Protect Your Team with Hassle-Free, Affordable Healthcare

Give your employees the best healthcare without breaking the bank. No copays, no deductibles—just comprehensive care when they need it.

@csrf
@error('company_name') @enderror
@error('contact_name') @enderror
@error('job_title') @enderror
@error('email') @enderror
@error('phone') @enderror
@error('address') @enderror
@error('city') @enderror
@error('state') @enderror
@error('zip_code') @enderror
@error('num_employees') @enderror
@error('industry') @enderror
@error('current_insurance') @enderror
@error('contact_method') @enderror
@error('referral_source') @enderror
document.addEventListener('DOMContentLoaded', function() { // Industry dropdown const industrySelect = document.querySelector('select[name="industry"]'); const otherIndustryContainer = document.getElementById('other-industry-container'); industrySelect.addEventListener('change', function() { otherIndustryContainer.style.display = this.value === 'Other' ? 'block' : 'none'; }); // Insurance dropdown const insuranceSelect = document.getElementById('current-insurance'); const insuranceDetails = document.getElementById('insurance-details'); insuranceSelect.addEventListener('change', function() { insuranceDetails.style.display = this.value === 'Yes' ? 'block' : 'none'; }); // Happy with coverage dropdown const happySelect = document.getElementById('happy-with-coverage'); const coverageIssues = document.getElementById('coverage-issues'); happySelect.addEventListener('change', function() { coverageIssues.style.display = this.value === 'No' ? 'block' : 'none'; }); // Referral source dropdown const referralSelect = document.getElementById('referral-source'); const otherReferral = document.getElementById('other-referral'); referralSelect.addEventListener('change', function() { otherReferral.style.display = this.value === 'Other' ? 'block' : 'none'; }); });