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@ -249,15 +249,9 @@ |
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<div class="question-well" id="who_plan_is_coverage_under" hidden> |
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<div class="question-well" id="who_plan_is_coverage_under" hidden> |
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<h3>Whose plan is the coverage under?</h3> |
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<h3>Whose plan is the coverage under?</h3> |
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<div class="radio"> |
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<label> |
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{% input_field type="radio" name="whose_plan_is_coverage_under" value="My plan" %} My plan |
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</label> |
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</div> |
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<div class="radio"> |
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<label> |
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{% input_field type="radio" name="whose_plan_is_coverage_under" value="Spouse" %} Spouse |
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</label> |
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<div class="checkbox-group"> |
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<div class="checkbox"><label>{% input_field type="checkbox" name="whose_plan_is_coverage_under" value="My plan" %} My plan</label></div> |
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<div class="checkbox"><label>{% input_field type="checkbox" name="whose_plan_is_coverage_under" value="Spouse" %} Spouse</label></div> |
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</div> |
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</div> |
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</div> |
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</div> |
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