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Employer form mostly working with persist to db

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This commit is contained in:
Jason Jordan
2025-12-10 13:22:33 -05:00
parent 78ce415b94
commit 0464ba8929
68 changed files with 3071 additions and 365 deletions
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app/views/employer_setup/general_information.html.erb
+4 -4
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@@ -1,8 +1,8 @@
<div class="bg-deepcove min-h-screen w-full flex flex-col">
<div class="bg-deepcove h-full w-full flex flex-col">
<h1 class="font-bold text-4xl text-platinum">New Employer Setup</h1>
<h3 class="font-bold text-2xl text-bluemana">General Information</h3>
<%= form_with model: @form, url: employer_setup_index_path, local: true do |f| %>
<div class="flex flex-col my-8 space-y-6">
<div class="flex flex-col space-y-6">
<div class="flex space-x-10">
<div class="w-1/5">
<%= f.text_field :name, label: { text: "Employer Name" }, class: "w-full" %>
@@ -16,12 +16,12 @@
<%= f.text_field :pl_plan_key, label: { text: "Pl Plan Key" }, class: "w-full" %>
</div>
<div class="w-1/5">
<%= f.text_field :effect_date, label: { text: "Effective Date" }, class: "w-full" %>
<%= f.text_field :effective_date, label: { text: "Effective Date" }, class: "w-full" %>
</div>
</div>
<div class="flex space-x-10">
<div class="w-1/5">
<%= 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" %>
<%= 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" %>
</div>
</div>
<div class="flex space-x-5 items-center mt-4">