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class="checkbox checkbox-switch small"> <label><input data-val="true" data-val-required="El campo 'MarketplaceIndividualsAndFamilies' no debe quedar vac铆o." id="MarketplaceIndividualsAndFamilies" name="MarketplaceIndividualsAndFamilies" type="checkbox" value="true" /><input name="MarketplaceIndividualsAndFamilies" type="hidden" value="false" /> <span>Individuos y familias </span></label> </div> </div> <div class="form-group"> <div class="checkbox checkbox-switch small"> <label><input data-val="true" data-val-required="El campo 'MarketplaceSmallBusinesses' no debe quedar vac铆o." id="MarketplaceSmallBusinesses" name="MarketplaceSmallBusinesses" type="checkbox" value="true" /><input name="MarketplaceSmallBusinesses" type="hidden" value="false" /> <span>Peque帽as empresas</span></label> </div> </div> <div class="form-group"> <div class="checkbox checkbox-switch small"> <label><input data-val="true" data-val-required="El campo 'MarketplaceProvidersPartners' no debe quedar vac铆o." id="MarketplaceProvidersPartners" name="MarketplaceProvidersPartners" type="checkbox" value="true" /><input name="MarketplaceProvidersPartners" type="hidden" value="false" /> <span>Proveedores y socios</span></label> </div> </div> </div> <div class="col-sm-6"> <h6 class="mtn">Est谩ndar de referencia de gastos en cuidados de salud</h6> <div class="form-group"> <div class="checkbox checkbox-switch small"> <label><input data-val="true" data-val-required="El campo 'BenchmarkIndividualsAndFamilies' no debe quedar vac铆o." id="BenchmarkIndividualsAndFamilies" name="BenchmarkIndividualsAndFamilies" type="checkbox" value="true" /><input name="BenchmarkIndividualsAndFamilies" type="hidden" value="false" /> <span>Individuos y familias </span></label> </div> </div> <div class="form-group"> <div class="checkbox checkbox-switch small"> <label><input data-val="true" data-val-required="El campo 'BenchmarkEmployers' no debe quedar vac铆o." id="BenchmarkEmployers" name="BenchmarkEmployers" type="checkbox" value="true" /><input name="BenchmarkEmployers" type="hidden" value="false" /> <span>Empleadores</span></label> </div> </div> <div class="form-group"> <div class="checkbox checkbox-switch small"> <label><input data-val="true" data-val-required="El campo 'BenchmarkHealthCareProviders' no debe quedar vac铆o." id="BenchmarkHealthCareProviders" name="BenchmarkHealthCareProviders" type="checkbox" value="true" /><input name="BenchmarkHealthCareProviders" type="hidden" value="false" /> <span>Proveedores de cuidados de salud</span></label> </div> </div> <div class="form-group"> <div class="checkbox checkbox-switch small"> <label><input data-val="true" data-val-required="El campo 'BenchmarkLegislators' no debe quedar vac铆o." id="BenchmarkLegislators" name="BenchmarkLegislators" type="checkbox" value="true" /><input name="BenchmarkLegislators" type="hidden" value="false" /> <span>Legisladores</span></label> </div> </div> </div> </div> </div> </fieldset> </div> <div class="modal-footer"> <button type="button" class="btn btn-link" data-dismiss="modal">Cancelar</button> <button type="submit" class="btn btn-ghost btn-ghost_white">Registrarse</button> </div> </div> </form> </div> </div> <div class="modal fade" id="modalContactAgent" tabindex="-1" role="dialog" aria-labelledby="modalContactAgentLabel"> <div class="modal-dialog modal-md" role="document"> <form action="/Health-Insurance-Marketplace/Individuals-and-Families/Contact-Agent" class="form form-modal form-contact-agent form-bordered mtl mbm " method="post" role="form"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true" class="color-white">脳</span></button> <h4 class="modal-title" id="modalContactAgentLabel">Contacte a un agente certificado</h4> </div> <div class="modal-body"> <fieldset> <legend class="sr-only">Contacte a un agente certificado</legend> <label class="control-label" for="SenderFullName">Su nombre completo:</label> <div class="form-group"> <input class="form-control input-lg" data-val="true" data-val-required="Obligatorio" id="SenderFullName" name="SenderFullName" placeholder="Nombre y apellido" type="text" value="" /> <span class="field-validation-valid" data-valmsg-for="SenderFullName" data-valmsg-replace="true"></span> </div> <div class="row mvm"> <div class="col-md-6"> <label class="control-label" for="SenderEmailAddress">Su direcci贸n de correo electr贸nico:</label> <div class="form-group"> <input class="form-control input-lg" data-val="true" data-val-required="Obligatorio" id="SenderEmailAddress" name="SenderEmailAddress" placeholder="usuario@dominio.com" type="text" value="" /> <span class="field-validation-valid" data-valmsg-for="SenderEmailAddress" data-valmsg-replace="true"></span> </div> </div> <div class="col-md-6"> <label class="control-label" for="SenderPhoneNumber">Su n煤mero de tel茅fono:</label> <div class="form-group"> <input class="form-control input-lg" 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