:root{--legal-primary:#1557a0;--legal-navy:#0b2e4f;--legal-blue-soft:#eaf3fb;--legal-surface:#f5f8fb;--legal-text:#243447;--legal-muted:#587087;--legal-line:#d8e5f0;--legal-white:#fff}.legal-page{color:var(--legal-text);background:var(--legal-surface)}.legal-page .site-header{background:#071426;border-bottom-color:rgba(255,255,255,.1)}.skip-link{position:fixed;left:16px;top:-80px;z-index:100;padding:12px 16px;border-radius:8px;color:#fff;background:var(--legal-primary);font-weight:700}.skip-link:focus{top:12px}.legal-shell{width:min(1180px,calc(100% - 40px));margin-inline:auto}.legal-hero{padding:clamp(54px,7vw,90px) 0;color:#fff;background:radial-gradient(circle at 85% 15%,rgba(73,154,226,.24),transparent 32%),linear-gradient(135deg,var(--legal-navy),#103f6b 62%,var(--legal-primary))}.legal-hero__inner{max-width:920px}.legal-eyebrow{margin-bottom:14px;color:#b9ddff;font-size:.8rem;font-weight:800;letter-spacing:.16em;text-transform:uppercase}.legal-hero h1{margin-bottom:18px;color:#fff;font-size:clamp(2.2rem,5vw,4.25rem);letter-spacing:-.045em}.legal-hero__lead{max-width:800px;margin:0;color:#eaf3fb;font-size:clamp(1rem,1.6vw,1.2rem);line-height:1.75}.form-layout{display:grid;grid-template-columns:minmax(230px,300px) minmax(0,1fr);gap:clamp(28px,5vw,58px);align-items:start;padding-block:clamp(42px,6vw,76px)}.provider-card{position:sticky;top:110px;padding:26px;border:1px solid var(--legal-line);border-radius:18px;background:#fff;box-shadow:0 16px 44px rgba(11,46,79,.07)}.provider-card h2{margin-bottom:20px;color:var(--legal-navy);font-size:1.2rem}.provider-card dl{display:grid;gap:15px;margin:0}.provider-card dt,.receipt dt{margin-bottom:3px;color:var(--legal-muted);font-size:.72rem;font-weight:800;letter-spacing:.07em;text-transform:uppercase}.provider-card dd,.receipt dd{margin:0;overflow-wrap:anywhere;line-height:1.5}.provider-card a{color:var(--legal-primary);font-weight:650}.claim-form{display:grid;gap:22px}.form-section,.legal-notice,.receipt{padding:clamp(24px,4vw,38px);border:1px solid var(--legal-line);border-radius:18px;background:#fff;box-shadow:0 14px 40px rgba(11,46,79,.055)}.section-number{display:inline-flex;padding:7px 12px;border-radius:99px;color:var(--legal-primary);background:var(--legal-blue-soft);font-size:.75rem;font-weight:800}.form-section h2{margin:13px 0 22px;color:var(--legal-navy);font-size:clamp(1.25rem,2.4vw,1.65rem)}.form-section h2 label{font:inherit;color:inherit}.form-section label span,.choice-field legend span{color:#a4262c}.field-grid{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:20px}.field--full{grid-column:1/-1}.field label,.choice-field legend{display:block;margin-bottom:8px;color:var(--legal-text);font-weight:700}.field input,.field select,.field textarea,.form-section>textarea,.form-section>input[type=file]{width:100%;border:1px solid #b8cada;border-radius:10px;background:#fff;color:var(--legal-text);font:inherit}.field input,.field select,.form-section>input[type=file]{min-height:48px;padding:11px 13px}.field textarea,.form-section>textarea{padding:13px;resize:vertical;line-height:1.55}.field input:focus,.field select:focus,.field textarea:focus,.form-section textarea:focus,.form-section input:focus{outline:3px solid rgba(21,87,160,.18);border-color:var(--legal-primary)}[aria-invalid=true]{border-color:#a4262c!important}.field-error{display:block;margin-top:7px;color:#a4262c;font-size:.86rem;font-weight:650}.field-help,.textarea-meta,.submit-help{color:var(--legal-muted);font-size:.84rem}.choice-field{margin:0;padding:0;border:0}.choice-field label,.choice-stack label{display:inline-flex;align-items:center;gap:8px;margin:4px 22px 4px 0;font-weight:500}.choice-field input,.choice-stack input,.type-card input,.consent input,.check-option input{width:18px;height:18px;accent-color:var(--legal-primary)}.money-input{display:flex;align-items:center;border:1px solid #b8cada;border-radius:10px;overflow:hidden}.money-input span{padding:13px;background:var(--legal-blue-soft);font-weight:800}.money-input input{border:0;border-radius:0}.check-option{display:flex;align-items:center;gap:9px;align-self:end;min-height:48px;font-weight:600}.type-options{display:grid;grid-template-columns:1fr 1fr;gap:16px}.type-card{display:flex;gap:12px;padding:20px;border:1px solid var(--legal-line);border-radius:13px;cursor:pointer}.type-card:has(input:checked){border-color:var(--legal-primary);background:var(--legal-blue-soft)}.type-card strong{display:block;margin-bottom:6px;color:var(--legal-navy);font-size:1.05rem}.type-card span{color:var(--legal-text);line-height:1.5}.textarea-meta{display:flex;justify-content:space-between;gap:20px;margin-top:8px}.consent{display:flex;gap:12px;align-items:flex-start;font-weight:650;line-height:1.55}.consent input{flex:0 0 auto;margin-top:3px}.deadline{margin:24px 0;padding:18px 20px;border-left:5px solid var(--legal-primary);background:var(--legal-blue-soft)}.deadline strong{color:var(--legal-navy)}.deadline p{margin:6px 0 0;line-height:1.55}.button{display:inline-flex;justify-content:center;align-items:center;min-height:48px;padding:13px 22px;border:0;border-radius:10px;font-weight:800;cursor:pointer;text-decoration:none}.button--submit{width:100%;color:#fff;background:var(--legal-primary);letter-spacing:.035em}.button--submit:hover{background:#0f477f}.button--light,.button--print{color:var(--legal-primary);background:#fff}.submit-help{text-align:center}.legal-notice{border-left:5px solid #7894ad}.legal-notice strong{color:var(--legal-navy)}.legal-notice p{margin:7px 0 0;line-height:1.65}.form-alert{padding:15px 18px;border:1px solid #e4b8bb;border-radius:10px;color:#801d23;background:#fff2f2;font-weight:650}.honeypot{position:absolute!important;left:-10000px!important;width:1px!important;height:1px!important;overflow:hidden!important}.representative[hidden]{display:none}.receipt-wrap{padding-block:clamp(40px,6vw,74px)}.receipt{max-width:980px;margin:auto}.receipt__heading{display:flex;justify-content:space-between;gap:24px;align-items:start;padding-bottom:24px;border-bottom:2px solid var(--legal-navy)}.receipt__copy{color:var(--legal-primary);font-size:.78rem;font-weight:900;letter-spacing:.1em}.receipt h2{margin:8px 0 0;color:var(--legal-navy)}.receipt h3{color:var(--legal-navy)}.receipt-grid{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:18px;margin:0}.provider-grid{padding-block:26px}.receipt-grid--single{grid-template-columns:1fr}.receipt-section{padding:26px 0;border-top:1px solid var(--legal-line)}.receipt-section h3{margin-bottom:20px}.preserve-lines{white-space:pre-wrap}.receipt-note{padding-top:20px;border-top:1px solid var(--legal-line);font-size:.9rem;line-height:1.6}@media(min-width:1181px) and (max-width:1500px){.legal-page .menu-toggle{display:grid;place-items:center}.legal-page .site-nav{position:fixed;top:var(--header-h);right:0;left:0;z-index:1;flex-direction:column;align-items:stretch;padding:14px 5vw 24px;background:#071426;transform:translateY(-14px);opacity:0;visibility:hidden}.legal-page .site-nav.is-open{transform:none;opacity:1;visibility:visible}}@media(max-width:900px){.form-layout{grid-template-columns:1fr}.provider-card{position:static}.type-options{grid-template-columns:1fr}}@media(max-width:620px){.legal-shell{width:min(100% - 28px,1180px)}.field-grid,.receipt-grid{grid-template-columns:1fr}.field--full{grid-column:auto}.form-section,.receipt{border-radius:14px}.receipt__heading{display:block}.button--print{width:100%;margin-top:18px}.textarea-meta{display:block}.textarea-meta span{display:block;margin-top:4px}}@media(prefers-reduced-motion:reduce){html{scroll-behavior:auto}}@media print{@page{margin:14mm}.site-header,.site-footer,.receipt-hero,.button--print,.skip-link{display:none!important}.legal-page{background:#fff}.receipt-wrap{width:100%;padding:0}.receipt{max-width:none;padding:0;border:0;box-shadow:none}.receipt-section{break-inside:avoid}.receipt-grid{gap:10px}.receipt dd{font-size:10pt}.deadline{break-inside:avoid}}