-pays, co-insurance, and deductibles required by health insurance.<\/p>\n<\/div><\/div><\/div><div id=\"pgc-1924-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-1924-0-1-0\" class=\"so-panel widget widget_gform_widget gform_widget panel-first-child panel-last-child\" data-index=\"9\" ><div class=\"landingpage__form landingpage__formdesktop panel-widget-style panel-widget-style-for-1924-0-1-0\" ><h3 class=\"widget-title\">I want more information!<\/h3>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='1' id='gform_wrapper_3' ><style>#gform_wrapper_3[data-form-index=\"1\"].gform-theme,[data-parent-form=\"3_1\"]{--gform-theme-color-primary: #204ce5;--gform-theme-color-primary-rgb: 32, 76, 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height='640'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gform-theme-control-border-color: #686e77;--gform-theme-control-size: var(--gform-theme-control-size-md);--gform-theme-control-label-color-primary: #112337;--gform-theme-control-label-color-secondary: #112337;--gform-theme-control-choice-size: var(--gform-theme-control-choice-size-md);--gform-theme-control-checkbox-check-size: var(--gform-theme-control-checkbox-check-size-md);--gform-theme-control-radio-check-size: var(--gform-theme-control-radio-check-size-md);--gform-theme-control-button-font-size: var(--gform-theme-control-button-font-size-md);--gform-theme-control-button-padding-inline: var(--gform-theme-control-button-padding-inline-md);--gform-theme-control-button-size: var(--gform-theme-control-button-size-md);--gform-theme-control-button-border-color-secondary: #686e77;--gform-theme-control-file-button-background-color-hover: #EBEBEB;--gform-theme-field-page-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>To be contacted by an AWA representative for your membership needs, including health insurance, fill out the form below.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/awa-plans\/wp-json\/wp\/v2\/pages\/1924' data-formid='3' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_1\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_1\"><label class='gfield_label gform-field-label' for='input_3_1' >First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class='medium'   tabindex='1'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_2\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_2\"><label class='gfield_label gform-field-label' for='input_3_2' >Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_3_2' type='text' value='' class='medium'   tabindex='2'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_7\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_7\"><label class='gfield_label gform-field-label' for='input_3_7' >Business Name<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_3_7' type='text' value='' class='medium'   tabindex='3'   aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_10\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_10\"><label class='gfield_label gform-field-label' for='input_3_10' >Are you a...<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_3_10' class='medium gfield_select' tabindex='4'   aria-required=\"true\" aria-invalid=\"false\" ><option value='Small Business' >Small Business<\/option><option value='Self-Employed' >Self-Employed<\/option><option value='Contractor' >Contractor<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_3_3\"  class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\"><label class='gfield_label gform-field-label' for='input_3_3' >Primary Contact Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_3_3' type='text' value='' class='medium' tabindex='5'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_4\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_4\"><label class='gfield_label gform-field-label' for='input_3_4' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_3_4' type='text' value='' class='medium' tabindex='6'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_5\"  class=\"gfield gfield--type-date gfield--input-type-datedropdown gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_5\"><label class='gfield_label gform-field-label'  >Primary Applicant Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_3_5' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_3_5_1_container'><select name='input_5[]' id='input_3_5_1' tabindex='7'  aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_3_5_2_container'><select name='input_5[]' id='input_3_5_2' tabindex='8'  aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_3_5_3_container'><select name='input_5[]' id='input_3_5_3' tabindex='9'  aria-required='true'  ><option value=''>Year<\/option><option value='1952' >1952<\/option><option value='1953' >1953<\/option><option value='1954' >1954<\/option><option value='1955' >1955<\/option><option value='1956' >1956<\/option><option value='1957' >1957<\/option><option value='1958' >1958<\/option><option value='1959' >1959<\/option><option value='1960' >1960<\/option><option value='1961' >1961<\/option><option value='1962' >1962<\/option><option value='1963' >1963<\/option><option value='1964' >1964<\/option><option value='1965' >1965<\/option><option value='1966' >1966<\/option><option value='1967' >1967<\/option><option value='1968' >1968<\/option><option value='1969' >1969<\/option><option value='1970' >1970<\/option><option value='1971' >1971<\/option><option value='1972' >1972<\/option><option value='1973' >1973<\/option><option value='1974' >1974<\/option><option value='1975' >1975<\/option><option value='1976' >1976<\/option><option value='1977' >1977<\/option><option value='1978' >1978<\/option><option value='1979' >1979<\/option><option value='1980' >1980<\/option><option value='1981' >1981<\/option><option value='1982' >1982<\/option><option value='1983' >1983<\/option><option value='1984' >1984<\/option><option value='1985' >1985<\/option><option value='1986' >1986<\/option><option value='1987' >1987<\/option><option value='1988' >1988<\/option><option value='1989' >1989<\/option><option value='1990' >1990<\/option><option value='1991' >1991<\/option><option value='1992' >1992<\/option><option value='1993' >1993<\/option><option value='1994' >1994<\/option><option value='1995' >1995<\/option><option value='1996' >1996<\/option><option value='1997' >1997<\/option><option value='1998' >1998<\/option><option value='1999' >1999<\/option><option value='2000' >2000<\/option><\/select><\/div><\/div><\/div><\/li><li id=\"field_3_6\"  class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_6\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_3_6' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_6_1_container' >\n                                        <input type='text' name='input_6.1' id='input_3_6_1' value='' tabindex='10'   aria-required='true'    \/>\n                                        <label for='input_3_6_1' id='input_3_6_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_6_3_container' >\n                                    <input type='text' name='input_6.3' id='input_3_6_3' value='' tabindex='11'   aria-required='true'    \/>\n                                    <label for='input_3_6_3' id='input_3_6_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3_6_4_container' >\n                                        <select name='input_6.4' id='input_3_6_4' tabindex='12'    aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_3_6_4' id='input_3_6_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3_6_5_container' >\n                                    <input type='text' name='input_6.5' id='input_3_6_5' value='' tabindex='14'   aria-required='true'    \/>\n                                    <label for='input_3_6_5' id='input_3_6_5_label' class='gform-field-label gform-field-label--type-sub '>Zip<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_6.6' id='input_3_6_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_9\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_9\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >What type of AWA Membership(s) are you interested in? Check all that apply.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_9'><li class='gchoice gchoice_3_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='AWA Advantage - Small Business\/Consumer\/Health Benefits'  id='choice_3_9_1' tabindex='15'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_1' id='label_3_9_1' class='gform-field-label gform-field-label--type-inline'>AWA Advantage - Small Business\/Consumer\/Health Benefits<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='AWA with Dental or Vision'  id='choice_3_9_2' tabindex='16'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_2' id='label_3_9_2' class='gform-field-label gform-field-label--type-inline'>AWA with Dental or Vision<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='AWA with Short Term Medical'  id='choice_3_9_3' tabindex='17'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_3' id='label_3_9_3' class='gform-field-label gform-field-label--type-inline'>AWA with Short Term Medical<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='AWA with Fixed-Benefit Indemnity Benefits'  id='choice_3_9_4' tabindex='18'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_4' id='label_3_9_4' class='gform-field-label gform-field-label--type-inline'>AWA with Fixed-Benefit Indemnity Benefits<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='AWA with Accident Benefits'  id='choice_3_9_5' tabindex='19'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_9_5' id='label_3_9_5' class='gform-field-label gform-field-label--type-inline'>AWA with Accident Benefits<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='I don&#039;t know. 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