39 lines
1.7 KiB
Plaintext
39 lines
1.7 KiB
Plaintext
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<div class="bg-deepcove min-h-screen w-full flex flex-col">
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<h1 class="font-bold text-4xl text-platinum">New Employer Setup</h1>
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<%= form_with url: 'create_plans', method: :post do |form| %>
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<div class="w-full flex">
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<div class="flex flex-col mr-4">
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<% @id_card_template_benefits.each do |bene| %>
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<div>
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<%= form.text_field "plans[benefit_descs][#{bene.sequence}]", label: { text: "Benefit Description" }, value: "#{bene.benefit_desc}" %>
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</div>
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<% end %>
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</div>
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<% @employer_data['employer']['number_of_plans'].to_i.times do |i| %>
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<div class="flex flex-col">
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<div>
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<%= form.text_field "plans[plan_#{i}][plan_id]", label: { text: "Plan Id" } %>
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</div>
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<div class="bg-gray-200 rounded py-2 px-4 text-bluetang font-semibold leading-tight">
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<select data-action="benefits-template-picker#fetchData" data-benefits-template-picker-url-value="/id_card_benefits_templates/get_templates_benefits/:id">
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<option value="">Select Existing Template (optional)</option>
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<% @id_card_templates.each do |temp| %>
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<option value="<%= temp.id %>"><%= temp.name %></option>
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<% end %>
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</select>
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</div>
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<% @id_card_template_benefits.each do |bene| %>
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<div>
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<div>
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<%= form.text_field "plans[plan_#{i}][#{bene.sequence}]", label: { text: "Benefit Value" }, data: { benefits_template_picker_target: "benefit_#{bene.sequence}" } %>
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</div>
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</div>
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<% end %>
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</div>
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<% end %>
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</div>
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<%= form.submit "Summary" %>
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</div>
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<% end %>
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</div>
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