@if ($lead->policies->count() > 0)
<form action="{{ route('leads.updatePolicy', $lead->id) }}" method="POST">
    @csrf
    @method('PUT')

    <div class="card my-3">
        <div class="card-body crmactive">
            <div class="d-flex justify-content-around">
                <div class="text-center">
                    <h4>
                        {{ $lead->policies?->count() }}
                    </h4>
                    <span>Policies</span>
                </div>
                <div class="text-center">
                    <h4>
                        {{ number_format($lead->policies?->sum('premium'), 2) }}
                    </h4>
                    <span>Monthly Premium</span>
                </div>
                <div class="text-center">
                    <h4>
                        {{ number_format($lead->policies?->sum('enrollment_fee'), 2) }}
                    </h4>
                    <span>Enrolment Fee</span>
                </div>
                <div class="text-center">
                    <h4>
                        {{ number_format($lead->policies?->sum('admin_fee'), 2) }}
                    </h4>
                    <span>Admin Fee</span>
                </div>
                <div class="text-center">
                    <h4>
                        {{ number_format($lead->policies?->sum('premium') + $lead->policies?->sum('admin_fee'), 2) }}
                    </h4>
                    <span>Monthly Fee</span>
                </div>
                <div class="text-center">
                    <h4>
                        {{ number_format($lead->policies?->sum('premium') + $lead->policies?->sum('enrollment_fee') + $lead->policies?->sum('admin_fee'), 2) }}
                    </h4>
                    <span>Initial Fee</span>
                </div>
                <div class="text-center">
                    <h4>
                        {{ number_format($lead->policyAnnualFee, 2) }}
                    </h4>
                    <span>Annualized Premium</span>
                </div>
            </div>
        </div>
    </div>

    <div class="card my-3">
        <div class="card-body">
                @forelse ($lead->policies as $key => $policy)
                <div class="opportunity-item">
                    <div class="add-more-opportunity d-flex justify-content-end align-items-center mb-1">
                        {{-- @if ($loop->first)
                        <button class="btn btn-md btn-primary add-new-opportunity" type="button">Add new opportunity</button>
                        @else
                        <button type="button" class="btn btn-danger mt-3 remove-opportunity">Remove Opportunity</button>
                        @endif --}}
                    </div>
                    <div class="d-flex justify-content-between align-items-center mb-3">
                        <div class="card-title">
                            <h3>Policy : {{ $policy->code }}</h3>
                        </div>
                        <div class="opp-content d-flex gap-2">
                            <div class="select-wrapper position-relative">
                            <select class="form-select p-2" id="source-contact" name="source">
                                    <option value="" disabled="">Select source</option>
                                                                            <option value="Facebook" selected="">
                                            New </option>
                                                                            <option value="Google">
                                            In-Progress </option>
                                                                            <option value="Instagram">
                                            Closes </option>
                                                                    </select>
                                    <label for="source" class="flotting-label">Status</label>
                                <!-- <select name="policy[{{$key}}][status]" id="opp-status" class="form-select p-2 crmPr4">
                                    <option value="">Select status</option>
                                    @forelse($opportunityStatus as $status)
                                    <option value="{{ $status->value }}" @if($policy->status == $status->value) selected @endif>{{ $status->value }}</option>
                                    @empty
                                    <option value="">No status found!</option>
                                    @endforelse
                                </select> -->
                            </div>
                            <div class="select-wrapper position-relative">
                                <div class="btn-group">
                                    <button type="button" class="btn btn-primary pr0" data-bs-toggle="modal" data-bs-target="#exampleModal1"><i class="bx bx-status-success"></i> Action </button>
                                    <button type="button" class="btn btn-primary dropdown-toggle dropdown-toggle-split" data-bs-toggle="dropdown" aria-expanded="false">
                                        <i class="mdi mdi-chevron-down"></i>
                                    </button>
                                    <div class="dropdown-menu" style="">
                                        <a class="dropdown-item" href="#">Cancel</a>
                                        <a class="dropdown-item" href="#">Change Carrier</a>
                                        <a class="dropdown-item" href="#">Renew </a>
                                    </div>
                                </div>
                            </div>
                            {{-- <button class="btn btn-sm btn-primary" type="button" data-opportunity_id="{{ $policy->id }}">Convert to policy</button> --}}
                            </div>
                            <div class="modal fade" id="exampleModal1" tabindex="-1" aria-labelledby="exampleModalLabel" aria-hidden="true">
                                <div class="modal-dialog modal-xl">
                                    <div class="modal-content">
                                    <div class="modal-header">
                                        <h1 class="modal-title fs-5" id="exampleModalLabel">Policy Information</h1>
                                        <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
                                    </div>
                                    <div class="modal-body">
                                        <div class="row">
                                            <div class="col-md-6">
                                                <div class="mb-3 row">
                                                    <label for="example-date-input" class="col-md-4 col-form-label">End Date</label>
                                                    <div class="col-md-8">
                                                        <input class="form-control" type="date" value="2019-08-19"
                                                            id="example-date-input">
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="col-md-6">
                                                <div class="mb-3 row">
                                                    <label for="example-date-input" class="col-md-4 col-form-label">Cancel Date</label>
                                                    <div class="col-md-8">
                                                        <input class="form-control" type="date" value="2019-08-19"
                                                            id="example-date-input">
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-6">
                                                    <div class="mb-3 row">
                                                        <label for="formrow-inputState1" class="col-md-4 col-form-label">CHANGE CARRIER</label>
                                                        <div class="col-md-8">
                                                            <select id="formrow-inputState1" class="form-select">
                                                                <option selected="">Choose...</option>
                                                                <option>New Carrrier</option>
                                                                <option>New Policy Number</option>
                                                                <option>New Policy Start Date</option>
                                                                <option>Old Policy Close Date</option>
                                                            </select>
                                                        </div>
                                                    </div>
                                                </div>
                                            <div class="col-md-6">
                                                <div class="mb-3 row">
                                                    <label for="formrow-inputState2" class="col-md-4 col-form-label">RENEW</label>
                                                    <div class="col-md-8">
                                                        <select id="formrow-inputState2" class="form-select">
                                                            <option selected="">Choose...</option>
                                                            <option>New Policy Number</option>
                                                            <option>New Policy Start Date</option>
                                                            <option>Old Policy Close Date</option>
                                                        </select>
                                                    </div>
                                                </div>
                                            </div>
                                            </div>
                                            <div class="row">
                                            <div class="accordion" id="accordionExample">
                                            <input type="hidden" name="policy[{{$key}}][id]" value="{{ $policy->id }}" placeholder="">
                                            <div class="accordion-item">
                                                <h2 class="accordion-header" id="lead-opp-information-{{$key}}">
                                                    <button class="accordion-button fw-medium fw-medium fw-semibold" type="button" data-bs-toggle="collapse" data-bs-target="#leadOppCollapseOne-{{$key}}" aria-expanded="true" aria-controls="leadOppCollapseOne-{{$key}}">
                                                    Information
                                                    </button>
                                                </h2>
                                                <div id="leadOppCollapseOne-{{$key}}" class="accordion-collapse collapse" aria-labelledby="lead-opp-information-{{$key}}">
                                                    <div class="accordion-body py-4 pb-0">
                                                        <div class="row">
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select name="policy[{{$key}}][plan_type_id]" id="plan-type-{{ $key }}" disabled class="form-control">
                                                                        <option value="">Select plan type</option>
                                                                        @if(isset($masterInsurancePlanTypes))
                                                                            @foreach ($masterInsurancePlanTypes as $item)
                                                                                <option value="{{ $item->id }}" @if($policy->plan_type_id == $item->id) selected @endif>{{ $item->name }}</option>
                                                                            @endforeach
                                                                        @endif
                                                                    </select>
                                                                    <label for="carrier-opp" class="flotting-label">Plan</label>
                                                                </div>
                                                            </div>

                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select name="policy[{{$key}}][carrier_id]" id="carrier-opp-{{ $key }}" disabled class="form-control">
                                                                        <option value="">Select carrier</option>
                                                                        @foreach ($masterCarriers as $item)
                                                                            <option value="{{ $item->id }}" @if($policy->carrier_id == $item->id) selected @endif>{{ $item->name }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="carrier-opp" class="flotting-label">Carrier</label>
                                                                </div>
                                                            </div>

                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select name="policy[{{$key}}][product_id]" id="product-opp-{{ $key }}" disabled class="form-control" placeholder="">
                                                                        <option value="">Select product</option>
                                                                        @foreach ($masterProducts as $item)
                                                                            <option value="{{ $item->id }}" @if($policy->product_id == $item->id) selected @endif>{{ $item->name }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="product-opp" class="flotting-label">Products</label>
                                                                </div>
                                                            </div>

                                                        </div>

                                                        <div class="row">
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][application_number]" value="{{ $policy->application_number }}" placeholder="" disabled>
                                                                    <label for="application">Application Number</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][policy_number]" value="{{ $policy->policy_number }}" placeholder="" disabled>
                                                                    <label for="policy">Policy Number</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][member_id]" value="{{ $policy->member_id }}" placeholder="" disabled>
                                                                    <label for="member">Member ID</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][policy_name]" value="{{ $policy->policy_name }}" placeholder="" disabled>
                                                                    <label for="policy_name">Policy Name</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][policy_code]" value="{{ $policy->policy_code }}" placeholder="" disabled>
                                                                    <label for="policy_code">Policy Code</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][primary_policy]" value="{{ $policy->primary_policy }}" placeholder="" disabled>
                                                                    <label for="primary_policy">Primary Policy</label>
                                                                </div>
                                                            </div>
                                                        </div>

                                                        <div class="row">
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][premium]" value="{{ $policy->premium }}" placeholder="" disabled>
                                                                    <label for="premium">Monthly Premium</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][enrolment_fee]"  value="{{ $policy->enrollment_fee }}" placeholder="" disabled>
                                                                    <label for="enrolment_fee">Enrolment Fee</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][admin_fee]"  value="{{ $policy->admin_fee }}" disabled>
                                                                    <label for="admin_fee" placeholder="">Admin Fee</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][deposit]" value="{{ $policy->deposit }}" placeholder="" disabled>
                                                                    <label for="deposit">Deposit</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][group]" class="form-control">
                                                                        <option value="">Select group</option>
                                                                        @foreach ($opportunitiesInformationGroups as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->group == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="group" class="flotting-label">Group</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][deductible]" value="{{ $policy->deductible }}" placeholder="" disabled>
                                                                    <label for="deductible">Deductible</label>
                                                                </div>
                                                            </div>
                                                        </div>

                                                        <div class="row">
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][duration]" class="form-control">
                                                                        <option value="">Select duration</option>
                                                                        @foreach ($opportunitiesDuration as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->duration == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="duration" class="flotting-label">Duration</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][terms]" class="form-control">
                                                                        <option value="">Select term</option>
                                                                        @foreach ($opportunityTerms as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->terms == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="terms" class="flotting-label">Terms</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][current_terms]" class="form-control">
                                                                        <option value="">Select current term</option>
                                                                        @foreach ($opportunityCurrentTerms as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->current_terms == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="current_terms" class="flotting-label">Current Terms</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][coinsurance]" class="form-control">
                                                                        <option value="">Select coinsurance</option>
                                                                        @foreach ($opportunityCoinsurance as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->coinsurance == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="coinsurance" class="flotting-label">Coinsurnce</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][rider]" class="form-control">
                                                                        <option value="">Select rider</option>
                                                                        @foreach ($opportunityRider as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->rider == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="rider" class="flotting-label">Rider</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][face_amount]" value="{{ $policy->face_amount }}" placeholder="" disabled>
                                                                    <label for="face_amount">Face Amount</label>
                                                                </div>
                                                            </div>
                                                        </div>

                                                        <div class="row">
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][max_out_of_pocket]" value="{{ $policy->max_out_of_pocket }}" placeholder="" disabled>
                                                                    <label for="deductible">max out of pocket</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][max_coverage_benifit]" value="{{ $policy->max_coverage_benifit }}" placeholder="" disabled>
                                                                    <label for="beneficiary">Max coverage</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][issue_type]" class="form-control">
                                                                        <option value="">Select issue type</option>
                                                                        @foreach ($opportunityIssueType as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->issue_type == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="issue_type" class="flotting-label">Issue type</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][issue_test]" class="form-control">
                                                                        <option value="">Select issue test</option>
                                                                        @foreach ($opportunityIssueTest as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->issue_test == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="issue_test" class="flotting-label">Issue test</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][paidup]" class="form-control">
                                                                        <option value="">Select paidup</option>
                                                                        @foreach ($opportunityPaidUp as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->paidup == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="paidup" class="flotting-label">paidup</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][dividend_option]" class="form-control">
                                                                        <option value="">Select dividend option</option>
                                                                        @foreach ($opportunityDividendOption as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->dividend_option == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="dividend" class="flotting-label">Dividend option</label>
                                                                </div>
                                                            </div>
                                                        </div>

                                                        <div class="row">
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][coverage_type]" class="form-control">
                                                                        <option value="">Select coverage type</option>
                                                                        @foreach ($opportunityCoverageType as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->coverage_type == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="coverage_type" class="flotting-label">Coverage type</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][rating_class]" class="form-control">
                                                                        <option value="">Select rating class</option>
                                                                        @foreach ($opportunityRatingClass as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->rating_class == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="rating_class" class="flotting-label">Rating class</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][nfo]" class="form-control">
                                                                        <option value="">Select NFO</option>
                                                                        @foreach ($opportunityNFO as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->nfo == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="nfo" class="flotting-label">NFO</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select name="policy[{{$key}}][mec]" class="form-control">
                                                                        <option disabled value="">Select MEC</option>
                                                                        @foreach ($opportunityMEC as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->mec == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @endforeach
                                                                    </select>
                                                                    <label for="mec" class="flotting-label">MEC</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select disabled name="policy[{{$key}}][enrollment_eligibility]" class="form-control">
                                                                        <option value="">Select Enrolment Eligibility</option>
                                                                        @forelse ($opportunityEnrolmentEligibility as $item)
                                                                            <option value="{{ $item->value }}" @if($policy->enrollment_eligibility == $item->value) selected @endif>{{ $item->value }}</option>
                                                                        @empty
                                                                            <option value="">No enrolment eligibility found!</option>
                                                                        @endforelse
                                                                    </select>
                                                                    <label for="enrolment_eligibility" class="flotting-label">Enrolment Eligibility</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select name="policy[{{$key}}][aor_change]" class="form-control" disabled>
                                                                        <option value="">Select AoR change</option>
                                                                        <option value="1" @if($policy->aor_change == 1) selected @endif>Yes</option>
                                                                        <option value="0" @if($policy->aor_change == 0) selected @endif>No</option>
                                                                    </select>
                                                                    <label for="aor_change" class="flotting-label">AoR Change</label>
                                                                </div>
                                                            </div>
                                                        </div>

                                                        <div class="row">
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][record_id]" value="{{ $policy->record_id }}" placeholder="" disabled>
                                                                    <label for="deductible">Record ID</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select name="policy[{{$key}}][is_rewrite]" class="form-control" disabled>
                                                                        <option value="">Select is Rewrite</option>
                                                                        <option value="1" @if($policy->is_rewrite == 1) selected @endif>Yes</option>
                                                                        <option value="0" @if($policy->is_rewrite == 0) selected @endif>No</option>
                                                                    </select>
                                                                    <label for="is_rewrite" class="flotting-label">Is Rewrite?</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input type="text" class="form-control" name="policy[{{$key}}][rewrite_id]" value="{{ $policy->rewrite_id }}" placeholder="" disabled>
                                                                    <label for="rewrite_id">Rewrite ID</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="select-wrapper position-relative">
                                                                    <select name="policy[{{$key}}][refused]" class="form-control" disabled>
                                                                        <option value="">Select is refused</option>
                                                                        <option value="1" @if($policy->refused == 1) selected @endif>Yes</option>
                                                                        <option value="0" @if($policy->refused == 0) selected @endif>No</option>
                                                                    </select>
                                                                    <label for="is_conversion" class="flotting-label">Refused?</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input disabled type="text" class="form-control" name="policy[{{$key}}][member_count]" placeholder="" @if($policy->member_count) value="{{ $policy->member_count }}" @endif>
                                                                    <label for="member_count">Member count</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input disabled type="text" class="form-control" name="policy[{{$key}}][previous_carrier]" placeholder="" @if($policy->previous_carrier) value="{{ $policy->previous_carrier }}" @endif>
                                                                    <label for="previous_carrier">Previous plan</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input disabled type="text" class="form-control" name="policy[{{$key}}][previous_plan]" placeholder="" @if($policy->previous_plan) value="{{ $policy->previous_plan }}" @endif>
                                                                    <label for="previous_plan">Previous plan</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input disabled type="text" class="form-control" name="policy[{{$key}}][previous_agent]" placeholder="" @if($policy->previous_agent) value="{{ $policy->previous_agent }}" @endif>
                                                                    <label for="previous_agent">Previous agent</label>
                                                                </div>
                                                            </div>
                                                            <div class="col-md-4 mb-3">
                                                                <div class="form-floating">
                                                                    <input disabled type="text" class="form-control" name="policy[{{$key}}][previous_agent_np]" placeholder="" @if($policy->previous_agent_np) value="{{ $policy->previous_agent_np }}" @endif>
                                                                    <label for="previous_agent_np">Previous agent NPN</label>
                                                                </div>
                                                            </div>
                                                        </div>
                                                    </div>
                                                </div>
                                            </div>
                                            </div>
                                            </div>
                                        </div>
                                    <div class="modal-footer">
                                        <button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Close</button>
                                        <button type="button" class="btn btn-primary">Save changes</button>
                                    </div>
                                    </div>
                                </div>
                        </div>
                    </div>
                    <div class="accordion" id="accordionExample">
                        <input type="hidden" name="policy[{{$key}}][id]" value="{{ $policy->id }}" placeholder="">
                        <div class="accordion-item">
                            <h2 class="accordion-header" id="lead-opp-information-{{$key}}">
                                <button class="accordion-button fw-medium fw-medium fw-semibold" type="button" data-bs-toggle="collapse" data-bs-target="#leadOppCollapseOne-{{$key}}" aria-expanded="true" aria-controls="leadOppCollapseOne-{{$key}}">
                                Information
                                </button>
                            </h2>
                            <div id="leadOppCollapseOne-{{$key}}" class="accordion-collapse collapse show" aria-labelledby="lead-opp-information-{{$key}}">
                                <div class="accordion-body py-4 pb-0">
                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][plan_type_id]" id="plan-type-{{ $key }}" disabled class="form-control">
                                                    <option value="">Select plan type</option>
                                                    @if(isset($masterInsurancePlanTypes))
                                                        @foreach ($masterInsurancePlanTypes as $item)
                                                            <option value="{{ $item->id }}" @if($policy->plan_type_id == $item->id) selected @endif>{{ $item->name }}</option>
                                                        @endforeach
                                                    @endif
                                                </select>
                                                <label for="carrier-opp" class="flotting-label">Plan</label>
                                            </div>
                                        </div>

                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][carrier_id]" id="carrier-opp-{{ $key }}" disabled class="form-control">
                                                    <option value="">Select carrier</option>
                                                    @foreach ($masterCarriers as $item)
                                                        <option value="{{ $item->id }}" @if($policy->carrier_id == $item->id) selected @endif>{{ $item->name }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="carrier-opp" class="flotting-label">Carrier</label>
                                            </div>
                                        </div>

                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][product_id]" id="product-opp-{{ $key }}" disabled class="form-control" placeholder="">
                                                    <option value="">Select product</option>
                                                    @foreach ($masterProducts as $item)
                                                        <option value="{{ $item->id }}" @if($policy->product_id == $item->id) selected @endif>{{ $item->name }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="product-opp" class="flotting-label">Products</label>
                                            </div>
                                        </div>

                                    </div>

                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][application_number]" value="{{ $policy->application_number }}" placeholder="">
                                                <label for="application">Application Number</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][policy_number]" value="{{ $policy->policy_number }}" placeholder="">
                                                <label for="policy">Policy Number</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][member_id]" value="{{ $policy->member_id }}" placeholder="">
                                                <label for="member">Member ID</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][policy_name]" value="{{ $policy->policy_name }}" placeholder="">
                                                <label for="policy_name">Policy Name</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][policy_code]" value="{{ $policy->policy_code }}" placeholder="">
                                                <label for="policy_code">Policy Code</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][primary_policy]" value="{{ $policy->primary_policy }}" placeholder="">
                                                <label for="primary_policy">Primary Policy</label>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][premium]" value="{{ $policy->premium }}" placeholder="">
                                                <label for="premium">Monthly Premium</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][enrolment_fee]"  value="{{ $policy->enrollment_fee }}" placeholder="">
                                                <label for="enrolment_fee">Enrolment Fee</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][admin_fee]"  value="{{ $policy->admin_fee }}">
                                                <label for="admin_fee" placeholder="">Admin Fee</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][deposit]" value="{{ $policy->deposit }}" placeholder="">
                                                <label for="deposit">Deposit</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][group]" class="form-control">
                                                    <option value="">Select group</option>
                                                    @foreach ($opportunitiesInformationGroups as $item)
                                                        <option value="{{ $item->value }}" @if($policy->group == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="group" class="flotting-label">Group</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][deductible]" value="{{ $policy->deductible }}" placeholder="">
                                                <label for="deductible">Deductible</label>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][duration]" class="form-control">
                                                    <option value="">Select duration</option>
                                                    @foreach ($opportunitiesDuration as $item)
                                                        <option value="{{ $item->value }}" @if($policy->duration == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="duration" class="flotting-label">Duration</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][terms]" class="form-control">
                                                    <option value="">Select term</option>
                                                    @foreach ($opportunityTerms as $item)
                                                        <option value="{{ $item->value }}" @if($policy->terms == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="terms" class="flotting-label">Terms</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][current_terms]" class="form-control">
                                                    <option value="">Select current term</option>
                                                    @foreach ($opportunityCurrentTerms as $item)
                                                        <option value="{{ $item->value }}" @if($policy->current_terms == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="current_terms" class="flotting-label">Current Terms</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][coinsurance]" class="form-control">
                                                    <option value="">Select coinsurance</option>
                                                    @foreach ($opportunityCoinsurance as $item)
                                                        <option value="{{ $item->value }}" @if($policy->coinsurance == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="coinsurance" class="flotting-label">Coinsurnce</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][rider]" class="form-control">
                                                    <option value="">Select rider</option>
                                                    @foreach ($opportunityRider as $item)
                                                        <option value="{{ $item->value }}" @if($policy->rider == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="rider" class="flotting-label">Rider</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][face_amount]" value="{{ $policy->face_amount }}" placeholder="">
                                                <label for="face_amount">Face Amount</label>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][max_out_of_pocket]" value="{{ $policy->max_out_of_pocket }}" placeholder="">
                                                <label for="deductible">max out of pocket</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][max_coverage_benifit]" value="{{ $policy->max_coverage_benifit }}" placeholder="">
                                                <label for="beneficiary">Max coverage</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][issue_type]" class="form-control">
                                                    <option value="">Select issue type</option>
                                                    @foreach ($opportunityIssueType as $item)
                                                        <option value="{{ $item->value }}" @if($policy->issue_type == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="issue_type" class="flotting-label">Issue type</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][issue_test]" class="form-control">
                                                    <option value="">Select issue test</option>
                                                    @foreach ($opportunityIssueTest as $item)
                                                        <option value="{{ $item->value }}" @if($policy->issue_test == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="issue_test" class="flotting-label">Issue test</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][paidup]" class="form-control">
                                                    <option value="">Select paidup</option>
                                                    @foreach ($opportunityPaidUp as $item)
                                                        <option value="{{ $item->value }}" @if($policy->paidup == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="paidup" class="flotting-label">paidup</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][dividend_option]" class="form-control">
                                                    <option value="">Select dividend option</option>
                                                    @foreach ($opportunityDividendOption as $item)
                                                        <option value="{{ $item->value }}" @if($policy->dividend_option == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="dividend" class="flotting-label">Dividend option</label>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][coverage_type]" class="form-control">
                                                    <option value="">Select coverage type</option>
                                                    @foreach ($opportunityCoverageType as $item)
                                                        <option value="{{ $item->value }}" @if($policy->coverage_type == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="coverage_type" class="flotting-label">Coverage type</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][rating_class]" class="form-control">
                                                    <option value="">Select rating class</option>
                                                    @foreach ($opportunityRatingClass as $item)
                                                        <option value="{{ $item->value }}" @if($policy->rating_class == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="rating_class" class="flotting-label">Rating class</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][nfo]" class="form-control">
                                                    <option value="">Select NFO</option>
                                                    @foreach ($opportunityNFO as $item)
                                                        <option value="{{ $item->value }}" @if($policy->nfo == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="nfo" class="flotting-label">NFO</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][mec]" class="form-control">
                                                    <option value="">Select MEC</option>
                                                    @foreach ($opportunityMEC as $item)
                                                        <option value="{{ $item->value }}" @if($policy->mec == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @endforeach
                                                </select>
                                                <label for="mec" class="flotting-label">MEC</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][enrollment_eligibility]" class="form-control">
                                                    <option value="">Select Enrolment Eligibility</option>
                                                    @forelse ($opportunityEnrolmentEligibility as $item)
                                                        <option value="{{ $item->value }}" @if($policy->enrollment_eligibility == $item->value) selected @endif>{{ $item->value }}</option>
                                                    @empty
                                                        <option value="">No enrolment eligibility found!</option>
                                                    @endforelse
                                                </select>
                                                <label for="enrolment_eligibility" class="flotting-label">Enrolment Eligibility</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][aor_change]" class="form-control">
                                                    <option value="">Select AoR change</option>
                                                    <option value="1" @if($policy->aor_change == 1) selected @endif>Yes</option>
                                                    <option value="0" @if($policy->aor_change == 0) selected @endif>No</option>
                                                </select>
                                                <label for="aor_change" class="flotting-label">AoR Change</label>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][record_id]" value="{{ $policy->record_id }}" placeholder="">
                                                <label for="deductible">Record ID</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][is_rewrite]" class="form-control">
                                                    <option value="">Select is Rewrite</option>
                                                    <option value="1" @if($policy->is_rewrite == 1) selected @endif>Yes</option>
                                                    <option value="0" @if($policy->is_rewrite == 0) selected @endif>No</option>
                                                </select>
                                                <label for="is_rewrite" class="flotting-label">Is Rewrite?</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][rewrite_id]" value="{{ $policy->rewrite_id }}" placeholder="">
                                                <label for="rewrite_id">Rewrite ID</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select name="policy[{{$key}}][refused]" class="form-control">
                                                    <option value="">Select is refused</option>
                                                    <option value="1" @if($policy->refused == 1) selected @endif>Yes</option>
                                                    <option value="0" @if($policy->refused == 0) selected @endif>No</option>
                                                </select>
                                                <label for="is_conversion" class="flotting-label">Refused?</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][member_count]" placeholder="" @if($policy->member_count) value="{{ $policy->member_count }}" @endif>
                                                <label for="member_count">Member count</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][previous_carrier]" placeholder="" @if($policy->previous_carrier) value="{{ $policy->previous_carrier }}" @endif>
                                                <label for="previous_carrier">Previous plan</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][previous_plan]" placeholder="" @if($policy->previous_plan) value="{{ $policy->previous_plan }}" @endif>
                                                <label for="previous_plan">Previous plan</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][previous_agent]" placeholder="" @if($policy->previous_agent) value="{{ $policy->previous_agent }}" @endif>
                                                <label for="previous_agent">Previous agent</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" name="policy[{{$key}}][previous_agent_np]" placeholder="" @if($policy->previous_agent_np) value="{{ $policy->previous_agent_np }}" @endif>
                                                <label for="previous_agent_np">Previous agent NPN</label>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="accordion-item">
                            <h2 class="accordion-header" id="lead-opp-policy-date-information-{{$key}}">
                                <button class="accordion-button fw-medium fw-medium fw-semibold collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#lead-policy-date-information-collapsetwo-{{$key}}" aria-expanded="false" aria-controls="lead-policy-date-information-collapsetwo-{{$key}}">
                                Policy date information
                                </button>
                            </h2>
                            <div id="lead-policy-date-information-collapsetwo-{{$key}}" class="accordion-collapse collapse" aria-labelledby="lead-opp-policy-date-information-{{$key}}">
                                <div class="accordion-body py-4 pb-0">
                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating mb-3">
                                                <input type="date" class="form-control" name="policy[{{$key}}][post_date]" id="post_date" placeholder="" value="{{ $policy->post_date ?? '' }}" disabled>
                                                <label for="post_date">Post Date</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating mb-3">
                                                <input type="date" class="form-control" name="policy[{{$key}}][effective_date]" placeholder="" id="effective_date" value="{{ $policy->effective_date ?? '' }}" disabled>
                                                <label for="effective_date">Effective Date</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating mb-3">
                                                <input type="date" class="form-control" name="policy[{{$key}}][terminate_date]" placeholder="" id="terminate_date" value="{{ $policy->terminate_date ?? '' }}" disabled>
                                                <label for="terminate_date">Terminate Date</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating mb-3">
                                                <input type="date" class="form-control" name="policy[{{$key}}][issued_date]" placeholder="" id="issued_date" value="{{ $policy->issued_date ?? '' }}" disabled>
                                                <label for="issued_date">Issued Date</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating mb-3">
                                                <input type="date" class="form-control" placeholder="" name="policy[{{$key}}][in_force_date]" id="in_force_date" value="{{ $policy->in_force_date ?? '' }}" disabled>
                                                <label for="in_force_date">In Force Date</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating mb-3">
                                                <input type="date" class="form-control" placeholder="" name="policy[{{$key}}][draft_date]" id="draft_date" value="{{ $policy->draft_date ?? '' }}" disabled>
                                                <label for="draft_date">Draft Date</label>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="accordion-item">
                            <h2 class="accordion-header" id="lead-opp-benificiary-{{$key}}">
                                <button class="accordion-button fw-medium fw-medium fw-semibold collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#lead-opp-benificary-information-collapsethree-{{$key}}" aria-expanded="false" aria-controls="lead-opp-benificary-information-collapsethree-{{$key}}">
                                Benificiary information
                                </button>
                            </h2>
                            <div id="lead-opp-benificary-information-collapsethree-{{$key}}" class="accordion-collapse collapse" aria-labelledby="lead-opp-benificiary-{{$key}}">
                                <div class="accordion-body py-4 pb-0">

                                    @forelse ($policy->beneficiaries ?? [] as $benificiaryKey => $benificiary)
                                    <div class="benificiaries-item">
                                        <div class="card-body">

                                            <div class="card-title">
                                                <h3>Benificiary name: {{ $benificiary->beneficiary_name }}</h3>
                                            </div>
                                            <input type="hidden" name="policy[{{$key}}][benificiary][{{$benificiaryKey}}][id]" placeholder="" value="{{ $benificiary->id }}">
                                            <div class="row">
                                                <div class="col-md-4 mb-3">
                                                    <div class="form-floating">
                                                        <input type="text" class="form-control" id="beneficiary_name" placeholder="" name="policy[{{$key}}][benificiary][{{$benificiaryKey}}][beneficiary_name]" value="{{ $benificiary->beneficiary_name ?? '' }}">
                                                        <label for="beneficiary_name">Beneficiary Name</label>
                                                    </div>
                                                </div>

                                                <div class="col-md-4 mb-3">
                                                    <div class="form-floating">
                                                        <input type="date" class="form-control" id="beneficiary_dob" placeholder="" name="policy[{{$key}}][benificiary][{{$benificiaryKey}}][beneficiary_dob]" value="{{ $benificiary->beneficiary_dob ?? '' }}">
                                                        <label for="beneficiary_dob">Beneficiary DOB</label>
                                                    </div>
                                                </div>

                                                <div class="col-md-4 mb-3">
                                                    <div class="select-wrapper position-relative">
                                                        <select class="form-select" id="beneficiary_relationship" name="policy[{{$key}}][benificiary][{{$benificiaryKey}}][beneficiary_relationship]">
                                                            <option value="" disabled {{ $benificiary->beneficiary_relationship == '' ? 'selected' : '' }}>Select relationship</option>
                                                            @forelse ($beneficiaryRelationshipItems as $relationship)
                                                                <option value="{{ $relationship->value }}" {{ $benificiary->beneficiary_relationship == $relationship->value ? 'selected' : '' }}>
                                                                    {{ $relationship->value }}
                                                                </option>
                                                            @empty
                                                                <option value="">No relationship found!</option>
                                                            @endforelse
                                                        </select>
                                                        <label for="beneficiary_relationship" class="floating-label">Beneficiary Relationship</label>
                                                    </div>
                                                </div>

                                                <div class="col-md-4 mb-3">
                                                    <div class="form-floating">
                                                        <input type="text" class="form-control" id="contingent_name" placeholder="" name="policy[{{$key}}][benificiary][{{$benificiaryKey}}][contingent_name]" value="{{ $benificiary->contingent_name ?? '' }}">
                                                        <label for="contingent_name">Contingent Name</label>
                                                    </div>
                                                </div>
                                                <div class="col-md-4 mb-3">
                                                    <div class="form-floating">
                                                        <input type="date" class="form-control" id="contingent_dob" placeholder="" name="policy[{{$key}}][benificiary][{{$benificiaryKey}}][contingent_dob]" value="{{ $benificiary->contingent_dob ?? '' }}">
                                                        <label for="contingent_dob">Contingent DOB</label>
                                                    </div>
                                                </div>

                                                <div class="col-md-4 mb-3">
                                                    <div class="select-wrapper position-relative">
                                                        <select class="form-select" id="contingent_relationship" name="policy[{{$key}}][benificiary][{{$benificiaryKey}}][contingent_relationship]">
                                                            <option value="" disabled {{ $benificiary->contingent_relationship == '' ? 'selected' : '' }}>Select relationship</option>
                                                            @forelse ($beneficiaryRelationshipItems as $relationship)
                                                                <option value="{{ $relationship->value }}" {{ $benificiary->contingent_relationship == $relationship->value ? 'selected' : '' }}>
                                                                    {{ $relationship->value }}
                                                                </option>
                                                            @empty
                                                                <option value="">No relationship found!</option>
                                                            @endforelse
                                                        </select>
                                                        <label for="contingent_relationship" class="floating-label">Contingent Relationship</label>
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    @empty
                                    <div class="benificiaries-item">
                                        <div class="">
                                            <div class="d-flex justify-content-end">
                                                <button type="button" class="btn btn-md btn-primary add-more-benificary mb-3" data-index="{{ $key }}">Add Benificiary</button>
                                            </div>
                                            <div class="row">
                                                <div class="col-md-4 mb-3">
                                                    <div class="form-floating">
                                                        <input type="text" class="form-control" id="beneficiary_name" placeholder="" name="policy[{{$key}}][benificiary][1][beneficiary_name]">
                                                        <label for="beneficiary_name">Beneficiary Name</label>
                                                    </div>
                                                </div>

                                                <div class="col-md-4 mb-3">
                                                    <div class="form-floating">
                                                        <input type="date" class="form-control" id="beneficiary_dob" placeholder="" name="policy[{{$key}}][benificiary][1][beneficiary_dob]">
                                                        <label for="beneficiary_dob">Beneficiary DOB</label>
                                                    </div>
                                                </div>

                                                <div class="col-md-4 mb-3">
                                                    <div class="select-wrapper position-relative">
                                                        <select class="form-select" id="beneficiary_relationship" name="policy[{{$key}}][benificiary][1][beneficiary_relationship]">
                                                            <option value="">Select relationship</option>
                                                            @forelse ($beneficiaryRelationshipItems as $relationship)
                                                                <option value="{{ $relationship->value }}">
                                                                    {{ $relationship->value }}
                                                                </option>
                                                            @empty
                                                                <option value="">No relationship found!</option>
                                                            @endforelse
                                                        </select>
                                                        <label for="beneficiary_relationship" class="floating-label">Beneficiary Relationship</label>
                                                    </div>
                                                </div>

                                                <div class="col-md-4 mb-3">
                                                    <div class="form-floating">
                                                        <input type="text" class="form-control" id="contingent_name" placeholder="" name="policy[{{$key}}][benificiary][1][contingent_name]">
                                                        <label for="contingent_name">Contingent Name</label>
                                                    </div>
                                                </div>
                                                <div class="col-md-4 mb-3">
                                                    <div class="form-floating">
                                                        <input type="date" class="form-control" id="contingent_dob" placeholder="" name="policy[{{$key}}][benificiary][1][contingent_dob]">
                                                        <label for="contingent_dob">Contingent DOB</label>
                                                    </div>
                                                </div>

                                                <div class="col-md-4 mb-3">
                                                    <div class="select-wrapper position-relative">
                                                        <select class="form-select" id="contingent_relationship" name="policy[{{$key}}][benificiary][1][contingent_relationship]">
                                                            <option value="">Select relationship</option>
                                                            @forelse ($beneficiaryContingentItems as $relationship)
                                                                <option value="{{ $relationship->value }}" {{ isset($lead) && $policy->contingent_relationship == $relationship->value ? 'selected' : '' }}>
                                                                    {{ $relationship->value }}
                                                                </option>
                                                            @empty
                                                                <option value="">No relationship found!</option>
                                                            @endforelse
                                                        </select>
                                                        <label for="contingent_relationship" class="floating-label">Contingent Relationship</label>
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    @endforelse

                                    <div id="benificiaries-container-{{ $key }}">

                                    </div>

                                </div>
                            </div>
                        </div>

                        <div class="accordion-item">
                            <h2 class="accordion-header" id="lead-opp-billing-information-{{$key}}">
                                <button class="accordion-button fw-medium fw-semibold collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#lead-opp-billing-informaion-collapse-four-{{$key}}" aria-expanded="false" aria-controls="lead-opp-billing-informaion-collapse-four-{{$key}}">
                                    Billing Information
                                </button>
                            </h2>
                            <div id="lead-opp-billing-informaion-collapse-four-{{$key}}" class="accordion-collapse collapse" aria-labelledby="lead-opp-billing-information-{{$key}}">
                                <div class="accordion-body py-4 pb-0">
                                    <div class="row">

                                        <!-- First Name -->
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" id="first_name" placeholder="" name="policy[{{$key}}][first_name]" value="{{ $policy->first_name ?? '' }}">
                                                <label for="first_name">First Name</label>
                                            </div>
                                        </div>

                                        <!-- Middle Name -->
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" id="middle_name" placeholder="" name="policy[{{$key}}][middle_name]" value="{{ $policy->middle_name ?? '' }}">
                                                <label for="middle_name">Middle Name</label>
                                            </div>
                                        </div>

                                        <!-- Last Name -->
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" id="last_name" placeholder="" name="policy[{{$key}}][last_name]" value="{{ $policy->last_name ?? '' }}">
                                                <label for="last_name">Last Name</label>
                                            </div>
                                        </div>

                                        <!-- Address -->
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" id="address" placeholder="" name="policy[{{$key}}][address]" value="{{ $policy->address ?? '' }}">
                                                <label for="address">Address</label>
                                            </div>
                                        </div>

                                        <!-- Address2 -->
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" id="address2" placeholder="" name="policy[{{$key}}][address2]" value="{{ $policy->address2 ?? '' }}">
                                                <label for="address2">Address 2</label>
                                            </div>
                                        </div>

                                        <!-- City -->
                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" id="city" placeholder="" name="policy[{{$key}}][city]" value="{{ $policy->city ?? '' }}">
                                                <label for="city">City</label>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select class="form-select" id="state" name="policy[{{$key}}][state]">
                                                    <option value="" disabled {{ !isset($lead) || $policy->state == '' ? 'selected' : '' }}>Select state</option>
                                                    @forelse ($states as $state)
                                                        <option value="{{ $state->name }}" {{ isset($policy) && $policy->state == $state->name ? 'selected' : '' }}>
                                                            {{ $state->name }}
                                                        </option>
                                                    @empty
                                                        <option value="">No state found!</option>
                                                    @endforelse
                                                </select>
                                                <label for="state" class="floating-label">State</label>
                                            </div>
                                        </div>

                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="text" class="form-control" id="zip_code" placeholder="" name="policy[{{$key}}][zip_code]" value="{{ $policy->zip_code ?? '' }}">
                                                <label for="zip_code">Zip Code</label>
                                            </div>
                                        </div>


                                        <div class="col-md-4 mb-3">
                                            <div class="form-floating">
                                                <input type="email" class="form-control" id="email" placeholder="" name="policy[{{$key}}][email]" value="{{ $policy->email ?? '' }}">
                                                <label for="email">Email</label>
                                            </div>
                                        </div>

                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select class="form-select" id="billing_cycle" name="policy[{{$key}}][billing_cycle]">
                                                    <option value="" disabled {{ !isset($lead) || $policy->billing_cycle == '' ? 'selected' : '' }}>Select billing cycle</option>
                                                    @forelse ($billableCycleItems as $cycle)
                                                        <option value="{{ $cycle->value }}" {{ isset($lead) && $policy->billing_cycle == $cycle->value ? 'selected' : '' }}>
                                                            {{ $cycle->value }}
                                                        </option>
                                                    @empty
                                                        <option value="">No billing cycle found!</option>
                                                    @endforelse
                                                </select>
                                                <label for="billing_cycle" class="floating-label">Billing Cycle</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select class="form-select" id="payment_type" name="policy[{{$key}}][payment_type]">
                                                    <option value="" disabled {{ !isset($lead) || $policy->payment_type == '' ? 'selected' : '' }}>Select payment type</option>
                                                    @forelse ($paymentTypeItems as $type)
                                                        <option value="{{ $type->value }}" {{ isset($lead) && $policy->payment_type == $type->value ? 'selected' : '' }}>
                                                            {{ $type->value }}
                                                        </option>
                                                    @empty
                                                        <option value="">No payment type found!</option>
                                                    @endforelse
                                                </select>
                                                <label for="payment_type" class="floating-label">Payment Type</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select class="form-select" id="auto_renew" name="policy[{{$key}}][auto_renew]">
                                                    <option value="1" {{ isset($lead) && $policy->auto_renew == '1' ? 'selected' : '' }}>Yes</option>
                                                    <option value="0" {{ isset($lead) && $policy->auto_renew == '0' ? 'selected' : '' }}>No</option>
                                                </select>
                                                <label for="auto_renew" class="floating-label">Auto Renew</label>
                                            </div>
                                        </div>
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select class="form-select" id="bill_me_later" name="policy[{{$key}}][bill_me_later]">
                                                    <option value="1" {{ isset($lead) && $policy->bill_me_later == '1' ? 'selected' : '' }}>Yes</option>
                                                    <option value="0" {{ isset($lead) && $policy->bill_me_later == '0' ? 'selected' : '' }}>No</option>
                                                </select>
                                                <label for="bill_me_later" class="floating-label">Bill Me Later</label>
                                            </div>
                                        </div>
                                    </div>

                                </div>
                            </div>
                        </div>


                        <div class="accordion-item">
                            <h2 class="accordion-header" id="lead-opp-user-information-{{$key}}">
                                <button class="accordion-button fw-medium fw-medium fw-semibold collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#lead-opp-user-information-collapse-five-{{$key}}" aria-expanded="false" aria-controls="lead-opp-user-information-collapse-five-{{$key}}">
                                User information
                                </button>
                            </h2>
                            <div id="lead-opp-user-information-collapse-five-{{$key}}" class="accordion-collapse collapse" aria-labelledby="lead-opp-user-information-{{$key}}">
                                <div class="accordion-body py-4 pb-0">

                                </div>
                            </div>
                        </div>

                        <div class="accordion-item">
                            <h2 class="accordion-header" id="lead-opp-commission-market-information-{{$key}}">
                                <button class="accordion-button fw-medium fw-semibold collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#lead-opp-comission-market-information-collapse-six-{{$key}}" aria-expanded="false" aria-controls="lead-opp-comission-market-information-collapse-six-{{$key}}">
                                    Commission & Marketplace Information
                                </button>
                            </h2>
                            <div id="lead-opp-comission-market-information-collapse-six-{{$key}}" class="accordion-collapse collapse" aria-labelledby="lead-opp-commission-market-information-{{$key}}">
                                <div class="accordion-body py-4 pb-0">

                                    <div class="row">
                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select class="form-select" id="legacy_paid" name="policy[{{$key}}][legacy_paid]">
                                                    @foreach ($legacyPaidItems as $item)
                                                        <option value="{{ $item->value }}" {{ isset($lead) && $policy->legacy_paid == $item->value ? 'selected' : '' }}>
                                                            {{ $item->value }}
                                                        </option>
                                                    @endforeach
                                                </select>
                                                <label for="legacy_paid" class="floating-label">Legacy: Paid</label>
                                            </div>
                                        </div>

                                        <div class="col-md-4 mb-3">
                                            <div class="select-wrapper position-relative">
                                                <select class="form-select" id="marketplace_policy" name="policy[{{$key}}][is_marketplace_policy]">
                                                    <option value="1" {{ isset($lead) && $policy->is_marketplace_policy == '1' ? 'selected' : '' }}>Yes</option>
                                                    <option value="0" {{ isset($lead) && $policy->is_marketplace_policy == '0' ? 'selected' : '' }}>No</option>
                                                </select>
                                                <label for="marketplace_policy" class="floating-label">Is Marketplace Policy?</label>
                                            </div>
                                        </div>
                                    </div>

                                </div>
                            </div>
                        </div>
                        <div class="accordion-item">
                            <h2 class="accordion-header" id="lead-opp-system-data-information-{{$key}}">
                                <button class="accordion-button fw-medium fw-medium fw-semibold collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#lead-opp-system-data-information-collapse-seven-{{$key}}" aria-expanded="false" aria-controls="lead-opp-system-data-information-collapse-seven-{{$key}}">
                                System date information
                                </button>
                            </h2>
                            <div id="lead-opp-system-data-information-collapse-seven-{{$key}}" class="accordion-collapse collapse" aria-labelledby="lead-opp-system-data-information-{{$key}}">
                                <div class="accordion-body py-4 pb-0">
                                    <div class="row">
                                        <div class="col-12">
                                            <h5>Created at: {{ $policy->created_at ? $policy->created_at->format('Y-m-d H:i:s') : ($policy->date_created ? $policy->date_created : '') }}</h5>
                                            <br>
                                            <h5>Created by: {{ $policy->created_by ? $policy->createdBy->name : '' }}</h5>
                                            <br>
                                            <h5>Last modified: {{ $policy->updated_at ? $policy->updated_at->format('Y-m-d H:i:s') : ($policy->date_modified ? $policy->date_modified : '') }}</h5>
                                            <br>
                                            <h5>Last modified by: {{ $policy->updated_by ? $policy->updatedBy->name : '' }}</h5>
                                            <br>
                                            <h5>Date Converted: {{ $policy->date_converted ? $policy->date_converted : '' }}</h5>
                                            <br >
                                            <h5>Sold date: {{ $policy->sold_date ? $policy->sold_date : '' }}</h5>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
                @empty
                @endforelse

                <div id="opportunity-container"></div>

                <div class="row mt-3">
                    <div class="col-12">
                        <button type="submit" class="btn btn-primary">Submit</button>
                    </div>
                </div>
            </div>
        </div>
</form>
@else
    <div class="row">
        <div class="col-12">
            <div class="alert alert-warning" role="alert">
                No policy found!
            </div>
        </div>
    </div>
@endif