// Claim Calculator

document.write('<div id="Claim Calculator" class="ClaimCalculatorContainerOuter" style="z-index: 4;">');

document.write('  <div id="" class="ShadowRight" style="height: 55px; position: relative; left: +3px; margin-bottom: -60px;">');
document.write('	  <div id="" class="ShadowRight15"></div> ');
document.write('	  <div id="" class="ShadowRight10"></div> ');
document.write('      <div id="" class="ShadowRight05"></div> ');
document.write('  </div>	                                  ');

document.write('  <div class="ClaimCalculatorContainerInnerTop" ');
document.write('     OnMouseOver="this.style.cursor=\'move\'"   ');

document.write('     OnMouseDown="MouseDown(event);"            ');
document.write('     OnMouseUp  ="MouseUp  (event);"            ');
document.write('     OnMouseMove="MouseMove(event);"            ');
document.write('  >                                             ');

document.write('	  <img src="/Images/pet_plan_logo.jpg" alt="Petplan Pet Insurance" />');
	  
document.write('	  <span style="float: right; font-weight: normal; padding-top: 5px; cursor: pointer;"');
document.write('	      OnClick="ToggleDivDisplay(event, \'Claim Calculator\');">');
document.write('	    <img src="/Images/arrow.gif" width="4" height="5" alt="" style="padding-top: 5px; padding-right: 5px;" />Close');
document.write('	  </span>');

document.write('  </div><!-- Claim Calculator Container Inner Top -->');

document.write('  <div id="" class="ShadowBottom" style="width: 331px;">');
document.write('	  <div id="" class="ShadowBottom15"></div>');
document.write('	  <div id="" class="ShadowBottom10"></div>');
document.write('      <div id="" class="ShadowBottom05"></div>');
document.write('  </div>	');

 
document.write('  <div class="ClaimCalculatorContainerInnerBottom">');
  
document.write('	<img src="/Images/Header/ClaimCalculator.gif" width="184" height="18" alt="Claim Calculator" ');
document.write('			   style="padding-left: 5px;" />');
	
document.write('	<div class="ClaimCalculatorContentForm"> ');

document.write('		<form id="ClaimCalculator">');
		
document.write('		<div style="float: left; padding-top: 5px; width: 120px; height: 25px; text-align: left;">');
document.write('	        Select a Plan');
document.write('	    </div>');
		 
document.write('	    <div style="float: right; margin-top: 0px;">');
document.write('		  <select id="Plan" class="ClaimCalculatorSelect">	');			
document.write('			<option value="20000">Gold $20,000</option>');
document.write('			<option value="12000">Silver $12,000</option>');
document.write('			<option value="08000">Bronze $8,000</option>	');					
document.write('		  </select>');
document.write('		</div>');
		
document.write('		<div style="clear: both; float: left; padding-top: 5px; width: 140px; height: 25px; text-align: left;">');
document.write('	        Select a Coinsurance');
document.write('	    </div>');
		 
document.write('	    <div style="float: right; margin-top: 0px;">');
		 
document.write('		  <select id="CoInsuranceValue" class="ClaimCalculatorSelect">	');				
document.write('			<option value="00">0%</option>');
document.write('			<option value=".1">10%</option>');
document.write('			<option value=".2">20%</option>	');			
document.write('		  </select>');
		  
document.write('		</div>	 '); 
					
document.write('		<div style="clear: both; float: left; padding-top: 3px; width: 120px; height: 25px; text-align: left;">');
document.write('	        Select a Deductible');			
document.write('	    </div>');
		 
document.write('	    <div style="float: right; margin-top: 0px;">');
		 
document.write('		  <select id="DeductibleValue" class="ClaimCalculatorSelect">');					
document.write('			<option value="50">  $50</option>');
document.write('			<option value="100">$100</option>');
document.write('			<option value="200">$200</option>');					
document.write('		  </select>');
		  
document.write('		</div>');
		  					
document.write('		<div style="clear: both; float: left; margin-top: 0px; width: 120px; height: 25px; text-align: left;">');
document.write('	        Enter Estimated Veterinary Costs');
document.write('	    </div>');
		 
document.write('	    <div style="float: right; margin-top: 0px;">');	
document.write('		    $<input id="CostDollars" type="text" value="" class="ClaimCalculatorTextBox"');  
document.write('			   style="text-align: right; width: 75px;" />');
document.write('		    .');
document.write('		    <input id="CostCents" type="text" value="00" class="ClaimCalculatorTextBox" style="width: 20px;" />	  ');
document.write('		</div>');
		  
document.write('		<div style="clear: both; float: right;  cursor: pointer;">');
document.write('	        <img src="/Images/Button/Submit.gif" width="78" height="20" alt="Submit" ');
document.write('		       style="margin-top: 20px;"');
document.write('		     OnClick="JavaScript: CalculateClaim();" />');
document.write('	    </div>');
		  		  
document.write('		</form>');
		
document.write('    </div><!-- Claim Calculator Content Form -->');
  
document.write('    <div class="ClaimCalculatorContentResults" ');
document.write('         OnMouseMove="JavaScript: Drag = false;" ');
document.write('         OnMouseDown="JavaScript: Drag = false;" ');
document.write('         OnMouseUp  ="JavaScript: Drag = false;" ');
document.write('    >');
  
document.write('        <img src="/Images/Header/WithPetplan.gif" width="102" height="13" alt="With Petplan" />');
	
document.write('	    <br />');
	
document.write('		<div style="float: left; margin-top: 10px;">');
document.write('			Your Share of the costs:');
document.write('		</div>');
		
document.write('		<div id="YourCost"      ');
document.write('		  style="float: right; background-color: #FFFFFF; width: 80px; text-align: right; ');
document.write('			     margin-top: 10px; color: #7a7979; padding-right: 5px;">');
document.write('		  $000.00');
document.write('		</div>');
			
document.write('		<div style="float: left; margin-top: 10px;">');
document.write('			Petplan&rsquo;s reimbursement to you:');
document.write('		</div>');
		
document.write('		<div id="Reimbursement" ');
document.write('		  style="float: right; background-color: #FFFFFF; width: 80px; text-align: right; ');
document.write(' 			   margin-top: 10px; color: #7a7979; padding-right: 5px;">');
document.write('			$000.00');
document.write('		</div>');
		 
document.write('		<div style="float: left; margin-top: 10px; text-align: left;">');
document.write('			Coverage remaining');
document.write('			<br />in policy period:');
document.write('		</div>');
		
document.write('		<div id="RemainingCoverage"');
document.write('		  style="float: right; background-color: #FFFFFF; width: 80px; text-align: right; ');
document.write('                 margin-top: 10px; color: #7a7979; padding-right: 5px;">');
document.write('			 $000.00');
document.write('		</div>');

document.write('		<br style="clear: both;" /><span style="font-weight: normal;">(full policy limits are reinstated upon renewal)</span> ');
document.write('		<br style="clear: both;" /> ');
document.write('		<br /> ');

document.write('	    <div style="font-weight: normal; font-size: 9px; margin-top: -7px;" /> ');
document.write('			Please note that the claim calculator is intended purely as a guide. ');
document.write('            Actual reimbursement amounts may vary based on policy terms, conditions, limitations and exclusions.');
document.write('		</div> ');
	
document.write('    </div><!-- Claim Calculator Content Results -->');
	
document.write('  </div><!-- Claim Calculator Container Inner Bottom -->	');	
  
document.write('  <div id="" class="ShadowRight" style="height: 440px; position: relative; left: +3px; margin-top: -440px;">');
document.write('	  <div id="" class="ShadowRight15"></div>');
document.write('	  <div id="" class="ShadowRight10"></div>');
document.write('      <div id="" class="ShadowRight05"></div>');
document.write('  </div>	');

document.write('  <div id="" class="ShadowBottom" style="width: 331px;">');
document.write('	  <div id="" class="ShadowBottom15"></div>');
document.write('	  <div id="" class="ShadowBottom10"></div>');
document.write('      <div id="" class="ShadowBottom05"></div>');
document.write('  </div>	');

document.write('</div><!-- Claim Calculator Container Outer -->	');
