.ctawh {
  border: 3px solid #f5f5f5;
  display: block;
  border-top: 0;
}

.ctawh select[name="00N90000003gPGP"] {
  display: none;
}

.ctawh__header {
  background: #d52262;
}

.ctawh__header .column-table-cell {
  vertical-align: middle;
}

.ctawh__body {
  background-color: rgba(255, 255, 255, 0.7);
}

.ctawh__go_loading {
  position: absolute;
  left: -15px;
  top: -2px;
  display: none;
}

.ctawh__go_loading img {
  width: 90px;
}

.ctawh__go_loading.active {
  display: block;
  z-index: 9;
}

.ctawh__header_inner {
  padding-top: 10px;
  padding-bottom: 10px;
}

.ctawh__header_row {
  max-width: 100%;
}

.ctawh__title {
  color: #FFF;
  margin: 0;
  margin-top: 5px;
  font-size: 20px;
  padding-top: 0;
  padding-bottom: 0;
}

@media (max-width: 760px) {
  .ctawh__title {
    margin-top: 0;
    text-align: center;
  }
}

@media (max-width: 760px) {
  .ctawh__call {
    width: 100%;
    margin-top: 10px;
  }
}

@media (max-width: 760px) {
  .ctawh__call a {
    width: 100%;
    max-width: 300px;
  }
}

.ctawh__go {
  padding-top: 15px;
  padding-bottom: 22px;
  width: 40%;
  margin: 0 auto;
  position: relative;
}

@media (max-width: 760px) {
  .ctawh__go {
    width: 85%;
  }
}

.ctawh__button {
  background: #00CE64;
  color: #FFF;
  display: block;
  font-size: 18px;
  font-weight: bold;
  padding: .5rem;
  text-align: center;
  text-decoration: none;
  margin: 0 auto;
  border: none;
  -webkit-border-radius: 5px;
  -moz-border-radius: 5px;
  -ms-border-radius: 5px;
  border-radius: 5px;
}

.ctawh__button--green {
  color: #00CE64;
}

.ctawh__button_go {
  width: 100%;
  height: 3.4375rem;
  padding: .5rem;
}

.ctawh__icons_row {
  display: table;
  max-width: 720px;
  width: 100%;
  margin-right: auto;
  margin-left: auto;
  padding-top: 10px;
  padding-bottom: 10px;
}

.ctawh__icons_columns {
  display: table-cell;
  box-sizing: border-box;
  padding: 10px;
  width: 33.3333333333%;
  text-align: center;
  vertical-align: middle;
}

.ctawh__icons_columns .t-columns {
  vertical-align: middle;
}

.ctawh__icons_image {
  display: block;
  margin: 0 auto;
  max-width: 80px;
}

.ctawh__icon_text {
  color: #565656;
  display: block;
  font-weight: bold;
  margin-top: 5px;
}

.ctawh__form_inner {
  padding: 20px;
  padding-bottom: 0;
  padding-top: 0;
}

.ctawh__form_inner:after {
  content: '';
  clear: both;
  display: block;
}

.ctawh__field {
  float: left;
  width: 33.3333333333%;
}

.ctawh__field label.error {
  color: #fd2c2c;
  position: absolute;
  bottom: -11px;
  left: 10px;
  font-size: 12px;
}

@media (max-width: 760px) {
  .ctawh__field {
    width: 100%;
  }
}

.ctawh__field select, .ctawh__field input {
  box-shadow: none;
  color: #13465f;
  font-weight: bold;
  margin-bottom: 0;
}

@media (max-width: 760px) {
  .ctawh__field select, .ctawh__field input {
    display: table-cell;
  }
}

.ctawh__field ::-webkit-input-placeholder {
  /* WebKit, Blink, Edge */
  color: #989898;
}

@media (max-width: 760px) {
  .ctawh__field ::-webkit-input-placeholder {
    color: #FFF;
  }
}

.ctawh__field :-moz-placeholder {
  /* Mozilla Firefox 4 to 18 */
  color: #989898;
  opacity: 1;
}

@media (max-width: 760px) {
  .ctawh__field :-moz-placeholder {
    color: #FFF;
    opacity: 0;
  }
}

.ctawh__field ::-moz-placeholder {
  /* Mozilla Firefox 19+ */
  color: #989898;
  opacity: 1;
}

@media (max-width: 760px) {
  .ctawh__field ::-moz-placeholder {
    color: #FFF;
    opacity: 0;
  }
}

.ctawh__field :-ms-input-placeholder {
  /* Internet Explorer 10-11 */
  color: #989898;
}

@media (max-width: 760px) {
  .ctawh__field :-ms-input-placeholder {
    color: #FFF;
    opacity: 0;
  }
}

.ctawh__field ::-ms-input-placeholder {
  /* Microsoft Edge */
  color: #585858;
}

@media (max-width: 760px) {
  .ctawh__field ::-ms-input-placeholder {
    color: #FFF;
    opacity: 0;
  }
}

@media (max-width: 760px) {
  .ctawh__field.Level_of_Cover .ctawh__field_inner::before {
    content: 'Level of Cover';
  }
  .ctawh__field.Age .ctawh__field_inner::before {
    content: 'Age';
  }
  .ctawh__field.Gender .ctawh__field_inner::before {
    content: 'Gender';
  }
  .ctawh__field.Smoking_Status .ctawh__field_inner::before {
    content: 'Smoking Status';
  }
  .ctawh__field.State .ctawh__field_inner::before {
    content: 'State';
  }
  .ctawh__field.Email .ctawh__field_inner::before {
    content: 'Email';
  }
  .ctawh__field.Mobile .ctawh__field_inner::before {
    content: 'Mobile';
  }
  .ctawh__field.First_Name .ctawh__field_inner::before {
    content: 'First Name';
  }
  .ctawh__field.Last_Name .ctawh__field_inner::before {
    content: 'Last Name';
  }
  .ctawh__field.Annual_Income .ctawh__field_inner::before {
    content: 'Annual Income';
  }
  .ctawh__field.Occupation .ctawh__field_inner::before {
    content: 'Occupation';
  }
  .ctawh__field.Health_Cover_For .ctawh__field_inner::before {
    content: 'Health Cover For';
  }
  .ctawh__field.Health_Cover_Type .ctawh__field_inner::before {
    content: 'Health Cover Type';
  }
}

.ctawh__select {
  font-size: 1rem;
}

.ctawh__field_inner {
  padding: 10px;
  position: relative;
}

@media (max-width: 760px) {
  .ctawh__field_inner {
    display: table;
    width: 100%;
  }
}

.ctawh__field_inner::before {
  display: table-cell;
  width: 45%;
  color: #565656;
  font-weight: bold;
}

.ctawh__footer {
  background: #f5f5f5;
  padding-bottom: 10px;
  padding-top: 10px;
}

.ctawh__company_logos {
  margin: 0;
  padding: 0;
  text-align: center;
}

.ctawh__company_logos li {
  display: inline-block;
  list-style: none;
  width: 190px;
}

.ctawh__company_logos li img {
  padding: 0 5px;
  width: 100%;
}

.ctawh__occ_input {
  background: #FFF;
}

.js-ctawh-occ-combobox {
  position: relative;
}

.js-ctawh-occ-combobox .ui-autocomplete {
  width: 100% !important;
  height: 250px;
  overflow: auto;
}

.js-ctawh-occ-combobox .ui-autocomplete a {
  background: none;
  border: none;
  display: block;
  padding: 5px;
  cursor: pointer;
  margin: 0 !important;
}

.js-ctawh-occ-combobox .ui-autocomplete a:hover {
  background: #d7f3ff;
  padding: 5px;
  margin: 0 !important;
}