id.churchofjesuschrist.org Open in urlscan Pro
15.197.151.86  Public Scan

Submitted URL: https://benefits.dmba.com/suite/sites/provider-portal
Effective URL: https://id.churchofjesuschrist.org/app/churchofjesuschrist_samldmbabenefits_1/exk6bydms0nvA5Gco357/sso/saml
Submission: On February 01 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /

<form novalidate="novalidate" method="POST" action="/" data-se="o-form" slot="content" id="form32" class="primary-auth-form o-form o-form-edit-mode">
  <div data-se="o-form-content" class="o-form-content o-form-theme clearfix">
    <h2 data-se="o-form-head" class="okta-form-title o-form-head">Sign In</h2>
    <div class="o-form-error-container" data-se="o-form-error-container"></div>
    <div class="o-form-fieldset-container" data-se="o-form-fieldset-container">
      <div data-se="o-form-fieldset" class="o-form-fieldset o-form-label-top margin-btm-5">
        <div data-se="o-form-label" class="okta-form-label o-form-label"><label for="okta-signin-username">Username&nbsp;</label></div>
        <div data-se="o-form-input-container" class="o-form-input"><span data-se="o-form-input-username" class="o-form-input-name-username o-form-control okta-form-input-field input-fix focused-input"><input type="text" placeholder="Username"
              name="username" id="okta-signin-username" value="" aria-label="" autocomplete="username" aria-invalid="false" aria-required="true" required=""></span></div>
      </div>
      <div data-se="o-form-fieldset" class="o-form-fieldset o-form-label-top margin-btm-0">
        <div data-se="o-form-input-container" class="o-form-input"><span data-se="o-form-input-remember" class="o-form-input-name-remember">
            <div class="custom-checkbox"><input type="checkbox" name="remember" id="input47"><label for="input47" data-se-for-name="remember">Remember me</label></div>
          </span></div>
      </div>
    </div>
  </div>
  <div class="o-form-button-bar"><input class="button button-primary" type="submit" value="Next" id="okta-signin-submit" data-type="save"></div>
</form>

Text Content

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