/* growform client2
   bundle.url: https://assets.growform.co/cee2d99-mhw6hzfz/form.bundle.js
   resolve.source: memory
   resolve.at: 2025-12-13T16:32:11.227Z
   form.source: api
   cache.age_ms: 498
   fallback_used: false
*/
;(function () {
  var EMBED_TYPE = "iFrame";
  var FORM_ID = "6695b9452162b7000b240465";
  var FORM_BUNDLE_URL = "https://assets.growform.co/cee2d99-mhw6hzfz/form.bundle.js"; // injected by worker (KV/memory/fallback)
  var FORM_DATA = {"data":{"form":{"_id":"6695b9452162b7000b240465","steps":[{"id":"cf9650de6f3ab7678e42b315","name":"Parts A&B","sortOrder":1},{"id":"68ca11cb5fff84d58f62928c","name":"Moved or Lost Employment","sortOrder":2,"copyOf":"cf9650de6f3ab7678e42b315"},{"id":"2549726269aef6da78b56fd3","name":"Gender","sortOrder":3,"copyOf":"68ca11cb5fff84d58f62928c"},{"id":"ff4727c9498ef9c0a6c989d9","name":"Date of Birth","sortOrder":4},{"id":"24b5f45cc2cd0649772d6893","name":"Address, City, State","sortOrder":5},{"id":"acd45227cac332d443c4e1db","name":"Zip","sortOrder":6},{"id":"12e1b0173799a425c1588bf6","name":"First and Last Name","sortOrder":7},{"id":"8c8c820e0397eb002337309d","name":"Phone and Email","sortOrder":8},{"id":"925cddd09067012b2c432292","name":"TCPA","sortOrder":9}],"formName":"EzeCoverage - Medicare Supplement","fields":{"Decorative Header_52363373085874":{"type":"Decorative Header","value":"Thank you!","width":12,"step":"complete","sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"margins":{"marginTop":100,"marginBottom":100},"stepId":"complete"},"Decorative Header_797442086161467":{"type":"Decorative Header","value":"Zip *","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":16,"unit":"px"},"fontWeight":"Bold","textAlign":"Left"},"stepId":"acd45227cac332d443c4e1db","margins":{"marginBottom":0}},"Decorative Header_576559560634956":{"type":"Decorative Header","value":"Date of Birth (Optional)","width":12,"step":5,"sortOrder":1,"fieldStyle":{"fontSize":{"value":16,"unit":"px"},"fontWeight":"Bold","textAlign":"Left"},"stepId":"ff4727c9498ef9c0a6c989d9","margins":{"marginBottom":0}},"zipcode_273668483397436":{"type":"Zipcode","label":"","zipcodeFieldFormat":"zipcode_usa","width":12,"stepId":"acd45227cac332d443c4e1db","sortOrder":2},"decorative_header_449889111823833":{"type":"Decorative Header","value":"First and Last Name *","width":12,"sortOrder":1,"stepId":"12e1b0173799a425c1588bf6","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"Left"}},"decorative_header_434363481381419":{"type":"Decorative Header","value":"Your Address *","width":12,"sortOrder":1,"stepId":"24b5f45cc2cd0649772d6893","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"Left"}},"decorative_header_43413770189103":{"type":"Decorative Header","value":"Your Phone and Email *","width":12,"sortOrder":1,"stepId":"8c8c820e0397eb002337309d","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"Left"}},"date_743017643822780":{"type":"Date","label":"","width":12,"disablePast":false,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":2},"name_895513423557354":{"type":"Name","label":"","width":12,"hideLabel":true,"options":{"Firstname":{"value":null,"errorText":null,"validationRules":{"required":true}},"Lastname":{"value":null,"errorText":null,"validationRules":{"required":true}},"Prefix":{"value":null,"errorText":null}},"stepId":"12e1b0173799a425c1588bf6","sortOrder":2,"hidePrefix":true},"address_395104979999259":{"type":"Address","label":"Address","width":12,"stepId":"24b5f45cc2cd0649772d6893","sortOrder":2,"hideLabel":false,"validationRules":{"required":true}},"phone_516022565535223":{"type":"Phone","label":"","width":12,"stepId":"8c8c820e0397eb002337309d","sortOrder":2,"hideLabel":true,"showCountryCode":true},"email_792351253698361":{"type":"Email","label":"","width":12,"stepId":"8c8c820e0397eb002337309d","sortOrder":3,"hideLabel":true},"decorative_paragraph_289528148873928":{"type":"Decorative Paragraph","value":"By completing the contact form on this page or calling the number listed below, you will be directed to a licensed sales agent who can answer your questions and provide information about Medicare Products. The communications consented to above include marketing of insurance products. This is a solicitation for insurance, products and services including Medicare Supplement, Medicare Advantage,  Prescription Drug insurance plans and other health-related services. Licensed insurance agents are not connected with or endorsed by the U.S. government or the federal Medicare program. Submitting this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other plan. A Medicare Advantage Plan is a health insurance plan provided through a private insurer and delivers Medicare Part A and Part B benefits. A Part D Drug Plan is a prescription drug insurance plan provided through a private insurer and delivers Medicare Part D benefits. By clicking the submit button, I provide my express written consent via this chat / webform via electronic signature to be contacted by a partner in the EzeCoverage Network with materials for services via direct or electronic mail, interaction for a licensed sales agent associated with [Marketing Partners](https://ezecoverage.net/partners/) to contact me at the number I provided, even if the phone number provided is on the National Do Not Call registry, phone calls to the phone number provided (including any wireless number), text/SMS messages, via automatic/ automated dialing system(s), telephone call, text, or email. Consent is not a condition of purchase and may be revoked at any time. I understand this request has been initiated by me and is an unscheduled contact request. I further understand that this request, initiated by me, is my affirmative consent to be contacted which is in compliance with all federal and state telemarketing and Do-Not-Call laws.","width":12,"stepId":"925cddd09067012b2c432292","sortOrder":1,"fieldStyle":{"lineHeight":"150%"}},"decorative_header_871412578689889":{"type":"Decorative Header","value":"Are you currently enrolled in both Medicare Parts A & B? *","width":12,"sortOrder":1,"stepId":"cf9650de6f3ab7678e42b315"},"buttons_769455281154037":{"type":"Buttons","validationRules":{"required":true},"label":"","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"imageStyles":{},"options":[{"text":"Yes","id":"551d1656c5f22022c9806cd8"},{"text":"No","id":"5df3a2c7cc6e6d3e76bc34c5"}],"stepId":"cf9650de6f3ab7678e42b315","sortOrder":2,"hideLabel":true},"decorative_header_185161003238236":{"type":"Decorative Header","value":"\nDo any of these apply to you? (Optional)","width":12,"sortOrder":1,"stepId":"68ca11cb5fff84d58f62928c"},"buttons_34433471679638":{"type":"Buttons","validationRules":{"required":false},"label":"","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"imageStyles":{},"options":[{"text":"Moved recently or planing to move","id":"551d1656c5f22022c9806cd8"},{"text":"Lost employment coverage","id":"5df3a2c7cc6e6d3e76bc34c5"}],"stepId":"68ca11cb5fff84d58f62928c","sortOrder":2,"hideLabel":true},"decorative_header_657580323803659":{"type":"Decorative Header","value":"\nGender (Optional)","width":12,"sortOrder":1,"stepId":"2549726269aef6da78b56fd3"},"buttons_145177546662062":{"type":"Buttons","validationRules":{"required":false},"label":"","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"imageStyles":{},"options":[{"text":"Female","id":"551d1656c5f22022c9806cd8"},{"text":"Male","id":"5df3a2c7cc6e6d3e76bc34c5"}],"stepId":"2549726269aef6da78b56fd3","sortOrder":2,"hideLabel":true}},"options":{"numberOfSteps":5,"dateFormat":"DD/MM/YYYY","progressBar":{"enable":true},"continueButton":{"continueText":"Continue","submitText":"Submit","backText":"Back"},"customStyles":{"width":{"unit":"px","value":580},"parentContainerMinHeight":{"value":0,"unit":"px"},"parentBackgroundImage":{"imageInitialHeight":1362,"imageInitialWidth":2066,"imageHeight":1362,"imageWidth":2066,"imageUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1597337140/uploads/qmsfk98ank3wfp1ehvyg.jpg"},"headerMarginTop":40,"parentBackgroundColor":"#ffffff","innerFormBackgroundColor":"#ffffff","innerFormBackgroundTransparency":"","primaryColor":"#0a83ca","bodyTextColor":"#343434","parentContainerBackgroundType":"color","innerFormBackgroundType":"none","buttonBorderColor":"#ff7500","buttonColorSelected":"#ffa659","buttonBorderColorSelected":"#ff7500","footerMarginBottom":70,"errorColor":"#ff4e4e","buttonColor":"#ff7500","buttonTextColor":"#ffffff","inputLabelColor":"#a3a3a3","inputTextColor":"#000000","defaultFont":"Open Sans","sq_buttonFont":"Poppins","sq_buttonFontSize":15,"showShadows":"Yes","sq_buttonTextColor":"#343434","sq_buttonColor":"#FFFFFF","sq_buttonColorSelected":"#FFFFFF","sq_buttonBorderColor":"#DADADA","sq_buttonBorderColorSelected":"primary","sq_buttonBannerColor":"#ffffff","rt_buttonFont":"Poppins","rt_buttonFontSize":15,"rt_buttonColor":"#FFFFFF","rt_buttonColorSelected":"#FFFFFF","rt_buttonTextColor":"#343434","rt_buttonBorderColor":"#DADADA","rt_buttonBorderColorSelected":"primary","inputLabelFont":"Poppins","inputFontSize":16,"continueSubmitButtonFontSize":16},"localization":{"dateFormat":"MM/DD/YYYY"},"exportTransparentBackground":false,"customScript":"","customRedirectUrls":[{"url":""}],"captureSystemDetails":false},"ownedByUser":"65f3a5ee4e10a8000b863a0c","personalisation":{"form_related_to":"(None - start with a blank slate)"},"created":"2024-07-16T00:05:25.348Z","__v":0,"lastEdited":"2024-07-16T00:20:55.256Z","screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1742558641/growform-production/form-screenshots/6695b9452162b7000b240465.png","leadsCount":0,"isActive":true},"accountIsActive":true,"accountIsFreeTrial":false}};

  // ---- Utils ----
  function safeJSONStringify(obj) {
    return JSON.stringify(obj)
      .replace(/<\/(script|style)/gi, '<\\/$1')
      .replace(/<!--/g, '<\\!--')
      .replace(/-->/g, '--\\>')
      .replace(/\u2028/g, '\\u2028')
      .replace(/\u2029/g, '\\u2029');
  }

  function preloadScript(href) {
    try {
      if (!href) return;
      if (document.querySelector('link[rel="preload"][href="' + href + '"]')) return;
      var l = document.createElement("link");
      l.rel = "preload";
      l.as = "script";
      l.href = href;
      l.crossOrigin = ""; // allow cache reuse in iframe
      document.head.appendChild(l);
    } catch (_) {}
  }

  function parseQuery() {
    var out = {};
    try {
      if (!window.location.search) return out;
      var usp = new URLSearchParams(window.location.search);
      usp.forEach(function (v, k) { out[k] = v; });
    } catch (_) {}
    return out;
  }

  function buildIframeHTML(opts) {
    var html =
'<!doctype html>\n' +
'<html lang="" style="font-size:14px; font-family:\'Muli\', sans-serif;">\n' +
'<head>\n' +
'  <meta http-equiv="Content-Type" content="text/html;charset=utf-8" />\n' +
'  <meta name="viewport" content="width=device-width, initial-scale=1">\n' +
'  <link href="https://fonts.googleapis.com/css2?family=Muli:ital,wght@0,400;0,700;1,400&display=swap" rel="stylesheet">\n' +
'</head>\n' +
'<body style="background:none; margin:0; overflow-x:clip; overflow-y:auto;">\n' +
'  <noscript>You need to enable JavaScript to run this app.</noscript>\n' +
'  <div id="growform_5ap8d5a8na90d" style="width:100%; overflow-x:hidden;"></div>\n' +
'  <script type="text/javascript" src="' + opts.bundleUrl + '"></' + 'script>\n' +
'  <script type="text/javascript">\n' +
'    (function(){\n' +
'      try {\n' +
'        if (window.Growform && typeof window.Growform.init === "function") {\n' +
'          window.Growform.init({\n' +
'            formId: ' + JSON.stringify(opts.formId) + ',\n' +
'            embedMethod: ' + JSON.stringify(opts.embedMethod) + ',\n' +
'            embedId: ' + JSON.stringify(opts.embedId) + ',\n' +
'            queryParams: ' + JSON.stringify(opts.query || {}) + ',\n' +
'            formData: ' + opts.formData + '\n' +
'          });\n' +
'        }\n' +
'      } catch(e) { /* swallow */ }\n' +
'    })();\n' +
'  </' + 'script>\n' +
'</body>\n' +
'</html>';
    return html;
  }

  function embedGrowform() {
    var growformEmbedId = "embed-" + Math.floor(Math.random() * 100000).toString();
    var iFrameHeight = (EMBED_TYPE === "modal") ? "100%" : "350px";

    preloadScript(FORM_BUNDLE_URL);

    var iframe = document.createElement("iframe");
    iframe.setAttribute("width", "100%");
    iframe.setAttribute("height", iFrameHeight);
    iframe.setAttribute("frameborder", "0");
    iframe.setAttribute("data-cookieconsent", "ignore");
    iframe.setAttribute("class", "growform_form growform_form_" + growformEmbedId);
    iframe.setAttribute("id", "growform_form");
    iframe.setAttribute("allowTransparency", "true");
    if (EMBED_TYPE !== "modal") {
      iframe.setAttribute("scrolling", "no");
    }

    var isTrustedFormEnabled = false;
    try {
      if (FORM_DATA && FORM_DATA.data && FORM_DATA.data.form && 
          FORM_DATA.data.form.options && FORM_DATA.data.form.options.analyticsSettings &&
          FORM_DATA.data.form.options.analyticsSettings.trustedForm &&
          FORM_DATA.data.form.options.analyticsSettings.trustedForm.enabled === true) {
        isTrustedFormEnabled = true;
      }
    } catch (_) {}

    if (isTrustedFormEnabled) {
      var baseUrl = "https://embed.growform.co/go/" + FORM_ID + "/embedMethod/" + EMBED_TYPE + "/";
      var iframeUrl = baseUrl + growformEmbedId;
      if (window.location.search) {
        iframeUrl = iframeUrl + window.location.search;
      }
      iframe.setAttribute("src", iframeUrl);
    } else {
      // Use srcdoc method for non-TrustedForm forms
      var html = buildIframeHTML({
        formId: FORM_ID,
        embedMethod: EMBED_TYPE,
        embedId: growformEmbedId,
        query: parseQuery(),
        bundleUrl: FORM_BUNDLE_URL,
        formData: safeJSONStringify(FORM_DATA)
      });

      try {
        if ("srcdoc" in iframe) {
          iframe.srcdoc = html;
        } else {
          var blob = new Blob([html], { type: "text/html" });
          iframe.src = URL.createObjectURL(blob);
        }
      } catch (_) {
        var blob2 = new Blob([html], { type: "text/html" });
        iframe.src = URL.createObjectURL(blob2);
      }
    }

    var currentScript = document.currentScript || (function(){
      var scripts = document.getElementsByTagName('script');
      return scripts[scripts.length - 1];
    })();
    if (currentScript && currentScript.parentNode) {
      currentScript.parentNode.insertBefore(iframe, currentScript.nextSibling);
    } else {
      // fallback if we can't find the script
      document.body.appendChild(iframe);
    }

    // ------- Public API on parent -------
    window.growform = window.growform || {};
    if (typeof window.growform.setHiddenField !== "function") {
      window.growform.setHiddenField = function(fieldName, value) {
        var iframes = document.getElementsByClassName("growform_form");
        for (var i = 0; i < iframes.length; i++) {
          if (iframes[i].contentWindow) {
            iframes[i].contentWindow.postMessage({
              action: "growform_set_hidden_field",
              fieldName: fieldName,
              value: value
            }, "*");
          }
        }
      };
    }

    // ------- Message plumbing (unchanged behaviours) -------
    function growform_receiveMessage(event) {
      var origin = event && event.origin ? event.origin : null;
      var hostOrigin = window.location.origin;

      if (
        origin !== null &&
        origin !== 'null' &&
        origin !== hostOrigin &&
        origin !== 'https://embed.growform.co'
      ) {
        console.warn('Blocked message from unexpected origin:', origin);
        return;
      }

      if (!event || !event.data || !event.data.action) return;
      if (event.data.growform_embed_id !== growformEmbedId) return;

      if (event.data.action === "growform_resize_height") {
        var h = parseInt(event.data.height, 10);
        if (!isNaN(h)) {
          var targetClass = "growform_form_" + growformEmbedId;
          h = Math.round(h) + 16;
          var el = document.getElementsByClassName(targetClass)[0];
          if (el) el.style.height = h + "px";
        }
      }

      if (event.data.action === "growform_submit_form") {
        var customScript = event.data.customScript;
        var elementId = "growform_CustomScriptPageDiv_" + growformEmbedId;
        if (!document.getElementById(elementId)) {
          var d = document.createElement("div");
          d.id = elementId;
          document.body.appendChild(d);
          d.innerHTML = customScript;
          var scripts = d.getElementsByTagName("script");
          for (var i = 0; i < scripts.length; i++) {
            try { eval(scripts[i].innerText); } catch (_) {}
          }
        }
      }

      if (event.data.action === "growform_add_parent_gtm_container") {
        var containerId = event.data.containerId;
        (function (w, d, s, l, i) {
          w[l] = w[l] || [];
          w[l].push({ "gtm.start": new Date().getTime(), event: "gtm.js" });
          var f = d.getElementsByTagName(s)[0],
              j = d.createElement(s),
              dl = l != "dataLayer" ? "&l=" + l : "";
          j.async = true;
          j.src = "https://www.googletagmanager.com/gtm.js?id=" + i + dl;
          f.parentNode.insertBefore(j, f);
        })(window, document, "script", "dataLayer", containerId);

        window.dataLayer = window.dataLayer || [];
        window.dataLayer.push({
          event: "growformAnalyticsSettings",
          growformAnalyticsSettings: event.data.analyticsSettings,
          growformEmbedId: growformEmbedId
        });
      }

      if (event.data.action === "growform_scroll_to_top") {
        var targetClass2 = "growform_form_" + growformEmbedId;
        var target = document.getElementsByClassName(targetClass2)[0];
        if (target && target.getBoundingClientRect) {
          var rect = target.getBoundingClientRect();
          var relY = rect.top;
          var absY = relY + (window.scrollY || window.pageYOffset || 0);
          var winH = window.innerHeight || document.documentElement.clientHeight;
          if (relY < 0 || relY > winH) {
            var offset = event.data.offset ? event.data.offset : 0;
            var y = absY + offset;
            setTimeout(function(){ window.scrollTo({ top: y, behavior: "smooth" }); }, 100);
          }
        }
      }

      if (event.data.action === "growform_form_loaded") {
        try {
          var ev = document.createEvent("Event");
          ev.initEvent("growform_loaded", true, true);
          window.dispatchEvent(ev);
        } catch (_) {
          try { window.dispatchEvent(new Event("growform_loaded")); } catch (_) {}
        }
      }
    }

    window.addEventListener("message", growform_receiveMessage, false);
  }

  embedGrowform();
})();