@extends('layouts.vertical', ['title' => $policy->name])

@section('css')
    @vite([
        'node_modules/datatables.net-bs5/css/dataTables.bootstrap5.min.css', 
        'node_modules/datatables.net-responsive-bs5/css/responsive.bootstrap5.min.css', 
        'node_modules/datatables.net-buttons-bs5/css/buttons.bootstrap5.min.css', 
        'node_modules/datatables.net-select-bs5/css/select.bootstrap5.min.css',
        'node_modules/mohithg-switchery/dist/switchery.min.css'
        ])
@endsection

@section('content')
    <!-- Start Content-->
    <div class="container-fluid">

        @include('layouts.shared.page-title', [
            'breadcrumbs' => [
                ['title' => 'CRM', 'url' => '/dashboard'],
                ['title' => 'Categorías Ramos', 'url' => '/category-insurers/list'],
                ['title' => $policy->name ],
            ]
        ])

        <div class="row">
            <div class="col-12">
                <div class="card">
                    <div class="card-body">
                        <h4 class="header-title">Campos de edad de reducción VIDA y MYDA</h4>
                        <p class="text-muted font-13 mb-4">
                            Formulario para modificar las configuraciones globales de la categoria personas.
                        </p>

                        <!-- Formulario -->
                        <form action="{{url('/category-insurers/edit/'.$policy->id)}}" method="POST">
                            @csrf
                            
                            <!-- Campos de Edad de Reducción -->
                            <div class="row">
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <div class="form-floating">
                                        <input value="{{ rvfj($policy->static_data, 'reduccion_vida_myda') }}" required type="number" class="form-control" name="reduccion_vida_myda">
                                        <label for="reduccion_vida_myda">Edad de reducción VIDA y MYDA</label>
                                    </div>
                                </div>
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <div class="form-floating">
                                        <input value="{{ rvfj($policy->static_data, 'reduccion_incapacidad') }}" required type="number" class="form-control" name="reduccion_incapacidad">
                                        <label for="reduccion_incapacidad">Edad de reducción incapacidad</label>
                                    </div>
                                </div>
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <div class="form-floating">
                                        <input value="{{ rvfj($policy->static_data, 'terminacion_cobertura_titular') }}" required type="number" class="form-control" name="terminacion_cobertura_titular">
                                        <label for="terminacion_cobertura_titular">Terminación cobertura titular</label>
                                    </div>
                                </div>
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <div class="form-floating">
                                        <input value="{{ rvfj($policy->static_data, 'terminacion_cobertura_hijos') }}" required type="number" class="form-control" name="terminacion_cobertura_hijos">
                                        <label for="terminacion_cobertura_hijos">Terminación cobertura hijos</label>
                                    </div>
                                </div>
                            </div>

                            <table id="datatable" class="table dt-responsive nowrap w-100">
                                <thead class="table-brand">
                                    <th>
                                        #
                                    </th>
                                    <th>
                                        Descripción
                                    </th>
                                    <th>
                                        Máximo Vitalicio
                                    </th>
                                    <th>
                                        Cobertura
                                    </th>
                                    <th>
                                        Deducible
                                    </th>
                                    <th>
                                        Suma fija
                                    </th>
                                    <th>
                                        # Salarios
                                    </th>
                                </thead>
                                <tbody>
                                    <tr class="align-middle"> 
                                        <td>
                                            1
                                        </td>
                                        <td>
                                            <input type="text" class="form-control" value="{{rvfj($policy->static_data, 'description_1' )}}" name="description_1" id="description_1">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step='0.01' value="{{rvfj($policy->static_data, 'max_vitalicio_1')}}" name="max_vitalicio_1" id="max_vitalicio_1">
                                        </td>
                                        <td>
                                            <input type="text" class="form-control" value="{{rvfj($policy->static_data, 'life_cover_1' )}}" name="life_cover_1" id="life_cover_1">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'deducible_1')}}" name="deducible_1" id="deducible_1">
                                        </td>
                                        <td>
                                            <input type="checkbox" role="switch" @if(rvfj($policy->static_data, 'sum_fija_1')) checked @endif name="sum_fija_1" id="sum_fija_1" data-plugin="switchery" data-color="var(--first-color)"/>
                                        </td>
                                        <td>
                                            <input type="text" class="form-control" value="{{rvfj($policy->static_data, 'num_salario_1' )}}" name="num_salario_1" id="num_salario_1">
                                        </td>
                                    </tr>
                                    <tr class="align-middle"> 
                                        <td>
                                            2
                                        </td>
                                        <td>
                                            <input type="text" class="form-control" value="{{rvfj($policy->static_data, 'description_2' )}}" name="description_2" id="description_2">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'max_vitalicio_2')}}" name="max_vitalicio_2" id="max_vitalicio_2">
                                        </td>
                                        <td>
                                            <input type="text" class="form-control" value="{{rvfj($policy->static_data, 'life_cover_2' )}}" name="life_cover_2" id="life_cover_2">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'deducible_2')}}" name="deducible_2" id="deducible_2">
                                        </td>
                                        <td>
                                            <input type="checkbox" role="switch" @if(rvfj($policy->static_data, 'sum_fija_2')) checked @endif name="sum_fija_2" id="sum_fija_2" data-plugin="switchery" data-color="var(--first-color)"/>
                                        </td>
                                        <td>
                                            <input type="text" class="form-control" value="{{rvfj($policy->static_data, 'num_salario_2' )}}" name="num_salario_2" id="num_salario_2">
                                        </td>
                                    </tr>
                                    <tr class="align-middle">
                                        <td>
                                            3
                                        </td>
                                        <td>
                                            <input type="text" class="form-control"  value="{{rvfj($policy->static_data, 'description_3' )}}" name="description_3" id="description_3">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'max_vitalicio_3')}}" name="max_vitalicio_3" id="max_vitalicio_3">
                                        </td>
                                        <td>
                                            <input type="text" class="form-control" value="{{rvfj($policy->static_data, 'life_cover_3' )}}" name="life_cover_3" id="life_cover_3">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'deducible_3')}}" name="deducible_3" id="deducible_3">
                                        </td>
                                        <td>
                                            <input type="checkbox" role="switch" @if(rvfj($policy->static_data, 'sum_fija_3')) checked @endif name="sum_fija_3" id="sum_fija_3" data-plugin="switchery" data-color="var(--first-color)"/>
                                        </td>
                                        <td>
                                            <input type="text" class="form-control"  value="{{rvfj($policy->static_data, 'num_salario_3' )}}" name="num_salario_3" id="num_salario_3">
                                        </td>
                                    </tr>
                                    <tr class="align-middle"> 
                                        <td>
                                            4
                                        </td>
                                        <td>
                                            <input type="text" class="form-control"  value="{{rvfj($policy->static_data, 'description_4' )}}" name="description_4" id="description_4">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'max_vitalicio_4')}}" name="max_vitalicio_4" id="max_vitalicio_4">
                                        </td>
                                        <td>
                                            <input type="text" class="form-control"  value="{{rvfj($policy->static_data, 'life_cover_4' )}}" name="life_cover_4" id="life_cover_4">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'deducible_4')}}" name="deducible_4" id="deducible_4">
                                        </td>
                                        <td>
                                            <input type="checkbox" role="switch" @if(rvfj($policy->static_data, 'sum_fija_4')) checked @endif name="sum_fija_4" id="sum_fija_4" data-plugin="switchery" data-color="var(--first-color)"/>
                                        </td>
                                        <td>
                                            <input type="text" class="form-control"  value="{{rvfj($policy->static_data, 'num_salario_4' )}}" name="num_salario_4" id="num_salario_4">
                                        </td>
                                    </tr>
                                    <tr class="align-middle">
                                        <td>
                                            5
                                        </td> 
                                        <td>
                                            <input type="text" class="form-control"  value="{{rvfj($policy->static_data, 'description_5' )}}" name="description_5" id="description_5">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'max_vitalicio_5')}}" name="max_vitalicio_5" id="max_vitalicio_5">
                                        </td>
                                        <td>
                                            <input type="text" class="form-control"  value="{{rvfj($policy->static_data, 'life_cover_5' )}}" name="life_cover_5" id="life_cover_5">
                                        </td>
                                        <td>
                                            <input type="number" class="form-control" step="0.01" value="{{rvfj($policy->static_data, 'deducible_5')}}" name="deducible_5" id="deducible_5">
                                        </td>
                                        <td>
                                            <input type="checkbox" role="switch" @if(rvfj($policy->static_data, 'sum_fija_5')) checked @endif name="sum_fija_5" id="sum_fija_5" data-plugin="switchery" data-color="var(--first-color)"/>
                                        </td>
                                        <td>
                                            <input type="text" class="form-control" value="{{rvfj($policy->static_data, 'num_salario_5' )}}" name="num_salario_5" id="num_salario_5">
                                        </td>
                                    </tr>
                                </tbody>
                            </table>

                            <div class="table-responsive">
                                <table id="datatable" class="table dt-responsive nowrap w-100">
                                    <thead class="table-brand">
                                        <tr>
                                            <th style="vertical-align: middle;">#</th>
                                            <th style="vertical-align: middle;">Gastos Funebres</th>
                                            <th style="vertical-align: middle;">Vida (Reducción)</th>
                                            <th style="vertical-align: middle;">MyDA (Reducción)</th>
                                            <th style="vertical-align: middle;">Incapacidad (Reducción)</th>
                                            <th style="width: 100px; vertical-align: middle;">Vida</th>
                                            <th>Médico Empleado Solo</th>
                                            <th style="vertical-align: middle;">1 Dependiente</th>
                                            <th style="vertical-align: middle;">2 o Más Dependientes</th>
                                            <th style="vertical-align: middle;">Dental Empleado Solo</th>
                                            <th style="vertical-align: middle;">Plan Dental Empleado Solo</th>
                                            <th style="vertical-align: middle;">Plan Dental Dependientes</th>
                                        </tr>
                                    </thead>
                                    <tbody>
                                        <!-- Fila 1 -->
                                        <tr class="align-middle">
                                            <td>
                                                1
                                            </td> 
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_gastos_funebres_1')}}" 
                                                    name="costo_gastos_funebres_1" id="costo_gastos_funebres_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'vida_mayor_1')}}" 
                                                    name="vida_mayor_1" id="vida_mayor_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'myda_mayor_1')}}" 
                                                    name="myda_mayor_1" id="myda_mayor_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'incapacidad_mayor_1')}}" 
                                                    name="incapacidad_mayor_1" id="incapacidad_mayor_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required step="0.01"
                                                    value="{{rvfj($policy->static_data, 'costo_vida_1')}}" 
                                                    name="costo_vida_1" id="costo_vida_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_1')}}" 
                                                    name="costo_empleado_solo_1" id="costo_empleado_solo_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dependiente_1')}}" 
                                                    name="costo_1_dependiente_1" id="costo_1_dependiente_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dependiente_1')}}" 
                                                    name="costo_2_dependiente_1" id="costo_2_dependiente_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_dental_1')}}" 
                                                    name="costo_empleado_solo_dental_1" id="costo_empleado_solo_dental_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dental_1')}}" 
                                                    name="costo_1_dental_1" id="costo_1_dental_1">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dental_1')}}" 
                                                    name="costo_2_dental_1" id="costo_2_dental_1">
                                            </td>
                                        </tr>

                                        <!-- Fila 2 -->
                                        <tr class="align-middle">
                                            <td>
                                                2
                                            </td> 
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_gastos_funebres_2')}}" 
                                                    name="costo_gastos_funebres_2" id="costo_gastos_funebres_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'vida_mayor_2')}}" 
                                                    name="vida_mayor_2" id="vida_mayor_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'myda_mayor_2')}}" 
                                                    name="myda_mayor_2" id="myda_mayor_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'incapacidad_mayor_2')}}" 
                                                    name="incapacidad_mayor_2" id="incapacidad_mayor_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required step="0.01"
                                                    value="{{rvfj($policy->static_data, 'costo_vida_2')}}" 
                                                    name="costo_vida_2" id="costo_vida_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_2')}}" 
                                                    name="costo_empleado_solo_2" id="costo_empleado_solo_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dependiente_2')}}" 
                                                    name="costo_1_dependiente_2" id="costo_1_dependiente_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dependiente_2')}}" 
                                                    name="costo_2_dependiente_2" id="costo_2_dependiente_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_dental_2')}}" 
                                                    name="costo_empleado_solo_dental_2" id="costo_empleado_solo_dental_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dental_2')}}" 
                                                    name="costo_1_dental_2" id="costo_1_dental_2">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dental_2')}}" 
                                                    name="costo_2_dental_2" id="costo_2_dental_2">
                                            </td>
                                        </tr>

                                        <!-- Fila 3 -->
                                        <tr class="align-middle">
                                            <td>
                                                3
                                            </td> 
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_gastos_funebres_3')}}" 
                                                    name="costo_gastos_funebres_3" id="costo_gastos_funebres_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'vida_mayor_3')}}" 
                                                    name="vida_mayor_3" id="vida_mayor_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'myda_mayor_3')}}" 
                                                    name="myda_mayor_3" id="myda_mayor_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'incapacidad_mayor_3')}}" 
                                                    name="incapacidad_mayor_3" id="incapacidad_mayor_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required step="0.01"
                                                    value="{{rvfj($policy->static_data, 'costo_vida_3')}}" 
                                                    name="costo_vida_3" id="costo_vida_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_3')}}" 
                                                    name="costo_empleado_solo_3" id="costo_empleado_solo_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dependiente_3')}}" 
                                                    name="costo_1_dependiente_3" id="costo_1_dependiente_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dependiente_3')}}" 
                                                    name="costo_2_dependiente_3" id="costo_2_dependiente_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_dental_3')}}" 
                                                    name="costo_empleado_solo_dental_3" id="costo_empleado_solo_dental_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dental_3')}}" 
                                                    name="costo_1_dental_3" id="costo_1_dental_3">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dental_3')}}" 
                                                    name="costo_2_dental_3" id="costo_2_dental_3">
                                            </td>
                                        </tr>

                                        <!-- Fila 4 -->
                                        <tr class="align-middle">
                                            <td>
                                                4
                                            </td> 
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_gastos_funebres_4')}}" 
                                                    name="costo_gastos_funebres_4" id="costo_gastos_funebres_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'vida_mayor_4')}}" 
                                                    name="vida_mayor_4" id="vida_mayor_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'myda_mayor_4')}}" 
                                                    name="myda_mayor_4" id="myda_mayor_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'incapacidad_mayor_4')}}" 
                                                    name="incapacidad_mayor_4" id="incapacidad_mayor_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required step="0.01"
                                                    value="{{rvfj($policy->static_data, 'costo_vida_4')}}" 
                                                    name="costo_vida_4" id="costo_vida_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_4')}}" 
                                                    name="costo_empleado_solo_4" id="costo_empleado_solo_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dependiente_4')}}" 
                                                    name="costo_1_dependiente_4" id="costo_1_dependiente_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dependiente_4')}}" 
                                                    name="costo_2_dependiente_4" id="costo_2_dependiente_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_dental_4')}}" 
                                                    name="costo_empleado_solo_dental_4" id="costo_empleado_solo_dental_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dental_4')}}" 
                                                    name="costo_1_dental_4" id="costo_1_dental_4">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dental_4')}}" 
                                                    name="costo_2_dental_4" id="costo_2_dental_4">
                                            </td>
                                        </tr>

                                        <!-- Fila 5 -->
                                        <tr class="align-middle">
                                            <td>
                                                5
                                            </td> 
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_gastos_funebres_5')}}" 
                                                    name="costo_gastos_funebres_5" id="costo_gastos_funebres_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'vida_mayor_5')}}" 
                                                    name="vida_mayor_5" id="vida_mayor_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'myda_mayor_5')}}" 
                                                    name="myda_mayor_5" id="myda_mayor_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'incapacidad_mayor_5')}}" 
                                                    name="incapacidad_mayor_5" id="incapacidad_mayor_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required step="0.01"
                                                    value="{{rvfj($policy->static_data, 'costo_vida_5')}}" 
                                                    name="costo_vida_5" id="costo_vida_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_5')}}" 
                                                    name="costo_empleado_solo_5" id="costo_empleado_solo_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dependiente_5')}}" 
                                                    name="costo_1_dependiente_5" id="costo_1_dependiente_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dependiente_5')}}" 
                                                    name="costo_2_dependiente_5" id="costo_2_dependiente_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_empleado_solo_dental_5')}}" 
                                                    name="costo_empleado_solo_dental_5" id="costo_empleado_solo_dental_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_1_dental_5')}}" 
                                                    name="costo_1_dental_5" id="costo_1_dental_5">
                                            </td>
                                            <td>
                                                <input type="number" class="form-control" required 
                                                    value="{{rvfj($policy->static_data, 'costo_2_dental_5')}}" 
                                                    name="costo_2_dental_5" id="costo_2_dental_5">
                                            </td>
                                    </tbody>
                                </table>
                            </div>

                            <!-- Botón para actualizar -->
                            <button class="btn btn-success mt-3" type="submit">
                                <i class="bi bi-check-circle"></i> Actualizar categoría
                            </button>
                        </form>
                    </div> <!-- end card body-->
                </div> <!-- end card -->
            </div><!-- end col-->
        </div><!-- end row-->
    </div> <!-- container -->
@endsection

@section('script')
    @vite([
        'resources/js/pages/datatables.init.js',
        'resources/js/pages/form-advanced.init.js'
        ])
@endsection