Welcome back shopper! Review you basic information below to view your free quotes in one simple click.
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\ \ \ \
";
setTimeout('document.getElementById("returnProgressBar").src=document.getElementById("returnProgressBar").src',50);
window.onbeforeunload = returnUserValidationLoadImg;
// Ehealth Check
var applicant_gender = getGender("applicant_gender_male");
var applicant_smoker = getSmoker("applicant_smoker_yes");
var applicant_dob = document.getElementById("applicant_dob").value;
var zip = document.getElementById("zip").value;
var spouse_gender = getGender("spouse_gender_male");
var spouse_smoker = getSmoker("spouse_smoker_yes");
var spouse_dob = document.getElementById("spouse_dob").value;
var children_str="";
for(var c=1; c<7; c++) {
var i = c+2;
children_str+="&dependent"+c+"_gender="+getGender('dependent'+c+'_gender_male');
children_str+="&dependent"+c+"_dob="+document.getElementById("dependent"+c+"_dob").value;
children_str+="&dependent"+c+"_student=on";
children_str+="&dependent"+c+"_smoker=off";
}
if(navigator.userAgent.indexOf('Chrome/') < 0) {
var win=window.open("http://www.gohealthinsurance.com/plans/quote/thankyou8.jsp?id="+document.getElementById('how_hear').value +"&affiliate_id="+affiliate_id+"&link_id="+link_id+"&zip="+zip+"&applicant_gender="+applicant_gender+"&applicant_dob="+applicant_dob+"&applicant_smoker=\
"+applicant_smoker+"&spouse_gender="+spouse_gender+"&spouse_smoker="+spouse_smoker+"&spouse_dob="+spouse_dob+children_str,'win','toolbar=1, location=1,directories=1,status=1,menubar=1, scrollbars=1,resizable=1');
if (win)
win.blur();
}
}
function returnUserValidationLoadImg() {
setTimeout('document.getElementById("returnProgressBar").src=document.getElementById("returnProgressBar").src',50);
}
// Form Validation Reset
function returnUserValidationReset() {
returnFormValidator.clearAllValidations();
returnUserValidation(returnFormValidator);
}
// Initialize the Overlay
function returnOverlay() {
var returnOverlayInst = new returnOverlayObj(GHI_LEAD_DATA);
returnOverlayInst.addOverlay();
returnOverlayInst.addValuesToDefaultForm("healthform", "sprop29", "Return_Visit_Form");
}
/* returnOverlayObj Class to render the form and implement functionality */
function returnOverlayObj(leadData) {
/* ATTRIBUTES */
this.bodyElem = document.getElementsByTagName("body")[0];
this.htmlElem = document.getElementsByTagName("html")[0];
this.browser = checkForInternetExplorer();
this.returnLeadData = leadData;
var spouse = false;
var children = 0;
var returnOverlayDiv;
var returnFormDiv;
/* METHODS */
/* Add and Remove the Overlay */
this.addOverlay = function() {
/* Create the element*/
returnOverlayDiv = document.createElement("div");
returnOverlayDiv.id = "returnOverlayDiv";
returnOverlayDiv.style.height = this.adjustHeightOverlay();
/* Add overlay handling to Internet Explorer */
this.addSelectElemOverlay(true);
/* Display the overlay*/
document.body.appendChild(returnOverlayDiv);
/* Add the form */
this.addForm();
};
this.removeOverlay = function() {
document.getElementById("GHIiframeTracking").src = "http://www.gohealthinsurance.com/iframeTracking.jsp?s_prop6="+s_prop_6+"&s_prop24="+config_id+"&s_prop25="+affiliate_id+"&s_prop26="+trackStateInfo+"&s_prop27="+link_id+"&s_prop29=Return_Visit_Form&s_events=event64";
returnOverlayDiv.style.display = "none";
returnFormDiv.style.display = "none";
removeSelectElemOverlay();
};
this.addForm = function() {
/* Create the element */
returnFormDiv = document.createElement("div");
returnFormDiv.id = "returnFormDiv";
returnFormDiv.innerHTML = returnForm;
/* Add event handling to the page before load*/
this.enableCloseLinks(returnFormDiv.getElementsByTagName("a"));
/* Display the form */
document.body.appendChild(returnFormDiv);
/* Add validation */
returnFormValidator = new Validator("instant-quote");
returnUserValidation(returnFormValidator);
/* Bind some functions to the form */
this.addDependents();
this.removeDependents();
/* Populate the form */
this.populateForm();
};
this.populateForm = function () {
var mappedFields = this.mapFields();
var childIndexer = new Array(6);
for(var fieldName in this.returnLeadData) {
if(mappedFields[fieldName] != undefined) {
var formElems = document.getElementsByName(mappedFields[fieldName]);
if(formElems != null) {
if(mappedFields[fieldName].indexOf("spouse")!=-1) {
showSpouse();
}
for(var i=1; i<7; i++) {
if(mappedFields[fieldName].indexOf("dependent"+i)!=-1 && (!childIndexer[i])) {
childIndexer[i]=true;
showChild();
}
}
if(formElems.length==1) {
// Check if we have a hidden field for dependent smoker
if(formElems[0].id.slice(-6) == "smoker") {
this.returnLeadData[fieldName] = this.returnLeadData[fieldName].toLowerCase();
}
formElems[0].value = this.returnLeadData[fieldName];
}
else if(formElems.length==2) {
for(var i=0; i<2; i++) {
// Check female
if(this.returnLeadData[fieldName].toLowerCase() == formElems[i].id.slice(-6).toLowerCase()) {
formElems[i].checked = true;
break;
}
// Check male
else if(this.returnLeadData[fieldName].toLowerCase() == formElems[i].id.slice(-4).toLowerCase()) {
formElems[i].checked = true;
break;
}
// Check smoker yes
else if(this.returnLeadData[fieldName].toLowerCase() == formElems[i].id.slice(-3).toLowerCase()) {
formElems[i].checked = true;
}
// Check smoker no
else if(this.returnLeadData[fieldName].toLowerCase() == formElems[i].id.slice(-2).toLowerCase()) {
formElems[i].checked = true;
}
}
}
}
}
}
};
this.addValuesToDefaultForm = function(formName, fieldName, value){
var hiddenElem = document.createElement("input");
hiddenElem.type = "hidden";
hiddenElem.id = fieldName;
hiddenElem.name = fieldName;
hiddenElem.value = value;
document.forms[formName].appendChild(hiddenElem);
};
/* HELPER FUNCTIONS */
/* Bind add dependents events */
this.addDependents = function () {
document.getElementById("returnFormDependentButtonsAddSpouse").parentNode.onclick = showSpouse;
document.getElementById("returnFormDependentButtonsAddChild").parentNode.onclick = showChild;
}
/* Bind remove dependents events */
this.removeDependents = function() {
document.getElementById("returnFormRemoveSpouse").onclick = deleteSpouse;
document.getElementById("returnFormRemoveChild1").onclick = deleteChildInst01;
document.getElementById("returnFormRemoveChild2").onclick = deleteChildInst02;
document.getElementById("returnFormRemoveChild3").onclick = deleteChildInst03;
document.getElementById("returnFormRemoveChild4").onclick = deleteChildInst04;
document.getElementById("returnFormRemoveChild5").onclick = deleteChildInst05;
document.getElementById("returnFormRemoveChild6").onclick = deleteChildInst06;
}
/* Show spouse */
function showSpouse() {
spouse = true;
document.getElementById("returnFormSpouse").style.display = "block";
document.getElementById("returnFormDependentButtonsAddSpouse").style.display = "none";
returnUserValidationReset();
}
/* Show child */
function showChild() {
if(children<6) {
children++;
document.getElementById("returnFormChild"+children).style.display = "block";
if(children==6) {
document.getElementById("returnFormDependentButtonsAddChild").style.display = "none";
}
returnUserValidationReset();
}
}
/* Delete spouse */
function deleteSpouse() {
spouse = false;
document.getElementById("returnFormDependentButtonsAddSpouse").style.display = "";
document.getElementById("returnFormSpouse").style.display = "none";
document.getElementById("spouse_gender_male").checked = false;
document.getElementById("spouse_gender_female").checked = false;
document.getElementById("spouse_smoker_yes").checked = false;
document.getElementById("spouse_smoker_no").checked = false;
document.getElementById("spouse_dobMM").value = "";
document.getElementById("spouse_dobDD").value = "";
document.getElementById("spouse_dobYYYY").value = "";
returnUserValidationReset();
}
/* Delete child helper functions */
function deleteChildInst01() {
deleteChildren(1);
}
function deleteChildInst02() {
deleteChildren(2);
}
function deleteChildInst03() {
deleteChildren(3);
}
function deleteChildInst04() {
deleteChildren(4);
}
function deleteChildInst05() {
deleteChildren(5);
}
function deleteChildInst06() {
deleteChildren(6);
}
/* Delete child */
function deleteChildren(childIndex) {
document.getElementById("returnFormChild"+children).style.display = "none";
for(var i = (childIndex); i < (children); i++) {
document.getElementById("dependent"+(i) +"_gender_male").checked = document.getElementById("dependent"+(i*1+1) +"_gender_male").checked;
document.getElementById("dependent"+(i) +"_gender_female").checked = document.getElementById("dependent"+(i*1+1) +"_gender_female").checked;
document.getElementById("dependent"+(i) +"_dobMM").value = document.getElementById("dependent"+(i*1+1) +"_dobMM").value;
document.getElementById("dependent"+(i) +"_dobDD").value = document.getElementById("dependent"+(i*1+1) +"_dobDD").value;
document.getElementById("dependent"+(i) +"_dobYYYY").value = document.getElementById("dependent"+(i*1+1) +"_dobYYYY").value;
document.getElementById("dependent"+(i) +"_smoker").value = document.getElementById("dependent"+(i*1+1) +"_smoker").value;
}
document.getElementById("dependent"+(children)+"_gender_male").checked = false;
document.getElementById("dependent"+(children)+"_gender_female").checked = false;
document.getElementById("dependent"+(children)+"_dobMM").value = "";
document.getElementById("dependent"+(children)+"_dobDD").value = "";
document.getElementById("dependent"+(children)+"_dobYYYY").value = "";
// Set smoker to "no" if the child so validation does not fail
document.getElementById("dependent"+(children)+"_smoker").value = "no";
if(children==6) {
document.getElementById("returnFormDependentButtonsAddChild").style.display = "";
}
children--;
returnUserValidationReset();
}
/* Build the field mapper */
this.mapFields = function() {
var fieldMapper = new Array();
fieldMapper["first_name"]="firstName";
fieldMapper["last_name"]="lastName";
fieldMapper["address_1_zip"]="zip";
fieldMapper["lead_id"]="how_hear";
for(var i=1; i<=8; i++){
var prefix="";
switch (i){
case 1:
prefix="applicant";
break;
case 2:
prefix="spouse";
break;
default:
prefix="dependent"+(i*1-2);
}
fieldMapper["insured_"+i+"_gender"]= prefix+"_gender";
fieldMapper["insured_"+i+"_dobMM"]=prefix+"_dobMM";
fieldMapper["insured_"+i+"_dobDD"]=prefix+"_dobDD";
fieldMapper["insured_"+i+"_dobYYYY"]=prefix+"_dobYYYY"
fieldMapper["insured_"+i+"_smoker"]=prefix+"_smoker";
fieldMapper["insured_"+i+"_student"]=prefix+"_student";
}
return fieldMapper;
}
/* Add iframes over the select elements in IE 6*/
this.addSelectElemOverlay = function(toggle) {
if(this.browser) {
var selectElems = document.getElementsByTagName("select");
for(var i=0; i