ipv6.host.erhealthplans.com Open in urlscan Pro
67.227.158.192 Public Scan

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Submitted URL:
https://ipv6.host.erhealthplans.com/
Effective URL:
https://ipv6.host.erhealthplans.com/index.html
Submission: On June 12 via api (June 12th 2024, 2:48:38 am UTC) from US — Scanned from DE

Form analysis
6 forms found in the DOM

POST send-contact.php

<form method="post" class="form" action="send-contact.php" id="form2">
  <h4>Contact details:</h4>
  <input type="text" name="name" placeholder="Your name..." class="contact-form-element contact-form-client-name">
  <input type="text" name="phone" placeholder="Your phone number..." class="contact-form-element last">
  <input type="text" name="email" placeholder="Your e-mail..." class="contact-form-element contact-form-client-email">
  <h4>Choose the service of your interest:</h4>
  <input type="Checkbox" name="service[]" value="My Access"><label>My Access</label>
  <input type="Checkbox" name="service[]" value="Medicare"><label>Medicare</label>
  <input type="Checkbox" name="service[]" value="Obamacare "><label>Obamacare</label>
  <h4 style="clear: both;">Message:</h4>
  <textarea name="message" rows="5" cols="5" placeholder="Your message..." class="contact-form-element"></textarea>
  <div class="g-recaptcha" data-sitekey="6Lfcz5EUAAAAAJCpEj-CE9ol0K4qF9mdAYsmntP8">
    <div style="width: 304px; height: 78px;">
      <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-5d9l8lkhkewv" frameborder="0" scrolling="no"
          sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lfcz5EUAAAAAJCpEj-CE9ol0K4qF9mdAYsmntP8&amp;co=aHR0cHM6Ly9pcHY2Lmhvc3QuZXJoZWFsdGhwbGFucy5jb206NDQz&amp;hl=es&amp;v=9pvHvq7kSOTqqZusUzJ6ewaF&amp;size=normal&amp;cb=7j0m1jpta56k"></iframe>
      </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
        style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
    </div>
  </div>
  <button class="button button-navy-blue send-contact" type="submit" form="form2" value="Submit">Send Message<i class="fa fa-paper-plane-o"></i></button>
  <div class="contact-form-thanks">
    <div class="contact-form-thanks-content">
      <strong>Thanks!</strong><br>Your message has been sent successfully. <span class="contact-form-thanks-close">Close this notice.</span>
    </div>
  </div>
</form>

POST send-comments.php

<form method="post" class="form" action="send-comments.php" id="form1">
  <h4>Your Name:</h4>
  <input type="text" name="name" placeholder="Your name..." class="contact-form-element contact-form-client-name">
  <input type="text" name="email" placeholder="Your e-mail..." class="contact-form-element contact-form-client-email">
  <h4 style="clear: both;">Your Comment</h4>
  <textarea name="message" rows="5" cols="5" placeholder="Your comment..." class="contact-form-element"></textarea>
  <button class="button button-navy-blue send-contact" type="submit" form="form1" value="Submit">Send Comment<i class="fa fa-paper-plane-o"></i></button>
  <div class="contact-form-thanks">
    <div class="contact-form-thanks-content">
      <strong>Thanks!</strong><br>Your Comments has been sent successfully. <span class="contact-form-thanks-close">Close this notice.</span>
    </div>
  </div>
</form>

POST send-myaccess.php

<form method="post" class="form" action="send-myaccess.php" id="form3">
  <h4>Contact details:</h4>
  <input type="text" class="quote-form-element quote-form-client-name" name="name" placeholder="Full Name..." required="">
  <span class="custom-dropdown last">
    <select name="family" class="custom-dropdown-select quote-form-element" required="">
      <option value="-">How many family members?</option>
      <option value="1">1</option>
      <option value="2">2</option>
      <option value="3">3</option>
      <option value="4">4</option>
      <option value="5">5</option>
      <option value="6">6</option>
      <option value="7">7</option>
      <option value="8">8</option>
      <option value="9">9</option>
      <option value="10">10</option>
    </select>
  </span>
  <input type="text" name="phone" placeholder="Phone Number..." class="quote-form-element" required="">
  <input type="text" name="email" placeholder="E-mail Address..." class="quote-form-element quote-form-client-email last" required="">
  <h4>Zip Code:</h4>
  <input type="text" name="zipcode" placeholder="Zip Code..." class="quote-form-element" required="">
  <span class="custom-dropdown last">
    <select name="citizenship" class="custom-dropdown-select quote-form-element" required="">
      <option value="-">Are you a Citizen, Resident or Parolee?</option>
      <option value="Yes">Yes</option>
      <option value="No">No</option>
    </select>
  </span>
  <div class="g-recaptcha" data-sitekey="6Lfcz5EUAAAAAJCpEj-CE9ol0K4qF9mdAYsmntP8">
    <div style="width: 304px; height: 78px;">
      <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-tg0aezs1sjde" frameborder="0" scrolling="no"
          sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lfcz5EUAAAAAJCpEj-CE9ol0K4qF9mdAYsmntP8&amp;co=aHR0cHM6Ly9pcHY2Lmhvc3QuZXJoZWFsdGhwbGFucy5jb206NDQz&amp;hl=es&amp;v=9pvHvq7kSOTqqZusUzJ6ewaF&amp;size=normal&amp;cb=4knay2qcwiae"></iframe>
      </div><textarea id="g-recaptcha-response-1" name="g-recaptcha-response" class="g-recaptcha-response"
        style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
    </div>
  </div>
  <button class="button button-navy-blue send-quote" type="submit" form="form3" value="Submit">Get an Appointment aaa<i class="fa fa-paper-plane-o"></i></button>
  <div class="quote-form-thanks">
    <div class="quote-form-thanks-content">
      <strong>Thanks!</strong><br>Your MyAccess information request has been sent successfully. <span class="quote-form-thanks-close">Close this notice.</span>
    </div>
  </div>
</form>

POST send-obamacare.php

<form method="post" class="form" action="send-obamacare.php" id="form5">
  <h4>Contact details:</h4>
  <input type="text" class="quote-form-element quote-form-client-name" name="name" placeholder="Full Name..." required="">
  <span class="custom-dropdown last">
    <select name="age" class="custom-dropdown-select quote-form-element">
      <option value="-">Your age</option>
      <option value="18">18</option>
      <option value="19">19</option>
      <option value="20">20</option>
      <option value="21">21</option>
      <option value="22">22</option>
      <option value="23">23</option>
      <option value="24">24</option>
      <option value="25">25</option>
      <option value="26">26</option>
      <option value="27">27</option>
      <option value="28">28</option>
      <option value="29">29</option>
      <option value="30">30</option>
      <option value="31">31</option>
      <option value="32">32</option>
      <option value="33">33</option>
      <option value="34">34</option>
      <option value="35">35</option>
      <option value="36">36</option>
      <option value="37">37</option>
      <option value="38">38</option>
      <option value="39">39</option>
      <option value="40">40</option>
      <option value="41">41</option>
      <option value="42">42</option>
      <option value="43">43</option>
      <option value="44">44</option>
      <option value="45">45</option>
      <option value="46">46</option>
      <option value="47">47</option>
      <option value="48">48</option>
      <option value="49">49</option>
      <option value="50">50</option>
      <option value="51">51</option>
      <option value="52">52</option>
      <option value="53">53</option>
      <option value="54">54</option>
      <option value="55">55</option>
      <option value="56">56</option>
      <option value="57">57</option>
      <option value="58">58</option>
      <option value="59">59</option>
      <option value="60">60</option>
      <option value="61">61</option>
      <option value="62">62</option>
      <option value="63">63</option>
      <option value="64">64</option>
      <option value="65">65</option>
      <option value="66">66</option>
      <option value="67">67</option>
      <option value="68">68</option>
      <option value="69">69</option>
      <option value="70">70</option>
      <option value="71">71</option>
      <option value="72">72</option>
      <option value="73">73</option>
      <option value="74">74</option>
      <option value="75">75</option>
      <option value="76">76</option>
      <option value="77">77</option>
      <option value="78">78</option>
      <option value="79">79</option>
      <option value="80">80</option>
      <option value="81">81</option>
      <option value="82">82</option>
      <option value="83">83</option>
      <option value="84">84</option>
      <option value="85">85</option>
      <option value="86">86</option>
      <option value="87">87</option>
      <option value="88">88</option>
      <option value="89">89</option>
      <option value="90">90</option>
      <option value="91">91</option>
      <option value="92">92</option>
      <option value="93">93</option>
      <option value="94">94</option>
      <option value="95">95</option>
      <option value="96">96</option>
      <option value="97">97</option>
      <option value="98">98</option>
      <option value="99">99</option>
    </select>
  </span>
  <input type="text" name="phone" placeholder="Phone Number..." class="quote-form-element" required="">
  <input type="text" name="email" placeholder="E-mail Address..." class="quote-form-element quote-form-client-email last" required="">
  <h4>Additional Info</h4>
  <input type="text" name="household" placeholder="Anualized Hosehold Income..." class="quote-form-element">
  <input type="text" name="zipcode" placeholder="Zip Code..." class="quote-form-element last" required="">
  <span class="custom-dropdown">
    <select name="qualifying" class="custom-dropdown-select quote-form-element" required="">
      <option value="-">Qualifying Event</option>
      <option value="Lost Access to Coverage">Lost Access to Coverage</option>
      <option value="Got Married or Divorced">Got Married or Divorced</option>
      <option value="Pregnancy, Had a baby or Adopted one">Pregnancy, Had a baby or Adopted one</option>
      <option value="Lost a Parent or Spouse">Lost a Parent or Spouse</option>
      <option value="Moved to a New Zip Code or County">Moved to a New Zip Code or County</option>
      <option value="Lost Your Job">Lost Your Job</option>
      <option value="Started a New Job">Started a New Job</option>
      <option value="None of These Apply">None of These Apply</option>
    </select>
  </span>
  <span class="custom-dropdown last">
    <select name="tobbaco" class="custom-dropdown-select quote-form-element" required="">
      <option value="-">Do You Smoke?</option>
      <option value="Yes">Yes</option>
      <option value="No">No</option>
    </select>
  </span>
  <div class="g-recaptcha" data-sitekey="6Lfcz5EUAAAAAJCpEj-CE9ol0K4qF9mdAYsmntP8">
    <div style="width: 304px; height: 78px;">
      <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-uyovxq61hjsx" frameborder="0" scrolling="no"
          sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lfcz5EUAAAAAJCpEj-CE9ol0K4qF9mdAYsmntP8&amp;co=aHR0cHM6Ly9pcHY2Lmhvc3QuZXJoZWFsdGhwbGFucy5jb206NDQz&amp;hl=es&amp;v=9pvHvq7kSOTqqZusUzJ6ewaF&amp;size=normal&amp;cb=n7047bjb8wxx"></iframe>
      </div><textarea id="g-recaptcha-response-2" name="g-recaptcha-response" class="g-recaptcha-response"
        style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
    </div>
  </div>
  <button class="button button-navy-blue send-quote" type="submit" form="form5" value="Submit">Get an Appointment <i class="fa fa-paper-plane-o"></i></button>
  <div class="quote-form-thanks">
    <div class="quote-form-thanks-content">
      <strong>Thanks!</strong><br>Your Obamacare quote has been sent successfully. <span class="quote-form-thanks-close">Close this notice.</span>
    </div>
  </div>
</form>

POST send-medicare.php

<form method="post" class="form" action="send-medicare.php" id="form4">
  <h4>Contact details:</h4>
  <input type="text" class="quote-form-element quote-form-client-name" name="name" placeholder="Full Name..." required="">
  <span class="custom-dropdown last">
    <select name="age" class="custom-dropdown-select quote-form-element" required="">
      <option value="-">Your age</option>
      <option value="18">18</option>
      <option value="19">19</option>
      <option value="20">20</option>
      <option value="21">21</option>
      <option value="22">22</option>
      <option value="23">23</option>
      <option value="24">24</option>
      <option value="25">25</option>
      <option value="26">26</option>
      <option value="27">27</option>
      <option value="28">28</option>
      <option value="29">29</option>
      <option value="30">30</option>
      <option value="31">31</option>
      <option value="32">32</option>
      <option value="33">33</option>
      <option value="34">34</option>
      <option value="35">35</option>
      <option value="36">36</option>
      <option value="37">37</option>
      <option value="38">38</option>
      <option value="39">39</option>
      <option value="40">40</option>
      <option value="41">41</option>
      <option value="42">42</option>
      <option value="43">43</option>
      <option value="44">44</option>
      <option value="45">45</option>
      <option value="46">46</option>
      <option value="47">47</option>
      <option value="48">48</option>
      <option value="49">49</option>
      <option value="50">50</option>
      <option value="51">51</option>
      <option value="52">52</option>
      <option value="53">53</option>
      <option value="54">54</option>
      <option value="55">55</option>
      <option value="56">56</option>
      <option value="57">57</option>
      <option value="58">58</option>
      <option value="59">59</option>
      <option value="60">60</option>
      <option value="61">61</option>
      <option value="62">62</option>
      <option value="63">63</option>
      <option value="64">64</option>
      <option value="65">65</option>
      <option value="66">66</option>
      <option value="67">67</option>
      <option value="68">68</option>
      <option value="69">69</option>
      <option value="70">70</option>
      <option value="71">71</option>
      <option value="72">72</option>
      <option value="73">73</option>
      <option value="74">74</option>
      <option value="75">75</option>
      <option value="76">76</option>
      <option value="77">77</option>
      <option value="78">78</option>
      <option value="79">79</option>
      <option value="80">80</option>
      <option value="81">81</option>
      <option value="82">82</option>
      <option value="83">83</option>
      <option value="84">84</option>
      <option value="85">85</option>
      <option value="86">86</option>
      <option value="87">87</option>
      <option value="88">88</option>
      <option value="89">89</option>
      <option value="90">90</option>
      <option value="91">91</option>
      <option value="92">92</option>
      <option value="93">93</option>
      <option value="94">94</option>
      <option value="95">95</option>
      <option value="96">96</option>
      <option value="97">97</option>
      <option value="98">98</option>
      <option value="99">99</option>
    </select>
  </span>
  <input type="text" name="phone" placeholder="Phone Number..." class="quote-form-element" required="">
  <input type="text" name="email" placeholder="E-mail Address..." class="quote-form-element quote-form-client-email last" required="">
  <h4>Are you applying in behalf of someone else?</h4>
  <span class="custom-dropdown last">
    <select name="applying" class="custom-dropdown-select quote-form-element" required="">
      <option data-icon="glyphicon glyphicon-eye-open" value="Si">Si</option>
      <option data-icon="glyphicon glyphicon-eye-open" value="No">No</option>
    </select>
  </span>
  <div class="g-recaptcha" data-sitekey="6Lfcz5EUAAAAAJCpEj-CE9ol0K4qF9mdAYsmntP8">
    <div style="width: 304px; height: 78px;">
      <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-kdt5sxrl5wrx" frameborder="0" scrolling="no"
          sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lfcz5EUAAAAAJCpEj-CE9ol0K4qF9mdAYsmntP8&amp;co=aHR0cHM6Ly9pcHY2Lmhvc3QuZXJoZWFsdGhwbGFucy5jb206NDQz&amp;hl=es&amp;v=9pvHvq7kSOTqqZusUzJ6ewaF&amp;size=normal&amp;cb=fhj4trmpl8sp"></iframe>
      </div><textarea id="g-recaptcha-response-3" name="g-recaptcha-response" class="g-recaptcha-response"
        style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
    </div><iframe style="display: none;"></iframe>
  </div>
  <button class="button button-navy-blue send-quote" type="submit" form="form4" value="Submit">Get an Appointment <i class="fa fa-paper-plane-o"></i></button>
  <div class="quote-form-thanks">
    <div class="quote-form-thanks-content">
      <strong>Thanks!</strong><br>Your Medicare Benefits Counseling request has been sent successfully. <span class="quote-form-thanks-close">Close this notice.</span>
    </div>
  </div>
</form>

POST //translate.googleapis.com/translate_voting?client=te

<form id="goog-gt-votingForm" action="//translate.googleapis.com/translate_voting?client=te" method="post" target="votingFrame" class="VIpgJd-yAWNEb-hvhgNd-aXYTce"><input type="text" name="sl" id="goog-gt-votingInputSrcLang"><input type="text"
    name="tl" id="goog-gt-votingInputTrgLang"><input type="text" name="query" id="goog-gt-votingInputSrcText"><input type="text" name="gtrans" id="goog-gt-votingInputTrgText"><input type="text" name="vote" id="goog-gt-votingInputVote"></form>

Text Content

CONTACT US

ORLANDO


407 802 4842

KISSIMMEE


407 483 7927


SEND US A MESSAGE

CONTACT DETAILS:

CHOOSE THE SERVICE OF YOUR INTEREST:

My Access Medicare Obamacare

MESSAGE:


Send Message
Thanks!
Your message has been sent successfully. Close this notice.


SEND COMMENT


SEND US A COMMENT

YOUR NAME:

YOUR COMMENT

Send Comment
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Your Comments has been sent successfully. Close this notice.
 * My Access
 * Obamacare
 * Medicare
   


MY ACCESS INFORMATION REQUEST

CONTACT DETAILS:

How many family members? 1 2 3 4 5 6 7 8 9 10

ZIP CODE:

Are you a Citizen, Resident or Parolee? Yes No

Get an Appointment aaa
Thanks!
Your MyAccess information request has been sent successfully. Close this notice.


OBAMACARE INFORMATION REQUEST

CONTACT DETAILS:

Your age 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95
96 97 98 99

ADDITIONAL INFO

Qualifying Event Lost Access to Coverage Got Married or Divorced Pregnancy, Had
a baby or Adopted one Lost a Parent or Spouse Moved to a New Zip Code or County
Lost Your Job Started a New Job None of These Apply Do You Smoke? Yes No

Get an Appointment
Thanks!
Your Obamacare quote has been sent successfully. Close this notice.


MEDICARE INFORMATION REQUEST

CONTACT DETAILS:

Your age 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95
96 97 98 99

ARE YOU APPLYING IN BEHALF OF SOMEONE ELSE?

Si No

Get an Appointment
Thanks!
Your Medicare Benefits Counseling request has been sent successfully. Close this
notice.


HEALTH & ACCIDENT POLICIES QUOTE

CONTACT DETAILS:

Your age 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68
69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95
96 97 98 99 State AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME
MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI
WV WY Get an Appointment
Thanks!
Your Health & Accidents policies request has been sent successfully. Close this
notice.
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My Access


WE CAN HELP WITH YOUR FAMILY'S FLORIDA BENEFITS APPLICATIONS

My Access is a non profit organization that helps individuals and families
navigate Florida's Social Benefits System.

More Information


LET US GUIDE YOU THROUGH
FLORIDA'S BENEFITS


FIND OUT IF YOU'RE ELEGIBLE & APPLY

More Information
Get Medicare


MEDICARE HEALTH PLANS
FOR FAMILIES AND INDIVIDUALS

Learn About Our Medicare Plans.

More Information


HEALTHCARE OPTIONS
FOR ANY BUDGET


FIND A HEALTH INSURANCE COVERAGE
THAT WON'T BREAK YOUR BANK.

More Information
Get Obamacare


OBAMACARE HEALTH PLANS
FOR FAMILIES AND INDIVIDUALS

Get coverage before your options under the law change.

More Information


THE TRULY AFFORDABLE
HEALTH CARE
ALTERNATIVE


IN LIGHT OF THE RECENT EVENTS
IN CONGRESS YOU MUST ACT NOW
TO ENSURE YOUR HEALTH COVERAGE
OF A PRE-EXISTING CONDITION.

More Information


TAKE CARE OF YOURSELF
AND YOUR FAMILY

Life is full of uncertainty. You can't eliminate it. But you can manage it. With
EyR Health Plans you can minimize it's effects in your life and that of your
loved ones in a way that won't affect your ability to keep providing for them.

Thank you! We'll call you soon. Close this notice.
Call us:
 * 407 802 4842
 * 407 483 7927





ABOUT US


MEET ER HEALTH PLANS.

Our mission is to reach and support those who need it most, meeting the
physical, emotional and spiritual needs of each individual.

March, 2002

The establishment of our agency, with two professional insurance agents, in a
small office in Kissimme.

December, 2011

Three new insurance agents in our team, 2.500 customers!

February, 2016

Moving to a new office in the Semoran Blvd. area. More than 4.000 customers,
great references and great view of the future!





OUR VISION


THE BEST HEALTH COVERAGE.
FOR EVERYONE.

> To position ourselves as the prime helper for people that cannot manage their
> own insurance work in Florida and to further grow our presence to many other
> Sates, making available new product and services and continuously improving
> the quality of our work to better serve our client's needs
> 
> EyR Health Plans Management Team

+5000 satisfied customers
12 professional agents
+50 Health Plans
16 years of experience

Enroll in Obamacare


OPEN ENROLLMENT STARTS
NOVEMBER 1ST TO DECEMBER 15TH 2017

Don't miss out on your chance to lower the health insurance cost of your family!

Get an Appointment


OFFICE LOCATIONS

ER Health Plans

5628 Pershing Ave.
Orlando, FL 32822

3501 W. Vine St. Suite 116
Kissimmee, FL 34741


CONTACT

E-mail address:
info@erhealthplans.com

Contact Us


CALL US


407 483 7927


407 802 4842

Office Hours: 8:30am ~ 3:30pm


EMPLOYEE AREA

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