{{-- inicio modal --}}
<div id="modal-insurance" class="modal-layout">
  <div class="card">
    <div class="card-content">
      <div class="card-body">
        <ul class="nav nav-tabs mb-2" role="tablist">
          <li class="nav-item">
              <a class="nav-link d-flex align-items-center active" id="account-tab" data-toggle="tab"
                  href="#account" aria-controls="account" role="tab" aria-selected="true">
                  <i class="bx bx-user mr-25"></i><span class="d-none d-sm-block">Dados do Convenio</span>
              </a>
              <li class="nav-item">
                <button class="btn btn-icon btn-danger rounded-circle" type="button" onclick="insuranceModalDel()" data-repeater-delete="">
                  <i class="bx bx-x"></i>
                </button>
              </li>
          </li>
        </ul>
        <div class="tab-content">
          @if ($message = Session::get('success'))
          <div class="alert alert-success alert-block">
              <button type="button" class="close" data-dismiss="alert">×</button>
              <strong>{{ $message }}</strong>
          </div>
          @endif

          @if (count($errors) > 0)
            <div class="alert alert-danger">
              <strong>Ops!</strong> Ouve algum problema com o Upload.
              <ul>
                @foreach ($errors->all() as $error)
                  <li>{{ $error }}</li>
                @endforeach
              </ul>
            </div>
          @endif
          <div class="tab-pane active fade show" id="account" aria-labelledby="account-tab" role="tabpanel">
              <form name="formInsurance">
                @csrf
                <div class="row">
                    <div class="col-12 col-sm-6">
                        <div class="form-group">
                            <div class="controls">
                                <label>Nome</label>
                                <input type="text" name="name" class="form-control" placeholder="Nome do Convenio" value="">
                            </div>
                        </div>
                        <div class="form-group">
                          <div class="controls">
                              <label>Tipo Convenio</label>
                              <select name="procedure_id" class="selectOK form-control">
                                <option value=""></option>
                                {{-- @foreach ($types as $item)
                                  <option value="{{ $item->id }}">{{ $item->name }}</option>
                                @endforeach --}}
                              </select>
                          </div>
                        </div>
                        <div class="form-group">
                          <div class="controls">
                              <label>CGC</label>
                              <input type="text" name="cgc" class="form-control" placeholder="Digite p CGC" value="">
                          </div>
                        </div>
                        <div class="form-group">
                          <div class="controls">
                              <label>Endereço</label>
                              <input type="address" name="address" class="form-control" placeholder="Digite o Endereço" value="">
                          </div>
                        </div>
                        <div class="form-group">
                          <div class="controls">
                              <label>Cidade</label>
                              <input type="text" name="city" class="form-control" placeholder="Digite a cidade" value="">
                        </div>
                      </div>
                    </div>
                    <div class="col-12 col-sm-6">
                      <div class="form-group">
                        <div class="controls">
                            <label>Cor</label>
                            <input type="color" name="color" class="form-control" placeholder="Digite o cor" value="">
                        </div>
                      </div>
                      <div class="form-group">
                        <div class="controls">
                            <label>Telefone</label>
                            <input type="phone" name="phone" class="form-control" placeholder="Digite o telefone" value="">
                        </div>
                      </div>
                      <div class="form-group">
                        <div class="controls">
                            <label>Contato</label>
                            <input type="text" name="contact" class="form-control" placeholder="Nome nome do contato" value="">
                        </div>
                      </div>
                      <div class="form-group">
                        <div class="controls">
                            <label>E-mail</label>
                            <input type="email" name="email" class="form-control" placeholder="digite o e-mail" value="">
                        </div>
                      </div>
                    </div>
                    <div class="col-12 d-flex flex-sm-row flex-column justify-content-end mt-1">
                        <button type="submit" class="btn btn-primary glow mb-1 mb-sm-0 mr-0 mr-sm-1">Salvar</button>
                    </div>
                </div>
              </form>
          </div>
        </div>
      </div>
    </div>
  </div>
</div>
{{-- fim modal --}}