INDIA NETWORK HEALTH INSURANCE, USA
|
|
INDIA NETWORK HEALTH INSURANCE, USA |
---------------------------------------------------------------------------------------------------- "; if ($error1==1){ echo "
Please note that $500 deductible is not available for 2-69 age group "; echo "
Please select available policy max and deductible combinations "; echo "
---------------------------------------------------------------------------------------------------- "; } if ($error2==1){ echo "
Please note that $75 deductible is not available for 70+ age group "; echo "
Please select available policy max and deductible combinations "; echo "
---------------------------------------------------------------------------------------------------- "; } if ($error3==1){ echo "
Policy Max 150K is not available for 70+ age group "; echo "
Please select available policy max and deductible combinations "; echo "
---------------------------------------------------------------------------------------------------- "; } if ($error4==1){ echo "
No Policies are available for less than 2 year age group "; echo "
Please select available policy max and deductible combinations "; echo "
---------------------------------------------------------------------------------------------------- "; } if ($error5==1){ ECHO "
Please note that the pre-existing rider require three or more months coverage ";
ECHO "
unless you are renewing your policy and had 3 or more months in the immediate past. ";
echo "
Please select three or more months to get a quote OR "; echo "
If you need insurance for less than 3 months with some pre-existing condition coverage ";
echo "
for below 70 years old visitor, you may consider Multinational Atlas Program ";
echo "
Note that the coverage provided by Atlas Program is very different from India Network Plan. ";
echo "
READ ENTIRE DOCUMENT BEFORE YOU SIGNON ";
echo "
---------------------------------------------------------------------------------------------------- "; } if ($error6==1){ ECHO "
Please note that coverage for spouse and children for aged 2-17 member ";
ECHO "
is not available ";
echo "
---------------------------------------------------------------------------------------------------- "; } if ($error7==1){ echo "
Pre-existing Condition Coverage Rider is available only w 100K and 150K Policies" ;
echo "
Please go back to the Quotes and select either $100K or $150K policy max ";
echo "
and request quote again OR Select NO RIDER in the Quote form";
echo "
---------------------------------------------------------------------------------------------------- "; } if ($error8==1){ echo "
If coverage class is couple both spouses should be in same age group" ;
echo "
Cases where spouses falling into different age groups, take two different policies ";
echo "
and select one person and request quote again ";
echo "
---------------------------------------------------------------------------------------------------- "; } if ($error10==1){ echo "
You have selected one Person Coverage but spouse age is specified" ;
echo "
if Spouse has to be covered then kindly change the coverage class to couple ";
echo "
and request quote again ";
echo "
---------------------------------------------------------------------------------------------------- "; } if ($error11==1){ echo "
Coverage with children option is not available for 70+ age group" ;
echo "
Please change the coverage option to Single or couple and request quote again ";
echo "
---------------------------------------------------------------------------------------------------- "; } if ($error12==1){ echo "
Invalid Coverage End Date" ;
echo "
Coverage period cannot be more than 12 Months or 360 Days";
echo "
Please change the coverage end date and request the quote again.";
echo "
---------------------------------------------------------------------------------------------------- ";
}
echo "
Even after correcting the data, error continues, pl call help desk 407-243-8760 or 408-850-2154. ";
$message = "
Name : $Name
Phone Number: $Contact_Phone
Email : $email
Coverage_StartDate: $cstart
Coverage_Termination Date: $termdate
Coverage_Months: $Coverage_months
Coverage_15Days: $Coverage_15days
Coverage_Single Days : $Coverage_sdays
Age Group : $age
Coverage Class : $coverageclass
Policy Maximum : $policymax
Policy Name : $policyname
Deductible : $deductible
Monthly Premium : $premium
Total Premium Quoted: $totalpremium
User IP: $userIP
User Agent: $userAgent
Error1 Deductible $500 is not available for age group 2-69 :$error1
Error2 Deductible $75 is not available for 70+ age group:$error2
Error3 150K Max plan is not available for 70+ age group:$error3
Error4 No policy available for less than one year visitor:$error4
Error5 Minimum 3 months duration is required for preexisting condition rider:$error5
Error6 Please note that coverage for spouse and children for aged 2-17 is not available:$error6
Error7 Preex is not available with $50K policy for ages 2-69:$error7
";
// Always set content-type when sending HTML email
$headers = "MIME-Version: 1.0" . "\r\n";
$headers .= "Content-type:text/html;charset=iso-8859-1" . "\r\n";
// More headers
/* $headers .= 'From: help@kvrao.net' . "\r\n";
$headers .= 'Cc: support@indianetwork.org' . "\r\n";
$to = "immnet@gmail.com";
$subject = "Quote Results for $Name";
mail($to,$subject,$message,$headers);*/
exit;
}
$timestamp= date('D, d M Y H:i:s');
echo "
Insurance Premium Quote " ;
echo "
Quote generated on $timestamp " ;
echo "
Insurance Quote Provided for : $cover " ;
echo "
Age Group of Insured: $agegroup " ;
echo "
Coverage Start Date requested: ".$cstart;
echo "
Coverage Termination Date: $termdate" ;
echo "
Policy Maximum Chosen: $policy ";
echo "
Deductible Chosen: $deduct" ;
echo "
Policy Riders (if any): $policyname";
echo "
Pre-ex Deductible Choosen: $prexded1";
echo "
Coverage Period (Months): $Coverage_months (15Days): $Coverage_15days (Single Days): $Coverage_sdays"; $premium=premium($age,$deductible,$coverageclass,$policymax); if ($policytype=="2") { $premium1=$premium; } elseif ($policytype=="1") { if ($prexded=="1") { $premium1=$premium*1.25; } else { $premium1=$premium*1.23; } } echo "
Monthly premium : $$premium1 ";
if ($age > "2")
$totalpremium = round ($premium1 * $Coverage_months
+ $premium1 * 0.7 * $Coverage_15days + $premium1 * 0.067 * $Coverage_sdays, 2) + 5;
if ($age < "3")
$totalpremium = round ($premium1 * $Coverage_months
+ $premium1 * 0.7 * $Coverage_15days + $premium1 * 0.067 * $Coverage_sdays, 2) + 5;
echo "
Total Premium (including $5 Admin fee): $$totalpremium";
$totalfee = $totalpremium;
if ($Coverage_15days > "0")
{
if ($Coverage_sdays > "4")
{
$revcenddate1=cending($cstart,$Coverage_months,$Coverage_15days,$Coverage_sdays);
$revmonths=cmonths($cstart,$revcenddate1);
$rev15days=c15days($cstart,$revcenddate1);
$revsdays=cdays($cstart,$revcenddate1);
if ($vdob=="")
{
$revage=$agegroup1;
}
else
{
$revage= age($cstart,$revcenddate1,$vdob);
}
$revpremium= premium($revage,$deductible,$coverageclass,$policymax);
if ($policytype=="2")
{
$revtotpremium=($revmonths*$revpremium+$rev15days*$revpremium*0.7+$revsdays*($revpremium/30)*2)+5;
}
elseif ($policytype=="1")
{
if ($prexded=="1")
{
$revtotpremium=($revmonths*$revpremium+$rev15days*$revpremium*0.7+$revsdays*($revpremium/30)*2)*1.25+5;
}
else
{
$revtotpremium=($revmonths*$revpremium+$rev15days*$revpremium*0.7+$revsdays*($revpremium/30)*2)*1.23+5;
}
}
if($revtotpremium<$totalpremium) {
echo "
Note: To lower your premium kindly change the coverage end date to : $revcenddate1 (rounding to nearest month)";
echo "
Total revised premium making the above change will be :$$revtotpremium ";
/*echo $revmonths;
echo $rev15days;
echo $revsdays;
echo $revage;
echo $revpremium;*/}
}}
else
{ if ($Coverage_sdays > "10")
{
$revcenddate2=cending($cstart,$Coverage_months,$Coverage_15days,$Coverage_sdays);
$revmonths=cmonths($cstart,$revcenddate2);
$rev15days=c15days($cstart,$revcenddate2);
$revsdays=cdays($cstart,$revcenddate2);
if ($vdob=="")
{
$revage=$agegroup1; }
else
{
$revage= age($cstart,$revcenddate2,$vdob);
}
$revpremium= premium($revage,$deductible,$coverageclass,$policymax);
if ($policytype=="2")
{
$revtotpremium=$revmonths*$revpremium+$rev15days*$revpremium*0.7+$revsdays*($revpremium/30)*2+5;
}
elseif ($policytype=="1")
{
if ($prexded=="1")
{
$revtotpremium=($revmonths*$revpremium1+$rev15days*$revpremium1*0.7+$revsdays*($revpremium1/30)*2)*1.25+5;
}
else
{
$revtotpremium=($revmonths*$revpremium+$rev15days*$revpremium*0.7+$revsdays*($revpremium/30)*2)*1.23+5;
}
}
if($revtotpremium<$totalpremium) {
echo "
Note: To lower your premium kindly change the coverage end date to : $revcenddate2 (rounding to nearest fortnight)";
echo "
Total revised premium making the above change will be :$$revtotpremium ";
}}}
// ;
$message = "
Total Errors:$totalerrors
Name : $Name
Phone Number: $Contact_Phone
Email : $email
Coverage_StartDate: $cstart
Coverage_Termination Date: $termdate
Coverage_Months: $Coverage_months
Coverage_15Days: $Coverage_15days
Coverage_Single Days : $Coverage_sdays
Age Group : $age
Coverage Class : $coverageclass
Policy Maximum : $policymax
Policy Name : $policyname
Deductible : $deductible
Monthly Premium : $premium
Total Premium Quoted: $totalpremium
User IP: $userIP
User Agent: $userAgent
";
// Always set content-type when sending HTML email
$headers = "MIME-Version: 1.0" . "\r\n";
$headers .= "Content-type:text/html;charset=iso-8859-1" . "\r\n";
// More headers
$headers .= 'From: help@kvrao.net' . "\r\n";
$headers .= 'Cc: support@indianetwork.org' . "\r\n";
$to = "immnet@gmail.com";
$subject = "Quote Results for $Name";
$from = $email ;
mail($to,$subject,$message,$headers);
echo "
IF YOU WISH TO APPLY FOR THIS POLICY, Complete";
echo "
(i) Membership Form ";
echo "
(i) Insurance Form ";
echo "
For description of coverage, click on Program Details ";
echo "
Note: Premiums are subject to change and quotes are valid only on the date given."; echo "
Note: Termination date is also covered in insurance";
echo "
Having trouble with New Quote Form, click here for getting old quote form Old Quote Form ";
$totaldays=30 * $Coverage_months + 15 * $Coverage_15days + $Coverage_sdays;
$time = time();
$cstart1= date('Y-m-d',strtotime($cstart));
$cend1= date('Y-m-d',strtotime($cend));
if ($vdob=="")
{
$vdob1= "1900-01-01";
}
else
{
$vdob1= date('Y-m-d',strtotime($vdob));
}
// Mysql database connection configuration
/*$dbhost = 'docs123.ipowermysql.com';
$dbuser = 'forminsert';
$dbpass = 'indnet123';
$dbname = 'quotes';
$dbhost = 'mem.kvrao.com';
$dbuser = 'support10';
$dbpass = 'indnet26083';
$dbname = 'efileinsurance_quotes';
*/
$dbhost = 'localhost';
$dbuser = 'support10';
$dbpass = 'indnet26083';
$dbname = 'quotes';
/*
$dbhost = 'ns.kvrao.net';
$dbuser = 'support10';
$dbpass = 'indnet26083';
$dbname = 'quotes';
$dbhost = '172.30.1.5';
$dbuser = 'support';
$dbpass = 'indnet26083';
$dbname = 'memcalls'; */
$conn = mysql_connect($dbhost, $dbuser, $dbpass) or die ('Error connecting to mysql');
mysql_select_db($dbname);
mysql_query("INSERT INTO quotes ( pname,emailid,cstartdate,cenddate,agegroup,coverageclass,maxcoverage,
preexrider,phone,vdob,deductable,coverdays,qpremium,creationtime,userip,useragent,neworren)
VALUES ('$Name','$email','$cstart1','$cend1','$age','$coverageclass','$policymax',
'$policytype','$phone','$vdob1','$deductible','$totaldays','$totalpremium','$time','$userIP','$userAgent','$ins')");
mysql_close($conn);
/* if (!mysql_query($sql,$conn))
{
die('Error: ' . mysql_error());
}
echo "1 record added";
mysql_close($conn);)
VALUES ('$Name');
if (!mysql_query($sql,$conn))
{
die('Error: ' . mysql_error());
}
echo "1 record added";
mysql_close($conn); */
?>
Please correct the following information:";
$error_hash = $validator->GetErrors();
foreach($error_hash as $inpname => $inp_err)
{
echo "
$inpname : $inp_err
\n"; } } } if(true == $show_form) { ?>| Having trouble with New Quote Form, click here for getting old quote form Old Quote Form "; ?> |