{"id":4731,"date":"2012-10-25T19:31:05","date_gmt":"2012-10-25T19:31:05","guid":{"rendered":"http:\/\/http:\/\/laureysverzekeringen.be\/?page_id=4481"},"modified":"2018-06-04T13:45:36","modified_gmt":"2018-06-04T13:45:36","slug":"offerte-gewaarborgd-inkomen","status":"publish","type":"page","link":"https:\/\/laureysverzekeringen.be\/en\/offerte-gewaarborgd-inkomen\/","title":{"rendered":"Quotation  Guaranteed Income"},"content":{"rendered":"<p>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_27' style='display:none'><div id='gf_27' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_27'  action=\"\/en\/wp-json\/wp\/v2\/pages\/4731#gf_27\" data-formid='27' novalidate>\n        <div id='gf_progressbar_wrapper_27' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_27_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_27' class='gform_fields left_label form_sublabel_above description_below validation_below' data-column-layout='fill'><li id=\"field_27_35\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_35' class='gfield_label gform-field-label' for='input_27_35'><span class='gform-field-label__text'>LinkedIn<\/span><\/label><div class='ginput_container'><input name='input_35' id='input_27_35' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_27_35'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_27_2\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2 class=\"gsection_title\">Policyholder<\/h2><\/li><li id=\"field_27_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_3' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_27_3'>\n                            \n                            <span id='input_27_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_27_3_3' id='input_27_3_3_label' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_3.3' id='input_27_3_3' value=''   aria-required='true'     aria-labelledby=\"input_27_3_3_label gfield_label_27_3\"\/>\n                                                <\/span>\n                            \n                            <span id='input_27_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_27_3_6' id='input_27_3_6_label' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_3.6' id='input_27_3_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_27_4\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_4' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_27_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_27_4_1_container' >\n                                        <label for='input_27_4_1' id='input_27_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_4.1' id='input_27_4_1' value=''    aria-required='true'    aria-labelledby=\"input_27_4_1_label gfield_label_27_4\"\/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_27_4_3_container' >\n                                    <label for='input_27_4_3' id='input_27_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_4.3' id='input_27_4_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_4.4' id='input_27_4_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_27_4_5_container' >\n                                    <label for='input_27_4_5' id='input_27_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_4.5' id='input_27_4_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_27_4_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_27_5\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_5' class='gfield_label gform-field-label' for='input_27_5'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_27_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_27_6\" class=\"gfield gfield--type-phone gfield--phone-format-international gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_6' class='gfield_label gform-field-label' for='input_27_6'><span class='gform-field-label__text'>Telephone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_27_6' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/li><li id=\"field_27_7\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_7' class='gfield_label gform-field-label' for='input_27_7'><span class='gform-field-label__text'>Date of birth<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/yyyy'\n\t\t\t\t\tid='input_27_7'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_7'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_27_7' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_27_7' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_27_7' aria-label='Date of birth: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                         <button type='button' id='gform_next_button_27_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_27_2' class='gform_fields left_label form_sublabel_above description_below validation_below' data-column-layout='fill'><li id=\"field_27_9\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2 class=\"gsection_title\">Activities of the person to be insured<\/h2><\/li><li id=\"field_27_10\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_10' class='gfield_label gform-field-label' for='input_27_10'><span class='gform-field-label__text'>Start date independent activity<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/yyyy'\n\t\t\t\t\tid='input_27_10'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_10'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_27_10' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_27_10' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_27_10' aria-label='Start date independent activity: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_27_13\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"><label id='gfield_label_27_13' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>The person to be insured performs the independent activity<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_13'>\n\t\t\t<li class='gchoice gchoice_27_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Main occupation'  id='choice_27_13_0'    \/>\n\t\t\t\t<label for='choice_27_13_0' id='label_27_13_0' class='gform-field-label gform-field-label--type-inline'>Main occupation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Side occupation'  id='choice_27_13_1'    \/>\n\t\t\t\t<label for='choice_27_13_1' id='label_27_13_1' class='gform-field-label gform-field-label--type-inline'>Side occupation<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_12\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"><label id='gfield_label_27_12' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>The person to be insured is<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_12'>\n\t\t\t<li class='gchoice gchoice_27_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Start-up self-employed (self-employed status less than 3 years)'  id='choice_27_12_0'    \/>\n\t\t\t\t<label for='choice_27_12_0' id='label_27_12_0' class='gform-field-label gform-field-label--type-inline'>Start-up self-employed (self-employed status less than 3 years)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Established self-employed person (self-employed status more than 3 years or equivalent work experience as employee)'  id='choice_27_12_1'    \/>\n\t\t\t\t<label for='choice_27_12_1' id='label_27_12_1' class='gform-field-label gform-field-label--type-inline'>Established self-employed person (self-employed status more than 3 years or equivalent work experience as employee)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_14\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_14' class='gfield_label gform-field-label' for='input_27_14'><span class='gform-field-label__text'>Exact description of professional activity<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_27_14' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_15\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_15' class='gfield_label gform-field-label' for='input_27_15'><span class='gform-field-label__text'>In case of a self-employed person in a secondary occupation: description of the main occupation<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_27_15' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_16\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><\/br><\/br>\n<h3>Please divide your time to spend in the 5 parts below<\/h3>\n<p>Total is 100%<\/p>\n<\/br><\/br><\/li><li id=\"field_27_17\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_17' class='gfield_label gform-field-label' for='input_27_17'><span class='gform-field-label__text'>Administration and management (%)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_27_17' type='text' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_27_17\" \/><div class='gfield_description instruction ' id='gfield_instruction_27_17'>Please enter a number less than or equal to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_27_18\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_18' class='gfield_label gform-field-label' for='input_27_18'><span class='gform-field-label__text'>Manual labor (%)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_18' id='input_27_18' type='text' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_27_18\" \/><div class='gfield_description instruction ' id='gfield_instruction_27_18'>Please enter a number less than or equal to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_27_19\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_19' class='gfield_label gform-field-label' for='input_27_19'><span class='gform-field-label__text'>Transport (%)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_19' id='input_27_19' type='text' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_27_19\" \/><div class='gfield_description instruction ' id='gfield_instruction_27_19'>Please enter a number less than or equal to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_27_20\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_20' class='gfield_label gform-field-label' for='input_27_20'><span class='gform-field-label__text'>Working at heights (%)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_27_20' type='text' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_27_20\" \/><div class='gfield_description instruction ' id='gfield_instruction_27_20'>Please enter a number less than or equal to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_27_21\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_21' class='gfield_label gform-field-label' for='input_27_21'><span class='gform-field-label__text'>Other (description + %)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_27_21' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_22\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_22' class='gfield_label gform-field-label' for='input_27_22'><span class='gform-field-label__text'>Are you staying abroad regularly?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_27_22' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_27_23\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_23' class='gfield_label gform-field-label' for='input_27_23'><span class='gform-field-label__text'>Do you practice a sport that requires cover?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_27_23' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_27_24\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_24' class='gfield_label gform-field-label' for='input_27_24'><span class='gform-field-label__text'>Specify the sport(s)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_27_24' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <button type='button' id='gform_previous_button_27_8' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <button type='button' id='gform_next_button_27_8' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_3' class='gform_page' data-js='page-field-id-8' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_27_3' class='gform_fields left_label form_sublabel_above description_below validation_below' data-column-layout='fill'><li id=\"field_27_26\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2 class=\"gsection_title\">Coverage of your income<\/h2><\/li><li id=\"field_27_27\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_27' class='gfield_label gform-field-label' for='input_27_27'><span class='gform-field-label__text'>Your annual net taxable income from your work<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_27_27' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_27_28\" class=\"gfield gfield--type-number field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_27_28' class='gfield_label gform-field-label' for='input_27_28'><span class='gform-field-label__text'>What amount of your net taxable income do you want to insure?<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_27_28' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_27_28\" \/><\/div><div class='gfield_description' id='gfield_description_27_28'>Max. 80% of your net taxable income<\/div><\/li><li id=\"field_27_29\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"><label id='gfield_label_27_29' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Against which form(s) of unfitness do you wish to insure yourself?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_29'>\n\t\t\t<li class='gchoice gchoice_27_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Both economic disability and disability'  id='choice_27_29_0'    \/>\n\t\t\t\t<label for='choice_27_29_0' id='label_27_29_0' class='gform-field-label gform-field-label--type-inline'>Both economic disability and disability<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='Only economic disability'  id='choice_27_29_1'    \/>\n\t\t\t\t<label for='choice_27_29_1' id='label_27_29_1' class='gform-field-label gform-field-label--type-inline'>Only economic disability<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_27_29'><u><strong>Invalidity:<\/strong><\/u> reduction of physical integrity. (eg amputation finger => regardless of whether this has an influence on the exercise of your profession)\n<\/br>\n<u><strong>Economic unfitness:<\/strong><\/u> the reduction of the work capacity due to the disability. (eg amputation finger influences pianist when exercising profession).<\/div><\/li><li id=\"field_27_30\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"><label id='gfield_label_27_30' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Illness and accidents<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_30'>\n\t\t\t<li class='gchoice gchoice_27_30_0'>\n\t\t\t\t<input name='input_30' type='radio' value='Of all kinds'  id='choice_27_30_0'    \/>\n\t\t\t\t<label for='choice_27_30_0' id='label_27_30_0' class='gform-field-label gform-field-label--type-inline'>Of all kinds<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_30_1'>\n\t\t\t\t<input name='input_30' type='radio' value='Private life'  id='choice_27_30_1'    \/>\n\t\t\t\t<label for='choice_27_30_1' id='label_27_30_1' class='gform-field-label gform-field-label--type-inline'>Private life<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <button type='button' id='gform_previous_button_27_25' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <button type='button' id='gform_next_button_27_25' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_4' class='gform_page' data-js='page-field-id-25' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_27_4' class='gform_fields left_label form_sublabel_above description_below validation_below' data-column-layout='fill'><li id=\"field_27_31\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2 class=\"gsection_title\">Additional modalities<\/h2><\/li><li id=\"field_27_32\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"><label id='gfield_label_27_32' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Own risk term<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_32'>\n\t\t\t<li class='gchoice gchoice_27_32_0'>\n\t\t\t\t<input name='input_32' type='radio' value='1 month'  id='choice_27_32_0'    \/>\n\t\t\t\t<label for='choice_27_32_0' id='label_27_32_0' class='gform-field-label gform-field-label--type-inline'>1 month<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_32_1'>\n\t\t\t\t<input name='input_32' type='radio' value='2 months'  id='choice_27_32_1'    \/>\n\t\t\t\t<label for='choice_27_32_1' id='label_27_32_1' class='gform-field-label gform-field-label--type-inline'>2 months<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_32_2'>\n\t\t\t\t<input name='input_32' type='radio' value='3 months'  id='choice_27_32_2'    \/>\n\t\t\t\t<label for='choice_27_32_2' id='label_27_32_2' class='gform-field-label gform-field-label--type-inline'>3 months<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_32_3'>\n\t\t\t\t<input name='input_32' type='radio' value='6 months'  id='choice_27_32_3'    \/>\n\t\t\t\t<label for='choice_27_32_3' id='label_27_32_3' class='gform-field-label gform-field-label--type-inline'>6 months<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_32_4'>\n\t\t\t\t<input name='input_32' type='radio' value='12 months'  id='choice_27_32_4'    \/>\n\t\t\t\t<label for='choice_27_32_4' id='label_27_32_4' class='gform-field-label gform-field-label--type-inline'>12 months<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_27_32'>The period after the accident that the insurance does not have to intervene. Obviously: the longer this period, the lower your premium to be paid.<\/div><\/li><li id=\"field_27_33\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"><label id='gfield_label_27_33' class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class='gform-field-label__text'><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_27_33'><li class='gchoice gchoice_27_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='Bridging Own risk term (only possible if 1 month)'  id='choice_27_33_1'    aria-labelledby=\"label_27_33_1 gfield_label_27_33\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_1' id='label_27_33_1' class='gform-field-label gform-field-label--type-inline'>Bridging Own risk term (only possible if 1 month)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_34\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"><label id='gfield_label_27_34' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Duration policy<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_34'>\n\t\t\t<li class='gchoice gchoice_27_34_0'>\n\t\t\t\t<input name='input_34' type='radio' value='Until the age of 60'  id='choice_27_34_0'    \/>\n\t\t\t\t<label for='choice_27_34_0' id='label_27_34_0' class='gform-field-label gform-field-label--type-inline'>Until the age of 60<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_34_1'>\n\t\t\t\t<input name='input_34' type='radio' value='Until the age of 65'  id='choice_27_34_1'    \/>\n\t\t\t\t<label for='choice_27_34_1' id='label_27_34_1' class='gform-field-label gform-field-label--type-inline'>Until the age of 65<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer left_label'><button type='submit' id='gform_previous_button_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <button type='submit' id='gform_submit_button_27' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Send<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_27' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_27' id='gform_theme_27' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_27' id='gform_style_settings_27' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_27' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='27' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='mNcNOsvX1xULYebyuvQyzX7pgRfEaj79VyjWTE+LTdUvEUJQjIj9F3D8keAHwYw7ksSguzcDiBilcItBX2j8au47zLP2UWJJXZPAXc5R4aV+5Jg=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_27' value='WyJ7XCJnZm9ybV9zdWJtaXNzaW9uX21ldGhvZFwiOltcIjA0MGYyZWYwYjUzMDg0MWY5MzhmNThjYzU1YmJiZDQ3XCIsXCJjNmFlYmI4ZDYyMDZmYWZlYzc5ZWJjYmJjMjAzY2I4N1wiXSxcImdmb3JtX3RoZW1lXCI6XCI0YTJiZDYzNTcxZTBmNTRiOTE0NDgxNWNhMGNiYWMwZlwiLFwiZ2Zvcm1fc3R5bGVfc2V0dGluZ3NcIjpcImRmYjhkYmQ4MzVhNmUxMzI1ZjNmM2JlOWI1NzYyZjI2XCIsXCJmb3JtX2lkXCI6XCIzN2FlZDk3MDJkNTViOWIxNzU5N2M1NWYxNzlkOGFjY1wiLFwidXJsXCI6XCIwYmZkYjQyODk2ZDQ5OTdkMDU0NDcyYzRjYWRjY2IyYVwiLFwic3RhdGVfdGltZXN0YW1wXCI6XCI3ZjJmZTNhMWQ4ODBkYmQ5NzRkZDE4YTMwZDY5ZTk1MFwifSIsIjVkYTUzNjk3YjFlMGI0MGVkM2I1MjY2ZDg3OGNkODI2IiwxNzkyNzgyOTcyXQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_27' id='gform_target_page_number_27' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_27' id='gform_source_page_number_27' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><\/p>","protected":false},"excerpt":{"rendered":"Step 1 of 4 25% LinkedInThis field is for validation purposes and should be left unchanged.PolicyholderName* First Last Address* Street Address City ZIP \/ Postal Code Email* Telephone*Date of birth* Volgende Activities of the person to be insuredStart date independent activity The person to be insured performs the independent activity Main occupation Side occupation The person to be insured is...","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4731","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/laureysverzekeringen.be\/en\/wp-json\/wp\/v2\/pages\/4731","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/laureysverzekeringen.be\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/laureysverzekeringen.be\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/laureysverzekeringen.be\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/laureysverzekeringen.be\/en\/wp-json\/wp\/v2\/comments?post=4731"}],"version-history":[{"count":0,"href":"https:\/\/laureysverzekeringen.be\/en\/wp-json\/wp\/v2\/pages\/4731\/revisions"}],"wp:attachment":[{"href":"https:\/\/laureysverzekeringen.be\/en\/wp-json\/wp\/v2\/media?parent=4731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}