POST v1/api/GetRulebaseQuestions?caseId={caseId}

REQUEST
{
  "RulebaseId":"FinalExpense",
  "RulebaseIssueState":"Florida",
  "PlanId":null,
  "ClassId":null,
  "GroupId":null,
  "QuestionId":null
}



            

REQUEST
<RuleEngineQuestionRequestDto xmlns="http://schemas.datacontract.org/2004/07/SAM.BusinessDto.Platform.Request" xmlns:i="http://www.w3.org/2001/XMLSchema-instance">
  <ClassId i:nil="true"/>
  <GroupId i:nil="true"/>
  <PlanId i:nil="true"/>
  <QuestionId i:nil="true"/>
  <RulebaseId>FinalExpense</RulebaseId>
  <RulebaseIssueState>Florida</RulebaseIssueState>
</RuleEngineQuestionRequestDto>



            

RESPONSE
{
  "CaseId": null,
  "RulebaseId": "FINALEXPENSE",
  "RulebaseIssueState": "Florida",
  "PlanId": null,
  "ClassId": null,
  "Decision": null,
  "DecisionText": null,
  "TotalPages": 3,
  "TotalQuestions": 29,
  "RuleEngineData": [
    {
      "EffectiveDate": "2020-10-16T00:00:00",
      "GroupId": 1,
      "QuestionId": 0,
      "LayoutQuestionIds": "",
      "Label": "The following pages include a Medical Information section. Your answers to these questions will determine your eligibilty for your initial Benefit Amount and any additional riders.<br/><br/><strong>Need help?</strong> Call us at <a href=&apos;tel:1-866-282-7254&apos;>866-282-7254</a>",
      "Field": "Header01",
      "DefaultValue": "",
      "Answer": "",
      "Required": false,
      "RequiredMsg": "",
      "ControlType": "Label",
      "Order": 0,
      "ReadOnly": true,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 1,
      "LayoutQuestionIds": "1, 2",
      "Label": "Your Height",
      "Field": "HEIGHT",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Dropdown",
      "Order": 0,
      "ReadOnly": false,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 2,
      "LayoutQuestionIds": "1, 2",
      "Label": "Your Weight",
      "Field": "WEIGHT",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Text",
      "Order": 0,
      "ReadOnly": false,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 3,
      "LayoutQuestionIds": "",
      "Label": "A &apos;Yes&apos; or &apos;No&apos; button must be selected for <b>every question</b> below before you can continue. Please read each question carefully.",
      "Field": "LABEL01",
      "DefaultValue": "",
      "Answer": "",
      "Required": false,
      "RequiredMsg": "",
      "ControlType": "Label",
      "Order": 0,
      "ReadOnly": false,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 4,
      "LayoutQuestionIds": "",
      "Label": "<b>Are you currently, or in the last 6 months have you been:</b> <list><li>Confined to a hospital (other than for childbirth),</li><li>Bedridden, <b>or</b></li><li>Diagnosed by a licensed medical professional as having a terminal medical condition that is expected to result in death within the next twelve (12) months?</li></list>",
      "Field": "MED01",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 1,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 5,
      "LayoutQuestionIds": "",
      "Label": "<b>In the last 5 years, have you received home health care/assisted living care, or been confined to a:</b><list><li>prison/correctional facility,</li><li>nursing home, <b>or</b></li><li>psychiatric facility?</li></list>",
      "Field": "MED02",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 2,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 6,
      "LayoutQuestionIds": "",
      "Label": "<b>Have you ever been tested positive for exposure to the HIV infection HIV antibodies in a test taken for the purpose of obtaining insurance or whether the applicant has been diagnosed by a physician as having ARC or AIDS caused by the HIV infection or other sickness or condition derived from such infection?</b>",
      "Field": "MED03",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 3,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 7,
      "LayoutQuestionIds": "",
      "Label": "<b>In the past 2 years, has a licensed medical professional advised you to have any tests (excluding those related to the AIDS virus), surgery or hospitalization which have not been received or completed?</b>",
      "Field": "MED04",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 4,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 8,
      "LayoutQuestionIds": "",
      "Label": "<b>Has a licensed medical professional ever advised you to have an organ transplant, or diagnosed you with, or given you treatment for:</b> <list><li>Amyotrophic Lateral Sclerosis,</li><li>Cirrhosis of the Liver,</li><li>Dementia <b>or</b></li><li>Alzheimer&apos;s disease?</li></list>",
      "Field": "MED05",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 5,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 9,
      "LayoutQuestionIds": "",
      "Label": "<b>Are you currently diagnosed with, or receiving treatment by a licensed medical professional for, any type of Cancer except for Basal or Squamous Cell Carcinoma?</b>",
      "Field": "MED06",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 6,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 1,
      "QuestionId": 10,
      "LayoutQuestionIds": "",
      "Label": "<b>Please note:</b> once submitted, your answers cannot be changed.",
      "Field": "Label02",
      "DefaultValue": "",
      "Answer": "",
      "Required": false,
      "RequiredMsg": "",
      "ControlType": "Label",
      "Order": 0,
      "ReadOnly": true,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2020-10-16T00:00:00",
      "GroupId": 2,
      "QuestionId": 0,
      "LayoutQuestionIds": "",
      "Label": "Please answer a few more questions to help us determine what level of coverage you are eligible for. Remember to read the questions carefully, and answer either &apos;Yes&apos; or &apos;No&apos; to <strong>every question</strong>. If you need help, call us at <a href=&apos;tel:1-866-282-7254&apos;>866-282-7254</a>",
      "Field": "Header02",
      "DefaultValue": "",
      "Answer": "",
      "Required": false,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 0,
      "ReadOnly": true,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 2,
      "QuestionId": 1,
      "LayoutQuestionIds": "",
      "Label": "<b>Have you been diagnosed with, or received treatment by a licensed medical professional for complications of Diabetes, such as:</b> <list><li>Retinopathy,</li><li>Amputation,</li><li>Neuropathy,</li><li>Diabetic shock, <b>or</b></li><li>Coma?</li></list>",
      "Field": "MED07",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 1,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 2,
      "QuestionId": 2,
      "LayoutQuestionIds": "",
      "Label": "<b>In the past 24 months, have you been diagnosed with, or received treatment by a licensed medical professional for any type of Cancer, including Melanoma (except for Basal or Squamous Cell Carcinoma), Lymphoma, or Leukemia, or has a licensed medical professional performed an amputation on you due to any complication for any impairment?</b>",
      "Field": "MED08",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 2,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 2,
      "QuestionId": 3,
      "LayoutQuestionIds": "",
      "Label": "<b>In the past 24 months, have you been diagnosed with, or received treatment by a licensed medical professional for:</b><list><li>Stroke or TIA,</li><li>Hepatitis C or Chronic Hepatitis,</li><li>Chronic Pancreatitis,</li><li>Chronic Obstructive Pulmonary Disease, <b>or</b></li><li>Emphysema?</li></list>",
      "Field": "MED09",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 3,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 2,
      "QuestionId": 4,
      "LayoutQuestionIds": "",
      "Label": "<b>In the past 24 months, have you been diagnosed with, or received treatment by a licensed medical professional for:</b> <list><li>Coronary Artery Disease,</li><li>Angina,</li><li>Aneurysm,</li><li>Heart Valve Disease,</li><li>Congestive Heart Failure, <b>or</b></li><li>Cardiomyopathy?</li></list>",
      "Field": "MED10",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 4,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 2,
      "QuestionId": 5,
      "LayoutQuestionIds": "",
      "Label": "<b>In the past 24 months, have any of the following occurred:</b> <list><li>You have used illegal drugs,</li><li>A licensed medical professional has recommended that you receive counseling or treatment for alcohol or drugs,</li><li>You have been convicted of driving under the influence of alcohol or drugs, <b>or</b></li><li>You have been convicted of any felony?</li></list>",
      "Field": "MED11",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 5,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 2,
      "QuestionId": 6,
      "LayoutQuestionIds": "",
      "Label": "<b>In the past 24 months, has a licensed medical professional placed you on a defibrillator, advised you to use oxygen equipment, or inserted a pacemaker?</b>",
      "Field": "MED12",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 6,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 2,
      "QuestionId": 7,
      "LayoutQuestionIds": "",
      "Label": "<b>Please note:</b> once submitted, your answers cannot be changed.",
      "Field": "Label02",
      "DefaultValue": "",
      "Answer": "",
      "Required": false,
      "RequiredMsg": "",
      "ControlType": "Label",
      "Order": 0,
      "ReadOnly": true,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2020-10-16T00:00:00",
      "GroupId": 3,
      "QuestionId": 0,
      "LayoutQuestionIds": "",
      "Label": "<b>Just a few questions to go... </b> <br/><br/>Please continue to read the questions carefully, and answer either &apos;Yes&apos; or &apos;No&apos; to <strong>every question</strong> to help us determine what level of coverage you are eligible for. If you need help, call us at <a href=&apos;tel:1-866-282-7254&apos;>866-282-7254</a>",
      "Field": "Header03",
      "DefaultValue": "",
      "Answer": "",
      "Required": false,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 0,
      "ReadOnly": true,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2020-10-16T00:00:00",
      "GroupId": 3,
      "QuestionId": 1,
      "LayoutQuestionIds": "",
      "Label": "Within the last 5 years, have you been diagnosed with, received treatment by a licensed medical professional for, or been hospitalized for Bipolar, Schizophrenia or any other mental disorder?",
      "Field": "MED13",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 1,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 3,
      "QuestionId": 2,
      "LayoutQuestionIds": "",
      "Label": "<b>Within the last 5 years, have you been diagnosed with, or received treatment by a licensed medical professional for:</b> <list><li>Systemic Lupus Erythematosus,</li><li>Parkinson&apos;s Disease,</li><li>Multiple Sclerosis, <b>or</b></li><li>Sickle Cell Anemia?</li></list>",
      "Field": "MED14",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 2,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 3,
      "QuestionId": 3,
      "LayoutQuestionIds": "",
      "Label": "<b>Within the last 5 years, have you been diagnosed with, or received treatment by a licensed medical professional for:</b> <list><li>Stroke,</li><li>Heart Disease,</li><li>Aneurysm <b>or</b></li><li>Any other cardiovascular disease?</li></list>",
      "Field": "MED15",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 3,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 3,
      "QuestionId": 4,
      "LayoutQuestionIds": "",
      "Label": "<b>Within the last 5 years, have you been diagnosed with, or received treatment by a licensed medical professional for:<list><li>Chronic Obstructive Pulmonary Disease,</li><li>Emphysema, <b>or</b></li><li>Hepatitis C?</li></list></b>",
      "Field": "MED16",
      "DefaultValue": "",
      "Answer": "",
      "Required": true,
      "RequiredMsg": "",
      "ControlType": "Radio",
      "Order": 4,
      "ReadOnly": false,
      "ControlOptions": [
        {
          "CtrlOptionKey": "Yes",
          "CtrlOptionValue": "Y"
        },
        {
          "CtrlOptionKey": "No",
          "CtrlOptionValue": "N"
        }
      ],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    },
    {
      "EffectiveDate": "2019-01-01T00:00:00",
      "GroupId": 3,
      "QuestionId": 5,
      "LayoutQuestionIds": "",
      "Label": "<b>Please note:</b> once submitted, your answers cannot be changed.",
      "Field": "Label02",
      "DefaultValue": "",
      "Answer": "",
      "Required": false,
      "RequiredMsg": "",
      "ControlType": "Label",
      "Order": 0,
      "ReadOnly": true,
      "ControlOptions": [],
      "ReflectiveExpression": "",
      "ReflectiveQuestion": [],
      "Decision": ""
    }
  ]
}


            

RESPONSE
<RuleEngineQuestionResponseDto xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/SAM.BusinessDto.Platform.Response">
  <CaseId i:nil="true" />
  <ClassId i:nil="true" />
  <Decision i:nil="true" />
  <DecisionText i:nil="true" />
  <PlanId i:nil="true" />
  <RuleEngineData>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Label</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2020-10-16T00:00:00</EffectiveDate>
      <Field>Header01</Field>
      <GroupId>1</GroupId>
      <Label>The following pages include a Medical Information section. Your answers to these questions will determine your eligibilty for your initial Benefit Amount and any additional riders.&lt;br/&gt;&lt;br/&gt;&lt;strong&gt;Need help?&lt;/strong&gt; Call us at &lt;a href=&amp;apos;tel:1-866-282-7254&amp;apos;&gt;866-282-7254&lt;/a&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>0</QuestionId>
      <ReadOnly>true</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>false</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Dropdown</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>HEIGHT</Field>
      <GroupId>1</GroupId>
      <Label>Your Height</Label>
      <LayoutQuestionIds>1, 2</LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>1</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Text</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>WEIGHT</Field>
      <GroupId>1</GroupId>
      <Label>Your Weight</Label>
      <LayoutQuestionIds>1, 2</LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>2</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Label</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>LABEL01</Field>
      <GroupId>1</GroupId>
      <Label>A &amp;apos;Yes&amp;apos; or &amp;apos;No&amp;apos; button must be selected for &lt;b&gt;every question&lt;/b&gt; below before you can continue. Please read each question carefully.</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>3</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>false</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED01</Field>
      <GroupId>1</GroupId>
      <Label>&lt;b&gt;Are you currently, or in the last 6 months have you been:&lt;/b&gt; &lt;list&gt;&lt;li&gt;Confined to a hospital (other than for childbirth),&lt;/li&gt;&lt;li&gt;Bedridden, &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;Diagnosed by a licensed medical professional as having a terminal medical condition that is expected to result in death within the next twelve (12) months?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>1</Order>
      <QuestionId>4</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED02</Field>
      <GroupId>1</GroupId>
      <Label>&lt;b&gt;In the last 5 years, have you received home health care/assisted living care, or been confined to a:&lt;/b&gt;&lt;list&gt;&lt;li&gt;prison/correctional facility,&lt;/li&gt;&lt;li&gt;nursing home, &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;psychiatric facility?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>2</Order>
      <QuestionId>5</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED03</Field>
      <GroupId>1</GroupId>
      <Label>&lt;b&gt;Have you ever been tested positive for exposure to the HIV infection HIV antibodies in a test taken for the purpose of obtaining insurance or whether the applicant has been diagnosed by a physician as having ARC or AIDS caused by the HIV infection or other sickness or condition derived from such infection?&lt;/b&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>3</Order>
      <QuestionId>6</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED04</Field>
      <GroupId>1</GroupId>
      <Label>&lt;b&gt;In the past 2 years, has a licensed medical professional advised you to have any tests (excluding those related to the AIDS virus), surgery or hospitalization which have not been received or completed?&lt;/b&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>4</Order>
      <QuestionId>7</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED05</Field>
      <GroupId>1</GroupId>
      <Label>&lt;b&gt;Has a licensed medical professional ever advised you to have an organ transplant, or diagnosed you with, or given you treatment for:&lt;/b&gt; &lt;list&gt;&lt;li&gt;Amyotrophic Lateral Sclerosis,&lt;/li&gt;&lt;li&gt;Cirrhosis of the Liver,&lt;/li&gt;&lt;li&gt;Dementia &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;Alzheimer&amp;apos;s disease?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>5</Order>
      <QuestionId>8</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED06</Field>
      <GroupId>1</GroupId>
      <Label>&lt;b&gt;Are you currently diagnosed with, or receiving treatment by a licensed medical professional for, any type of Cancer except for Basal or Squamous Cell Carcinoma?&lt;/b&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>6</Order>
      <QuestionId>9</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Label</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>Label02</Field>
      <GroupId>1</GroupId>
      <Label>&lt;b&gt;Please note:&lt;/b&gt; once submitted, your answers cannot be changed.</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>10</QuestionId>
      <ReadOnly>true</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>false</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2020-10-16T00:00:00</EffectiveDate>
      <Field>Header02</Field>
      <GroupId>2</GroupId>
      <Label>Please answer a few more questions to help us determine what level of coverage you are eligible for. Remember to read the questions carefully, and answer either &amp;apos;Yes&amp;apos; or &amp;apos;No&amp;apos; to &lt;strong&gt;every question&lt;/strong&gt;. If you need help, call us at &lt;a href=&amp;apos;tel:1-866-282-7254&amp;apos;&gt;866-282-7254&lt;/a&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>0</QuestionId>
      <ReadOnly>true</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>false</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED07</Field>
      <GroupId>2</GroupId>
      <Label>&lt;b&gt;Have you been diagnosed with, or received treatment by a licensed medical professional for complications of Diabetes, such as:&lt;/b&gt; &lt;list&gt;&lt;li&gt;Retinopathy,&lt;/li&gt;&lt;li&gt;Amputation,&lt;/li&gt;&lt;li&gt;Neuropathy,&lt;/li&gt;&lt;li&gt;Diabetic shock, &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;Coma?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>1</Order>
      <QuestionId>1</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED08</Field>
      <GroupId>2</GroupId>
      <Label>&lt;b&gt;In the past 24 months, have you been diagnosed with, or received treatment by a licensed medical professional for any type of Cancer, including Melanoma (except for Basal or Squamous Cell Carcinoma), Lymphoma, or Leukemia, or has a licensed medical professional performed an amputation on you due to any complication for any impairment?&lt;/b&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>2</Order>
      <QuestionId>2</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED09</Field>
      <GroupId>2</GroupId>
      <Label>&lt;b&gt;In the past 24 months, have you been diagnosed with, or received treatment by a licensed medical professional for:&lt;/b&gt;&lt;list&gt;&lt;li&gt;Stroke or TIA,&lt;/li&gt;&lt;li&gt;Hepatitis C or Chronic Hepatitis,&lt;/li&gt;&lt;li&gt;Chronic Pancreatitis,&lt;/li&gt;&lt;li&gt;Chronic Obstructive Pulmonary Disease, &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;Emphysema?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>3</Order>
      <QuestionId>3</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED10</Field>
      <GroupId>2</GroupId>
      <Label>&lt;b&gt;In the past 24 months, have you been diagnosed with, or received treatment by a licensed medical professional for:&lt;/b&gt; &lt;list&gt;&lt;li&gt;Coronary Artery Disease,&lt;/li&gt;&lt;li&gt;Angina,&lt;/li&gt;&lt;li&gt;Aneurysm,&lt;/li&gt;&lt;li&gt;Heart Valve Disease,&lt;/li&gt;&lt;li&gt;Congestive Heart Failure, &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;Cardiomyopathy?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>4</Order>
      <QuestionId>4</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED11</Field>
      <GroupId>2</GroupId>
      <Label>&lt;b&gt;In the past 24 months, have any of the following occurred:&lt;/b&gt; &lt;list&gt;&lt;li&gt;You have used illegal drugs,&lt;/li&gt;&lt;li&gt;A licensed medical professional has recommended that you receive counseling or treatment for alcohol or drugs,&lt;/li&gt;&lt;li&gt;You have been convicted of driving under the influence of alcohol or drugs, &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;You have been convicted of any felony?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>5</Order>
      <QuestionId>5</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED12</Field>
      <GroupId>2</GroupId>
      <Label>&lt;b&gt;In the past 24 months, has a licensed medical professional placed you on a defibrillator, advised you to use oxygen equipment, or inserted a pacemaker?&lt;/b&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>6</Order>
      <QuestionId>6</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Label</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>Label02</Field>
      <GroupId>2</GroupId>
      <Label>&lt;b&gt;Please note:&lt;/b&gt; once submitted, your answers cannot be changed.</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>7</QuestionId>
      <ReadOnly>true</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>false</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2020-10-16T00:00:00</EffectiveDate>
      <Field>Header03</Field>
      <GroupId>3</GroupId>
      <Label>&lt;b&gt;Just a few questions to go... &lt;/b&gt; &lt;br/&gt;&lt;br/&gt;Please continue to read the questions carefully, and answer either &amp;apos;Yes&amp;apos; or &amp;apos;No&amp;apos; to &lt;strong&gt;every question&lt;/strong&gt; to help us determine what level of coverage you are eligible for. If you need help, call us at &lt;a href=&amp;apos;tel:1-866-282-7254&amp;apos;&gt;866-282-7254&lt;/a&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>0</QuestionId>
      <ReadOnly>true</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>false</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2020-10-16T00:00:00</EffectiveDate>
      <Field>MED13</Field>
      <GroupId>3</GroupId>
      <Label>Within the last 5 years, have you been diagnosed with, received treatment by a licensed medical professional for, or been hospitalized for Bipolar, Schizophrenia or any other mental disorder?</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>1</Order>
      <QuestionId>1</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED14</Field>
      <GroupId>3</GroupId>
      <Label>&lt;b&gt;Within the last 5 years, have you been diagnosed with, or received treatment by a licensed medical professional for:&lt;/b&gt; &lt;list&gt;&lt;li&gt;Systemic Lupus Erythematosus,&lt;/li&gt;&lt;li&gt;Parkinson&amp;apos;s Disease,&lt;/li&gt;&lt;li&gt;Multiple Sclerosis, &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;Sickle Cell Anemia?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>2</Order>
      <QuestionId>2</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED15</Field>
      <GroupId>3</GroupId>
      <Label>&lt;b&gt;Within the last 5 years, have you been diagnosed with, or received treatment by a licensed medical professional for:&lt;/b&gt; &lt;list&gt;&lt;li&gt;Stroke,&lt;/li&gt;&lt;li&gt;Heart Disease,&lt;/li&gt;&lt;li&gt;Aneurysm &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;Any other cardiovascular disease?&lt;/li&gt;&lt;/list&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>3</Order>
      <QuestionId>3</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>Yes</CtrlOptionKey>
          <CtrlOptionValue>Y</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
        <RuleEngineCtrlOptionDto>
          <CtrlOptionKey>No</CtrlOptionKey>
          <CtrlOptionValue>N</CtrlOptionValue>
        </RuleEngineCtrlOptionDto>
      </ControlOptions>
      <ControlType>Radio</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>MED16</Field>
      <GroupId>3</GroupId>
      <Label>&lt;b&gt;Within the last 5 years, have you been diagnosed with, or received treatment by a licensed medical professional for:&lt;list&gt;&lt;li&gt;Chronic Obstructive Pulmonary Disease,&lt;/li&gt;&lt;li&gt;Emphysema, &lt;b&gt;or&lt;/b&gt;&lt;/li&gt;&lt;li&gt;Hepatitis C?&lt;/li&gt;&lt;/list&gt;&lt;/b&gt;</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>4</Order>
      <QuestionId>4</QuestionId>
      <ReadOnly>false</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>true</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
    <RuleEngineQuestionDto>
      <Answer></Answer>
      <ControlOptions />
      <ControlType>Label</ControlType>
      <Decision></Decision>
      <DefaultValue></DefaultValue>
      <EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
      <Field>Label02</Field>
      <GroupId>3</GroupId>
      <Label>&lt;b&gt;Please note:&lt;/b&gt; once submitted, your answers cannot be changed.</Label>
      <LayoutQuestionIds></LayoutQuestionIds>
      <Order>0</Order>
      <QuestionId>5</QuestionId>
      <ReadOnly>true</ReadOnly>
      <ReflectiveExpression></ReflectiveExpression>
      <ReflectiveQuestion />
      <Required>false</Required>
      <RequiredMsg></RequiredMsg>
    </RuleEngineQuestionDto>
  </RuleEngineData>
  <RulebaseId>FINALEXPENSE</RulebaseId>
  <RulebaseIssueState>Florida</RulebaseIssueState>
  <TotalPages>3</TotalPages>
  <TotalQuestions>29</TotalQuestions>
</RuleEngineQuestionResponseDto>