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AHCPrimaryPolicies.aspx
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AHCPrimaryPolicies.aspx
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<%@ Register TagPrefix="MaskedInput" Namespace="MaskedInput" Assembly="MaskedInput" %>
<%@ Page language="c#" AutoEventWireup="true" Inherits="EPolicy.AHCPrimaryPolicies" CodeFile="AHCPrimaryPolicies.aspx.cs" %>
<%@ Register Assembly="AjaxControlToolkit, Version=3.5.50508.0, Culture=neutral, PublicKeyToken=28f01b0e84b6d53e"
Namespace="AjaxControlToolkit" TagPrefix="Toolkit" %>
<!DOCTYPE html PUBLIC"-//W3C//DTD XHTML 1.0 Transitional//EN""http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
<head>
<title>ePMS | electronic Policy Manager Solution</title>
<meta name="GENERATOR" Content="Microsoft Visual Studio 7.0" />
<meta name="CODE_LANGUAGE" Content="C#" />
<meta name="vs_defaultClientScript" content="JavaScript" />
<meta name="vs_targetSchema" content="http://schemas.microsoft.com/intellisense/ie5" />
<link rel="stylesheet" href="css/jquery-ui-1.7.2.custom.css" type="text/css" />
<link rel="stylesheet" href="StyleSheet.css" type="text/css" />
<script type="text/javascript" src="js/jquery-1.3.2.min.js"></script>
<script type="text/javascript" src="js/jquery-ui-1.7.2.custom.min.js"></script>
<script src="js/load.js" type="text/javascript"></script>
<style type="text/css">
.toggler {
height: 1px;
margin-left: 0px;
}
#button {
padding: .5em 2em;
text-decoration: none;
}
#btnCloseEffect {
text-decoration: none;
}
#effect {
width: 315px;
height: auto;
padding: 0.4em;
position: relative;
}
#effect h3 {
margin: 0;
padding: 0.4em;
text-align: center;
}
.ui-effects-transfer {
border: 2px dotted gray;
}
</style>
<style type="text/css">
#jq-books {
width: 200px;
float: right;
margin-right: 0
}
#jq-books li {
line-height: 1.25em;
margin: 1em 0 1.8em;
clear: left
}
#home-content-wrapper #jq-books a.jq-bookImg {
float: left;
margin-right: 10px;
width: 55px;
height: 70px
}
#jq-books h3 {
margin: 0 0 .2em 0
}
#home-content-wrapper #jq-books h3 a {
font-size: 1em;
color: black;
}
#home-content-wrapper #jq-books a.jq-buyNow {
font-size: 1em;
color: white;
display: block;
background: url(http://static.jquery.com/files/rocker/images/btn_blueSheen.gif) 50% repeat-x;
text-decoration: none;
color: #fff;
font-weight: bold;
padding: .2em .8em;
float: left;
margin-top: .2em;
}
.headfield1 {
text-align: left;
margin-left: 0px;
margin-right: 0px;
}
.style1 {
width: 8px;
}
.style2 {}
.style3 {
width: 198px;
}
.style4 {
width: 310px;
}
.style5 {
width: 196px;
}
.style8 {
width: 8px;
height: 9px;
}
.style9 {
width: 106px;
height: 9px;
}
.style10 {
width: 198px;
height: 9px;
}
.style11 {
width: 310px;
height: 9px;
}
.style12 {
width: 196px;
height: 9px;
}
.style13 {
width: 100px;
height: 9px;
}
.style14 {
height: 9px;
}
.style15 {
height: 18px;
width: 284px;
}
.style16 {
height: 15px;
width: 284px;
}
.style17 {
height: 21px;
width: 284px;
}
.style18 {
height: 20px;
width: 284px;
}
.style19 {
height: 17px;
width: 284px;
}
.style20 {
height: 13px;
width: 284px;
}
.style21 {
height: 3px;
width: 284px;
}
.style22 {
font-size: 9pt;
margin-right: 1px;
margin-left: 0px;
}
.style23 {
height: 3px;
width: 19px;
}
.style24 {
width: 19px;
}
.style25 {
height: 358px;
width: 19px;
}
.style26 {
height: 13px;
width: 19px;
}
.style27 {
height: 27px;
width: 19px;
}
.style35 {
height: 22px;
}
.style36 {
width: 97px;
height: 22px;
}
.style38 {
height: 21px;
}
.headForm1 {
margin-right: 2px;
}
.style43 {
height: 19px;
width: 218px;
}
#Table12 {
width: 608px;
}
.style46 {
height: 22px;
text-align: left;
}
.style45 {
height: 22px;
text-align: center;
}
.style49 {
width: 186px;
height: 19px;
text-align: left;
}
.style52 {
height: 107px;
}
.style53 {
text-align: right;
}
</style>
<script type="text/javascript">
function getExpDt() {
pdt = new Date(document.Pol.txtEffDt.value);
trm = parseInt(document.Pol.TxtTerm.value);
mnth = pdt.getMonth() + trm;
if (!isNaN(mnth)) {
pdt.setMonth(mnth % 12);
if (mnth > 11) {
var t = pdt.getFullYear() + Math.floor(mnth / 12);
pdt.setFullYear(t);
}
document.Pol.txtExpDt.value = parse(pdt);
}
}
function parse(dt) {
ldt = new Date(dt);
if ((ldt.getMonth() + 1) < 10)
str = "0" + (ldt.getMonth() + 1);
else
str = (ldt.getMonth() + 1);
str += "/";
if (ldt.getDate() < 10)
str += "0" + ldt.getDate();
else
str += ldt.getDate();
str += "/";
str += dt.getFullYear();
return str;
}
function SetRadioButton() {
if (document.Pol.rdbLoan.checked = true) {
document.Pol.rdbLoan.checked = true;
document.Pol.rdbLeasing.checked = false;
}
}
function SetRadioButton2() {
if (document.Pol.rdbLoan.checked = true) {
document.Pol.rdbLoan.checked = false;
document.Pol.rdbLeasing.checked = true;
}
}
function SetFieldDate() {
document.Pol.TxtPurchaserDate.value = document.Pol.txtEffDt.value;
document.Pol.TxtEffDateCompany.value = document.Pol.txtEffDt.value;
}
function SetFieldDate() {
document.Pol.TxtPurchaserDate.value = document.Pol.txtEffDt.value;
document.Pol.TxtEffDateCompany.value = document.Pol.txtEffDt.value;
}
// function SetSupplier()
// {
// if(document.Pol.ddlPolicyClass.options[document.Pol.ddlPolicyClass.selectedIndex].value == 1)
// {
// for(i = 0;i <= document.Pol.ddlSupplier.options.length ; i++)
// {
// //alert(document.Pol.ddlCiudad.options[i].value +' - 'document.Pol.TxtZip.value)
// if(document.Pol.ddlSupplier.options[i].value == document.Pol.ddlCompanyDealer.options[document.Pol.ddlCompanyDealer.selectedIndex].value)
// {
// document.Pol.ddlSupplier.disabled = false;
// document.Pol.ddlSupplier.selectedIndex = i;
// document.Pol.inputSupplierIndex.value = i;
// //document.Pol.ddlSupplier.disabled = true;
// //document.Pol.TxtZip.value = '00'+Number(document.Pol.TxtZip.value);
// return;
// }
// else
// {
// //document.Pol.TxtCity.value ="";
// document.Pol.ddlSupplier.selectedIndex = -1;
// document.Pol.inputSupplierIndex.value = -1;
// }
// }
// }
// }
function SetCiudad() {
for (i = 0; i <= document.Pol.ddlCiudad.options.length; i++) {
//alert(document.Pol.ddlCiudad.options[i].value +' - 'document.Pol.TxtZip.value)
if (Number(document.Pol.ddlCiudad.options[i].value) == Number(document.Pol.TxtZip.value)) {
//alert(document.Pol.ddlCiudad.options[i].text)
document.Pol.ddlCiudad.selectedIndex = i;
//document.Pol.TxtCity.value = document.Pol.ddlCiudad.options[i].text;
document.Pol.TxtZip.value = '00' + Number(document.Pol.TxtZip.value);
return;
} else {
//document.Pol.TxtCity.value ="";
document.Pol.ddlCiudad.selectedIndex = -1;
}
}
}
function SetZipCode() {
if (document.Pol.ddlCiudad.selectedIndex > 0) {
document.Pol.TxtZip.value = document.Pol.ddlCiudad.options[document.Pol.ddlCiudad.selectedIndex].value
} else {
document.Pol.TxtZip.value = ''
}
}
</script>
</head>
<script type="text/javascript" src="js/jquery-1.3.2.min.js"></script>
<script type="text/javascript" src="js/jquery-ui-1.7.2.custom.min.js"></script>
<script type="text/javascript">
$("#effect").hide();
$(function() {
$('#<%= txtEffDt.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtExpDt.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtEntryDate.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtEndoEffDate.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= TxtRetroactiveDate.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtPriPolEffecDate1.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtGapBegDate.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtGapEndDate.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtGapEndDate2.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtGapBegDate2.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtGapBegDate3.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtGapEndDate3.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
$('#<%= txtRetroEffDate.ClientID %>').datepicker({
changeMonth: true,
changeYear: true
});
});
function ShowDateTimePicker() {
$('#<%= txtEffDt.ClientID %>').datepicker('show');
}
function ShowDateTimePicker2() {
$('#<%= TxtRetroactiveDate.ClientID %>').datepicker('show');
}
function ShowDateTimePicker3() {
$('#<%= txtPriPolEffecDate1.ClientID %>').datepicker('show');
}
function ShowDateTimePicker4() {
$('#<%= txtExpDt.ClientID %>').datepicker('show');
}
function ShowDateTimePicker5() {
$('#<%= txtEndoEffDate.ClientID %>').datepicker('show');
}
function ShowDateTimePicker6() {
$('#<%= txtGapBegDate.ClientID %>').datepicker('show');
}
function ShowDateTimePicker7() {
$('#<%= txtGapEndDate.ClientID %>').datepicker('show');
}
function ShowDateTimePicker8() {
$('#<%= txtGapBegDate2.ClientID %>').datepicker('show');
}
function ShowDateTimePicker9() {
$('#<%= txtGapEndDate2.ClientID %>').datepicker('show');
}
function ShowDateTimePicker10() {
$('#<%= txtGapBegDate3.ClientID %>').datepicker('show');
}
function ShowDateTimePicker11() {
$('#<%= txtGapEndDate3.ClientID %>').datepicker('show');
}
function ShowDateTimePickerEndoRetroDate() {
$('#<%= txtRetroEffDate.ClientID %>').datepicker('show');
}
$(function() {
//run the currently selected effect
function runEffect() {
//get effect type from
//var selectedEffect = $('#effectTypes').val();
var selectedEffect = "blind";
//most effect types need no options passed by default
var options = {};
//run the effect
$("#effect").show(selectedEffect, options, 500, callback);
};
//callback function to bring a hidden box back
function callback() {
// setTimeout(function()
// {
// $("#effect:visible").removeAttr('style').hide().fadeOut();
// },
// 1000);
};
function CloseEffect() {
setTimeout(function() {
$("#effect:visible").removeAttr('style').hide().fadeOut();
},
10);
}
//set effect from select menu value
$("#button").click(function() {
runEffect();
return false;
});
$("#btnRate").click(function() {
runEffect();
return false;
});
$("#btnCloseEffect").click(function() {
CloseEffect();
return false;
});
$("#effect").hide();
});
</script>
<body>
<form id="Pol" method="post" runat="server">
<Toolkit:ToolkitScriptManager ID="ScriptManager1" runat="server" EnableScriptGlobalization="True" AsyncPostBackTimeout="0">
</Toolkit:ToolkitScriptManager>
<p>
<asp:placeholder id="Placeholder1" runat="server"></asp:placeholder>
</p>
<div class="container-xl p-18 mb-4">
<div class="row">
<div class="col-md-6">
<asp:label id="Label46" runat="server" class="fs-16">Policies:</asp:label>
<asp:label id="LblControlNo" runat="server" class="fs-16"> No.:</asp:label>
</div>
<div class="col-md-6 f-right">
<asp:Button ID="btnComments" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Comments" onclick="btnComments_Click1" />
<asp:Button ID="btnRate" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Rate" />
<asp:button id="btnPrintPolicy" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Print" onclick="btnPrintPolicy_Click"></asp:button>
<asp:button id="btnEnablePrint" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Enable Print" onclick="btnEnablePrint_Click" onclientclick="return confirm('Enabling Policy Printing, Continue?');"></asp:button>
<asp:button id="btnCancellation" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Cancellation" onclick="btnCancellation_Click"></asp:button>
<asp:Button ID="btnRenew" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" OnClick="btnRenew_Click" Text="Renew" />
<asp:button id="btnReinstatement" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Reinstatement" onclick="btnReinstatement_Click"></asp:button>
<asp:button id="BtnSave" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Save" onclick="BtnSave_Click"></asp:button>
<asp:button id="btnAdd2" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Add" onclick="btnAdd2_Click" Visible="False"></asp:button>
<asp:button id="btnDelete" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Delete" onclick="btnDelete_Click" onclientclick="return confirm('Are you certain you want to delete this Policy?');"></asp:button>
<asp:button id="btnEdit" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Modify" onclick="btnEdit_Click"></asp:button>
<asp:button id="btnCancel" runat="server" class="btn-bg-theme2 btn-h-30 btn-r-4" Text="Cancel" onclick="btnCancel_Click"></asp:button>
<asp:button id="BtnExit" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Exit" onclick="BtnExit_Click"></asp:button>
<asp:Button ID="btnHistory" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" OnClick="btnHistory_Click" Text="History" />
<asp:button id="btnEndor" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="New Endorsement" onclick="btnEndor_Click"></asp:button>
<asp:button id="btnComissions" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Commissions" onclick="btnComissions_Click"></asp:button>
<asp:button id="btnPayments" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Payments" onclick="btnPayments_Click"></asp:button>
<asp:button id="btnFinancialCanc" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Financial Canc." onclick="btnFinancialCanc_Click" Visible="False"></asp:button>
<asp:button id="btnTailQuote" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Tail Quote" onclick="btnTailQuote_Click"></asp:button>
<asp:button id="btnRegistry" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Registry" onclick="btnRegistry_Click"></asp:button>
<asp:button id="btnPrintCertificate" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Print Certificate" onclick="btnPrintCertificate_Click"></asp:button>
<asp:button id="btnPolicyCert" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Policy Cert." onclick="btnPolicyCert_Click" Visible="False"></asp:button>
</div>
</div>
<div id="effect" class="ui-widget-header ui-corner-all f-center" style="width: 325px; height: auto; display:none">
<div class="col-md-12">
<asp:Label ID="Label49" runat="server" class="fs-lbl-s" Text="Select Rate"></asp:Label>
</div>
<div class="col-md-12">
<asp:Label ID="Label13" runat="server" class="fs-lbl-s" Text="Specialty:"></asp:Label>
</div>
<div class="col-md-12">
<asp:DropDownList ID="ddlRate" runat="server" class="form-select fs-txt-s" AutoPostBack="True" OnSelectedIndexChanged="ddlRate_SelectedIndexChanged">
</asp:DropDownList>
</div>
<div class="col-md-12">
<asp:Label ID="Label14" runat="server" Text="Iso Code:" class="fs-lbl-s"></asp:Label>
</div>
<div class="col-md-12">
<asp:TextBox ID="txtIsoCode" runat="server" class="form-control fs-txt-s"></asp:TextBox>
</div>
<div class="col-md-12">
<asp:Label ID="Label47" runat="server" Text="Class:" class="fs-lbl-s"></asp:Label>
</div>
<div class="col-md-12">
<asp:TextBox ID="txtClass" runat="server" class="form-control fs-txt-s"></asp:TextBox>
</div>
<div class="row">
<div class="col-md-3">
<asp:Label ID="Label15" runat="server" class="fs-lbl-s" Text="Rate 1"></asp:Label>
</div>
<div class="col-md-3">
<asp:Label ID="Label43" runat="server" class="fs-lbl-s" Text="Rate 2"></asp:Label>
</div>
<div class="col-md-3">
<asp:Label ID="Label45" runat="server" class="fs-lbl-s" Text="Rate 3"></asp:Label>
</div>
<div class="col-md-3">
<asp:Label ID="Label44" runat="server" class="fs-lbl-s" Text="MCM Rate"></asp:Label>
</div>
</div>
<div class="row mb-1">
<div class="col-md-3">
<asp:TextBox ID="txtRate1" runat="server" class="form-control fs-txt-s"></asp:TextBox>
</div>
<div class="col-md-3">
<asp:TextBox ID="txtRate2" runat="server" class="form-control fs-txt-s"></asp:TextBox>
</div>
<div class="col-md-3">
<asp:TextBox ID="txtRate3" runat="server" class="form-control fs-txt-s"></asp:TextBox>
</div>
<div class="col-md-3">
<asp:TextBox ID="txtRate4" runat="server" class="form-control fs-txt-s"></asp:TextBox>
</div>
</div>
<asp:Button ID="btnCloseEffect" runat="server" class="btn-h-30 btn-bg-theme2 btn-r-4" Text="Close" />
</div>
<div class="col-md-12">
<hr />
</div>
<asp:label id="Label23" runat="server" ENABLEVIEWSTATE="False">Line of Business</asp:label>
<asp:dropdownlist id="ddlPolicyClass" runat="server" AutoPostBack="True" onselectedindexchanged="ddlPolicyClass_SelectedIndexChanged" Visible="False"></asp:dropdownlist>
<!-- #region Body part1 -->
<div class="row">
<!-- Columna 1-->
<div class="col-md-4">
<div class="col-md-12 mb-3">
<asp:label id="Label3" class="fs-16" runat="server">Customer Information</asp:label>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblEmail" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Customer No.</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="TxtCustomerNo" class="form-control fs-txt-s" runat="server" MAXLENGTH="10"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label2" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">First Name</asp:label>
</div>
<div class="col-md-8">
<div class="input-group">
<asp:textbox id="TxtFirstName" class="form-control w-50 fs-txt-s" runat="server" MAXLENGTH="25"></asp:textbox>
<asp:label id="Label1" class="input-group-text w-15 fs-txt-s" runat="server" ENABLEVIEWSTATE="False">Init.</asp:label>
<asp:textbox id="TxtInitial" class="form-control w-25 fs-txt-s" runat="server" MAXLENGTH="1"></asp:textbox>
</div>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblLastName1" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Last Name 1</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="txtLastname1" class="form-control fs-txt-s" runat="server" MAXLENGTH="15" ontextchanged="txtLastname1_TextChanged"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblLastName2" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Last Name 2</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="txtLastname2" runat="server" class="form-control fs-txt-s" MAXLENGTH="15"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblAdditionalName" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Add. Name:</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="txtAdditionalName" runat="server" class="form-control fs-txt-s" MAXLENGTH="100"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label36" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Address 1</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="TxtAddrs1" runat="server" class="form-control fs-txt-s" MAXLENGTH="60"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label37" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Address 2</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="TxtAddrs2" runat="server" class="form-control fs-txt-s" MAXLENGTH="60"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label39" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">City</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="TxtCity" runat="server" class="form-control fs-txt-s" MAXLENGTH="14"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label40" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Zip Code</asp:label>
</div>
<div class="col-md-8 d-inline-flex">
<asp:textbox id="TxtState" runat="server" class="form-control w-25 fs-txt-s" MAXLENGTH="2"></asp:textbox>
<maskedinput:maskedtextbox id="TxtZip" runat="server" class="form-control w-75 fs-txt-s" MAXLENGTH="10" MASK="CCCCCC" ISDATE="False" IsCurrency="False" IsZipCode="True"></maskedinput:maskedtextbox>
</div>
</div>
</div>
<!-- Columna 2-->
<div class="col-md-4">
<div class="col-md-12 mb-3 f-right">
<asp:Button id="btnNew" class="btn-h-30 btn-bg-theme2 btn-r-4" runat="server" Text="New" ToolTip="Add New policy with the same information" onclick="btnNew_Click"></asp:Button>
</div>
<div class="row mb-1">
<div class="col-md-4">
<div class="">
<asp:label id="lblPolicyNo" runat="server" class="fs-lbl-s">Policy No.</asp:label>
<asp:CheckBox ID="ChkAutoAssignPolicy" runat="server" AutoPostBack="True" OnCheckedChanged="ChkAutoAssignPolicy_CheckedChanged" Text="" ToolTip="Auto Assign Policy" />
</div>
</div>
<div class="col-md-8">
<asp:textbox id="TxtPolicyNo" runat="server" class="form-control fs-txt-s" MAXLENGTH="15"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblCertificate" runat="server" class="fs-lbl-s">Certificate</asp:label>
</div>
<div class="col-md-8">
<asp:TextBox ID="TxtCertificate" runat="server" class="form-control fs-txt-s" MaxLength="15"></asp:TextBox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:Label ID="Label29" runat="server" EnableViewState="False" class="fs-lbl-s">Policy Type</asp:Label>
</div>
<div class="col-md-8">
<div class="input-group">
<asp:textbox id="TxtPolicyType" runat="server" class="form-control w-50 fs-txt-s" MAXLENGTH="3"></asp:textbox>
<asp:label class="input-group-text w-25 fs-txt-s" runat="server" ENABLEVIEWSTATE="False">Suffix</asp:label>
<asp:textbox id="TxtSufijo" runat="server" class="form-control w-15 fs-txt-s" MAXLENGTH="2"></asp:textbox>
</div>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label16" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Anniversary</asp:label>
</div>
<div class="col-md-8">
<asp:TextBox ID="TxtAnniversary" runat="server" MaxLength="2" class="form-control fs-txt-s"></asp:TextBox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:Label ID="Label5" runat="server" class="fs-lbl-s" EnableViewState="False">Term</asp:Label>
</div>
<div class="col-md-8">
<asp:textbox id="TxtTerm" runat="server" class="form-control fs-txt-s" MAXLENGTH="3"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:Label ID="Label20" runat="server" class="fs-lbl-s" EnableViewState="False">Retro. Date</asp:Label>
</div>
<div class="col-md-8">
<asp:TextBox ID="TxtRetroactiveDate" runat="server" Columns="30" class="form-control fs-txt-s fechaFormat"></asp:TextBox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:Label ID="Label4" runat="server" class="fs-lbl-s" EnableViewState="False">Effective Date</asp:Label>
</div>
<div class="col-md-8">
<asp:TextBox ID="txtEffDt" runat="server" class="form-control fs-txt-s fechaFormat" Columns="30" IsDate="True"></asp:TextBox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label11" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Exp. Date</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="txtExpDt" runat="server" class="form-control fs-txt-s fechaFormat" Columns="30" IsDate="True" onclick="ShowDateTimePicker4();"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label27" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Entry Date</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="txtEntryDate" tabIndex="47" runat="server" class="form-control fs-txt-s fechaFormat" IsDate="True" Columns="30"></asp:textbox>
</div>
</div>
</div>
<!-- Columna 3-->
<div class="col-md-4">
<div class="col-md-12 mb-3">
<asp:label id="LblStatus" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Inforce/</asp:label>
</div>
<div class="col-md-12 mb-3-5">
<asp:CheckBox ID="chkPaymentGA" runat="server" Text="Checked Payment by GA" />
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label18" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Agency</asp:label>
</div>
<div class="col-md-8">
<asp:dropdownlist id="ddlAgency" runat="server" class="form-select fs-txt-s" onselectedindexchanged="ddlAgency_SelectedIndexChanged"></asp:dropdownlist>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label75" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Branch</asp:label>
</div>
<div class="col-md-8">
<asp:dropdownlist id="ddlCity" runat="server" class="form-select fs-txt-s"> </asp:dropdownlist>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:Label ID="Label21" runat="server" class="fs-lbl-s" EnableViewState="False">Agent</asp:Label>
</div>
<div class="col-md-8">
<asp:DropDownlist id="ddlAgent" runat="server" class="form-select fs-txt-s">
</asp:DropDownList>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label6" runat="server" class="fs-lbl-s">Originated At</asp:label>
</div>
<div class="col-md-8">
<asp:dropdownlist id="ddlOriginatedAt" runat="server" class="form-select fs-txt-s"></asp:dropdownlist>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label9" runat="server" class="fs-lbl-s">Ins. Company</asp:label>
</div>
<div class="col-md-8">
<asp:dropdownlist id="ddlInsuranceCompany" runat="server" class="form-select fs-txt-s" onselectedindexchanged="ddlInsuranceCompany_SelectedIndexChanged">
</asp:dropdownlist>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<!-- Label42 - Este estaba Visible: Faslse y por criterio propio lo quite-->
<asp:label id="Label42" runat="server" class="fs-lbl-s">Group</asp:label>
</div>
<div class="col-md-8">
<asp:dropdownlist id="ddlGroup" runat="server" class="form-select fs-txt-s" AutoPostBack="True" onselectedindexchanged="ddlGroup_SelectedIndexChanged"></asp:dropdownlist>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label28" runat="server" ENABLEVIEWSTATE="False" class="fs-lbl-s">Corporation</asp:label>
</div>
<div class="col-md-8">
<asp:dropdownlist id="ddlCorparation" runat="server" class="form-select fs-txt-s"></asp:dropdownlist>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblFinancial" runat="server" class="fs-lbl-s">Financial Inst.</asp:label>
</div>
<div class="col-md-8">
<asp:dropdownlist id="ddlFinancial" runat="server" class="form-select fs-txt-s"></asp:dropdownlist>
</div>
</div>
</div>
</div>
<!-- #endregion -->
<!-- #region Body Part2-->
<div class="row">
<!-- Columna 1-->
<div class="col-md-4">
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblHomePhone" runat="server" ENABLEVIEWSTATE="False" class="fs-lbl-s">Home Phone</asp:label>
</div>
<div class="col-md-8">
<maskedinput:maskedtextbox id="txtHomePhone" runat="server" class="form-control fs-txt-s telefoneFormat" MAXLENGTH="20" MASK="(999) 999-9999" ISDATE="False"></maskedinput:maskedtextbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblWorkPhone" runat="server" ENABLEVIEWSTATE="False" class="fs-lbl-s">Work Phone</asp:label>
</div>
<div class="col-md-8">
<maskedinput:maskedtextbox id="txtWorkPhone" runat="server" class="form-control fs-txt-s telefoneFormat" MAXLENGTH="20" MASK="(999) 999-9999" ISDATE="False"></maskedinput:maskedtextbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label8" runat="server" ENABLEVIEWSTATE="False" class="fs-lbl-s">Cellular</asp:label>
</div>
<div class="col-md-8">
<maskedinput:maskedtextbox id="TxtCellular" runat="server" class="form-control fs-txt-s telefoneFormat" MAXLENGTH="20" MASK="(999) 999-9999" ISDATE="False"></maskedinput:maskedtextbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label26" runat="server" ENABLEVIEWSTATE="False" class="fs-lbl-s">E-mail</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="txtEmail" runat="server" class="form-control fs-txt-s" AXLENGTH="100"></asp:textbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:Label ID="Label51" runat="server" EnableViewState="False" class="fs-lbl-s">License:</asp:Label>
</div>
<div class="col-md-8">
<asp:TextBox ID="txtLicense" class="form-control fs-txt-s" runat="server"></asp:TextBox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:Label ID="Label17" runat="server" EnableViewState="False" class="fs-lbl-s">ApplicationID</asp:Label>
</div>
<div class="col-md-8">
<asp:TextBox ID="txtApplicationID" runat="server" class="form-control fs-txt-s" MaxLength="10"></asp:TextBox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblComments" class="fs-lbl-s" runat="server" ENABLEVIEWSTATE="False">Comments</asp:label>
</div>
<div class="col-md-8">
<asp:textbox id="TxtComments" class="form-control w-266 h-6 fs-txt-s" runat="server" MAXLENGTH="2000" TextMode="MultiLine"></asp:textbox>
</div>
</div>
</div>
<!-- Columna 2-->
<div class="col-md-4">
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="Label41" runat="server" class="fs-lbl-s" ENABLEVIEWSTATE="False">Charge</asp:label>
</div>
<div class="col-md-8">
<maskedinput:maskedtextbox id="TxtCharge" tabIndex="48" RUNAT="server" class="form-control fs-txt-s" MAXLENGTH="14" IsCurrency="False" MASK="CCCCCC" ISDATE="False"></maskedinput:maskedtextbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblPremium" runat="server" class="fs-lbl-s">Premium</asp:label>
</div>
<div class="col-md-8">
<maskedinput:maskedtextbox id="TxtPremium" runat="server" class="form-control fs-txt-s" MAXLENGTH="14" MASK="CCCCCCCCCC" ISDATE="False" AutoPostBack="True" ontextchanged="TxtPremium_TextChanged"></maskedinput:maskedtextbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblPremium0" runat="server" class="fs-lbl-s">Canc. Amount</asp:label>
</div>
<div class="col-md-8">
<maskedinput:maskedtextbox id="TxtCancAmount" runat="server" cssclass="form-control fs-txt-s" MAXLENGTH="14" IsCurrency="False" MASK="CCCCCCCCCC" ISDATE="False" Enabled="False"></maskedinput:maskedtextbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:label id="lblTotPremum" runat="server" class="fs-lbl-s">Tot. Premium</asp:label>
</div>
<div class="col-md-8">
<maskedinput:maskedtextbox id="TxtTotalPremium" runat="server" cssclass="form-control fs-txt-s" MAXLENGTH="14" IsCurrency="False" MASK="CCCCCCCCCC" ISDATE="False" Enabled="False"></maskedinput:maskedtextbox>
</div>
</div>
<div class="row mb-1">
<div class="col-md-4">
<asp:Label ID="lblDiscount" runat="server" class="fs-lbl-s">Group Disc.</asp:Label>
</div>