lactationnetwork.com Open in urlscan Pro
2606:4700:20::681a:a5a  Public Scan

Submitted URL: http://www.lactationnetwork.com//read/-all//
Effective URL: https://lactationnetwork.com/read/-all/
Submission: On October 04 via api from US — Scanned from US

Form analysis 4 forms found in the DOM

GET /

<form class="header-search__form" role="search" method="get" action="/">
  <div class="header-search__field">
    <input class="js-search-input" name="s" type="text" placeholder="Type in what you're looking for!" autocomplete="off">
  </div>
</form>

POST /read/-all/

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_2" id="gform_2" action="/read/-all/" data-formid="2" novalidate="" class="recaptcha-v3-initialized">
  <div class="gf_invisible ginput_recaptchav3" data-sitekey="6LeuFsokAAAAAC4HWiIBYl1DYpb-zBB11gQxTsNG" data-tabindex="0"><input id="input_eb9e6b8e87b4620ae0ba879e0d28e4c2" class="gfield_recaptcha_response" type="hidden"
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  <div class="gform-body gform_body">
    <div id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <div id="field_2_1" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_2_1"><label
          class="gfield_label gform-field-label" for="input_2_1">Enter your email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_1" id="input_2_1" type="email" value="" class="large" placeholder="Enter your email" aria-required="true" aria-invalid="false"> <span class="placeholder-label">Enter your email</span>
        </div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_2" class="gform_button button" value="Submit"
      onclick="if(window[&quot;gf_submitting_2&quot;]){return false;}  if( !jQuery(&quot;#gform_2&quot;)[0].checkValidity || jQuery(&quot;#gform_2&quot;)[0].checkValidity()){window[&quot;gf_submitting_2&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_2&quot;]){return false;} if( !jQuery(&quot;#gform_2&quot;)[0].checkValidity || jQuery(&quot;#gform_2&quot;)[0].checkValidity()){window[&quot;gf_submitting_2&quot;]=true;}  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=2&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme">
    <input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="2">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_2" value="WyJbXSIsIjE5YjQ2MzdhNjg1MmRhMTBmYmY2ZDBjMmM3MmYwNmNlIl0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

<form id="check-my-coverage-form" data-parsley-validate="">
  <div class="form-section">
    <div class="coverage-form__group">
      <h6 class="coverage-form__subtitle">Lactating Parent's Insurance Information</h6>
      <ul class="coverage-form__list">
        <li class="coverage-form__item type-select">
          <div class="coverage-form__item-inner">
            <select id="parent_insurance_provider" name="parent_insurance_provider" required="" data-parsley-required="true" data-choice-settings="{&quot;searchEnabled&quot;:true}">
              <option value="">Select Insurance Company</option>
            </select>
            <label for="parent_insurance_provider">Insurance Provider</label>
          </div>
          <p>Don’t see your insurance plan listed? Just select “*My Plan is not Listed*” from the dropdown above</p>
        </li>
        <li class="coverage-form__item">
          <div class="coverage-form__item-inner">
            <select id="parent_state_of_residence" name="parent_state_of_residence" required="" data-parsley-required="true" data-choice-settings="{&quot;searchEnabled&quot;:true}">
              <option value="" selected="">Select State</option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District Of Columbia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="ME">Maine</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PA">Pennsylvania</option>
              <option value="PR">Puerto Rico</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VA">Virginia</option>
              <option value="WA">Washington</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
            </select>
            <label for="parent_state_of_residence">State of Residence</label>
          </div>
        </li>
      </ul>
    </div>
    <div class="coverage-form__group">
      <h6 class="coverage-form__subtitle">Has your baby arrived?</h6>
      <ul class="coverage-form__list">
        <li class="coverage-form__item type-radio">
          <div class="coverage-form__item-inner">
            <input class="js-radio-hide-section" id="hasYourBabyArrived-no" type="radio" name="baby_born" value="no" required="" data-toggle-section=".baby-insurance-provider" data-parsley-required="true" checked="checked">
            <label for="hasYourBabyArrived-no">No</label>
          </div>
        </li>
        <li class="coverage-form__item type-radio">
          <div class="coverage-form__item-inner">
            <input class="js-radio-show-section" id="hasYourBabyArrived-yes" type="radio" name="baby_born" value="yes" required="" data-toggle-section=".baby-insurance-provider" data-parsley-required="true">
            <label for="hasYourBabyArrived-yes">Yes</label>
          </div>
        </li>
      </ul>
    </div>
    <div class="coverage-form__group baby-insurance-provider">
      <ul class="coverage-form__list">
        <li class="coverage-form__item type-select">
          <div class="coverage-form__item-inner">
            <select id="baby_insurance_provider" name="baby_insurance_provider" data-parsley-default-required="true" data-choice-settings="{&quot;searchEnabled&quot;:true}">
              <option value="" selected="">Select Provider</option>
            </select>
            <label for="baby_insurance_provider">Baby’s Insurance Provider</label>
          </div>
          <p>Don’t see baby’s insurance plan listed? Just select “*My Plan is not Listed*” from the dropdown above</p>
        </li>
      </ul>
    </div>
  </div>
  <div class="wp-block-button btn-primary with-arrow"><button class="wp-block-button__link js-submit-check-coverage" type="submit">View my coverage</button></div> <br>
  <p>All sales final. No returns or exchanges will be accepted.</p>
</form>

<form id="check-my-coverage-form" data-parsley-validate="" novalidate="">
  <div class="form-section">
    <div class="coverage-form__group">
      <h6 class="coverage-form__subtitle">Lactating Parent's Insurance Information</h6>
      <ul class="coverage-form__list">
        <li class="coverage-form__item type-select">
          <div class="coverage-form__item-inner">
            <div class="choices" data-type="select-one" tabindex="0" role="combobox" aria-autocomplete="list" aria-haspopup="true" aria-expanded="false">
              <div class="choices__inner"><select id="parent_insurance_provider" name="parent_insurance_provider" required="" data-parsley-required="true" data-choice-settings="{&quot;searchEnabled&quot;:true}" class="choices__input" hidden=""
                  tabindex="-1" data-choice="active">
                  <option value="" data-custom-properties="[object Object]">Select Insurance Company</option>
                </select>
                <div class="choices__list choices__list--single">
                  <div class="choices__item choices__placeholder choices__item--selectable" data-item="" data-id="1" data-value="" data-custom-properties="[object Object]" aria-selected="true">Select Insurance Company</div>
                </div>
              </div>
              <div class="choices__list choices__list--dropdown" aria-expanded="false"><input type="text" class="choices__input choices__input--cloned" autocomplete="dummy" autocapitalize="off" spellcheck="false" role="textbox"
                  aria-autocomplete="list" aria-label="Select Insurance Company" placeholder="">
                <div class="choices__list" role="listbox">
                  <div id="choices--parent_insurance_provider-item-choice-1" class="choices__item choices__item--choice is-selected choices__placeholder choices__item--selectable is-highlighted" role="option" data-choice="" data-id="1" data-value=""
                    data-select-text="" data-choice-selectable="" aria-selected="true">Select Insurance Company</div>
                </div>
              </div>
            </div>
            <label for="parent_insurance_provider">Insurance Provider</label>
          </div>
          <p>Don’t see your insurance plan listed? Just select “*My Plan is not Listed*” from the dropdown above</p>
        </li>
        <li class="coverage-form__item">
          <div class="coverage-form__item-inner">
            <div class="choices" data-type="select-one" tabindex="0" role="combobox" aria-autocomplete="list" aria-haspopup="true" aria-expanded="false">
              <div class="choices__inner"><select id="parent_state_of_residence" name="parent_state_of_residence" required="" data-parsley-required="true" data-choice-settings="{&quot;searchEnabled&quot;:true}" class="choices__input" hidden=""
                  tabindex="-1" data-choice="active">
                  <option value="" data-custom-properties="[object Object]">Select State</option>
                </select>
                <div class="choices__list choices__list--single">
                  <div class="choices__item choices__placeholder choices__item--selectable" data-item="" data-id="1" data-value="" data-custom-properties="[object Object]" aria-selected="true">Select State</div>
                </div>
              </div>
              <div class="choices__list choices__list--dropdown" aria-expanded="false"><input type="text" class="choices__input choices__input--cloned" autocomplete="dummy" autocapitalize="off" spellcheck="false" role="textbox"
                  aria-autocomplete="list" aria-label="Select State" placeholder="">
                <div class="choices__list" role="listbox">
                  <div id="choices--parent_state_of_residence-item-choice-1" class="choices__item choices__item--choice is-selected choices__placeholder choices__item--selectable is-highlighted" role="option" data-choice="" data-id="1" data-value=""
                    data-select-text="" data-choice-selectable="" aria-selected="true">Select State</div>
                  <div id="choices--parent_state_of_residence-item-choice-2" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="2" data-value="AL" data-select-text="" data-choice-selectable="">
                    Alabama</div>
                  <div id="choices--parent_state_of_residence-item-choice-3" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="3" data-value="AK" data-select-text="" data-choice-selectable="">
                    Alaska</div>
                  <div id="choices--parent_state_of_residence-item-choice-4" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="4" data-value="AZ" data-select-text="" data-choice-selectable="">
                    Arizona</div>
                  <div id="choices--parent_state_of_residence-item-choice-5" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="5" data-value="AR" data-select-text="" data-choice-selectable="">
                    Arkansas</div>
                  <div id="choices--parent_state_of_residence-item-choice-6" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="6" data-value="CA" data-select-text="" data-choice-selectable="">
                    California</div>
                  <div id="choices--parent_state_of_residence-item-choice-7" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="7" data-value="CO" data-select-text="" data-choice-selectable="">
                    Colorado</div>
                  <div id="choices--parent_state_of_residence-item-choice-8" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="8" data-value="CT" data-select-text="" data-choice-selectable="">
                    Connecticut</div>
                  <div id="choices--parent_state_of_residence-item-choice-9" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="9" data-value="DE" data-select-text="" data-choice-selectable="">
                    Delaware</div>
                  <div id="choices--parent_state_of_residence-item-choice-10" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="10" data-value="DC" data-select-text=""
                    data-choice-selectable="">District Of Columbia</div>
                  <div id="choices--parent_state_of_residence-item-choice-11" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="11" data-value="FL" data-select-text=""
                    data-choice-selectable="">Florida</div>
                  <div id="choices--parent_state_of_residence-item-choice-12" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="12" data-value="GA" data-select-text=""
                    data-choice-selectable="">Georgia</div>
                  <div id="choices--parent_state_of_residence-item-choice-13" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="13" data-value="HI" data-select-text=""
                    data-choice-selectable="">Hawaii</div>
                  <div id="choices--parent_state_of_residence-item-choice-14" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="14" data-value="ID" data-select-text=""
                    data-choice-selectable="">Idaho</div>
                  <div id="choices--parent_state_of_residence-item-choice-15" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="15" data-value="IL" data-select-text=""
                    data-choice-selectable="">Illinois</div>
                  <div id="choices--parent_state_of_residence-item-choice-16" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="16" data-value="IN" data-select-text=""
                    data-choice-selectable="">Indiana</div>
                  <div id="choices--parent_state_of_residence-item-choice-17" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="17" data-value="IA" data-select-text=""
                    data-choice-selectable="">Iowa</div>
                  <div id="choices--parent_state_of_residence-item-choice-18" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="18" data-value="KS" data-select-text=""
                    data-choice-selectable="">Kansas</div>
                  <div id="choices--parent_state_of_residence-item-choice-19" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="19" data-value="KY" data-select-text=""
                    data-choice-selectable="">Kentucky</div>
                  <div id="choices--parent_state_of_residence-item-choice-20" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="20" data-value="LA" data-select-text=""
                    data-choice-selectable="">Louisiana</div>
                  <div id="choices--parent_state_of_residence-item-choice-21" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="21" data-value="ME" data-select-text=""
                    data-choice-selectable="">Maine</div>
                  <div id="choices--parent_state_of_residence-item-choice-22" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="22" data-value="MD" data-select-text=""
                    data-choice-selectable="">Maryland</div>
                  <div id="choices--parent_state_of_residence-item-choice-23" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="23" data-value="MA" data-select-text=""
                    data-choice-selectable="">Massachusetts</div>
                  <div id="choices--parent_state_of_residence-item-choice-24" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="24" data-value="MI" data-select-text=""
                    data-choice-selectable="">Michigan</div>
                  <div id="choices--parent_state_of_residence-item-choice-25" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="25" data-value="MN" data-select-text=""
                    data-choice-selectable="">Minnesota</div>
                  <div id="choices--parent_state_of_residence-item-choice-26" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="26" data-value="MS" data-select-text=""
                    data-choice-selectable="">Mississippi</div>
                  <div id="choices--parent_state_of_residence-item-choice-27" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="27" data-value="MO" data-select-text=""
                    data-choice-selectable="">Missouri</div>
                  <div id="choices--parent_state_of_residence-item-choice-28" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="28" data-value="MT" data-select-text=""
                    data-choice-selectable="">Montana</div>
                  <div id="choices--parent_state_of_residence-item-choice-29" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="29" data-value="NE" data-select-text=""
                    data-choice-selectable="">Nebraska</div>
                  <div id="choices--parent_state_of_residence-item-choice-30" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="30" data-value="NV" data-select-text=""
                    data-choice-selectable="">Nevada</div>
                  <div id="choices--parent_state_of_residence-item-choice-31" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="31" data-value="NH" data-select-text=""
                    data-choice-selectable="">New Hampshire</div>
                  <div id="choices--parent_state_of_residence-item-choice-32" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="32" data-value="NJ" data-select-text=""
                    data-choice-selectable="">New Jersey</div>
                  <div id="choices--parent_state_of_residence-item-choice-33" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="33" data-value="NM" data-select-text=""
                    data-choice-selectable="">New Mexico</div>
                  <div id="choices--parent_state_of_residence-item-choice-34" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="34" data-value="NY" data-select-text=""
                    data-choice-selectable="">New York</div>
                  <div id="choices--parent_state_of_residence-item-choice-35" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="35" data-value="NC" data-select-text=""
                    data-choice-selectable="">North Carolina</div>
                  <div id="choices--parent_state_of_residence-item-choice-36" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="36" data-value="ND" data-select-text=""
                    data-choice-selectable="">North Dakota</div>
                  <div id="choices--parent_state_of_residence-item-choice-37" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="37" data-value="OH" data-select-text=""
                    data-choice-selectable="">Ohio</div>
                  <div id="choices--parent_state_of_residence-item-choice-38" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="38" data-value="OK" data-select-text=""
                    data-choice-selectable="">Oklahoma</div>
                  <div id="choices--parent_state_of_residence-item-choice-39" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="39" data-value="OR" data-select-text=""
                    data-choice-selectable="">Oregon</div>
                  <div id="choices--parent_state_of_residence-item-choice-40" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="40" data-value="PA" data-select-text=""
                    data-choice-selectable="">Pennsylvania</div>
                  <div id="choices--parent_state_of_residence-item-choice-41" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="41" data-value="PR" data-select-text=""
                    data-choice-selectable="">Puerto Rico</div>
                  <div id="choices--parent_state_of_residence-item-choice-42" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="42" data-value="RI" data-select-text=""
                    data-choice-selectable="">Rhode Island</div>
                  <div id="choices--parent_state_of_residence-item-choice-43" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="43" data-value="SC" data-select-text=""
                    data-choice-selectable="">South Carolina</div>
                  <div id="choices--parent_state_of_residence-item-choice-44" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="44" data-value="SD" data-select-text=""
                    data-choice-selectable="">South Dakota</div>
                  <div id="choices--parent_state_of_residence-item-choice-45" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="45" data-value="TN" data-select-text=""
                    data-choice-selectable="">Tennessee</div>
                  <div id="choices--parent_state_of_residence-item-choice-46" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="46" data-value="TX" data-select-text=""
                    data-choice-selectable="">Texas</div>
                  <div id="choices--parent_state_of_residence-item-choice-47" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="47" data-value="UT" data-select-text=""
                    data-choice-selectable="">Utah</div>
                  <div id="choices--parent_state_of_residence-item-choice-48" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="48" data-value="VT" data-select-text=""
                    data-choice-selectable="">Vermont</div>
                  <div id="choices--parent_state_of_residence-item-choice-49" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="49" data-value="VA" data-select-text=""
                    data-choice-selectable="">Virginia</div>
                  <div id="choices--parent_state_of_residence-item-choice-50" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="50" data-value="WA" data-select-text=""
                    data-choice-selectable="">Washington</div>
                  <div id="choices--parent_state_of_residence-item-choice-51" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="51" data-value="WV" data-select-text=""
                    data-choice-selectable="">West Virginia</div>
                  <div id="choices--parent_state_of_residence-item-choice-52" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="52" data-value="WI" data-select-text=""
                    data-choice-selectable="">Wisconsin</div>
                  <div id="choices--parent_state_of_residence-item-choice-53" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="53" data-value="WY" data-select-text=""
                    data-choice-selectable="">Wyoming</div>
                </div>
              </div>
            </div>
            <label for="parent_state_of_residence">State of Residence</label>
          </div>
        </li>
      </ul>
    </div>
    <div class="coverage-form__group">
      <h6 class="coverage-form__subtitle">Has your baby arrived?</h6>
      <ul class="coverage-form__list">
        <li class="coverage-form__item type-radio">
          <div class="coverage-form__item-inner">
            <input class="js-radio-hide-section" id="hasYourBabyArrived-no" type="radio" name="baby_born" value="no" required="" data-toggle-section=".baby-insurance-provider" data-parsley-required="true" checked="checked"
              data-parsley-multiple="baby_born">
            <label for="hasYourBabyArrived-no">No</label>
          </div>
        </li>
        <li class="coverage-form__item type-radio">
          <div class="coverage-form__item-inner">
            <input class="js-radio-show-section" id="hasYourBabyArrived-yes" type="radio" name="baby_born" value="yes" required="" data-toggle-section=".baby-insurance-provider" data-parsley-required="true" data-parsley-multiple="baby_born">
            <label for="hasYourBabyArrived-yes">Yes</label>
          </div>
        </li>
      </ul>
    </div>
    <div class="coverage-form__group baby-insurance-provider" style="display: none;">
      <ul class="coverage-form__list">
        <li class="coverage-form__item type-select">
          <div class="coverage-form__item-inner">
            <div class="choices" data-type="select-one" tabindex="0" role="combobox" aria-autocomplete="list" aria-haspopup="true" aria-expanded="false">
              <div class="choices__inner"><select id="baby_insurance_provider" name="baby_insurance_provider" data-parsley-default-required="true" data-choice-settings="{&quot;searchEnabled&quot;:true}" data-parsley-required="false"
                  class="choices__input" hidden="" tabindex="-1" data-choice="active">
                  <option value="" data-custom-properties="[object Object]">Select Provider</option>
                </select>
                <div class="choices__list choices__list--single">
                  <div class="choices__item choices__placeholder choices__item--selectable" data-item="" data-id="1" data-value="" data-custom-properties="[object Object]" aria-selected="true">Select Provider</div>
                </div>
              </div>
              <div class="choices__list choices__list--dropdown" aria-expanded="false"><input type="text" class="choices__input choices__input--cloned" autocomplete="dummy" autocapitalize="off" spellcheck="false" role="textbox"
                  aria-autocomplete="list" aria-label="Select Provider" placeholder="">
                <div class="choices__list" role="listbox">
                  <div id="choices--baby_insurance_provider-item-choice-1" class="choices__item choices__item--choice is-selected choices__placeholder choices__item--selectable is-highlighted" role="option" data-choice="" data-id="1" data-value=""
                    data-select-text="" data-choice-selectable="" aria-selected="true">Select Provider</div>
                </div>
              </div>
            </div>
            <label for="baby_insurance_provider">Baby’s Insurance Provider</label>
          </div>
          <p>Don’t see baby’s insurance plan listed? Just select “*My Plan is not Listed*” from the dropdown above</p>
        </li>
      </ul>
    </div>
  </div>
  <div class="wp-block-button btn-primary with-arrow"><button class="wp-block-button__link js-submit-check-coverage" type="submit">View my coverage</button></div> <br>
  <p>All sales final. No returns or exchanges will be accepted.</p>
</form>

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CHECK MY COVERAGE

Enter in the below information to see what support you can receive from your
insurance. This is not a guarantee of coverage. We will further verify your plan
coverage and our network participation once you submit your order or schedule a
consultation. If you create an account now, we will save all your information
when you are ready to order your goods or schedule that consultation.

LACTATING PARENT'S INSURANCE INFORMATION

 * Select Insurance Company Insurance Provider
   
   Don’t see your insurance plan listed? Just select “*My Plan is not Listed*”
   from the dropdown above

 * Select State
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   CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
   VirginiaWisconsinWyoming State of Residence

HAS YOUR BABY ARRIVED?

 * No
 * Yes

 * Select Provider Baby’s Insurance Provider
   
   Don’t see baby’s insurance plan listed? Just select “*My Plan is not Listed*”
   from the dropdown above

View my coverage


All sales final. No returns or exchanges will be accepted.

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CHECK MY COVERAGE

Enter in the below information to see what support you can receive from your
insurance. This is not a guarantee of coverage. We will further verify your plan
coverage and our network participation once you submit your order or schedule a
consultation. If you create an account now, we will save all your information
when you are ready to order your goods or schedule that consultation.

LACTATING PARENT'S INSURANCE INFORMATION

 * Select Insurance Company
   Select Insurance Company
   Select Insurance Company
   Insurance Provider
   
   Don’t see your insurance plan listed? Just select “*My Plan is not Listed*”
   from the dropdown above

 * Select State
   Select State
   Select State
   Alabama
   Alaska
   Arizona
   Arkansas
   California
   Colorado
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   District Of Columbia
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   Washington
   West Virginia
   Wisconsin
   Wyoming
   State of Residence

HAS YOUR BABY ARRIVED?

 * No
 * Yes

 * Select Provider
   Select Provider
   Select Provider
   Baby’s Insurance Provider
   
   Don’t see baby’s insurance plan listed? Just select “*My Plan is not Listed*”
   from the dropdown above

View my coverage


All sales final. No returns or exchanges will be accepted.