var todayDate = new Date();	
var spouse=false;

//

//Validate form fields.
function healthFormValidation(frmvalidator){
	// form name
	var form = document.forms[frmvalidator.formobj._sfm_form_name];

	// validate gender
	frmvalidator.addValidation("insured_1_gender","selone_radio",SEL_GENDER);

	//Validate DOB month
	frmvalidator.addValidation("insured_1_dobMM","req", DOB_MM_REQ);
	frmvalidator.addValidation("insured_1_dobMM","numeric", DOB_MM_NUMERIC);
	frmvalidator.addValidation("insured_1_dobMM","lt=13",DOB_MM_LESS_THAN);
	frmvalidator.addValidation("insured_1_dobMM","gt=0",DOB_MM_GREATER_THAN);	
				
	//Validate DOB day
	frmvalidator.addValidation("insured_1_dobDD","req",DOB_DD_REQ);
	frmvalidator.addValidation("insured_1_dobDD","numeric", DOB_DD_NUMERIC);
	frmvalidator.addValidation("insured_1_dobDD","lt=32",DOB_DD_LESS_THAN);
	frmvalidator.addValidation("insured_1_dobDD","gt=0",DOB_DD_GREATER_THAN);
		
	//Validate DOB year
	frmvalidator.addValidation("insured_1_dobYYYY","req",DOB_YYYY_REQ);
	frmvalidator.addValidation("insured_1_dobYYYY","num",DOB_YYYY_NUMERIC);
	frmvalidator.addValidation("insured_1_dobYYYY", "minlen=4", DOB_YYYY_MIN_LEN);
	frmvalidator.addValidation("insured_1_dobYYYY","gt="+(d.getFullYear()-101),DOB_YYYY_GREATER_THAN);	
	frmvalidator.addValidation("insured_1_dobYYYY","lt="+(d.getFullYear()+1),DOB_YYYY_LESS_THAN);	
		
	//Validate Height Feet
	frmvalidator.addValidation("insured_1_heightFT","req",HEIGHT_FT_REQ);
	frmvalidator.addValidation("insured_1_heightFT","num",HEIGHT_FT_NUMERIC);
	frmvalidator.addValidation("insured_1_heightFT","lt=8",HEIGHT_FT_LESS_THAN);
	frmvalidator.addValidation("insured_1_heightFT","gt=0",HEIGHT_FT_GREATER_THAN);
		
	//Validate Height inches
	frmvalidator.addValidation("insured_1_heightIN","req",HEIGHT_IN_REQ);
	frmvalidator.addValidation("insured_1_heightIN","num",HEIGHT_IN_NUMERIC);
	frmvalidator.addValidation("insured_1_heightIN","lt=12",HEIGHT_IN_LESS_THAN);
	frmvalidator.addValidation("insured_1_heightIN","gt=-1",HEIGHT_IN_GREATER_THAN);
		
	//Validate Weight
	frmvalidator.addValidation("insured_1_weight","req",WEIGHT_REQ);
	frmvalidator.addValidation("insured_1_weight","num",WEIGHT_NUMERIC);
	frmvalidator.addValidation("insured_1_weight","gt=0",WEIGHT_GREATER_THAN);
		
	//validate medical conditions
	frmvalidator.addValidation("insured_1_health_conditions","selone_radio",HEALTH_CONDITIONS_SEL);	
	if(form.insured_1_health_conditions[0].checked){ 			
		var conditionsDetail=form.insured_1_health_conditions_detail.value;		
		//If have conditions was selected and no conditions were selected;
		if(trim(conditionsDetail).length<3 || conditionsDetail == "none selected") {
			frmvalidator.addValidation("insured_1_health_conditions_detail","req",HEALTH_CONDITIONS_REQ);			
		}
	}			
	// Validate Spouse
	if(spouse == 1) {
		// Spouse's gender
		frmvalidator.addValidation("insured_2_gender","selone_radio", SPOUSE_SEL_GENDER);
			
		// Spouse's birth month
		frmvalidator.addValidation("insured_2_dobMM", "req", SPOUSE_DOB_MM_REQ);
		frmvalidator.addValidation("insured_2_dobMM", "num", SPOUSE_DOB_MM_NUMERIC);
		frmvalidator.addValidation("insured_2_dobMM", "gt=0", SPOUSE_DOB_MM_GREATER_THAN);
		frmvalidator.addValidation("insured_2_dobMM", "lt=13", SPOUSE_DOB_MM_LESS_THAN);
		
		// Spouse's birth day
		frmvalidator.addValidation("insured_2_dobDD", "req", SPOUSE_DOB_DD_REQ);
		frmvalidator.addValidation("insured_2_dobDD", "num", SPOUSE_DOB_DD_NUMERIC);
		frmvalidator.addValidation("insured_2_dobDD", "gt=0", SPOUSE_DOB_DD_GREATER_THAN);
		frmvalidator.addValidation("insured_2_dobDD", "lt=32", SPOUSE_DOB_DD_LESS_THAN);
			
		// Spouse's birth year
		frmvalidator.addValidation("insured_2_dobYYYY", "req", SPOUSE_DOB_YYYY_REQ);
		frmvalidator.addValidation("insured_2_dobYYYY", "num", SPOUSE_DOB_YYYY_NUMERIC);
		frmvalidator.addValidation("insured_2_dobYYYY", "minlength=4", SPOUSE_DOB_YYYY_MIN_LEN);
		frmvalidator.addValidation("insured_2_dobYYYY", "gt=" + (d.getFullYear()-101), SPOUSE_DOB_YYYY_GREATER_THAN);
		frmvalidator.addValidation("insured_2_dobYYYY", "lt=" + (d.getFullYear()+1), SPOUSE_DOB_YYYY_LESS_THAN);
			
		// Spouse's Height (Feet)
		frmvalidator.addValidation("insured_2_heightFT", "req", SPOUSE_HEIGHT_FT_REQ);
		frmvalidator.addValidation("insured_2_heightFT", "num", SPOUSE_HEIGHT_FT_NUMERIC);
		frmvalidator.addValidation("insured_2_heightFT","lt=8", SPOUSE_HEIGHT_FT_LESS_THAN);
		frmvalidator.addValidation("insured_2_heightFT","gt=0", SPOUSE_HEIGHT_FT_GREATER_THAN);
			
		// Spouse's Height (Weight)
		frmvalidator.addValidation("insured_2_heightIN", "req", SPOUSE_HEIGHT_IN_REQ);
		frmvalidator.addValidation("insured_2_heightIN", "num", SPOUSE_HEIGHT_IN_NUMERIC);
		frmvalidator.addValidation("insured_2_heightIN", "lt=12", SPOUSE_HEIGHT_IN_LESS_THAN);
		frmvalidator.addValidation("insured_2_heightIN", "gt=-1", SPOUSE_HEIGHT_IN_GREATER_THAN);
		
		// Spouse's Weight (in lbs)
		frmvalidator.addValidation("insured_2_weight", "req", SPOUSE_WEIGHT_REQ);
		frmvalidator.addValidation("insured_2_weight", "num", SPOUSE_WEIGHT_NUMERIC);
		frmvalidator.addValidation("insured_2_weight", "gt=0", SPOUSE_WEIGHT_GREATER_THAN);

		// Spouse's Smoker Status
		frmvalidator.addValidation("insured_2_smoker","selone_radio",SPOUSE_SEL_SMOKING);	
	
			
	}
	// Validate Children
	for(var j=1; j<7; j++) {
		var childinst = document.getElementById("child" + j);
		if(childinst.style.display == "block") {
			i = j+2;
			// Child's gender
			frmvalidator.addValidation("insured_" + i + "_gender","selone_radio", CHILD_SEL_GENDER);
			
			// Child's birth month
			frmvalidator.addValidation("insured_" + i + "_dobMM", "req", CHILD_DOB_MM_REQ);
			frmvalidator.addValidation("insured_" + i + "_dobMM", "num", CHILD_DOB_MM_NUMERIC);
			frmvalidator.addValidation("insured_" + i + "_dobMM", "gt=0", CHILD_DOB_MM_GREATER_THAN);
			frmvalidator.addValidation("insured_" + i + "_dobMM", "lt=13", CHILD_DOB_MM_LESS_THAN);
	
			// Child's birth day
			frmvalidator.addValidation("insured_" + i + "_dobDD", "req", CHILD_DOB_DD_REQ);
			frmvalidator.addValidation("insured_" + i + "_dobDD", "num", CHILD_DOB_DD_NUMERIC);
			frmvalidator.addValidation("insured_" + i + "_dobDD", "gt=0", CHILD_DOB_DD_GREATER_THAN);
			frmvalidator.addValidation("insured_" + i + "_dobDD", "lt=32", CHILD_DOB_DD_LESS_THAN);
				
			// Child's birth year
			frmvalidator.addValidation("insured_" + i + "_dobYYYY", "req", CHILD_DOB_YYYY_REQ);
			frmvalidator.addValidation("insured_" + i + "_dobYYYY", "num", CHILD_DOB_YYYY_NUMERIC);
			frmvalidator.addValidation("insured_" + i + "_dobYYYY", "minlen=4", CHILD_DOB_YYYY_MIN_LEN);
			frmvalidator.addValidation("insured_" + i + "_dobYYYY", "gt="+(d.getFullYear()-101), CHILD_DOB_YYYY_GREATER_THAN);
			frmvalidator.addValidation("insured_" + i + "_dobYYYY", "lt="+(d.getFullYear()+1), CHILD_DOB_YYYY_LESS_THAN);				

			// Child's Height (Feet)
			frmvalidator.addValidation("insured_" + i + "_heightFT", "req", CHILD_HEIGHT_FT_REQ);
			frmvalidator.addValidation("insured_" + i + "_heightFT", "num", CHILD_HEIGHT_FT_NUMERIC);
			frmvalidator.addValidation("insured_" + i + "_heightFT","lt=8", CHILD_HEIGHT_FT_LESS_THAN);
			frmvalidator.addValidation("insured_" + i + "_heightFT","gt=0", CHILD_HEIGHT_FT_GREATER_THAN);
				
			//Child's Height (Weight)
			frmvalidator.addValidation("insured_" + i + "_heightIN", "req", CHILD_HEIGHT_IN_REQ);
			frmvalidator.addValidation("insured_" + i + "_heightIN", "num", CHILD_HEIGHT_IN_NUMERIC);
			frmvalidator.addValidation("insured_" + i + "_heightIN", "gt=-1", CHILD_HEIGHT_IN_GREATER_THAN);
			frmvalidator.addValidation("insured_" + i + "_heightIN", "lt=12", CHILD_HEIGHT_IN_LESS_THAN);
				
			// Child's Weight (in lbs)
			frmvalidator.addValidation("insured_" + i + "_weight", "req", CHILD_WEIGHT_REQ);
			frmvalidator.addValidation("insured_" + i + "_weight", "num", CHILD_WEIGHT_NUMERIC);
			frmvalidator.addValidation("insured_" + i + "_weight", "gt=0", CHILD_WEIGHT_GREATER_THAN);			
		}
	}
	//validate First Name
	frmvalidator.addValidation("first_name","req",FIRST_NAME_REQ);
	frmvalidator.addValidation("first_name","maxlength=35",FIRST_NAME_MAX_LENGTH);
	frmvalidator.addValidation("first_name","name",FIRST_NAME_NAME);		
		
	// Validate Last Name
	frmvalidator.addValidation("last_name","req",LAST_NAME_REQ);
	frmvalidator.addValidation("last_name","maxlength=35",LAST_NAME_MAX_LENGTH);
	frmvalidator.addValidation("last_name","minlength=2",LAST_NAME_MIN_LENGTH);
	frmvalidator.addValidation("last_name","name",LAST_NAME_NAME);
		
	// Validate Address
	frmvalidator.addValidation("address_1_street1","req",ADDRESS_STREET_REQ);		
	frmvalidator.addValidation("address_1_street1","1alpha_1digit", ADDRESS_STREET_ALPHADIGIT);
	frmvalidator.addValidation("address_1_street1","address", ADDRESS_STREET_ADDRESS);
	
	// Validate city
	frmvalidator.addValidation("address_1_city","req",ADDRESS_CITY_REQ);
	frmvalidator.addValidation("address_1_city","city",ADDRESS_CITY_CITY);
	frmvalidator.addValidation("address_1_city","minlength=2", ADDRESS_CITY_MIN_LENGTH);		
	
	// Validate state
	frmvalidator.addValidation("address_1_state","req",ADDRESS_STATE_REQ);
	
	// Validate Zip Code
	frmvalidator.addValidation("address_1_zip","req",ADDRESS_ZIP_REQ);	
	frmvalidator.addValidation("address_1_zip","num",ADDRESS_ZIP_NUMERIC);		
	frmvalidator.addValidation("address_1_zip","minlen=5",ADDRESS_ZIP_MIN_LENGTH);
		
	// Validate phone1_1
	frmvalidator.addValidation("phone1_1","req",PHONE_1_REQ);	
	frmvalidator.addValidation("phone1_1","numeric",PHONE_1_NUMERIC);
	frmvalidator.addValidation("phone1_1","minlength=3",PHONE_1_MIN_LENGTH);		
		
	// Validate phone1_2		
	frmvalidator.addValidation("phone1_2","req",PHONE_2_REQ);
	frmvalidator.addValidation("phone1_2","numeric",PHONE_2_NUMERIC);		
	frmvalidator.addValidation("phone1_2","minlength=3",PHONE_2_MIN_LENGTH);
		
		
	// Validate phone1_3		
	frmvalidator.addValidation("phone1_3","req",PHONE_3_REQ);
	frmvalidator.addValidation("phone1_3","numeric",PHONE_3_NUMERIC);
	frmvalidator.addValidation("phone1_3","minlength=4",PHONE_3_MIN_LENGTH);
		
	// Validate Email
	frmvalidator.addValidation("email","req",EMAIL_REQ);
	frmvalidator.addValidation("email","email",EMAIL_EMAIL);

	frmvalidator.setAddnlValidationFunction("doCustomHealthValidation");
}

// Reset Validation
function resetValidation(frmvalidator){
	frmvalidator.clearAllValidations();
	healthFormValidation(frmvalidator);
	zipStateValidation.runAjax();
}

// add phone values to the hidden phone field.
function doCustomHealthValidation(){
	var today=new Date();
	var MSG=null;
	for(var i=1; i<9; i++){
		if(i==1){//applicant
			MSG=DOB_IN_FUTURE;		
		}else if(i==2){//spouse
			if(spouse != 1){continue;}
			MSG=SPOUSE_DOB_IN_FUTURE;			
		}else{//child
			var childinst = document.getElementById("child" + (i-2));			
			if(childinst == null || childinst.style.display == "none") {
				break;
			}
			
			MSG=CHILD_DOB_IN_FUTURE;	
		}
		
		var day=document.getElementById('insured_'+i+'_dobDD').value;
		var month=document.getElementById('insured_'+i+'_dobMM').value;
		var year=document.getElementById('insured_'+i+'_dobYYYY').value;
		
		if( isInFuture((month-1),day,year,today)){
			alert(MSG);
			return false;
		}	
	}
	
	document.getElementById('phone').value=document.getElementById('phone1_1').value+document.getElementById('phone1_2').value+document.getElementById('phone1_3').value;
}



//add phone values to the hidden phone field.
function doCustomHealthValidation(){
	var today=new Date();
	var MSG=null;
	for(var i=1; i<9; i++){
		if(i==1){//applicant
			MSG=DOB_IN_FUTURE;		
		}else if(i==2){//spouse
			if(spouse != 1){continue;}
			MSG=SPOUSE_DOB_IN_FUTURE;			
		}else{//child
			var childinst = document.getElementById("child" + (i-2));			
			if(childinst == null || childinst.style.display == "none") {
				break;
			}
			
			MSG=CHILD_DOB_IN_FUTURE;	
		}
		
		var day=document.getElementById('insured_'+i+'_dobDD').value;
		var month=document.getElementById('insured_'+i+'_dobMM').value;
		var year=document.getElementById('insured_'+i+'_dobYYYY').value;
		
		if( isInFuture((month-1),day,year,today)){
			alert(MSG);
			return false;
		}	
	}
	
	document.getElementById('phone').value=document.getElementById('phone1_1').value+document.getElementById('phone1_2').value+document.getElementById('phone1_3').value;
}

//Reset Validation
function resetValidation(frmvalidator){
	frmvalidator.clearAllValidations();
	healthFormValidation(frmvalidator);
	//zipStateValidation.runAjax();
}

// Show/Hide Conditions and reset validation
function showconditions(id, value) {
	if(value=="yes"){
		document.getElementById(id).style.display='';
	}
	else {
		document.getElementById(id).style.display='none';
	}
	
	resetValidation(frmvalidator);	
}

// Show hide spouse 
function showSpouse(id, value) {
	if(value=="yes"){
		document.getElementById(id).style.display='';
		spouse=true;
	}
	else {
		document.getElementById(id).style.display='none';
		spouse=false;
	}
	resetValidation(frmvalidator)
}

// Reset validation for step 3

// set medical conditions
function setConditions() {
	document.getElementById("insured_1_health_conditions_detail").value=(((document.getElementById("aids").checked)?"HIV/AIDS / ":"")+""+((document.getElementById("diabetes").checked)?"Diabetes / ":"")+""+((document.getElementById("cancer").checked)?"Cancer / ":"")+""+((document.getElementById("heart-attack").checked)?"Heart Attack / ":"")+""+((document.getElementById("high-blood-pressure").checked)?"High Blood Pressure / ":"")+""+((document.getElementById("pregnant").checked)?"Pregnant / ":"")+""+((document.getElementById("stroke").checked)?"Stroke / ":"")+""+((document.getElementById("depression").checked)?"Depression / ":"")+""+((document.getElementById("other-illness").checked)?"Other major illness not listed. / ":""));
}

// unset medical conditions
function unSetConditions() {
	document.getElementById("aids").checked=false;
	document.getElementById("diabetes").checked=false;
	document.getElementById("cancer").checked=false;
	document.getElementById("heart-attack").checked=false;
	document.getElementById("high-blood-pressure").checked=false;
	document.getElementById("pregnant").checked=false;
	document.getElementById("stroke").checked=false;
	document.getElementById("depression").checked=false;
	document.getElementById("other-illness").checked=false;
	document.getElementById("insured_1_health_conditions_detail").value="";
}

// Delete Spouse data if No is selected
function unSetSpouse(){	
	//Reset Spouse Values
	document.getElementById('insured_2_dobMM').value='';
	document.getElementById('insured_2_dobDD').value='';
	document.getElementById('insured_2_dobYYYY').value='';
	document.getElementById('insured_2_heightFT').value='';
	document.getElementById('insured_2_heightIN').value='';
	document.getElementById('insured_2_weight').value='';
}

function changeChildren(value,form){
	
	for(var i=1; i<7; i++){
		document.getElementById("child"+i).style.display=(i<=value ?"block":"none");
	}
	resetValidation(frmvalidator);
}


// ZIP/State Validation
var zipStateLookUp = function() {
	var stateField = "";
	var stateValue = "";
	var zipField = "";
	var zipValue = "";
	var formField = "";
	var ajaxZipState;
	var addLoadEvent = function(func) {
		var oldonload = window.onload;
		if (typeof window.onload != 'function') {
			window.onload = func;
			
		} else {
			window.onload = function() {
				if (oldonload) {
					oldonload();
				}
				func();
			};
		}
	};
	
	var bindFunctionality = function() {
		stateField = document.getElementById(stateField);
		zipField = document.getElementById(zipField);
		formField = document.getElementsByName(formField)[0];
		if((formField !=null) && (stateField !=null) && (zipField !=null)){
			// Make sure you check all cases
			stateField.onblur = attemptCheck;
			stateField.onchange = attemptCheck; 
			zipField.onblur = attemptCheck;
			zipField.onkeyup = attemptCheck;
			zipField.onchange = attemptCheck;
			zipField.onfocus = attemptCheck;
		}
	};
	var checkFieldValueReq = function (fieldName) {
		return (getFieldValueLength(fieldName)==0)? false : true;
	};
	var getFieldValueLength = function (fieldName) {
		var fieldValue = fieldName.value;
		try {
			fieldValue = trim(fieldName.value);
		}
		catch(e){
			fieldValue = fieldValue.replace(/^\s+|\s+$/g,""); 
		}
		return fieldValue.length;
	};
	var confirmZipState = function () {
		try {
			ajaxZipState = new XMLHttpRequest();
			
		}
		catch(e) {
			try {
				ajaxZipState = new ActiveXObject("Msxml2.XMLHTTP");
			}
			catch(e) {
				try {
				 ajaxZipState = new ActiveXObject("Microsoft.XMLHTTP");
				}
				catch(e) {
					ajaxZipState = false;
				}
			}
		}
		if(ajaxZipState) {
			try {
				ajaxZipState.onreadystatechange = ajaxZipStateReadyStateChange;
				ajaxZipState.open("POST", "/zip.jsp", true);
				ajaxZipState.setRequestHeader("Content-type", "application/x-www-form-urlencoded");
				ajaxZipState.setRequestHeader("Content-length", zipField.value.length);
				ajaxZipState.setRequestHeader("Connection", "close");
				ajaxZipState.send("zip="+zipField.value);
			}
			catch(e){}
		}
	};
	var ajaxZipStateReadyStateChange = function() {
		if(ajaxZipState.readyState == 4) {
			if((ajaxZipState.status >= 200 && ajaxZipState.status < 300)|| (ajaxZipState.status == 304) || (ajaxZipState.status == 1223)) {
				var checkedState = trim(ajaxZipState.responseXML.getElementsByTagName("state")[0].firstChild.data);
					if(checkedState == stateField.value){
						resetFourthStepValidation(frmvalidator);	
					}
					else {
						frmvalidator.addValidation("address_1_zip","regexp=^[A-Za-z]{20,}","Please check your zip code and your state.");
					}
			}
		}
	};
	var attemptCheck = function() {
		var success = checkFieldValueReq(stateField);
		success = success & checkFieldValueReq(zipField);
		success = success & (zipField.value.length==5);
		if(success && (stateField.value!=stateValue || zipField.value!=zipValue)) {
			stateValue = stateField.value;
			zipValue = zipField.value;
			resetValidation(frmvalidator);	
			confirmZipState();
		}
	};
	return {
		init: function(state, zip, form) {
				stateField = state;
				zipField = zip;
				formField = form;
				addLoadEvent(bindFunctionality);
		}
	};
}();
zipStateLookUp.init("address_1_state", "address_1_zip", "HealthForm");