{"id":78,"date":"2025-01-16T23:38:48","date_gmt":"2025-01-16T23:38:48","guid":{"rendered":"https:\/\/tristar.insure\/life\/?page_id=78"},"modified":"2025-01-23T22:16:11","modified_gmt":"2025-01-23T22:16:11","slug":"buy","status":"publish","type":"page","link":"https:\/\/tristar.insure\/life\/","title":{"rendered":"Life Insurance Made Simple: Get Covered in Minutes"},"content":{"rendered":"<h1 style=\"margin-top: -60px;\">Life Insurance Made Simple: Get Covered in Minutes<\/h1>\n<p>Say goodbye to long waits\u2014answer just three medical questions, get instant approval, and pay online with ease.<\/p>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_1' style='display:none'><style>#gform_wrapper_1[data-form-index=\"0\"].gform-theme,[data-parent-form=\"1_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%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\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/life\/wp-json\/wp\/v2\/pages\/78#gf_1' data-formid='1' novalidate><input id=\"gpnf_session_hash_1\" type=\"hidden\" name=\"gpnf_session_hash\" value=\"792eb593724a\">\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>11<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_9' style='width:9%;'><span>9%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_170\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_170'>Email<\/label><div class='gfield_description' id='gfield_description_1_170'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_170' id='input_1_170' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_1_156\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"picbanner\">\n<img decoding=\"async\" src=\"https:\/\/tristar.insure\/wp-content\/uploads\/2021\/06\/life-insurance-tristar3.jpg\"> \n<p style=\"margin-top:-160px; margin-left:435px;\">GET LIFE INSURANCE ONLINE TODAY<\/br>\n<span style=\"font-size:70%; text-decoration:none;\">Instant pricing, NO medical exams and NO long wait for coverage to begin!<\/span><\/p>\n<\/div><\/div><div id=\"field_1_159\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full banner-pic gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"banner-pic\">\n<img decoding=\"async\" src=\"https:\/\/tristar.insure\/wp-content\/uploads\/2021\/06\/life-insurance-tristar3.jpg\">\n<\/div><\/div><div id=\"field_1_158\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"mobileannounce\">\nBUY LIFE INSURANCE ONLINE TODAY\n<\/div><\/div><div id=\"field_1_167\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"margin-top:-90px;\"><img decoding=\"async\" src=\"https:\/\/tristar.insure\/life\/wp-content\/uploads\/2024\/12\/happy-family-florida.jpg\"><\/p><\/div><div id=\"field_1_157\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 style=\"color:#0b599e; padding-top:0px; margin-top:-40px;\">Let's get started!<\/h3>\n<\/div><fieldset id=\"field_1_40\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-five-sixths negative30 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_1_40'>\n                            \n                            <span id='input_1_40_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_40_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_40.3' id='input_1_40_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            <span id='input_1_40_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_40_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                    <input type='text' name='input_40.4' id='input_1_40_4' value=''   aria-required='false'     \/>\n                                                <\/span>\n                            <span id='input_1_40_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_40_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_40.6' id='input_1_40_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_1_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Sex<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_4'>\n\t\t\t<div class='gchoice gchoice_1_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Male'  id='choice_1_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_0' id='label_1_4_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Female'  id='choice_1_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_4_1' id='label_1_4_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_41\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_41'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_41'>NOTE: This is the address that we will use to communicate with you. Please be sure that you have full access to it.<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_41' id='input_1_41' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_1_41\" \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_135' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' data-js='page-field-id-135' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_166\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">Choose coverage amount.<\/h2><\/div><fieldset id=\"field_1_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Coverage Amount<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_5'>NOTE: Coverage available from $10,000 to $100,000 up to age 50, and from $10,000 to $50,000 from age 51 to 65. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_5'>\n\t\t\t<div class='gchoice gchoice_1_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='10,000'  id='choice_1_5_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_1_5\"   \/>\n\t\t\t\t\t<label for='choice_1_5_0' id='label_1_5_0' class='gform-field-label gform-field-label--type-inline'>10,000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='25,000'  id='choice_1_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_5_1' id='label_1_5_1' class='gform-field-label gform-field-label--type-inline'>25,000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='50,000'  id='choice_1_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_5_2' id='label_1_5_2' class='gform-field-label gform-field-label--type-inline'>50,000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='100,000'  id='choice_1_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_5_3' id='label_1_5_3' class='gform-field-label gform-field-label--type-inline'>100,000<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Choose Age<\/h3><\/div><div id=\"field_1_1\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_1_1 gfield_product_1_1 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_1'>Male - 10,000<\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_1_1' class='medium gfield_select'     aria-invalid=\"false\" ><option value='16.583564|16.58' >25<\/option><option value='16.792036|16.79' >26<\/option><option value='17.01946|17.02' >27<\/option><option value='17.3141636|17.31' >28<\/option><option value='17.54064|17.54' >29<\/option><option value='17.8723|17.87' >30<\/option><option value='18.260816|18.26' >31<\/option><option value='18.687236|18.69' >32<\/option><option value='19.15156|19.15' >33<\/option><option value='19.644312|19.64' >34<\/option><option value='20.14654|20.15' >35<\/option><option value='20.648768|20.65' >36<\/option><option value='21.169948|21.17' >37<\/option><option value='21.71008|21.71' >38<\/option><option value='22.288116|22.29' >45<\/option><option value='22.932484|22.93' >50<\/option><option value='23.709516|23.71' >52<\/option><option value='24.496024|24.5' >39<\/option><option value='25.301484|25.3' >40<\/option><option value='26.144848|26.14' >41<\/option><option value='27.035592|27.04' >42<\/option><option value='27.983192|27.98' >43<\/option><option value='28.987648|28.99' >44<\/option><option value='30.04896|30.05' >46<\/option><option value='31.18608|31.19' >47<\/option><option value='32.389532|32.39' >48<\/option><option value='33.659316|33.66' >49<\/option><option value='34.97648|34.98' >51<\/option><option value='36.30312|36.3' >53<\/option><option value='37.620284|37.62' >54<\/option><option value='38.890068|38.89' >55<\/option><option value='40.09352|40.09' >56<\/option><option value='41.268544|41.27' >57<\/option><option value='42.453044|42.45' >58<\/option><option value='43.684924|43.68' >59<\/option><option value='45.002088|45' >60<\/option><option value='46.451916|46.45' >61<\/option><option value='48.043884|48.04' >62<\/option><option value='49.825372|49.83' >63<\/option><option value='51.815332|51.82' >64<\/option><option value='54.042192|54.04' >65<\/option><\/select><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_1_8 gfield_product_1_8 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'>Male - 25,000<\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_1_8' class='medium gfield_select'     aria-invalid=\"false\" ><option value='29.93051|29.93' >25<\/option><option value='30.45169|30.45' >26<\/option><option value='31.02025|31.02' >27<\/option><option value='31.63619|31.64' >28<\/option><option value='32.3232|32.32' >29<\/option><option value='33.15235|33.15' >30<\/option><option value='34.12364|34.12' >31<\/option><option value='35.18969|35.19' >32<\/option><option value='36.3505|36.35' >33<\/option><option value='37.58238|37.58' >34<\/option><option value='38.83795|38.84' >35<\/option><option value='40.09352|40.09' >36<\/option><option value='41.39647|41.4' >37<\/option><option value='42.7468|42.75' >38<\/option><option value='56.06058|56.06' >45<\/option><option value='69.44543|69.45' >50<\/option><option value='75.9128|75.91' >52<\/option><option value='44.19189|44.19' >39<\/option><option value='45.80281|45.8' >40<\/option><option value='47.74539|47.75' >41<\/option><option value='49.71166|49.71' >42<\/option><option value='51.72531|51.73' >43<\/option><option value='53.83372|53.83' >44<\/option><option value='58.42958|58.43' >46<\/option><option value='60.94072|60.94' >47<\/option><option value='63.594|63.59' >48<\/option><option value='66.4368|66.44' >49<\/option><option value='72.61989|72.62' >51<\/option><option value='79.2294|79.23' >53<\/option><option value='82.52231|82.52' >54<\/option><option value='85.69677|85.7' >55<\/option><option value='88.7054|88.71' >56<\/option><option value='91.64296|91.64' >57<\/option><option value='94.60421|94.6' >58<\/option><option value='97.68391|97.68' >59<\/option><option value='100.97682|100.98' >60<\/option><option value='104.60139|104.6' >61<\/option><option value='108.58131|108.58' >62<\/option><option value='113.03503|113.04' >63<\/option><option value='118.00993|118.01' >64<\/option><option value='123.57708|123.58' >65<\/option><\/select><\/div><\/div><div id=\"field_1_43\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_1_43 gfield_product_1_43 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_43'>Male - 50,000<\/label><div class='ginput_container ginput_container_select'><select name='input_43' id='input_1_43' class='medium gfield_select'     aria-invalid=\"false\" ><option value='52.17542|52.18' >25<\/option><option value='53.21778|53.22' >26<\/option><option value='54.3549|54.35' >27<\/option><option value='55.58678|55.59' >28<\/option><option value='56.9608|56.96' >29<\/option><option value='58.6191|58.62' >30<\/option><option value='60.56168|60.56' >31<\/option><option value='62.69378|62.69' >32<\/option><option value='65.0154|65.02' >33<\/option><option value='55.520448|55.52' >34<\/option><option value='67.47916|67.48' >34<\/option><option value='69.9903|69.99' >35<\/option><option value='72.50144|72.5' >36<\/option><option value='75.10734|75.11' >37<\/option><option value='77.808|77.81' >38<\/option><option value='80.69818|80.7' >39<\/option><option value='83.92002|83.92' >40<\/option><option value='87.80518|87.81' >41<\/option><option value='91.73772|91.74' >42<\/option><option value='95.76502|95.77' >43<\/option><option value='99.98184|99.98' >44<\/option><option value='104.43556|104.44' >45<\/option><option value='109.17356|109.17' >46<\/option><option value='114.19584|114.2' >47<\/option><option value='119.5024|119.5' >48<\/option><option value='125.188|125.19' >49<\/option><option value='131.20526|131.21' >50<\/option><option value='137.55418|137.55' >51<\/option><option value='144.14|144.14' >52<\/option><option value='150.7732|150.77' >53<\/option><option value='157.35902|157.36' >54<\/option><option value='163.70794|163.71' >55<\/option><option value='169.7252|169.73' >56<\/option><option value='175.60032|175.6' >57<\/option><option value='181.52282|181.52' >58<\/option><option value='187.68222|187.68' >59<\/option><option value='194.26804|194.27' >60<\/option><option value='201.51718|201.52' >61<\/option><option value='209.47702|209.48' >62<\/option><option value='218.38446|218.38' >63<\/option><option value='228.33426|228.33' >64<\/option><option value='239.46856|239.47' >65<\/option><\/select><\/div><\/div><div id=\"field_1_44\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_1_44 gfield_product_1_44 field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_44'>Male - 100,000<\/label><div class='gfield_description' id='gfield_description_1_44'>Available for men 50 and younger<\/div><div class='ginput_container ginput_container_select'><select name='input_44' id='input_1_44' class='medium gfield_select'  aria-describedby=\"gfield_description_1_44\"   aria-invalid=\"false\" ><option value='96.66524|96.67' >25<\/option><option value='98.74996|98.75' >26<\/option><option value='101.0242|101.02' >27<\/option><option value='103.48796|103.49' >28<\/option><option value='106.236|106.24' >29<\/option><option value='109.5526|109.55' >30<\/option><option value='113.43776|113.44' >31<\/option><option value='117.70196|117.7' >32<\/option><option value='122.3452|122.35' >33<\/option><option value='127.27272|127.27' >34<\/option><option value='132.295|132.3' >35<\/option><option value='137.31728|137.32' >36<\/option><option value='142.52908|142.53' >37<\/option><option value='147.9304|147.93' >38<\/option><option value='153.71076|153.71' >39<\/option><option value='160.15444|160.15' >40<\/option><option value='167.92476|167.92' >41<\/option><option value='175.78984|175.79' >42<\/option><option value='183.84444|183.84' >43<\/option><option value='192.27808|192.28' >44<\/option><option value='201.18552|201.19' >45<\/option><option value='210.66152|210.66' >46<\/option><option value='220.70608|220.71' >47<\/option><option value='231.3192|231.32' >48<\/option><option value='242.6904|242.69' >49<\/option><option value='254.72492|254.72' >50<\/option><\/select><\/div><\/div><div id=\"field_1_45\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_1_45 gfield_product_1_45 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_45'>Female - 10,000<\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_1_45' class='medium gfield_select'     aria-invalid=\"false\" ><option value='14.821028|14.82' >25<\/option><option value='14.98212|14.98' >26<\/option><option value='15.152688|15.15' >27<\/option><option value='16.100288|16.1' >28<\/option><option value='15.560156|15.56' >29<\/option><option value='15.825484|15.83' >30<\/option><option value='16.138192|16.14' >31<\/option><option value='16.488804|16.49' >32<\/option><option value='93.82244|93.82' >33<\/option><option value='17.25636|17.26' >34<\/option><option value='17.644876|17.64' >35<\/option><option value='18.023916|18.02' >36<\/option><option value='18.402956|18.4' >37<\/option><option value='18.810424|18.81' >38<\/option><option value='19.255796|19.26' >39<\/option><option value='19.7675|19.77' >40<\/option><option value='20.43082|20.43' >41<\/option><option value='21.113092|21.11' >42<\/option><option value='21.80484|21.8' >43<\/option><option value='22.51554|22.52' >44<\/option><option value='23.264144|23.26' >45<\/option><option value='24.050652|24.05' >46<\/option><option value='24.865588|24.87' >47<\/option><option value='25.708952|25.71' >48<\/option><option value='26.561792|26.56' >49<\/option><option value='27.433584|27.43' >50<\/option><option value='28.305376|28.31' >51<\/option><option value='29.167692|29.17' >52<\/option><option value='30.011056|30.01' >53<\/option><option value='30.825992|30.83' >54<\/option><option value='31.593548|31.59' >55<\/option><option value='32.313724|32.31' >56<\/option><option value='33.014948|33.01' >57<\/option><option value='33.725648|33.73' >58<\/option><option value='34.483728|34.48' >59<\/option><option value='35.317616|35.32' >60<\/option><option value='36.25574|36.26' >61<\/option><option value='37.307576|37.31' >62<\/option><option value='38.454172|38.45' >63<\/option><option value='39.686052|39.69' >64<\/option><option value='41.003216|41' >65<\/option><\/select><\/div><\/div><div id=\"field_1_46\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_1_46 gfield_product_1_46 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_46'>Female - 25,000<\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_1_46' class='medium gfield_select'     aria-invalid=\"false\" ><option value='25.52417|25.52' >25<\/option><option value='25.9269|25.93' >26<\/option><option value='26.35332|26.35' >27<\/option><option value='26.82712|26.83' >28<\/option><option value='27.37199|27.37' >29<\/option><option value='28.03531|28.04' >30<\/option><option value='28.81708|28.82' >31<\/option><option value='29.69361|29.69' >32<\/option><option value='30.64121|30.64' >33<\/option><option value='31.6125|31.61' >34<\/option><option value='32.58379|32.58' >35<\/option><option value='33.53139|33.53' >36<\/option><option value='34.47899|34.48' >37<\/option><option value='35.49766|35.5' >38<\/option><option value='36.61109|36.61' >39<\/option><option value='37.89035|37.89' >40<\/option><option value='39.54865|39.55' >41<\/option><option value='41.25433|41.25' >42<\/option><option value='42.9837|42.98' >43<\/option><option value='44.76045|44.76' >44<\/option><option value='46.63196|46.63' >45<\/option><option value='48.59823|48.6' >46<\/option><option value='50.63557|50.64' >47<\/option><option value='52.74398|52.74' >48<\/option><option value='54.87608|54.88' >49<\/option><option value='57.05556|57.06' >50<\/option><option value='59.23504|59.24' >51<\/option><option value='61.39083|61.39' >52<\/option><option value='63.49924|63.5' >53<\/option><option value='65.53658|65.54' >54<\/option><option value='67.45547|67.46' >55<\/option><option value='69.25591|69.26' >56<\/option><option value='71.00897|71.01' >57<\/option><option value='72.78572|72.79' >58<\/option><option value='74.68092|74.68' >59<\/option><option value='76.76564|76.77' >60<\/option><option value='79.11095|79.11' >61<\/option><option value='81.74054|81.74' >62<\/option><option value='84.60703|84.61' >63<\/option><option value='87.68673|87.69' >64<\/option><option value='90.97964|90.98' >65<\/option><\/select><\/div><\/div><div id=\"field_1_47\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_1_47 gfield_product_1_47 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_47'>Female - 50,000<\/label><div class='ginput_container ginput_container_select'><select name='input_47' id='input_1_47' class='medium gfield_select'     aria-invalid=\"false\" ><option value='43.36274|43.36' >25<\/option><option value='44.1682|44.17' >26<\/option><option value='45.02104|45.02' >27<\/option><option value='45.96864|45.97' >28<\/option><option value='47.05838|47.06' >29<\/option><option value='48.38502|48.39' >30<\/option><option value='49.94856|49.95' >31<\/option><option value='51.70162|51.7' >32<\/option><option value='53.59682|53.6' >33<\/option><option value='55.5394|55.54' >34<\/option><option value='57.48198|57.48' >35<\/option><option value='59.37718|59.38' >36<\/option><option value='61.27238|61.27' >37<\/option><option value='63.30972|63.31' >38<\/option><option value='65.53658|65.54' >39<\/option><option value='68.0951|68.1' >40<\/option><option value='71.4117|71.41' >41<\/option><option value='74.82306|74.82' >42<\/option><option value='78.2818|78.28' >43<\/option><option value='81.8353|81.84' >44<\/option><option value='85.57832|85.58' >45<\/option><option value='89.51086|89.51' >46<\/option><option value='93.58554|93.59' >47<\/option><option value='97.80236|97.8' >48<\/option><option value='102.06656|102.07' >49<\/option><option value='106.42552|106.43' >50<\/option><option value='110.78448|110.78' >51<\/option><option value='115.09606|115.1' >52<\/option><option value='119.31288|119.31' >53<\/option><option value='123.38756|123.39' >54<\/option><option value='127.22534|127.23' >55<\/option><option value='130.82622|130.83' >56<\/option><option value='134.33234|134.33' >57<\/option><option value='137.88584|137.89' >58<\/option><option value='141.67624|141.68' >59<\/option><option value='145.84568|145.85' >60<\/option><option value='150.5363|150.54' >61<\/option><option value='155.79548|155.8' >62<\/option><option value='161.52846|161.53' >63<\/option><option value='167.68786|167.69' >64<\/option><option value='174.27368|174.27' >65<\/option><\/select><\/div><\/div><div id=\"field_1_48\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_1_48 gfield_product_1_48 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_48'>Female - 100,000<\/label><div class='ginput_container ginput_container_select'><select name='input_48' id='input_1_48' class='medium gfield_select'     aria-invalid=\"false\" ><option value='79.03988|79.04' >25<\/option><option value='80.6508|80.65' >26<\/option><option value='82.35648|82.36' >27<\/option><option value='84.25168|84.25' >28<\/option><option value='86.43116|86.43' >29<\/option><option value='89.08444|89.08' >30<\/option><option value='92.21152|92.21' >31<\/option><option value='95.71764|95.72' >32<\/option><option value='99.50804|99.51' >33<\/option><option value='103.3932|103.39' >34<\/option><option value='107.27836|107.28' >35<\/option><option value='111.06876|111.07' >36<\/option><option value='114.85916|114.86' >37<\/option><option value='118.93384|118.93' >38<\/option><option value='123.38756|123.39' >39<\/option><option value='128.5046|128.5' >40<\/option><option value='135.1378|135.14' >41<\/option><option value='141.96052|141.96' >42<\/option><option value='148.878|148.88' >43<\/option><option value='155.985|155.99' >44<\/option><option value='163.47104|163.47' >45<\/option><option value='171.33612|171.34' >46<\/option><option value='179.48548|179.49' >47<\/option><option value='187.91912|187.92' >48<\/option><option value='196.44752|196.45' >49<\/option><option value='205.16544|205.17' >50<\/option><option value='213.88336|213.88' >51<\/option><option value='222.50652|222.51' >52<\/option><option value='230.94016|230.94' >53<\/option><option value='239.08952|239.09' >54<\/option><option value='246.76508|246.77' >55<\/option><option value='253.96684|253.97' >56<\/option><option value='260.97908|260.98' >57<\/option><option value='268.08608|268.09' >58<\/option><option value='275.66688|275.67' >59<\/option><option value='284.00576|284.01' >60<\/option><option value='293.387|293.39' >61<\/option><option value='303.90536|303.91' >62<\/option><option value='315.37132|315.37' >63<\/option><option value='327.69012|327.69' >64<\/option><option value='340.86176|340.86' >65<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_168' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_168' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' data-js='page-field-id-168' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_141\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-60px;\">Your personalized Tristar quote is ready!<\/h2><\/div><div id=\"field_1_138\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full negative30 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"bluebox\">\n<h2 style=\"color:\"#2DA1D9\">Your personalized Tristar quote:<\/h2>\n\n\n<h3>Coverage amount (05\/03\/2026): <br>\n<span style=\"color:#2DA1D9; font-size:195%; line-height:150%;\">$ @{:5}<\/span> <\/h3>\n<p>NOTE: Premiums of $500 or less per year, must be paid on an annual basis. <\/p>\n\n\n\n<h3 style=\"margin-top:30px; line-height:200%;\">Monthly Premium: <br> \n<span style=\"font-size:200%; color:#2DA1D9;\">@{:129.2}<\/span><br><br>\nAnnual Premium:<br>  \n<span style=\"font-size:175%; color:#2DA1D9;\">@{:127.2}<\/span>\n<\/h3>\n<\/div>\n\n\n\n\n<\/div><div id=\"field_1_129\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full price-bg gfield_price gfield_price_1_129 gfield_product_1_129 gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_1_129_1'>Monthly Premium<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_129.1' value='Monthly Premium' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_1_129' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_1_129'>$0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_129.2' id='ginput_base_price_1_129' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_129.3' value='1' class='ginput_quantity_1_129 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_1_128\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-half price-bg2 gfield_price gfield_price_1_128 gfield_product_1_128 gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_1_128_1'>Semi-Annual Premium<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_128.1' value='Semi-Annual Premium' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_1_128' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_1_128'>$0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_128.2' id='ginput_base_price_1_128' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_128.3' value='1' class='ginput_quantity_1_128 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_1_127\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-half gfield_price gfield_price_1_127 gfield_product_1_127 gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_1_127_1'>Annual Premium<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_127.1' value='Annual Premium' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_1_127' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_1_127'>$0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_127.2' id='ginput_base_price_1_127' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_127.3' value='1' class='ginput_quantity_1_127 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_1_131\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full negative30 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_131'>I would like to pay...<\/label><div class='ginput_container ginput_container_select'><select name='input_131' id='input_1_131' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Monthly' >Monthly<\/option><option value='Annual' >Annual<\/option><\/select><\/div><\/div><div id=\"field_1_96\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h4 style=\"margin-bottom:30px; text-align:center; line-height:130%;\">Once your completed application is submitted, you will receive an email within two business days containing instructions on how to setup payment details for your policy. After setting this up, your life insurance contract will be sent to the email address you entered on this form within two business days.<\/h4>\n<p style=\"text-align:center\">Policy underwritten by New Providence Life Insurance Company Ltd. With offices located RoyalStar House, John F. Kennedy Drive, Nassau, Bahamas<\/p>\n\n\n<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_165' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_165' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page' data-js='page-field-id-165' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_142\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">You are almost there!<\/h2>\n<p>Now that you know how affordable coverage will be, we need to collect some more information in order to qualify you for a policy.<\/p><\/div><div id=\"field_1_126\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_126'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_126' id='input_1_126' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_42\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gf_half_right gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_42'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_42' id='input_1_42' type='tel' value='' class='medium'  placeholder='(242) 111-2222' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_125\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_1_125' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_125_1_container'>\n                                            <label for='input_1_125_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                            <input type='number' maxlength='2' name='input_125[]' id='input_1_125_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_125_2_container'>\n                                            <label for='input_1_125_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                            <input type='number' maxlength='2' name='input_125[]' id='input_1_125_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_125_3_container'>\n                                            <label for='input_1_125_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                            <input type='number' maxlength='4' name='input_125[]' id='input_1_125_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                       <\/div>\n                                   <\/div><\/fieldset><fieldset id=\"field_1_82\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_82'>Policy quotes are valid for Bahamian citizens and those with legal status only.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_82'>\n\t\t\t<div class='gchoice gchoice_1_82_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='I am a Bahamian citizen'  id='choice_1_82_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_1_82\"   \/>\n\t\t\t\t\t<label for='choice_1_82_0' id='label_1_82_0' class='gform-field-label gform-field-label--type-inline'>I am a Bahamian citizen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_82_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='I have legal status'  id='choice_1_82_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_82_1' id='label_1_82_1' class='gform-field-label gform-field-label--type-inline'>I have legal status<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_83\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_83'>Document Proving Legal Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_83'>Please upload a scanned copy or clear photo of your valid work permit, voter's card, permanent resident or spousal permit document to confirm your legal status. Allowed file types are JPG, PDF, PNG or GIF<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_83' id='input_1_83' type='file' class='medium' aria-describedby=\"gfield_upload_rules_1_83 gfield_description_1_83\" onchange='javascript:gformValidateFileSize( this, 52428800 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_83'>Accepted file types: png, pdf, jpg, gif, Max. file size: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_83'><\/div> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_145' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_145' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_5' class='gform_page' data-js='page-field-id-145' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_144\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">\nMedical Questions<\/h2><\/div><fieldset id=\"field_1_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio negative30 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >1. Within the past year, have you been hospitalized; confined to a nursing facility; bedridden; used a wheelchair or any kind of oxygen equipment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_11'>\n\t\t\t<div class='gchoice gchoice_1_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Yes'  id='choice_1_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_11_0' id='label_1_11_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='No'  id='choice_1_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_11_1' id='label_1_11_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >2. Within the past 3 years have you been medically diagnosed or treated by a physician for: a. heart disease, heart failure, chest pain, or treated but uncontrolled high blood pressure? b. Chronic respiratory disease, cancer, diabetes, liver disease, or alcoholism? c. Stroke, Alzheimer&#039;s disease, dementia, mental disorder, AIDS or ARC (AIDS-related complex)? d. Disease or disorder of the nervous system including multiple sclerosis, ALS, Lou Gehrig&#039;s disease, systemic lupus, or rheumatoid arthritis?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_12'>\n\t\t\t<div class='gchoice gchoice_1_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Yes'  id='choice_1_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_12_0' id='label_1_12_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='No'  id='choice_1_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_12_1' id='label_1_12_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >3. Have you ever been advised to have any surgical procedure or diagnostic testing that has not been done?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_13'>\n\t\t\t<div class='gchoice gchoice_1_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes'  id='choice_1_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_0' id='label_1_13_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No'  id='choice_1_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_1' id='label_1_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_38\" class=\"gfield gfield--type-html gfield--input-type-html no_coverage gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-bottom:15px;\">Coverage Not Available<\/h2>\n<p>Due to your medical history we cannot offer you a life insurance policy. If you would like to learn more about the qualification requirements, please call our office and a friendly customer care representative will be happy to speak with you. <\/br><\/br>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/tristar.insure\/wp-content\/uploads\/2020\/08\/Phone.png\" align=\"center\" height=\"28\" width=\"28\">\n<b>Phone: 242-502-9400<\/b><\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_29' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_29' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_6' class='gform_page' data-js='page-field-id-29' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_146\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">\nPhysician's Information\n<\/h2><\/div><fieldset id=\"field_1_74\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio negative30 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have a family or personal physician?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_74'>\n\t\t\t<div class='gchoice gchoice_1_74_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='Yes'  id='choice_1_74_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_74_0' id='label_1_74_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_74_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='No'  id='choice_1_74_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_74_1' id='label_1_74_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_75\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_75'>Name of Physician<\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_1_75' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_77\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_77'>Address<\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_1_77' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_78\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_78'>Phone Contact<\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_1_78' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_79\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_79'>Where did you last visit a physician?<\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_1_79' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_160\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Date of your last visit to a physician.<\/legend><div class='gfield_description' id='gfield_description_1_160'>An approximate date is fine if you do not remember the exact date.<\/div><div id='input_1_160' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_160_1_container'>\n                                            <label for='input_1_160_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                            <input type='number' maxlength='2' name='input_160[]' id='input_1_160_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_160_2_container'>\n                                            <label for='input_1_160_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                            <input type='number' maxlength='2' name='input_160[]' id='input_1_160_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_160_3_container'>\n                                            <label for='input_1_160_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                            <input type='number' maxlength='4' name='input_160[]' id='input_1_160_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                       <\/div>\n                                   <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_50' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_50' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_7' class='gform_page' data-js='page-field-id-50' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_7' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_147\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">\nHeight and Weight\n<\/h2><\/div><div id=\"field_1_91\" class=\"gfield gfield--type-number gfield--input-type-number negative30 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_91'>Please enter your weight in pounds<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_91' id='input_1_91' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_1_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_19'>Choose your Height<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_1_19' class='small gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='4 feet, 8 inches' >4 feet, 8 inches<\/option><option value='4 feet, 9 inches' >4 feet, 9 inches<\/option><option value='4 feet, 10 inches' >4 feet, 10 inches<\/option><option value='4 feet, 11 inches' >4 feet, 11 inches<\/option><option value='5 feet' >5 feet<\/option><option value='5 feet, 1 inches' >5 feet, 1 inches<\/option><option value='5 feet, 2 inches' >5 feet, 2 inches<\/option><option value='5 feet, 3 inches' >5 feet, 3 inches<\/option><option value='5 feet, 4 inches' >5 feet, 4 inches<\/option><option value='5 feet, 5 inches' >5 feet, 5 inches<\/option><option value='5 feet, 6 inches' >5 feet, 6 inches<\/option><option value='5 feet, 7 inches' >5 feet, 7 inches<\/option><option value='5 feet, 8 inches' >5 feet, 8 inches<\/option><option value='5 feet, 9 inches' >5 feet, 9 inches<\/option><option value='5 feet, 10 inches' >5 feet, 10 inches<\/option><option value='5 feet, 11 inches' >5 feet, 11 inches<\/option><option value='6 feet' >6 feet<\/option><option value='6 feet, 1 inches' >6 feet, 1 inches<\/option><option value='6 feet, 2 inches' >6 feet, 2 inches<\/option><option value='6 feet, 3 inches' >6 feet, 3 inches<\/option><option value='6 feet, 4 inches' >6 feet, 4 inches<\/option><option value='6 feet, 5 inches' >6 feet, 5 inches<\/option><option value='6 feet, 6 inches' >6 feet, 6 inches<\/option><option value='6 feet, 7 inches' >6 feet, 7 inches<\/option><option value='6 feet, 8 inches' >6 feet, 8 inches<\/option><option value='6 feet, 9 inches' >6 feet, 9 inches<\/option><\/select><\/div><\/div><fieldset id=\"field_1_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is your weight within the minimum and maximum limits as shown in the chart below?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_17'>For example, if you are 5 feet 6 inches tall, the acceptable weight range for you would be between103 and 241 pounds.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_17'>\n\t\t\t<div class='gchoice gchoice_1_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Yes'  id='choice_1_17_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_1_17\"   \/>\n\t\t\t\t\t<label for='choice_1_17_0' id='label_1_17_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='No'  id='choice_1_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_1' id='label_1_17_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_18\" class=\"gfield gfield--type-html gfield--input-type-html gf_left_third gfield--width-third gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><table>\n<thead>\n  <tr>\n    <th>4 Feet Tall<\/th>\n    <th>Minimum Weight<\/th>\n    <th>Maximum Weight<\/th>\n  <\/tr>\n<\/thead>\n<tbody>\n  <tr>\n    <td>4'8\"<\/td>\n    <td>74<\/td>\n    <td>173<\/td>\n  <\/tr>\n  <tr>\n    <td>4'9\"<\/td>\n    <td>77<\/td>\n    <td>180<\/td>\n  <\/tr>\n  <tr>\n    <td>4'10\"<\/td>\n    <td>79<\/td>\n    <td>186<\/td>\n  <\/tr>\n  <tr>\n    <td>4'11\"<\/td>\n    <td>82<\/td>\n    <td>193<\/td>\n  <\/tr>\n<\/tbody>\n<\/table><\/div><div id=\"field_1_20\" class=\"gfield gfield--type-html gfield--input-type-html gf_left_third gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><table>\n<thead>\n  <tr>\n    <th>5 Feet Tall<\/th>\n    <th>Minimum Weight<\/th>\n    <th>Maximum Weight<\/th>\n  <\/tr>\n<\/thead>\n<tbody>\n  <tr>\n    <td>5'<\/td>\n    <td>85<\/td>\n    <td>199<\/td>\n  <\/tr>\n  <tr>\n    <td>5'1\"<\/td>\n    <td>88<\/td>\n    <td>206<\/td>\n  <\/tr>\n  <tr>\n    <td>5'2\"<\/td>\n    <td>91<\/td>\n    <td>213<\/td>\n  <\/tr>\n  <tr>\n    <td>5'3\"<\/td>\n    <td>94<\/td>\n    <td>220<\/td>\n  <\/tr>\n  <tr>\n    <td>5'4\"<\/td>\n    <td>97<\/td>\n    <td>227<\/td>\n  <\/tr>\n  <tr>\n    <td>5'5\"<\/td>\n    <td>100<\/td>\n    <td>234<\/td>\n  <\/tr>\n  <tr>\n    <td>5'6\"<\/td>\n    <td>103<\/td>\n    <td>241<\/td>\n  <\/tr>\n  <tr>\n    <td>5'7\"<\/td>\n    <td>106<\/td>\n    <td>249<\/td>\n  <\/tr>\n  <tr>\n    <td>5'8\"<\/td>\n    <td>109<\/td>\n    <td>256<\/td>\n  <\/tr>\n  <tr>\n    <td>5'9\"<\/td>\n    <td>112<\/td>\n    <td>264<\/td>\n  <\/tr>\n  <tr>\n    <td>5'10\"<\/td>\n    <td>115<\/td>\n    <td>271<\/td>\n  <\/tr>\n  <tr>\n    <td>5'11\"<\/td>\n    <td>119<\/td>\n    <td>279<\/td>\n  <\/tr>\n<\/tbody>\n<\/table><\/div><div id=\"field_1_23\" class=\"gfield gfield--type-html gfield--input-type-html gf_third_left gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><table>\n<thead>\n  <tr>\n    <th>6 Feet Tall<\/th>\n    <th>Minimum Weight<\/th>\n    <th>Maximum Weight<\/th>\n  <\/tr>\n<\/thead>\n<tbody>\n  <tr>\n    <td>6'<\/td>\n    <td>122<\/td>\n    <td>287<\/td>\n  <\/tr>\n  <tr>\n    <td>6'1\"<\/td>\n    <td>126<\/td>\n    <td>295<\/td>\n  <\/tr>\n  <tr>\n    <td>6'2\"<\/td>\n    <td>129<\/td>\n    <td>303<\/td>\n  <\/tr>\n  <tr>\n    <td>6'3\"<\/td>\n    <td>133<\/td>\n    <td>312<\/td>\n  <\/tr>\n  <tr>\n    <td>6'4\"<\/td>\n    <td>136<\/td>\n    <td>320<\/td>\n  <\/tr>\n  <tr>\n    <td>6'5\"<\/td>\n    <td>140<\/td>\n    <td>328<\/td>\n  <\/tr>\n  <tr>\n    <td>6'6\"<\/td>\n    <td>143<\/td>\n    <td>337<\/td>\n  <\/tr>\n  <tr>\n    <td>6'7\"<\/td>\n    <td>147<\/td>\n    <td>346<\/td>\n  <\/tr>\n  <tr>\n    <td>6'8\"<\/td>\n    <td>151<\/td>\n    <td>355<\/td>\n  <\/tr>\n  <tr>\n    <td>6'9\"<\/td>\n    <td>154<\/td>\n    <td>363<\/td>\n  <\/tr>\n<\/tbody>\n<\/table><\/div><div id=\"field_1_80\" class=\"gfield gfield--type-html gfield--input-type-html no_coverage gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-bottom:15px;\">Coverage Not Available<\/h2>\n<p>Due to your weight being out of range for your height, we cannot offer you a life insurance policy. If you would like to learn more about the qualification requirements, please call our office and a friendly customer care representative will be happy to speak with you. <\/br><\/br>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/tristar.insure\/wp-content\/uploads\/2020\/08\/Phone.png\" align=\"center\" height=\"28\" width=\"28\">\n<b>Phone: 242-502-9400<\/b><\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_30' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_30' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_8' class='gform_page' data-js='page-field-id-30' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_8' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_148\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">\nAdditional Information\n<\/h2><\/div><div id=\"field_1_93\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_93'>Employer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_93'>Ex: Commonwealth Bank or Self Employed<\/div><div class='ginput_container ginput_container_text'><input name='input_93' id='input_1_93' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_93\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_164\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_164'>Occupation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_164' id='input_1_164' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_92\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_92'>NIB Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_1_92' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_149\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are your currently married?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_149'>\n\t\t\t<div class='gchoice gchoice_1_149_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='Yes'  id='choice_1_149_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_149_0' id='label_1_149_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_149_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='No'  id='choice_1_149_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_149_1' id='label_1_149_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_151' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_151' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_9' class='gform_page' data-js='page-field-id-151' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_9' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_150\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">\nBeneficiary Information\n<\/h2><\/div><div id=\"field_1_133\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_133'>Please add one or more beneficiaries.<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-1\">\n\t\t\t\t\tName of Beneficiary\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-4\">\n\t\t\t\t\tIs the beneficary under the age of 18?\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-5\">\n\t\t\t\t\tName of Trustee\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-3\">\n\t\t\t\t\tBeneficiary's Date of Birth\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tBeneficiary's Relationship to You\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-8\">\n\t\t\t\t\tChoose the Amount that this Beneficiary Should Receive\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f1.label, attr: { 'data-value': f1.label }\"\n\t\t\t\t\tdata-heading=\"Name of Beneficiary\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Is the beneficary under the age of 18?\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Name of Trustee\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f3.label, attr: { 'data-value': f3.label }\"\n\t\t\t\t\tdata-heading=\"Beneficiary's Date of Birth\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Beneficiary's Relationship to You\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f8.label, attr: { 'data-value': f8.label }\"\n\t\t\t\t\tdata-heading=\"Choose the Amount that this Beneficiary Should Receive\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Beneficiary {0} where Name of Beneficiary is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Beneficiary {0} where Name of Beneficiary is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"7\">\n\t\t\t\tThere are no <span>Beneficiaries.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"1\"\n\t\t        data-nestedformid=\"2\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Beneficiary\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of beneficiaries reached.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_133\"\n                id=\"input_1_133\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_1_88\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Agent<\/h3><\/div><div id=\"field_1_89\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Did a TRISTAR agent assist you leading up to your choice to purchase life insurance? If so, please choose their name from the list below.<\/p><\/div><div id=\"field_1_87\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_87'>List of TRISTAR agents<\/label><div class='ginput_container ginput_container_select'><select name='input_87' id='input_1_87' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No agent assisted me' >No agent assisted me<\/option><option value='Timothy Sawyer (22170)' >Timothy Sawyer (22170)<\/option><option value='Chantilly Miller (31976)' >Chantilly Miller (31976)<\/option><option value='Terry Demeritte (31975)' >Terry Demeritte (31975)<\/option><option value='Harold Antor (22169)' >Harold Antor (22169)<\/option><option value='Corinna Neely (22165)' >Corinna Neely (22165)<\/option><option value='Carol Rahming (31977)' >Carol Rahming (31977)<\/option><option value='Linda Neilson' >Linda Neilson<\/option><option value='Renee Evans' >Renee Evans<\/option><\/select><\/div><\/div><fieldset id=\"field_1_95\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Sig T Maycock<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_95'>\n\t\t\t<div class='gchoice gchoice_1_95_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='&lt;img&gt;'  id='choice_1_95_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_95_0' id='label_1_95_0' class='gform-field-label gform-field-label--type-inline'><img><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_154' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_154' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_10' class='gform_page' data-js='page-field-id-154' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_10' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_155\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">\nApplicant's Statement\n<\/h2><\/div><div id=\"field_1_90\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 style=\"margin-bottom:15px;\">Applicant\u2019s Statement<\/h3>\n<p>I understand the broker, agent or agency receiving this application does not have authority to waive any portion of this application or any coverage, condition or restrictions contained in the insurance policy applied for and all information requested in this application must be set forth in writing on the application.  I further understand this application will become part of the insurance policy to be issued and the insurer will be utilizing the information contained in this application to determine whether or not to issue the insurance policy applied for.<br><br>\nI understand the broker, agent or agency taking this application from me is an independent representative and is acting on my behalf and not the administrator nor the insurance company offering this insurance.  Neither the administrator nor the company offering this insurance can be held liable for any circumstance if the broker, agent or agency taking this application fails now or in the future to transmit or communicate any documentation or funds from the administrator to me and\/or any documentation or funds from me to the administrator.<br><br>\nIt is understood the insurance applied for shall not become effective until this application is approved and accepted by the insurer, full payment of the first premium is made, and the policy issued subject to all conditions and restrictions contained therein.  I understand this policy is not available to permanent resident of the United States or others who reside in the United States.  However, if any applicant for coverage, who is accepted and insured by the insurer in the applicant\u2019s country of residence, moves to the United States, the insurer will provide an option to continue insurance coverage.<\/p>\n<\/div><div id=\"field_1_81\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_81'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_81' id='input_1_81_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_1_81_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_1_81' width='300' height='180' style='border-style: dashed; border-width: 1px; border-color: #959595; background-color:#ebebeb; cursor: url(https:\/\/tristar.insure\/life\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_1_81_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_1_81_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_1_81_data' name='input_1_81_data' value=''><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_31' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_31' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_11' class='gform_page' data-js='page-field-id-31' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_11' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_1_153\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 style=\"margin-top:-100px;\">\nLast Step! Identification Documents.\n<\/h2><\/div><div id=\"field_1_65\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>In order to secure your policy, we are required to collect documents that help us to confirm your identity. If you are able to upload the below requested documents at this time, please do so. If you are not able to upload them right now, don't worry, simply submit the form without the documents attached and an agent will contact you to assist with gathering them.<\/p><\/div><div id=\"field_1_69\" class=\"gfield gfield--type-html gfield--input-type-html topspace gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 style=\"margin-top:30px; color:#0b599e;\">Identification<\/h3><\/div><div id=\"field_1_67\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_67'>1. Primary Identification<\/label><div class='gfield_description' id='gfield_description_1_67'>If you are able, please upload either a copy of the photo page of your valid passport or a copy of your driver's license. Don't have this available? Not a problem, an agent will contact you. Please continue to complete and submit the form.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_67' id='input_1_67' type='file' class='medium' aria-describedby=\"gfield_upload_rules_1_67 gfield_description_1_67\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_67'>Accepted file types: pdf, png, jpg, gif, Max. file size: 512 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_67'><\/div> <\/div><\/div><div id=\"field_1_169\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_169'>2. Secondary Identification<\/label><div class='gfield_description' id='gfield_description_1_169'>Please upload a photo of your NIB card as a form of personal identification. <\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_169' id='input_1_169' type='file' class='medium' aria-describedby=\"gfield_upload_rules_1_169 gfield_description_1_169\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_169'>Accepted file types: pdf, png, jpg, gif, Max. file size: 512 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_169'><\/div> <\/div><\/div><div id=\"field_1_70\" class=\"gfield gfield--type-html gfield--input-type-html topspace gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 style=\"margin-top:30px; color:#0b599e;\">Proof of Address<\/h3><\/div><div id=\"field_1_71\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_71'>Please provide proof of address, which can be one of the following: Utility bill (within last 90 days), Property Tax Receipt, Lease Agreement, Voter&#039;s Card or Bank or credit card statement in your name.  If you do not have a bill in your name, please have the homeowner or landlord sign the \u201cConfirmation of Address\u201d form attached.<\/label><div class='gfield_description' id='gfield_description_1_71'>Don't have this available? Not a problem, an agent will contact you. Please continue to complete and submit the form.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_71' id='input_1_71' type='file' class='medium' aria-describedby=\"gfield_upload_rules_1_71 gfield_description_1_71\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_71'>Accepted file types: pdf, png, jpg, gif, Max. file size: 512 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_71'><\/div> <\/div><\/div><div id=\"field_1_72\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p><b>Download the 'Confirmation of Address' form<a href=\"https:\/\/tristar.insure\/wp-content\/uploads\/2020\/08\/Confirmation-of-Address-Document.pdf\"> here.<\/a><\/b> The form will open in a new tab.<\/p><\/div><div id=\"field_1_161\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Please read and sign below the following statements.<\/p>\n<h4 style=\"margin-top:30px;\">Applicant\u2019s Statement<\/h4>\n<p style=\"margin-top:15px;\">I understand the broker, agent or agency receiving this application does not have authority to modify or waive any portion of this application or any coverage, conditions or restrictions contained in the insurance policy applied for and all the information requested in this application must be set forth in writing on the application. I further understand this application will become part of the insurance policy to be issued and the insurer will be utilizing the information contained in this application to determine whether or not to issue the insurance policy for.\n\nI understand the broker, agent or agency taking this application form from me is an independent representative and is acting on my behalf and not the administrator nor the insurance company offering this insurance. Neither the administrator nor the company offering this insurance can be held liable for any circumstances if the broker, agent or agency taking this application fails now or in the future to transmit or communicate any documentation or funds from the administrator to me\/or any documentation or funds from me to the administrator.\n\nIt is understood the insurance applied for shall not become effective until this application is approved and accepted by the insurer, full payment of the first term premium, and the policy issued is subject to all conditions and restrictions contained therein. I understand this policy is not available to permanent resident of the United States or others who reside in the United States. However, if any applicant for coverage, who is accepted and insured by the insurer in the applicant\u2019s country or residence, moves to the United States of America, the insurer will provide an option to continue insurance coverage.<\/p>\n<h4 style=\"margin-top:30px;\">Medical Authorization<\/h4>\n<p style=\"margin-top:15px;\">I hereby authorize any physician, medical practitioner, hospital, clinic, other medical or medically related facility, the Medical Information Bureau, Inc. (MIB, Inc.) or other organization, consumer reporting agency, insurance or reinsuring company, institution or person having any record or knowledge of me or my health, including any member of my family, to give to the insurer offering the insurance, any reinsurer or its legal representative any and all such information. The nature of the information authorized to be disclosed includes information about all medical evaluation, care, treatment, diagnosis or consultation provided to the undersigned insured, or my dependants. I understand the information obtained by use of this authorization will be used by the insurer offering the insurance, and its reinsurers to determine eligibility and payment of claim benefits under this policy. I direct that a copy of this authorization shall be given the same force and effect as the original. This authorization shall remain valid as long as the policy is in force.<\/p>\n<\/div><div id=\"field_1_162\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_162'>Signature of Proposed Primary Insured<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_162' id='input_1_162_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_1_162_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_1_162' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/tristar.insure\/life\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_1_162_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_1_162_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_1_162_data' name='input_1_162_data' value=''><\/div><\/div><div id=\"field_1_163\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_163'>Date of Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_163' id='input_1_163' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_1_163_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_163_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_163' class='gform_hidden' value='https:\/\/tristar.insure\/life\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='usEE4o5kXdk84apr+usnisL5K5CVMSq31WANVIwTG6\/gDmJUiGJQxsMXedOwxxBtoCckMabYIQh2kWLqlYsZBO\/UC1TPliNjudKHf3sHftf6BNA=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='["{\"1\":[\"5dc5ce537ba243173da3fa4f769e0a8d\",\"fba27a340ff3fb643951d24d083795ba\",\"1767f31805c371922d080f49119477b8\",\"0a5dac4e47f886917b02a950a0844223\",\"d67976531fd7a948bdecd65b8dd600a5\",\"a1091216925809b4cf816decb8d0b851\",\"106547af05a80c5157c39a077e9c2311\",\"f9ae2f17bfb04e2c55a191a651d129d6\",\"8244df217efcf75d290a83052634651b\",\"61ab1607e1b4634f0fdd8e2433521e29\",\"9111b6c7b402d921d5f4a7e3cdce3fc7\",\"cdd32b007f7a754a1ca3088315df1b16\",\"6c1319d5654edd6634298c8958aa8221\",\"0df6d29fddcd7232f24926ea3b1c39d7\",\"20a87c543bf7274ca1ea3db495f4a0b0\",\"0ff6b746659dd2ffcda05977033aa0bd\",\"79aa6265e986c74dc678df0ca8dc2134\",\"8dcf713aa08689d2b802ed8267ec150e\",\"06de427aa285c489a963c60b8f5096cd\",\"516ef0797584376352ef8fdf524a8720\",\"fa6be76e7c4da0363afe87ff6a490789\",\"7e2af1311881809f2eea32576bf99d78\",\"2796b2d5f1623b8e47a8d5d0c50b79bb\",\"aaea4075487063f2c8d6792dc8057eec\",\"21966376766d2cce30c6ef7ddd708001\",\"3b397b0c1b576802b4a8baf9903da1b0\",\"829f20614f133f4ac432769cd47901d6\",\"24f51dda81ac3df736229d1c3755ac66\",\"b7d39149475eba8a6e1aead4fb0c7274\",\"39087980e513556cc8a40e19d32f4d3f\",\"58a4249a7475265da2712a0dade4a350\",\"574904f7548c8846b1eb7b456be4e744\",\"710ef2dc24ac60191d35f3b593b09b59\",\"40a648f1a086209a40323ed9daaaed7a\",\"eeb3a47c53025cbe96c85f61930bb25e\",\"793e1ac6e5c9e5cdc15f886737073042\",\"4c9f3404f7be8cc59511b9c2c3951aa5\",\"24c1139c6a45cbce03d2bdfa33e56a40\",\"f359e41421cc09e47744ae52840c17cb\",\"d63e4ca60348eedf3c6f7fb4bc723a07\",\"bb1fa9fcf03c4bb3aa696f889587620e\"],\"8\":[\"4bbaa16a35844ce0345c72d415b854da\",\"402ff80eb1e4238f332b5059d1504d8c\",\"7a91ef2ae9179147e35348357811ba81\",\"c36c36833058fad7f443f0b6481e8507\",\"e9e26001d784efbe837c7c43becfe8f1\",\"cc3efafb2d8d3b02e3251f27653a0d63\",\"f50f39ddd408e0fcdf3884570fac5c5b\",\"632679711c27bd7da6fd4aa2b7a6fcc7\",\"57a6dbbf3b386ca85a9c11dcddce6081\",\"459af6c604c521b17bf9d6a4d359c056\",\"8ac8a93ea678bb9295a8cafd1521b627\",\"574904f7548c8846b1eb7b456be4e744\",\"fc9b09fba2f91a7a72ef1a37a539d354\",\"79c6621410213df7f810e2dd10022b25\",\"8ed0832b3bdea0c5b1b9e9cb87c5d2a1\",\"584815245b9f8f321c8a64bdf13c619b\",\"463e09740e138d73a632a3dbdfa7f178\",\"67b384af1a275c0f7609eef40a529145\",\"d1ed184b2eb68ef80d3a9fb266b51017\",\"394dbffebde53f7456b6b92274684a0d\",\"0d8a6ad7a3aceb2de0b496e373149473\",\"5ebed975df3deb4ec235f7d0271bc411\",\"9ba8bf17ddb5bc24f9cb5279e37b9b5d\",\"f21aca8deda650a35c3ca73c43d9a496\",\"eec93b1f452981dc9c047b028b3ba4c2\",\"601693632776c790ccc2764dfb9bf7ae\",\"f8c448865c257ae42686be70256da60f\",\"e2d0298af56b0e4fae3b35736ac82b5e\",\"5576e6e298cee1930222ef401ca26e45\",\"743b24b95db21e3d24f4ad7d7b6cc9d1\",\"3d3c35b4d808be01af3ca3623f8476f7\",\"2df45fd1c90b7b74c7566d72ad0c1a0e\",\"02b2e15ececdf3f4788a8405ce6efc7d\",\"310fcef8a25e9fceac5a9e3594e2f60e\",\"fe2c769077b545f46c32a1f8682e7d8e\",\"bd7611ae942ddae288b5cc3a5f994ed9\",\"7c18b23f4e136d482fbb1bafcdb12c01\",\"1fe1c9883aca973b1dd4bf858675c134\",\"37794dc5ac82fd9f7630d7c8748d33a1\",\"3524b49b234334dda1069b288aea1d00\",\"6272f4572f9316468b096f03cbd42844\"],\"43\":[\"5b91e35107e44aa24fc0f420521d5399\",\"785a72211b0b18c6c94879afd6efd49a\",\"3b140d07f3d5ef91f3494900de8f5957\",\"79373dd4a69cfc18494d7b94f7a04da4\",\"7051a4d592b28f5e60c35504bebfb3e8\",\"45ce9702e97edd9b0533e5ba43bbaa7e\",\"6b7a6198b03abdfd2abba09a6412fb1f\",\"3d7a7088001f198003ea767c5953ccda\",\"d2fb25d94c419abf551f55e4c8909114\",\"edc90889ef1553cc1fcb5417ce671462\",\"639ebdd4a72af6dc5bad9afc8ec83ef7\",\"0795d35eb22be4932146eb3d24697bc7\",\"3486d0c20f890a6cea9cc124e2ed3bc8\",\"25a218771d5a787ca006096595f2f303\",\"0a5de182ad3b0c3bc21e85f8fc40c756\",\"47aa6399f5033fe6ed78fb27a14c2465\",\"5ac60e54a6b444145c5f02eb78be913e\",\"69cdb158893e223b3b450177c03ffe22\",\"8d2c223f030a9aa6d902c9ba2c1f5c04\",\"64b7d215cc823684a78a4ecc19d597b9\",\"c124357ff24ff48c5446bb8e67e2b701\",\"b3c3fb82f5cecbdb6e98951a8dbddd32\",\"4a82339414ee1c9b95e37db205b2d1d4\",\"c2f8d9be0df97b3c72353795b19fa798\",\"75f95485b7062c48645d350bbfd1311d\",\"ae158fe20cf939c4ef7891a10f2c4fb9\",\"a4b978d30b023e667b27769f9419fd9a\",\"2ec109d911238c8189b41b2868b56c02\",\"09efc3ae4e26e60309a57cb6584db146\",\"1310c3c82e377cc0ed56623696399b41\",\"e34b33623cbe20448b212f79796cbb65\",\"004b62130e862f635a69a54fb23f922f\",\"4d7b7da182ddbc12115926b2f844df22\",\"cb8bafe4a4616d52c5b055199d786ecb\",\"4feaf34255de18cda85ac33faba900bf\",\"970a81cde95f4664f0512e0bb15c8f2c\",\"decf81b92ce0d2bee255620e10d16bfb\",\"b8cdacac7baf8376ec4f689daad28cf4\",\"b8839d8ebec3dea4179a4083d7ba40dd\",\"aa8ba47a10c71735fa3c29f6f4942c0d\",\"6c98593587cdba55528637f8161aece7\",\"1f504d5783c5bfb43c4dce419249a6f2\"],\"44\":[\"38632886fa87ebad496fdabe1436c41d\",\"499be07d45324f5a96b1bb0e1070e8c3\",\"bf41f55e1acf4d85b5c411592c912a1b\",\"e32f41aaf5db585ad40621adaa3e0814\",\"85d195f41e97cf0231311c2a45e634e2\",\"6785d1d8759441f9d037290e78e022f6\",\"bb9ba61524120308080fa880d5ff6f50\",\"1e269701cae73a15a3f9a2430c57d7b9\",\"4b3d300866949527b3a4a1a25bc124c5\",\"101d487cc62b1972a1305b80698b3aa0\",\"28da25cb6a2df6093aeeb33cc7177e9c\",\"1d4f83b01da9bc4e841738465f71af1a\",\"fd2cea6e95823ec7e348a604bc4d1cca\",\"fece798fc3409ce06ed0000c0a14bbda\",\"c6512f3ad72c9a61d79cfd4e5b4afd3c\",\"409b01da3eb7406c63a4318e7733850b\",\"992834841eab845ee18c1809a54a1eec\",\"38ceb2be1158099aa6fcd93c4751915d\",\"6d59d79deef4bd63a9045dad818d2d8b\",\"984a307fdb80dd36c5a02c36aa4865c4\",\"27dad01d278286ea791295c7d25e5170\",\"3ca93ae1564423e8d45f3d3722e15cfd\",\"8fc8b540d5a61c368acea5b5085f290c\",\"e9c8a19d132962e64a2ffbf3512e4c07\",\"a7c3d77b0d44edc322287c92af2dfb66\",\"e361d71bcd00252066cdd0d14245ed54\"],\"45\":[\"d818d74cac887bf2e1b0bfed1564c872\",\"0415e7db63cb5393d546f01905e94c31\",\"1704e816bc4d7f1e58c87b409567cfd7\",\"a16fdee0b9b9e82a975ab73863919d97\",\"3a0079661c724f9a1085e70912802fd0\",\"307f2895bb281c7cce87e0f0cb4c5333\",\"0e96608a0dd9c4169d31e04c5e772a36\",\"20f0eac1445fb0b6abb08c70e69a8276\",\"eb6e2d3e737d0534d791fff18cedd610\",\"387522b7100bae2096508c53206a6418\",\"d9a3cc29516a1c2751f656a5181a59f2\",\"224ba8c122c2b3c586b7bf97fd39ee5b\",\"34c2d8eebac5289b20791265976df803\",\"522ea415ca61186754013e31ec27f066\",\"38fc4d7d5e25b7e34cc165997db9550a\",\"8bab6d2d1865087507b73aec199e5fb4\",\"32e115fc302225c9603b8b8c163bbab0\",\"5b1621c5dfac60842f06da6896c4bd3d\",\"2bf24f4236ed0024e8b2718e70899d79\",\"a4ca10d6965c65cbbf9580f22f48fcbf\",\"6d62cb3c4091627b93efad5ce29996e4\",\"8594b9878626996b211f3a84a667401e\",\"7d6deb9061f65d71e6e60c5206aa4baa\",\"703f43e2e1b8655db42da6ea1da9f34c\",\"0148c5c93be2fe2f2b462759ee9d1c28\",\"2cf73b8895dcf16276b87c59c79fd5e8\",\"304862af6dca9f8157cc8edafd0101a4\",\"1190b9475b055e0bbfa2e23438d8e4fd\",\"f8dd092810c52f538dbbddbfe1c12981\",\"72c4c5ab3010c1b78d35e3d886b164ad\",\"44cd806dd246af6aab7757d2871437b0\",\"d9fc2add987938049ac78976a36fdf5c\",\"6ccf746c57afda1c3729efe67bd7b9cc\",\"60ccd145d7200acb713b3ab1f73a14e2\",\"6f136d0c07039a3806aea76ce2e296eb\",\"8c59663c6869101ad8fb8c86a7eea1f4\",\"7570cee4e347bec2161a7102590c6451\",\"f4f30d2142c4d0ad357a423616f22364\",\"29c8efbac2c874675ceb7a8ddeeadc6c\",\"97ee6ac56eb0cad8b621d12985b983ca\",\"5fef3277356f7b2a9bdf6d10bdeeb929\"],\"46\":[\"d233816dc211eb143535e320e86299f2\",\"0512b1448867cfc2128fe76e8da6bc2a\",\"ad6eda7afb9f85c39bce94cdc9a790c7\",\"b805c0f1161f10966f7694ab057bc492\",\"85a1afda89f573be80de0bc210cd9446\",\"25d9ba931288489401919a8df78db0fb\",\"47b758c5b173a54583770086f69fd72f\",\"c34227edf29721e3d3a1d1db3189a9a1\",\"a4b6ef4b95efda9e0529338a7211697c\",\"0f68f8af0cddb3ede86ec3135cdcdc9f\",\"554cbb2f39fc7e694c7e5628ef41dfb0\",\"d055c3f18b29febb2885a697734ec456\",\"2f34d60b70c118f7efde54cd5b078700\",\"520d4a188ecf811e03c2f85704b14ad1\",\"f7610c68ff9b4a547c27d9513a50eda5\",\"9db14d3908abfdc04072907d2447c612\",\"394f9cecdcc5086a78179bc6721a1631\",\"1f010ff866a0ca08ca2600bbd1cd5871\",\"46916e8cda8ff7333457fb482cd5c62d\",\"9f35f8d063fbcb3476d1aaf15871fecc\",\"d1dc7f67923fe8428601ad0dc42ad5b2\",\"3625d679418e14aa7bf4e4a140eda9d0\",\"5ccca9270f9c006c8345207d2be4bddc\",\"67bb4f1e2638c8d832d29b636c7e61ef\",\"a7177f72f045bb62cb80bde626cb2d73\",\"bbc10bc9d602d7cf2fd2d3cd066db691\",\"5e2738f5f83284909c19ffb55bc22bcd\",\"30d85126d536868b16fd12437edbb0ee\",\"2835fe1c837080bda0ca754cb9d63c3a\",\"8b179e645963309ab069f393e15a3f09\",\"bdfb26d3bb8756f3d04787b6fba7b7f9\",\"a3a61e00340e4b850ada8e4b58b1d10e\",\"9c79761abbb3d1d04a3d088e38fd9839\",\"ee386c3c7feede9337bf509f665157e3\",\"234e4c1cf27797577f77a5814753cf8f\",\"09c9fe660f1dbebf9addf90364bdfcc0\",\"a986b9bd3b24c770a9ba82eeb43b28b9\",\"2f281e12455f8c94a96ec662863eb9b8\",\"6b0bd015975a028064ded1c662b7ce4d\",\"8a97c5c1d635cfc285c71e3fce683cfc\",\"eb3b1396cf8839de8da6bf1b4669b6ef\"],\"47\":[\"6dcfc9a745a0416a4ebb30e2210ac20c\",\"0e72728b074c6128aea345aca0f9f730\",\"6413987d438a0c5169222083c94e14be\",\"426be12d859344c0f97ac114d4b31738\",\"59fb0a45de1d490c2f72bc35f693bb04\",\"9e5185bca3bd0105586f84196e4f05d6\",\"f8852b2c4932881cd88bba4fa3729f5d\",\"ab35a7492e185209953633af1b6df1dc\",\"98b6a3ccf26ae3b822f1fd78f03a5751\",\"f702b20ec5cf16f3d1348b02c483612e\",\"77e6ba6ede047b1f4fd81417a5d26293\",\"62146249401fef1ecc839123669c46ed\",\"bc06366d4046b2bc18a847053079db0f\",\"3acdfe2a4c4b9a7213ffc0c6ab8d6ddc\",\"8b179e645963309ab069f393e15a3f09\",\"45eeacb47f1d12d481ca18d1d9ecf068\",\"faf345fa6ad02b52c32e5950cda4d566\",\"22d173a4032e949abfff325de493606e\",\"e9e858812c4ec338ce02466590ba76cd\",\"1de483bfa360cb8172926c84790fc5c8\",\"5e09ecae19dd5dfcb7d91b61e53734ce\",\"7d90d1a43782314c8922ae3895c6bee2\",\"0e837ae2b2d33547fc40663d2fdb4273\",\"9025b1a1caf09e479049492cf2f31523\",\"81875ed5ba5943d1dfc4b3e8d211f95d\",\"92ab8f8960a74ca998e26a1bc463bfda\",\"2309d2e09c56fcdf849a491dd6a60c9b\",\"d284e751cb349a573412d78b604bef7d\",\"f7548121a6ae3da5b52e8d22defd37f4\",\"79abc45414e462ecdf0a1393dbdf41ea\",\"b14b06535d43e7fa3d727e319cad9107\",\"f24e676576f9fdb30539ce8c38446a20\",\"0d589a06c71cc29ce440e9c07eb622c5\",\"b4df689778c587a9186d758742a2fcda\",\"99ab6d7a44ad26f123f8363a057aeb1b\",\"b9ac3a3677919a1e840833c6b5c35517\",\"643cdc7b87bbf567b345fabfa495e07c\",\"3dd1891baca8ba99d9f87049c0765d61\",\"d2991964b5efd0f63b268af9fb2c02e7\",\"818359bb80f30bf5e786ab64972424be\",\"17da012aaeb9ef9c5fba99accee6e40d\"],\"48\":[\"7da3e725da4208aecfd5208e6d2b1d2d\",\"0feb3275c97c3e69f70f8f7c1d3f0746\",\"d6646e48e452b80ebe0992f2a9d6292e\",\"86ec50b5da2ebe59fd38aebdacbbbb72\",\"8ba901527e02919362abaeeb2b760e7b\",\"d6adec8bb14ab333b03b40f0ff449226\",\"be04eaf2a95d2239718714d586810b2e\",\"8bd8addc40344e58b10b84d60147c183\",\"a2d0b42059d390c31278066010ef9ee0\",\"116817c4071861b8bf98aee1b1a79460\",\"fee4fcd328e937915921928c0df70f85\",\"3108879dbf69431ac073e7fb4eeb5d1f\",\"519ed6c3642fefd95ad10f32f575a54b\",\"b65fbf37a4a7dd428f7badbc833e730d\",\"79abc45414e462ecdf0a1393dbdf41ea\",\"01432edede345e531adb82054b7dc314\",\"05b87d27e7b4183c7c10b141c0d58506\",\"77b0d7debf3e1e5d6fe213e3f8dcfc15\",\"0d3355ccf45435e1a56c7aa3860e7e9d\",\"e60f672c8e0e87eb1d7be62bc25d75e1\",\"cb1e92d5edb338c7752b80f6fae60d82\",\"d99a3c059a3d3294018cd18007b107d1\",\"9df14d9fbddbb2cb2df4d3a15231d990\",\"a5ace3642b42a100e0e1a9ed11d04e56\",\"96e38de93eb2902fe84cc3b9ee4e8798\",\"a7d79af3df6b1446c30e79cc132f4cfd\",\"328eff4efb277ba5fcce3da0d9d755b2\",\"8dd576ab767a2fbd8bc29573ade34283\",\"b357a101c999e8bfa680d0a3b2c54769\",\"c039e53c96b2117c95b8ded6fbd94aa9\",\"4472e1e47b768986e24037b156152141\",\"7d2cecb898698f51090049f3c2af23a8\",\"54a1b52aeac5ed04f1437bb5886bbb40\",\"4a747230209e4223a8f25455c6d8c70f\",\"4be809399104b51525e1c692da5714d7\",\"2a9120d02516cf52e337801aff5a68e7\",\"8de5964be1d061852b4a83e75b1c54dd\",\"e5e6960c41cf8c0f011338c5e0d275e6\",\"6111fea0bd2ba2e2d6aa508ac4c5f918\",\"b333bf1600b80213d300d40750185262\",\"4d111d3598ce25d4710dc86c01aaf9d0\"]}","1179ea192439b80e502af4750775af78"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 1, 'https:\/\/tristar.insure\/life\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_1').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_1');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_1').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_1').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_1').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_1').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_1').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_1').val();gformInitSpinner( 1, 'https:\/\/tristar.insure\/life\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [1, current_page]);window['gf_submitting_1'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_1').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_1').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [1]);window['gf_submitting_1'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_1').text());}else{jQuery('#gform_1').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"1\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_1\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_1\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_1\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 1, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\n<hr \/>\n<p style=\"font-size: 75%; text-decoration: none;\"><a href=\"https:\/\/tristar.insure\">Back to TRISTAR.Insure<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Life Insurance Made Simple: Get Covered in Minutes Say goodbye to long waits\u2014answer just three medical questions, get instant approval, and pay online with ease. Back to TRISTAR.Insure<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","footnotes":""},"class_list":["post-78","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Life Insurance Made Simple: Get Covered in Minutes - TRISTAR.insure | Individual Life Insurance<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tristar.insure\/life\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Life Insurance Made Simple: Get Covered in Minutes - TRISTAR.insure | Individual Life Insurance\" \/>\n<meta property=\"og:description\" content=\"Life Insurance Made Simple: Get Covered in Minutes Say goodbye to long waits\u2014answer just three medical questions, get instant approval, and pay online with ease. Back to TRISTAR.Insure\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tristar.insure\/life\/\" \/>\n<meta property=\"og:site_name\" content=\"TRISTAR.insure | Individual Life Insurance\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-23T22:16:11+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/\",\"url\":\"https:\\\/\\\/tristar.insure\\\/life\\\/\",\"name\":\"Life Insurance Made Simple: Get Covered in Minutes - TRISTAR.insure | Individual Life Insurance\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/#website\"},\"datePublished\":\"2025-01-16T23:38:48+00:00\",\"dateModified\":\"2025-01-23T22:16:11+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/tristar.insure\\\/life\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/tristar.insure\\\/life\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Life Insurance Made Simple: Get Covered in Minutes\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/#website\",\"url\":\"https:\\\/\\\/tristar.insure\\\/life\\\/\",\"name\":\"TRISTAR.insure | Individual Life Insurance\",\"description\":\"Individual Life Insurance\",\"publisher\":{\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/tristar.insure\\\/life\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/#organization\",\"name\":\"TRISTAR.insure | Individual Life Insurance\",\"url\":\"https:\\\/\\\/tristar.insure\\\/life\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/tristar.insure\\\/life\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/Tristar-logo2.jpg\",\"contentUrl\":\"https:\\\/\\\/tristar.insure\\\/life\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/Tristar-logo2.jpg\",\"width\":785,\"height\":137,\"caption\":\"TRISTAR.insure | Individual Life Insurance\"},\"image\":{\"@id\":\"https:\\\/\\\/tristar.insure\\\/life\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Life Insurance Made Simple: Get Covered in Minutes - TRISTAR.insure | Individual Life Insurance","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/tristar.insure\/life\/","og_locale":"en_US","og_type":"article","og_title":"Life Insurance Made Simple: Get Covered in Minutes - TRISTAR.insure | Individual Life Insurance","og_description":"Life Insurance Made Simple: Get Covered in Minutes Say goodbye to long waits\u2014answer just three medical questions, get instant approval, and pay online with ease. Back to TRISTAR.Insure","og_url":"https:\/\/tristar.insure\/life\/","og_site_name":"TRISTAR.insure | Individual Life Insurance","article_modified_time":"2025-01-23T22:16:11+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/tristar.insure\/life\/","url":"https:\/\/tristar.insure\/life\/","name":"Life Insurance Made Simple: Get Covered in Minutes - TRISTAR.insure | Individual Life Insurance","isPartOf":{"@id":"https:\/\/tristar.insure\/life\/#website"},"datePublished":"2025-01-16T23:38:48+00:00","dateModified":"2025-01-23T22:16:11+00:00","breadcrumb":{"@id":"https:\/\/tristar.insure\/life\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/tristar.insure\/life\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/tristar.insure\/life\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/tristar.insure\/life\/"},{"@type":"ListItem","position":2,"name":"Life Insurance Made Simple: Get Covered in Minutes"}]},{"@type":"WebSite","@id":"https:\/\/tristar.insure\/life\/#website","url":"https:\/\/tristar.insure\/life\/","name":"TRISTAR.insure | Individual Life Insurance","description":"Individual Life Insurance","publisher":{"@id":"https:\/\/tristar.insure\/life\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/tristar.insure\/life\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/tristar.insure\/life\/#organization","name":"TRISTAR.insure | Individual Life Insurance","url":"https:\/\/tristar.insure\/life\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/tristar.insure\/life\/#\/schema\/logo\/image\/","url":"https:\/\/tristar.insure\/life\/wp-content\/uploads\/2024\/12\/Tristar-logo2.jpg","contentUrl":"https:\/\/tristar.insure\/life\/wp-content\/uploads\/2024\/12\/Tristar-logo2.jpg","width":785,"height":137,"caption":"TRISTAR.insure | Individual Life Insurance"},"image":{"@id":"https:\/\/tristar.insure\/life\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/tristar.insure\/life\/wp-json\/wp\/v2\/pages\/78","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tristar.insure\/life\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tristar.insure\/life\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tristar.insure\/life\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tristar.insure\/life\/wp-json\/wp\/v2\/comments?post=78"}],"version-history":[{"count":6,"href":"https:\/\/tristar.insure\/life\/wp-json\/wp\/v2\/pages\/78\/revisions"}],"predecessor-version":[{"id":101,"href":"https:\/\/tristar.insure\/life\/wp-json\/wp\/v2\/pages\/78\/revisions\/101"}],"wp:attachment":[{"href":"https:\/\/tristar.insure\/life\/wp-json\/wp\/v2\/media?parent=78"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}