clearqualityautoglass.navigohealth.com Open in urlscan Pro
52.70.180.243  Public Scan

Form analysis
1 forms found in the DOM

POST /login

<form method="post" action="/login"><input name="_token" class="jss1175" value="OwxWNf8q8opkxVyBtRB9JbS0Wld26I5yTCqBz6dE"><input name="languageSelected" class="jss1175" value="en">
  <div class="MuiFormControl-root MuiTextField-root MuiFormControl-marginNormal MuiFormControl-fullWidth"><label
      class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-outlined Mui-required Mui-required" data-shrink="false" for="email" id="email-label">Email<span
        class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> *</span></label>
    <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-fullWidth MuiInputBase-formControl"><input aria-invalid="false" autocomplete="email" id="email" name="email" required="" type="text"
        class="MuiInputBase-input MuiOutlinedInput-input" value="">
      <fieldset aria-hidden="true" class="jss1157 MuiOutlinedInput-notchedOutline">
        <legend class="jss1159"><span>Email&nbsp;*</span></legend>
      </fieldset>
    </div>
  </div>
  <div class="MuiFormControl-root MuiTextField-root MuiFormControl-marginNormal MuiFormControl-fullWidth"><label
      class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-outlined Mui-required Mui-required" data-shrink="false" for="password" id="password-label">Password<span
        class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> *</span></label>
    <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-fullWidth MuiInputBase-formControl"><input aria-invalid="false" id="password" name="password" required="" type="password" class="MuiInputBase-input MuiOutlinedInput-input" value="">
      <fieldset aria-hidden="true" class="jss1157 MuiOutlinedInput-notchedOutline">
        <legend class="jss1159"><span>Password&nbsp;*</span></legend>
      </fieldset>
    </div>
  </div><span class="MuiTypography-root MuiTypography-caption">Forgot Password? <a class="MuiTypography-root MuiLink-root MuiLink-underlineHover MuiTypography-colorPrimary" href="/password/reset">Click Here</a></span>
  <div class="MuiGrid-root MuiGrid-container">
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12"><label class="MuiFormControlLabel-root"><span class="MuiSwitch-root"><span class="MuiButtonBase-root MuiIconButton-root jss1194 MuiSwitch-switchBase MuiSwitch-colorSecondary"
            aria-disabled="false"><span class="MuiIconButton-label"><input class="jss1197 MuiSwitch-input" name="remember" type="checkbox" value="0"><span class="MuiSwitch-thumb"></span></span><span class="MuiTouchRipple-root"></span></span><span
            class="MuiSwitch-track"></span></span><span class="MuiTypography-root MuiFormControlLabel-label MuiTypography-body1">Remember Me?</span></label></div>
  </div><button class="MuiButtonBase-root MuiButton-root MuiButton-contained jss1174 MuiButton-containedSecondary" tabindex="0" type="submit"><span class="MuiButton-label">Login</span><span class="MuiTouchRipple-root"></span></button>
</form>

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Saves Money on

Out of Pocket Medical

and Prescription Drug Costs

English


ACTIVATE ACCOUNT

1Member Information

2Contact Confirmation

3Password Creation
Member Number *
Member Number *
Group Number *
Group Number *
Date of Birth *

Date of Birth *
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LOGIN

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Password *
Password *
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 * English / Inglés
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