bluesenroll.secure-enroll.com
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Submitted URL: http://bluesenroll.com/
Effective URL: https://bluesenroll.secure-enroll.com/go/bluesenroll/
Submission: On July 08 via manual from US — Scanned from DE
Effective URL: https://bluesenroll.secure-enroll.com/go/bluesenroll/
Submission: On July 08 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST /public/authenticate
<form method="post" action="/public/authenticate" autocomplete="off" onsubmit="return checkLoginValuesBeforeSubmit(this);" id="log-in-form">
<input type="hidden" name="requestContainsUsernameAndPassword" value="true">
<fieldset>
<div class="field-row">
<div class="field ui-state-active-field">
<label for="j_username">
<span>Username</span>
</label>
<input type="text" name="j_username" id="j_username" class="text">
<div class="links" style="text-align: right; margin-top: 5px !important;">
<a href="/public/control/memberAccountMaintenance?pl=bluesenroll&method=next&changeToLoginMode=true">Forgot username</a>
</div>
</div>
<div class="field">
<label for="j_password">
<span>Password</span>
</label>
<input type="password" name="j_password" id="j_password" class="text password">
<div class="links" style="text-align: right; margin-top: 5px !important;">
<a href="/public/control/memberAccountMaintenance?pl=bluesenroll&method=next&changeToPasswordMode=true">Reset password</a>
</div>
</div>
</div>
<div class="buttons">
<div class="btns-left">
</div>
<div class="btns-right">
<span class="ui-button-primary">
<button id="log-in-command" type="submit"> Log in </button>
</span>
</div>
</div>
<div class="links">
<div class="lnks-right">
<a href="/public/control/memberAccountMaintenance?pl=bluesenroll" class="right-arrow">Can't access your account?</a>
</div>
</div>
<div class="links">
<div class="lnks-right">
<a href="/public/control/memberAccountMaintenance?pl=bluesenroll&forRegistration=true" class="right-arrow">Create an account</a>
</div>
</div>
</fieldset>
</form>
Text Content
LOG IN TO YOUR ACCOUNT Username Forgot username Password Reset password Log in Can't access your account? Create an account SUPPORTED BROWSERS Learn about Officially Supported Browsers WELCOME TO BLUESENROLL! BluesEnroll provides employers, insurance carriers and consumers a single Web-based platform for shopping, enrolling, managing and exchanging benefit information. © 2022 Benefitfocus.com, Inc. * Terms of Use * Privacy Statement