[ic_quote]
<!-- ic_quote shortcode widget plugin -->
<aside class="ic-cta-quote-form">
<form action="https://www.answerfinancial.com/" method="GET" target="_blank">
<h3>Compare Quotes From Top-Rated Insurance Companies</h3>
<div class="content">
<div class="column">
<!-- Zip Code -->
<label class="zipcode">
<span class="screen-reader">Zip Code</span>
<span class="icon map-marker">
<svg width="1792" height="1792" viewBox="0 0 1792 1792" xmlns="http://www.w3.org/2000/svg"><path d="M1152 640q0-106-75-181t-181-75-181 75-75 181 75 181 181 75 181-75 75-181zm256 0q0 109-33 179l-364 774q-16 33-47.5 52t-67.5 19-67.5-19-46.5-52l-365-774q-33-70-33-179 0-212 150-362t362-150 362 150 150 362z"/></svg>
</span>
<span class="error-message">Please enter a valid zip code</span>
<input name="zipcode" type="text" title="Zip Code" placeholder="Zip Code"/>
</label>
</div>
<div class="column">
<!-- Currently Insured? -->
<label class="prior">
<span class="screen-reader">Are you currently insured?</span>
<span class="icon umbrella">
<svg width="26px" height="30px" viewBox="0 0 26 30" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<!-- Generator: Sketch 50.2 (55047) - http://www.bohemiancoding.com/sketch -->
<title>Artboard 1@1x</title>
<desc>Created with Sketch.</desc>
<defs></defs>
<g id="Artboard-1" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<path d="M13.0844,1.4382 C13.0844,1.4382 9.4604,5.1052 1.0014,5.1052 C1.0014,5.1052 0.6674,22.6052 13.0844,28.5212 C13.0844,28.5212 25.0844,24.5642 25.0844,5.1052 C25.0844,5.1052 16.8344,5.3962 13.0844,1.4382 Z" id="Stroke-1" stroke="#8AC45C" stroke-width="2"></path>
<g id="Group-7" transform="translate(1.000000, 1.596700)" fill="#8AC45C">
<path d="M1.0009,13.008 L12.0419,13.008 L12.0419,0.508 C12.0419,0.508 8.1259,4.445 0.0009,3.508 C0.0009,3.508 0.0639,9.32 1.0009,13.008" id="Fill-3"></path>
<path d="M12.7509,13.008 L22.9459,13.008 C22.9459,13.008 21.4179,22.716 12.0839,26.925 L12.0419,13.008 L12.7509,13.008 Z" id="Fill-5"></path>
</g>
</g>
</svg>
</span>
<span class="error-message">Please complete this field</span>
<select name="prior" title="Currently Insured?" data-placeholder="Currently Insured?">
<option title="Currently Insured?" class="placeholder" value="" disabled selected>Currently Insured?</option>
<option title="YES" value="YES">Yes</option>
<option title="NO" value="NO">No</option>
</select>
</label>
</div>
<div class="column">
<!-- Hidden referrer -->
<input type="hidden" name="a" value="retail">
<!-- Hidden incoming source: 'blog' -->
<input type="hidden" name="comingfrom" value="blog">
<!-- Submit Button -->
<input type="submit" value="Get Quotes">
<!-- or... -->
<p class="or">or</p>
<!-- Call Link -->
<p class="call">
<span>Call:</span>
<a href="tel:18002585101">1-800-258-5101</a>
</p>
</div>
</div>
</form>
</aside>
