Employer form mostly working with persist to db
This commit is contained in:
@@ -0,0 +1,37 @@
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<div class="flex space-x-5 items-center mt-4">
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<label for="file_upload_input_NEW_RECORD" class="cursor-pointer bg-NEXT_COLOR hover:bg-NEXT_COLOR-tinted text-platinum font-bold py-2 px-4 rounded border border-platinum">
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Choose Network Logo File
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</label>
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<span id="file_name_display_NEW_RECORD" class="ml-2 text-NEXT_COLOR font-semibold">No file chosen</span>
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<%= network_fields.file_field :network_logo, class: "hidden", id: "file_upload_input_NEW_RECORD", data: { add_alt_network_logo_target: "networkLogo" } %>
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</div>
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<div class="flex items-end space-x-6 w-full">
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<div class="w-full">
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<%= network_fields.select :exception_type, options_for_select(["Zip","State"]), label: { text: "Exception Type" }, prompt: "Select Type", class: "w-full" %>
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</div>
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<div class="w-full">
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<%= network_fields.text_field :exception_value, label: { text: "Exception Value" }, class: "w-full" %>
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</div>
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<div class="w-1/5">
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<%= network_fields.hidden_field :_destroy %>
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<%= button_tag "Remove", class: "cursor-pointer bg-deepcove hover:bg-brightlava text-xl font-bold text-NEXT_SECONDARY_COLOR hover:text-platinum py-1 px-2 font-semibold leading-tight rounded-lg border-3 border-NEXT_SECONDARY_COLOR w-full", data: { action: "add-alt-network-logo#remove" } %>
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</div>
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</div>
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<div class="flex flex-col w-full space-y-6" data-add-network-exception-target="container"></div>
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<%= button_tag "Add an exception rule", class: "cursor-pointer bg-NEXT_COLOR hover:bg-NEXT_COLOR-tinted text-platinum text-lg font-bold py-2 px-4 rounded border border-platinum w-full", data: { action: "add-network-exception#add" } %>
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<template data-add-network-exception-target="template">
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<%= network_fields.fields_for :alternative_network_logos, AlternativeNetworkLogo.new(network_logo: network_fields.object.network_logo), child_index: 'NEW_EXC_RECORD' do |network_fields| %>
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<div class="flex items-end space-x-6 w-full">
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<div class="w-full">
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<%= network_fields.select :exception_type, options_for_select(["Zip","State"]), label: { text: "Exception Type" }, prompt: "Select Type", class: "w-full" %>
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</div>
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<div class="w-full">
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<%= network_fields.text_field :exception_value, label: { text: "Exception Value" }, class: "w-full" %>
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</div>
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<div class="w-1/5">
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<%= network_fields.hidden_field :_destroy %>
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<%= button_tag "Remove", class: "cursor-pointer bg-deepcove hover:bg-brightlava text-xl font-bold text-PARENT_SECONDARY_COLOR hover:text-platinum py-1 px-2 font-semibold leading-tight rounded-lg border-3 border-PARENT_SECONDARY_COLOR w-full", data: { action: "add-alt-network-logo#remove" } %>
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</div>
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</div>
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<% end %>
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</template>
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@@ -0,0 +1,23 @@
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<div class="flex flex-col items-stretch justify-end pr-6 pl-1 w-1/4">
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<%= plan_fields.fields_for :plan_benefits do |plan_benefits_fields| %>
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<%= render 'plan_benefits_desc_fields', plan_benefits_fields: plan_benefits_fields %>
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<% end %>
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</div>
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<div class="inline-flex flex-col justify-end pr-6 pl-1 mt-10 relative w-1/4" data-controller="benefits-template-picker">
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<div class="absolute left-0 top-[2%] h-[98%] border-l-4 <%= "border-#{EmployerSetupPlansForm::PLAN_COLORS[i]}" %> rounded-bl-lg"></div>
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<div class="font-bold text-2xl <%= "text-#{EmployerSetupPlansForm::PLAN_COLORS[i]}" %> -ml-[6px] z-2 w-full">
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<%= "Plan #{i + 1}" %>
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</div>
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<div class="pl-1 w-full">
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<%= plan_fields.text_field :title, label: { text: "Plan Title" }, class: "w-full", data: { add_plan_target: "plan" } %>
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</div>
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<div class="pl-1 w-full">
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<%= plan_fields.text_field :plan_id, label: { text: "Plan Id" }, class: "w-full" %>
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</div>
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<div class="pl-1">
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<%= f.select :template_id, options_from_collection_for_select(@form.plan_templates, :id, :title), { prompt: "Select Plan Template" }, { data: { action: "benefits-template-picker#fetchData" }} %>
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</div>
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<%= plan_fields.fields_for :plan_benefits do |plan_benefits_fields| %>
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<%= render 'plan_benefits_fields', plan_benefits_fields: plan_benefits_fields %>
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<% end %>
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</div>
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@@ -0,0 +1,4 @@
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<div class="pl-1 w-full">
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<%= plan_benefits_fields.text_field :benefit, label: { text: "Benefit Value #{plan_benefits_fields.object.sequence}" }, data: { benefits_template_picker_target: "benefit", sequence: plan_benefits_fields.object.sequence}, class: "w-full" %>
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<%= plan_benefits_fields.hidden_field :sequence %>
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</div>
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@@ -0,0 +1,3 @@
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<div class="pl-1 w-full">
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<%= plan_benefits_fields.text_field :benefit_desc, label: { text: "Benefit Description #{plan_benefits_fields.object.sequence}" }, class: "w-full" %>
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</div>
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@@ -0,0 +1,5 @@
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<div class="pl-1 w-full">
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<%= plan_benefits_fields.text_field :benefit, label: { text: "Benefit Value #{plan_benefits_fields.object.sequence}" }, data: { benefits_template_picker_target: "benefit", sequence: plan_benefits_fields.object.sequence}, class: "w-full" %>
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<%= plan_benefits_fields.hidden_field :benefit_desc %>
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<%= plan_benefits_fields.hidden_field :sequence %>
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</div>
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@@ -0,0 +1,11 @@
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<div class="pl-1 w-full">
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<%= plan_fields.text_field :title, label: { text: "Plan Title" }, class: "w-full", data: { add_plan_target: "plan" } %>
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</div>
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<div class="pl-1 w-full">
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<%= plan_fields.text_field :plan_id, label: { text: "Plan Id" }, class: "w-full" %>
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</div>
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<div class="pl-1">
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<%= f.select :template_id, options_from_collection_for_select(@plan_templates, :id, :title), { prompt: "Select Plan Template" }, { data: { action: "benefits-template-picker#fetchData" }} %>
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</div>
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@@ -0,0 +1,136 @@
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<div class="bg-deepcove h-full w-full flex flex-col">
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<h1 class="font-bold text-4xl text-platinum my-5">New Employer Setup</h1>
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<%= form_with model: @employer_setup, url: employer_setup_index_path, local: true do |f| %>
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<div class="flex flex-col space-y-6">
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<div class="w-full flex items-center">
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<h3 class="font-bold text-2xl text-bluemana">General Information</h3>
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<div class="h-[1px] w-1/2 mt-2 bg-bluemana"></div>
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</div>
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<div class="flex space-x-10">
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<div class="w-1/5">
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<%= f.text_field :employer_name, label: { text: "Employer Name" }, class: "w-full" %>
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</div>
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<div class="w-1/5">
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<%= f.text_field :group_number, label: { text: "Group/Medical Number" }, class: "w-full" %>
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</div>
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</div>
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<div class="flex space-x-10">
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<div class="w-1/5">
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<%= f.text_field :pl_plan_key, label: { text: "Pl Plan Key" }, class: "w-full" %>
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</div>
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<div class="w-1/5">
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<%= f.text_field :effective_date, label: { text: "Effective Date" }, class: "w-full" %>
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</div>
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</div>
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<div class="flex space-x-10">
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<div class="w-1/5">
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<%= f.select :network_provider, options_for_select(["Cigna", "Medcost"]), label: { text: "Provider Network" }, class: "w-full" %>
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</div>
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</div>
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<div class="flex space-x-5 items-center mt-4">
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<label for="file_upload_input" class="cursor-pointer bg-atmosphere hover:bg-bluetang text-platinum font-bold py-2 px-4 rounded border border-platinum">
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Choose Employer Logo File
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</label>
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<span id="file_name_display" class="ml-2 text-bluemana font-semibold">No file chosen</span>
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<%= f.file_field :employer_logo, class: "hidden", id: "file_upload_input" %>
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</div>
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<div class="w-full flex items-center">
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<h3 class="font-bold text-2xl text-bluemana">Plans Information</h3>
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<div class="h-[1px] w-1/2 mt-2 bg-bluemana"></div>
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</div>
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<div class="w-full flex my-8" data-controller="add-plan" data-add-plan-form-color-value="<%= EmployerSetupPlansForm::PLAN_COLORS.to_json %>" >
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<div class="flex flex-wrap w-full" data-add-plan-target="container">
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<% @employer_setup.plans.each_with_index do |plan, index| %>
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<%= f.fields_for :plans, plan, child_index: index do |plan_fields| %>
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<% if index == 0 %>
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<div class="flex flex-col w-1/2 relative items-end" data-controller="benefits-template-picker">
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<div class="absolute left-[50%] top-[2%] h-[98%] border-l-4 <%= "border-#{EmployerSetupPlansForm::PLAN_COLORS[index]}" %> "></div>
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<div class="inline-flex flex-col pl-1 pr-6 w-1/2">
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<div class="font-bold text-2xl <%= "text-#{EmployerSetupPlansForm::PLAN_COLORS[index]}" %> -ml-[6px] z-2 w-full">
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<%= "Plan 1" %>
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</div>
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<%= render 'plan_fields', plan_fields: plan_fields, f: f, index: index %>
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</div>
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<div class="flex flex-col items-end w-full">
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<%= plan_fields.fields_for :plan_benefits do |plan_benefits_fields| %>
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<div class="flex w-full">
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<div class="flex flex-col items-stretch justify-end pr-6 w-1/2">
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<%= render 'plan_benefits_desc_fields', plan_benefits_fields: plan_benefits_fields %>
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</div>
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<div class="flex flex-col items-stretch justify-end pl-1 pr-6 w-1/2">
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<%= render 'plan_benefit_only_fields', plan_benefits_fields: plan_benefits_fields %>
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</div>
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</div>
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<% end %>
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<div class="mt-4 pl-2 pr-6 w-1/2">
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<%= plan_fields.hidden_field :_destroy %>
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<%= button_tag "Remove Plan 1", class: "cursor-pointer bg-deepcove hover:bg-brightlava text-xl font-bold text-copper hover:text-platinum py-2 px-4 font-semibold leading-tight rounded-lg border-3 border-copper w-full", data: { action: "add-plan#remove" } %>
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</div>
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</div>
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</div>
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<% else %>
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<div class="inline-flex flex-col justify-end pr-6 mt-10 w-1/4 relative pl-1" data-controller="benefits-template-picker">
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<div class="absolute left-0 top-[2%] h-[98%] border-l-4 <%= "border-#{EmployerSetupPlansForm::PLAN_COLORS[index]}" %>"></div>
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<div class="font-bold text-2xl <%= "text-#{EmployerSetupPlansForm::PLAN_COLORS[index]}" %> -ml-[6px] z-2 w-full">
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<%= "Plan #{index + 1}" %>
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</div>
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<%= render 'plan_fields', plan_fields: plan_fields, f: f, index: index %>
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<%= plan_fields.fields_for :plan_benefits do |plan_benefits_fields| %>
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<%= render 'plan_benefits_fields', plan_benefits_fields: plan_benefits_fields %>
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<% end %>
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<div class="mt-4 pl-1">
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<%= plan_fields.hidden_field :_destroy %>
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<%= button_tag "Remove Plan #{index + 1}", class: "cursor-pointer bg-deepcove text-brightlava py-2 px-4 font-semibold leading-tight rounded border-3 border-#{EmployerSetupPlansForm::PLAN_COLORS[index]} w-full", data: { action: "add-plan#remove" } %>
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</div>
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</div>
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<% end %>
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<% end %>
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<% end %>
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<%= button_tag "Add a Plan", class: "cursor-pointer text-2xl font-bold py-2 pr-6 mt-10 w-[calc(24%-1rem)] w-1/4 min-h-[940px] text-[#E0E0E0] rounded-lg font-medium border border-[#E0E0E0] bg-[#173057] hover:bg-transparent hover:shadow-[0_0_10px_3px_#93c5fd] transition-colors duration-150", data: { action: "add-plan#add", add_plan_target: "button" } %>
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<template data-add-plan-target="template">
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<%= f.fields_for :plans, Plan.new, child_index: 'NEW_RECORD' do |plan_fields| %>
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<div class="inline-flex flex-col justify-end pr-6 w-1/4 relative pl-1" data-controller="benefits-template-picker">
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<div class="absolute left-0 top-[2%] h-[98%] border-l-4 border-NEXT_COLOR"></div>
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<div class="font-bold text-2xl text-NEXT_COLOR -ml-[6px] z-2 w-full">
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<%= "Plan NEW_PLAN" %>
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</div>
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<%= render 'plan_fields', plan_fields: plan_fields, f: f, index: "NEW_RECORD".to_i %>
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<%= plan_fields.fields_for :plan_benefits do |plan_benefits_fields| %>
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<%= render 'plan_benefits_fields', plan_benefits_fields: plan_benefits_fields %>
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<% end %>
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<div class="mt-4 pl-1">
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<%= plan_fields.hidden_field :_destroy %>
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<%= button_tag "Remove Plan NEW_PLAN", class: "cursor-pointer bg-deepcove hover:bg-brightlava text-xl font-bold text-NEXT_SECONDARY_COLOR hover:text-platinum py-2 px-4 font-semibold leading-tight rounded-lg border-3 border-NEXT_SECONDARY_COLOR w-full", data: { action: "add-plan#remove" } %>
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</div>
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</div>
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<% end %>
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</template>
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</div>
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</div>
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<div class="w-full flex items-center">
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<h3 class="font-bold text-2xl text-bluemana">Alternative Network Information</h3>
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<div class="h-[1px] w-1/2 mt-2 bg-bluemana"></div>
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</div>
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<div class="flex w-full justify-start" data-controller="add-alt-network-logo" data-add-alt-network-logo-form-color-value="<%= EmployerSetupPlansForm::PLAN_COLORS.to_json %>">
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<div class="flex flex-wrap w-full" data-add-alt-network-logo-target="container">
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<%= button_tag "Add a Regional Logo", class: "cursor-pointer text-lg font-medium py-2 px-4 rounded w-1/7 h-75 my-8 text-[#E0E0E0] rounded-lg border border-[#C2C2C2] hover:shadow-[0_0_10px_3px_#93c5fd]", data: { action: "add-alt-network-logo#add", add_alt_network_logo_target: "button" } %>
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</div>
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<template data-add-alt-network-logo-target="template">
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<%= f.fields_for :alternative_network_logos, AlternativeNetworkLogo.new, child_index: 'NEW_RECORD' do |network_fields| %>
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<div class="flex flex-col my-8 mr-3 space-y-6 px-3" data-controller="add-network-exception" data-add-network-exception-parent-color-value="NEXT_SECONDARY_COLOR">
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<%= render 'alt_network_logo_fields', network_fields: network_fields %>
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</div>
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<% end %>
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</template>
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</div>
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<div class="pt-8">
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<%= f.submit "Submit" %>
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</div>
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</div>
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<% end %>
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</div>
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@@ -1,8 +1,8 @@
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<div class="bg-deepcove min-h-screen w-full flex flex-col">
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<div class="bg-deepcove h-full 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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<h3 class="font-bold text-2xl text-bluemana">General Information</h3>
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<%= form_with model: @form, url: employer_setup_index_path, local: true do |f| %>
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<div class="flex flex-col my-8 space-y-6">
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<div class="flex flex-col space-y-6">
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<div class="flex space-x-10">
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<div class="w-1/5">
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<%= f.text_field :name, label: { text: "Employer Name" }, class: "w-full" %>
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@@ -16,12 +16,12 @@
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<%= f.text_field :pl_plan_key, label: { text: "Pl Plan Key" }, class: "w-full" %>
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</div>
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<div class="w-1/5">
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<%= f.text_field :effect_date, label: { text: "Effective Date" }, class: "w-full" %>
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<%= f.text_field :effective_date, label: { text: "Effective Date" }, class: "w-full" %>
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</div>
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</div>
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<div class="flex space-x-10">
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<div class="w-1/5">
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<%= f.select :network, options_for_select([["Cigna", "cig"], ["Cigna+Regional", "cig+"], ["Medcost", "med"]]), label: { text: "Provider Network" }, data: { controller: "form-toggle", action: "change->form-toggle#toggleDivs" }, class: "w-full" %>
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<%= f.select :network, options_for_select(["Cigna", "Cigna+Regional", "Medcost"]), label: { text: "Provider Network" }, data: { controller: "form-toggle", action: "change->form-toggle#toggleDivs" }, class: "w-full" %>
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</div>
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</div>
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<div class="flex space-x-5 items-center mt-4">
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@@ -2,12 +2,14 @@
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<h1 class="font-bold text-4xl text-platinum">New Employer Setup</h1>
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<h3 class="font-bold text-2xl text-bluemana">Provider Network</h3>
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<%= form_with model: @form, url: employer_setup_index_path, local: true do |f| %>
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<div class="flex w-full justify-start">
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<div class="flex flex-wrap w-full" data-add-alt-network-logo-target="container">
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<%= button_tag "Add a Regional Logo", class: "cursor-pointer text-lg font-medium py-2 px-4 rounded w-1/7 h-75 my-8 text-[#E0E0E0] rounded-lg border border-[#C2C2C2] hover:shadow-[0_0_10px_3px_#93c5fd]", data: { action: "add-alt-network-logo#add", add_alt_network_logo_target: "button" } %>
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<div class="flex w-full justify-start">
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<div class="flex flex-wrap w-full" data-add-alt-network-logo-target="container">
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<%= button_tag "Add a Regional Logo", class: "cursor-pointer text-lg font-medium py-2 px-4 rounded w-1/7 h-75 my-8 text-[#E0E0E0] rounded-lg border border-[#C2C2C2] hover:shadow-[0_0_10px_3px_#93c5fd]", data: { action: "add-alt-network-logo#add", add_alt_network_logo_target: "button" } %>
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</div>
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</div>
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</div>
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<div class="py-10">
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<%= f.hidden_field :pl_plan_key, value: "fake" %>
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<%= f.submit "Continue to Summary" %>
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</div>
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<template data-add-alt-network-logo-target="template">
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@@ -47,6 +49,8 @@
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</div>
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<% end %>
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</template>
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<% end %>
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</div>
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@@ -3,12 +3,11 @@
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<h3 class="font-bold text-2xl text-bluemana">Medical Plans</h3>
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<div class="flex flex-col pl-6">
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<%= form_with model: @form, url: employer_setup_index_path, local: true do |f| %>
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<%= f.text_field :pl_plan_key, label: { text: "Employer PL Plan Key" }, class: "justify-self-start" %>
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<div class="w-full flex my-8">
|
||||
<div class="flex flex-wrap w-full" data-add-plan-target="container">
|
||||
<div class="flex flex-col items-stretch justify-end pr-6 pl-1 w-1/4">
|
||||
<%= f.fields_for :benefit_descs do |plan_benefit_fields| %>
|
||||
<%= plan_benefit_fields.text_field :plan_id, class: "hidden", value: "descriptions" %>
|
||||
<%= plan_benefit_fields.hidden_field :plan_id, value: "descriptions" %>
|
||||
<% @form.benefits_template.each do |bene| %>
|
||||
<div>
|
||||
<%= plan_benefit_fields.text_field "benefit_#{bene.sequence}", label: { text: "Benefit Description #{bene.sequence}" }, value: "#{bene.benefit_desc}", class: "w-full" %>
|
||||
|
||||
@@ -13,9 +13,9 @@
|
||||
|
||||
<body>
|
||||
<main>
|
||||
<div class="w-full h-screen flex bg-black justify-center items-center">
|
||||
<div class="h-[98%] w-[calc(100%-1rem)] mt-1 mb-2 flex justify-center items-center shadow-[0_0_10px_3px_#93c5fd] rounded-xl bg-[#04153E]">
|
||||
<div class="w-11/12 mt-8 px-5 flex">
|
||||
<div class="w-full min-h-screen flex flex-col bg-black justify-center items-center">
|
||||
<div class="min-h-full w-[calc(100%-1rem)] mt-1 mb-2 flex flex-grow justify-center items-center shadow-[0_0_10px_3px_#93c5fd] rounded-xl bg-[#04153E]">
|
||||
<div class="min-h-full w-11/12 mt-8 px-5 flex flex-grow justify-center items-center">
|
||||
<%= yield %>
|
||||
</div>
|
||||
</div>
|
||||
@@ -23,3 +23,4 @@
|
||||
</main>
|
||||
</body>
|
||||
</html>
|
||||
|
||||
|
||||
@@ -1,13 +1,13 @@
|
||||
<div class="flex items-center justify-center h-full w-full">
|
||||
<div class="flex items-center justify-center min-h-full w-full">
|
||||
<div class="flex flex-col text-7xl font-bold text-[#2A4B6F] space-y-30">
|
||||
<div>
|
||||
<span class="[text-shadow:0_0_20px_#fff,0_0_50px_#0090D9,0_0_80px_#0ff] text-[#04153E]">B</span>acl<span class="text-[#CD7F32]">i</span>ght
|
||||
</div>
|
||||
<div>
|
||||
<span class="[text-shadow:0_0_20px_#fff,0_0_50px_#0090D9,0_0_80px_#0ff] text-[#04153E]">B</span>acl<span class="relative inline-block">i<span class="absolute top-0 right-0 h-3 w-3 rounded-full bg-[#CD7F32] translate-y-[7px] -translate-x-[3px]"></span></span>ght
|
||||
<span class="[text-shadow:0_0_20px_#fff,0_0_50px_#0090D9,0_0_80px_#0ff] text-[#04153E]">B</span>acl<span class="relative inline-block">i<span class="absolute top-0 right-0 h-3 w-3 rounded-full bg-[#CD7F32] translate-y-[12px] -translate-x-[4px]"></span></span>ght
|
||||
</div>
|
||||
<div>
|
||||
<span class="justify-self-end [text-shadow:0_0_20px_#fff,0_0_50px_#0090D9,0_0_80px_#0ff] text-[#04153E]">B</span>acl<span class="relative inline-block">i<span class="absolute top-0 right-0 h-3 w-3 rounded-full bg-[#CD7F32] translate-y-[7px] -translate-x-[3px] shadow-[0_0_7px_2px_#93c5fd]"></span></span>ght
|
||||
<span class="justify-self-end [text-shadow:0_0_20px_#fff,0_0_50px_#0090D9,0_0_80px_#0ff] text-[#04153E]">B</span>acl<span class="relative inline-block">i<span class="absolute top-0 right-0 h-3 w-3 rounded-full bg-[#CD7F32] translate-y-[13px] -translate-x-[4px] shadow-[0_0_7px_2px_#93c5fd]"></span></span>ght
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
|
||||
@@ -0,0 +1,17 @@
|
||||
<div class="text-deepcove bg-deepcove border border-deepcove">co</div>
|
||||
<div class="text-bluetang bg-bluetang border border-bluetang">co</div>
|
||||
<div class="text-bluetang-tinted bg-bluetang-tinted border border-bluetang-tinted">co</div>
|
||||
<div class="text-atmosphere bg-atmosphere border border-atmosphere">co</div>
|
||||
<div class="text-atmosphere-tinted bg-atmosphere-tinted border border-atmosphere-tinted">co</div>
|
||||
<div class="text-bluemana bg-bluemana border border-bluemana">co</div>
|
||||
<div class="text-bluemana-tinted bg-bluemana-tinted border border-bluemana-tinted">co</div>
|
||||
<div class="text-cobalt bg-cobalt border border-cobalt">co</div>
|
||||
<div class="text-cobalt-tinted bg-cobalt-tinted border border-cobalt-tinted">co</div>
|
||||
<div class="text-copper bg-copper border border-copper">co</div>
|
||||
<div class="text-copper-tinted bg-copper-tinted border border-copper-tinted">co</div>
|
||||
<div class="text-bronze bg-bronze border border-bronze">co</div>
|
||||
<div class="text-bronze-tinted bg-bronze-tinted border border-bronze-tinted">co</div>
|
||||
<div class="text-verdigris bg-verdigris border border-verdigris">co</div>
|
||||
<div class="text-verdigris-tinted bg-verdigris-tinted border border-verdigris-tinted">co</div>
|
||||
<div class="text-brightlava bg-brightlava border border-brightlava">co</div>
|
||||
|
||||
Reference in New Issue
Block a user