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hmsa.secure-enroll.com Open in urlscan Pro
198.24.42.67  Public Scan

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Submitted URL: http://hmsaenroll.com/
Effective URL: https://hmsa.secure-enroll.com/go/hmsa/
Submission: On July 09 via manual from MX — Scanned from DE

Form analysis 1 forms found in the DOM

Name: Login — POST /public/authenticate

<form name="Login" method="post" action="/public/authenticate" onsubmit="return checkLoginValuesBeforeSubmit(this);" autocomplete="off">
  <input type="hidden" name="requestContainsUsernameAndPassword" value="true">
  <table id="loginSplashFormFieldArrangement">
    <tbody>
      <tr>
        <td class="loginSplashFormLabel" aria-hidden="true">Login ID</td>
        <td>
          <input id="UserName" name="j_username" type="text" size="15" aria-label="Login ID">&nbsp;
        </td>
        <td></td>
      </tr>
      <tr>
        <td colspan="3">
          <div class="links" style="text-align: right; margin-bottom: 10px !important; margin-right: 4px !important;">
            <a href="/public/control/memberAccountMaintenance?pl=hmsa&amp;method=next&amp;changeToLoginMode=true">Forgot username</a>
          </div>
        </td>
      </tr>
      <tr>
        <td class="loginSplashFormLabel" aria-hidden="true">Password</td>
        <td><input id="Password" name="j_password" type="password" size="15" aria-label="Password">&nbsp; </td>
      </tr>
      <tr>
        <td colspan="3">
          <div class="links" style="text-align: right; margin-bottom: 10px !important; margin-right: 4px !important;">
            <a href="/public/control/memberAccountMaintenance?pl=hmsa&amp;method=next&amp;changeToPasswordMode=true">Reset password</a>
          </div>
        </td>
      </tr>
      <tr>
        <td class="loginSplashFormLabel">&nbsp;</td>
        <td id="loginButtonPositioningContainer">
          <input src="/static/media/blue/login.gif" name="Login" type="image" alt="Login">
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

Welcome!
Need help using the application?

Call toll free: 877-788-4704

Monday through Friday

8:00 a.m. to 4:00 p.m.



--------------------------------------------------------------------------------

HR Registration
Benefit Enrollment Login
 

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Forgot username
Password  
Reset password
 

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