Nhances/nhance-enrollment
Nhances/nhance-enrollment
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MERGE_LIVE_OPD_TPA&LIVE_ISSUES

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Ubuntu 2026-04-09 19:02:09 +05:30
commit 6574e603f4
1 changed files with 56 additions and 89 deletions
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145
app/Views/other_policy_terms.php
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@ -56,39 +56,12 @@
.policy-72-ff-table {
width: 100%;
min-width: 860px;
table-layout: auto;
}
.policy-72-ff-table td {
vertical-align: middle;
padding: 5px 6px;
}
.policy-72-ff-table .ff-member-label-col {
width: 11%;
}
.policy-72-ff-table .ff-member-control-col {
width: 11%;
}
.policy-72-ff-table .ff-elders-col {
width: 22%;
}
.policy-72-ff-table .ff-min-col {
width: 23%;
}
.policy-72-ff-table .ff-max-col {
width: 23%;
}
.policy-72-ff-table .ff-pay-label-col {
width: 20%;
}
.policy-72-ff-table .ff-pay-check-col {
width: 12%;
vertical-align: top;
padding: 3px 6px;
}
.policy-72-ff-table .ff-age-wrap {
@ -139,6 +112,25 @@
background: #d3d3d3;
}
.policy-72-ff-table .ff-pay-label-col .ff-field-label {
display: inline-block;
margin-right: 4px;
}
.policy-72-ff-table .ff-pay-check-col .form-check-input {
margin-left: 0;
}
.policy-72-ff-table .ff-pay-label-top,
.policy-72-ff-table .ff-pay-check-top {
vertical-align: top !important;
padding-top: 3px;
}
.policy-72-ff-table .ff-pay-check-top .form-check-input {
margin-top: 2px !important;
}
.button-like {
display: inline-block;
padding: 8px 15px;
@ -262,63 +254,49 @@ label {
<table class="policy-72-ff-table">
<tbody>
<tr>
<td class="ff-member-label-col">
<span class="text-dark fw-semibold">Self:</span>
</td>
<td class="ff-member-control-col">
<td style="width: 11%;"><span style="margin-right: 20px;" class="text-dark fw-semibold">Self:</span></td>
<td style="width: 11%;">
<input class="form-check-input mt-0" type="checkbox" name="family_floaters[]" value="self" id="self_others" checked>
</td>
<td class="ff-min-col">
<div class="ff-age-wrap">
<span class="ff-field-label">Min Age:</span>
<td style="width: 28%;">
<div class="ff-age-wrap"><span class="ff-field-label" style="margin-right: 20px;">Min Age:</span>
<input class="underline-input ff-age-input min_age" type="number" name="self_min_age" id="self_min_age_others" value="18">
</div>
</td>
<td class="ff-max-col">
<div class="ff-age-wrap">
<span class="ff-field-label">Max Age:</span>
<td style="width: 28%;">
<div class="ff-age-wrap"><span class="ff-field-label" style="margin-right: 20px;">Max Age:</span>
<input class="underline-input ff-age-input max_age" type="number" name="self_max_age" id="self_max_age_others" value="60">
</div>
</td>
<td class="ff-pay-label-col">
<span class="ff-field-label">Is Payable by employee:</span>
</td>
<td class="ff-pay-check-col">
<td class="ff-pay-label-top" style="width: 11%;"><span class="ff-field-label" style="margin-right: 20px;font-size: 12px;">Is Payable by employee:</span></td>
<td class="ff-pay-check-top" style="width: 11%;">
<input class="form-check-input mt-0" type="checkbox" name="is_payable_employee_for_self" id="is_payable_employee_for_self_others" value="1" checked>
</td>
</tr>
<tr>
<td class="ff-member-label-col">
<span class="text-dark fw-semibold">Spouse:</span>
</td>
<td class="ff-member-control-col">
<td style="width: 11%;"><span style="margin-right: 20px;" class="text-dark fw-semibold">Spouse:</span></td>
<td style="width: 11%;">
<input class="form-check-input mt-0" type="checkbox" name="family_floaters[]" value="spouse" id="spouse_others" checked>
</td>
<td class="ff-min-col">
<div class="ff-age-wrap">
<span class="ff-field-label">Min Age:</span>
<td style="width: 28%;">
<div class="ff-age-wrap"><span class="ff-field-label" style="margin-right: 20px;">Min Age:</span>
<input class="underline-input ff-age-input min_age" type="number" name="spouse_min_age" id="spouse_min_age_others" value="18">
</div>
</td>
<td class="ff-max-col">
<div class="ff-age-wrap">
<span class="ff-field-label">Max Age:</span>
<td style="width: 28%;">
<div class="ff-age-wrap"><span class="ff-field-label" style="margin-right: 20px;">Max Age:</span>
<input class="underline-input ff-age-input max_age" type="number" name="spouse_max_age" id="spouse_max_age_others" value="60">
</div>
</td>
<td class="ff-pay-label-col">
<span class="ff-field-label">Is Payable by employee:</span>
</td>
<td class="ff-pay-check-col">
<td class="ff-pay-label-top" style="width: 11%;"><span class="ff-field-label" style="margin-right: 20px;font-size: 12px;">Is Payable by employee:</span></td>
<td class="ff-pay-check-top" style="width: 11%;">
<input class="form-check-input mt-0" type="checkbox" name="is_payable_employee_for_spouse" id="is_payable_employee_for_spouse_others" value="1">
</td>
</tr>
<tr>
<td class="ff-member-label-col">
<span class="text-dark fw-semibold">Children:</span>
</td>
<td class="ff-member-control-col">
<select name="family_floaters[]" id="children_others" class="form-select form-control d-inline-block ms-2" style="width: 86px;">
<td style="width: 11%;"><span class="text-dark fw-semibold">Children:</span></td>
<td style="width: 11%;">
<select name="family_floaters[]" id="children_others" class="form-select form-control d-inline-block" style="width: 86px;">
<option value="0">None</option>
<option value="1">1</option>
<option value="2">2</option>
@ -326,29 +304,23 @@ label {
<option value="4">4</option>
</select>
</td>
<td class="ff-min-col">
<div class="ff-age-wrap">
<span class="ff-field-label">Min Age:</span>
<td style="width: 28%;">
<div class="ff-age-wrap"><span class="ff-field-label" style="margin-right: 20px;">Min Age:</span>
<input class="underline-input ff-age-input min_age" type="number" name="child_min_age" id="child_min_age_others" value="0">
</div>
</td>
<td class="ff-max-col">
<div class="ff-age-wrap">
<span class="ff-field-label">Max Age:</span>
<td style="width: 28%;">
<div class="ff-age-wrap"><span class="ff-field-label" style="margin-right: 20px;">Max Age:</span>
<input class="underline-input ff-age-input max_age" type="number" name="child_max_age" id="child_max_age_others" value="25">
</div>
</td>
<td class="ff-pay-label-col">
<span class="ff-field-label">Is Payable by employee:</span>
</td>
<td class="ff-pay-check-col">
<td class="ff-pay-label-top" style="width: 11%;"><span class="ff-field-label" style="margin-right: 20px;font-size: 12px;">Is Payable by employee:</span></td>
<td class="ff-pay-check-top" style="width: 11%;">
<input class="form-check-input mt-0" type="checkbox" name="is_payable_employee_for_child" id="is_payable_employee_for_child_others" value="1">
</td>
</tr>
<tr>
<td colspan="2">
<span class="text-dark">Select Other Members:</span>
</td>
<td colspan="2"><span class="text-dark">Select Other Members:</span></td>
<td colspan="4">
<select name="family_floaters[]" id="family_floaters_others" class="form-select form-control" style="max-width: 430px;">
<option value="0">None</option>
@ -363,28 +335,23 @@ label {
</td>
</tr>
<tr id="other_members_age_row" class="policy-72-other-members-age-row">
<td colspan="2" class="ff-elders-col">
<div class="ff-elders-wrap">
<span class="ff-field-label">Elders Count:</span>
<td colspan="2" style="width: 22%;">
<div class="ff-elders-wrap"><span class="ff-field-label" style="margin-right: 20px;">Elders Count:</span>
<input class="underline-input ff-elders-count-input" type="number" name="elder_member_count" id="member_count_others" value="0" readonly>
</div>
</td>
<td class="ff-min-col">
<div class="ff-age-wrap">
<span class="ff-field-label">Min Age:</span>
<td style="width: 28%;">
<div class="ff-age-wrap"><span class="ff-field-label" style="margin-right: 20px;">Min Age:</span>
<input class="underline-input ff-age-input" type="number" name="other_member_min_age" id="other_member_min_age_others" value="18">
</div>
</td>
<td class="ff-max-col">
<div class="ff-age-wrap">
<span class="ff-field-label">Max Age:</span>
<td style="width: 28%;">
<div class="ff-age-wrap"><span class="ff-field-label" style="margin-right: 20px;">Max Age:</span>
<input class="underline-input ff-age-input" type="number" name="other_member_max_age" id="other_member_max_age_others" value="60">
</div>
</td>
<td class="ff-pay-label-col">
<span class="ff-field-label">Is Payable by employee:</span>
</td>
<td class="ff-pay-check-col">
<td class="ff-pay-label-top" style="width: 11%;"><span class="ff-field-label" style="margin-right: 20px;font-size: 12px;">Is Payable by employee:</span></td>
<td class="ff-pay-check-top" style="width: 11%;">
<input class="form-check-input mt-0" type="checkbox" name="is_payable_employee_for_elders" id="is_payable_employee_for_elders_others" value="1">
</td>
</tr>