.coverage-form-module__F9vrva__coverageForm{--coverage-ink:#161412;--coverage-muted:#16141294;--coverage-border:#3a312838;--coverage-border-strong:#3a312857;--coverage-surface:#f4f0e8;--coverage-field:#ffffff8a;--coverage-accent:#a8643b}.coverage-form-module__F9vrva__coverageForm label{color:var(--coverage-ink);gap:.35rem;margin-bottom:.45rem;font-size:.8125rem;font-weight:500;line-height:1.35}.coverage-form-module__F9vrva__coverageForm label svg{display:none}.coverage-form-module__F9vrva__coverageForm label span{color:#a8643bc2;font-weight:500}:is(.coverage-form-module__F9vrva__coverageForm input,.coverage-form-module__F9vrva__coverageForm textarea,.coverage-form-module__F9vrva__coverageForm select){border:1px solid var(--coverage-border);background:var(--coverage-field);color:var(--coverage-ink);border-radius:12px;box-shadow:inset 0 1px #ffffff6b}:is(.coverage-form-module__F9vrva__coverageForm input,.coverage-form-module__F9vrva__coverageForm select){height:50px}.coverage-form-module__F9vrva__coverageForm textarea{border-radius:14px;min-height:108px}:is(.coverage-form-module__F9vrva__coverageForm input::placeholder,.coverage-form-module__F9vrva__coverageForm textarea::placeholder){color:#16141294}:is(.coverage-form-module__F9vrva__coverageForm input:hover,.coverage-form-module__F9vrva__coverageForm textarea:hover,.coverage-form-module__F9vrva__coverageForm select:hover){border-color:var(--coverage-border-strong)}:is(.coverage-form-module__F9vrva__coverageForm input:focus-visible,.coverage-form-module__F9vrva__coverageForm textarea:focus-visible,.coverage-form-module__F9vrva__coverageForm select:focus-visible){border-color:#a8643bad;box-shadow:inset 0 1px #ffffff6b,0 0 0 3px #a8643b2e}:is(.coverage-form-module__F9vrva__coverageForm input[aria-invalid=true],.coverage-form-module__F9vrva__coverageForm textarea[aria-invalid=true],.coverage-form-module__F9vrva__coverageForm select[aria-invalid=true]){border-color:#8e4d2bb3;box-shadow:inset 0 1px #ffffff6b,0 0 0 3px #a8643b1f}.coverage-form-module__F9vrva__coverageForm select option{color:var(--coverage-ink);background:var(--coverage-surface)}.coverage-form-module__F9vrva__coverageForm select{appearance:none;text-overflow:ellipsis;white-space:nowrap;cursor:pointer;background-image:url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 16 16'%3E%3Cpath d='M4 6l4 4 4-4' fill='none' stroke='%23161412' stroke-opacity='0.58' stroke-width='1.6' stroke-linecap='round' stroke-linejoin='round'/%3E%3C/svg%3E");background-position:right .9rem center;background-repeat:no-repeat;background-size:1rem 1rem;max-width:100%;padding-right:2.75rem;overflow:hidden}.coverage-form-module__F9vrva__coverageForm select option[value=""]{color:#16141294}.coverage-form-module__F9vrva__coverageForm [id$=-error]{color:#8e4d2b}.coverage-form-module__F9vrva__consentBox .orb-checkbox-row{color:var(--coverage-muted);align-items:flex-start;gap:.85rem}.coverage-form-module__F9vrva__consentText .orb-checkbox-lbl-main{max-width:62rem;font-size:.875rem;line-height:1.65;display:block}.coverage-form-module__F9vrva__consentText .orb-checkbox-lbl-main a{color:#a8643be0;text-underline-offset:.2em;font-weight:500}.coverage-form-module__F9vrva__consentBox .orb-checkbox-orb{margin-top:.15rem}.coverage-form-module__F9vrva__consentBox .orb-checkbox-orb-face{background:#f4f0e8;border:1px solid #3a312833}.coverage-form-module__F9vrva__consentBox .orb-checkbox-orb-gap{background:#f4f0e8}.coverage-form-module__F9vrva__consentBox .orb-checkbox-orb-face svg{stroke:#f4f0e8}.coverage-form-module__F9vrva__consentBox .orb-checkbox-row input:checked~.orb-checkbox-orb .orb-checkbox-orb-face{background:#161412;border-color:#161412;animation:none}.coverage-form-module__F9vrva__consentBox .orb-checkbox-row input:checked~.orb-checkbox-orb .orb-checkbox-orb-face:before{opacity:0}:is(.coverage-form-module__F9vrva__consentBox .orb-checkbox-row input:checked~.orb-checkbox-orb .orb-checkbox-orb-ring,.coverage-form-module__F9vrva__consentBox .orb-checkbox-row input:checked~.orb-checkbox-orb .orb-checkbox-orb-aurora,.coverage-form-module__F9vrva__consentBox .orb-checkbox-row input:checked~.orb-checkbox-orb .orb-checkbox-orb-halo){background:#a8643b33}.coverage-form-module__F9vrva__consentBox .orb-checkbox-row input:checked~.orb-checkbox-orb .orb-checkbox-orb-orbit{border-color:#a8643b38}:is(.coverage-form-module__F9vrva__consentBox .orb-checkbox-orb-fx,.coverage-form-module__F9vrva__consentBox .orb-checkbox-orb-face:after){opacity:0}.coverage-form-module__F9vrva__consentBox .orb-checkbox-row input:checked~.orb-checkbox-lbl .orb-checkbox-lbl-main{color:var(--coverage-ink)}.coverage-form-module__F9vrva__consentBox .orb-checkbox-lbl-main{color:var(--coverage-muted)}