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2026-05-06 13:28:16 -04:00

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<div class="bg-deepcove h-full w-full flex flex-col">
<div class="flex items-center">
<%= link_to employer_path(@employer.slug), class: "flex items-center h-14 space-x" do %>
<div class="flex items-center h-14 text-bluemana hover:text-bronze">
<%= icon "arrow-big-left-dash", library: "lucide", class: "h-full w-20 text-center" %>
<div class="w-full pb-1 font-bold text-2xl">
<%= "Back to Employer" %>
</div>
</div>
<% end %>
</div>
<h1 class="font-bold text-4xl text-platinum my-5">Edit Employer</h1>
<%= form_with model: @employer, local: true, multipart: true do |f| %>
<div class="flex flex-col space-y-6">
<div class="flex w-full items-end" data-controller="logo-upload">
<div class="flex flex-col space-y-6 w-4/5">
<div class="flex items-end space-x-10">
<div class="w-full">
<%= f.text_field :name, label: { text: "Employer Name" }, class: "w-full" %>
</div>
<div class="w-full">
<%= f.text_field :effective_date, label: { text: "Effective Date" }, class: "w-full" %>
</div>
<div class="w-full">
<%= f.text_field :group_number, label: { text: "Group/Medical Number" }, class: "w-full" %>
</div>
</div>
<div class="w-full flex items-center pt-6">
<h3 class="flex-none font-bold text-2xl text-brightlava">Admin</h3>
<div class="grow h-[1px] mt-2 ml-1 bg-brightlava"></div>
</div>
<div class="flex items-end space-x-10">
<div class="w-full">
<%= f.text_field :slug, label: { text: "URL Slug" }, class: "w-full pointer-events-none opacity-65 cursor-not-allowed" %>
</div>
<div class="w-full">
<%= f.text_field :pl_plan_key, label: { text: "Pl Plan Key" }, class: "w-full pointer-events-none opacity-65 cursor-not-allowed" %>
</div>
</div>
</div>
</div>
<div class="flex py-8 space-x-4">
<%= f.submit "Save Employer" %>
</div>
</div>
<% end %>
</div>