www.financialengines.com Open in urlscan Pro
2a02:26f0:3500:894::2d5b  Public Scan

Form analysis
1 forms found in the DOM

Name: authForm —

<form id="auth-form" name="authForm" novalidate="" class="form-horizontal ng-pristine ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength" role="form" ng-submit="onSubmit(authForm.$valid)" autocomplete="off">
  <input type="password" style="width:0;height:0;background:transparent;border:0px">
  <!-- ngIf: pageContext==='enrollment' -->
  <div ng-if="pageContext==='enrollment'" class="form-group row ng-scope">
    <div class="text-right col-xs-12">
      <small class="ng-binding"> All fields required </small>
    </div>
  </div><!-- end ngIf: pageContext==='enrollment' -->
  <div data-ng-show="errors" class="form-group required row ng-hide">
    <div class="form-error col-xs-12" role="alert">
      <!-- ngIf: !initialCredentialData.isRetailUser -->
      <p data-ng-if="!initialCredentialData.isRetailUser" class="ng-binding ng-scope">The personal information you have entered does not match the information provided to us by {{ sponsor }}. Please correct the information you have entered and try
        again. If you are still not able to sign in, please call {{ supportPhone }} so we can help you. If you were recently hired, then we may not have received your information yet. Please call {{ supportPhone }} to find out when you may be
        eligible.</p><!-- end ngIf: !initialCredentialData.isRetailUser -->
      <!-- ngIf: initialCredentialData.isRetailUser -->
    </div>
  </div>
  <div class="form-group required row" data-ng-class="{true: ['has-error','has-feedback']} [authForm.firstName.$invalid &amp;&amp; authForm.submitted]">
    <label for="firstName" class="col-xs-12">
      <strong><span class="ng-binding">First name</span></strong>
    </label>
    <div class="col-xs-12">
      <input autocomplete="off" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" id="firstName" data-ng-model="user.firstName" data-ng-change="authForm.firstName.available=false"
        data-ng-blur="authForm.firstName.available=true" name="firstName" required="" data-fe-validation="" aria-describedby="authForm-firstName-error">
      <small class="error ng-binding ng-hide" id="authForm-firstName-error" data-ng-show="authForm.firstName.$error.required &amp;&amp; authForm.submitted">Please enter your first name.</small>
    </div>
  </div>
  <div class="form-group required row" data-ng-class="{true: ['has-error','has-feedback']} [authForm.lastName.$invalid &amp;&amp; authForm.submitted]">
    <label for="lastName" class="col-xs-12">
      <strong><span class="ng-binding">Last name</span></strong>
    </label>
    <div class="col-xs-12">
      <input autocomplete="off" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" id="lastName" name="lastName" data-ng-model="user.lastName" required="" data-fe-validation=""
        aria-describedby="authForm-lastName-error">
      <small class="error ng-binding ng-hide" id="authForm-lastName-error" data-ng-show="authForm.lastName.$error.required &amp;&amp; authForm.submitted">Please enter your last name.</small>
    </div>
  </div>
  <!-- ngIf: initialCredentialData.isZipCodeRequired -->
  <div class="form-group required row ng-scope" data-ng-class="{true: ['has-error','has-feedback']} [authForm.zipCode.$invalid &amp;&amp; authForm.submitted]" data-ng-if="initialCredentialData.isZipCodeRequired">
    <label for="zipCode" class="col-xs-12">
      <strong><span class="ng-binding">Zip code</span></strong>
    </label>
    <div class="col-xs-4">
      <input autocomplete="off" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength" id="zipCode" name="zipCode" data-ng-model="user.zipCode"
        data-ng-blur="authForm.zipCode.inFocus=false" data-ng-focus="authForm.zipCode.inFocus=true" size="5" maxlength="5" data-ng-pattern="/^\d{5}$/" required="" data-fe-validation="" aria-describedby="authForm-zipCode-error" number-only="">
    </div>
    <div class="col-xs-8">&nbsp;</div>
    <small class="error col-xs-12 ng-binding ng-hide" id="authForm-zipCode-error" data-ng-show="authForm.zipCode.$invalid &amp;&amp; authForm.submitted">Please enter a valid Zip code.</small>
    <span class="col-xs-12 ng-hide" data-ng-show="authForm.zipCode.inFocus">Use the Zip code that <span data-ng-show="recordKeeper" class="ng-binding ng-hide"> has </span>
      <span data-ng-show="!recordKeeper">we have</span> on file.</span>
  </div><!-- end ngIf: initialCredentialData.isZipCodeRequired -->
  <!-- ngIf: initialCredentialData.isDobRequired -->
  <div class="form-group required row ng-scope" data-ng-class="{true: ['has-error']} [(authForm.DOBmonth.$invalid || authForm.DOBday.$invalid || authForm.DOByear.$invalid) &amp;&amp; authForm.submitted]"
    data-ng-if="initialCredentialData.isDobRequired">
    <label for="dateOfBirth" class="col-xs-12">
      <strong><span class="ng-binding">Date of birth <span class="light-weight text-muted"></span></span></strong>
    </label>
    <div class="col-xs-12 col-sm-7 col-md-7">
      <input autocomplete="off" type="text" ng-model="DOB.DOBmonth" name="DOBmonth" placeholder="MM" class="form-control col-xs-2 col-sm-3 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength"
        id="DOBmonth" ng-pattern="/^\d+$/" maxlength="2" required="" number-only="">
      <input autocomplete="off" type="text" ng-model="DOB.DOBday" name="DOBday" placeholder="DD"
        class="form-control col-xs-offset-1 col-xs-2 col-sm-3 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength" id="DOBday" ng-pattern="/^\d+$/" maxlength="2" required="" number-only="">
      <input autocomplete="off" type="text" ng-model="DOB.DOByear" name="DOByear" placeholder="YYYY" class="form-control col-xs-offset-1 col-xs-4 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength"
        id="DOByear" ng-pattern="/^\d+$/" maxlength="4" required="" number-only="">
      <!--
        <input type="text" class="form-control" id="dateOfBirth" name="dateOfBirth"
          size="14" maxlength="10" data-ng-pattern="/^\d\d?\/\d\d?\/\d{4}$/"
          data-ng-model="user.dateOfBirth" required data-fe-validation aria-describedby="authForm-dateOfBirth-error">
  -->
    </div>
    <small class="error col-xs-12 ng-binding ng-hide" id="authForm-dateOfBirth-error" data-ng-show="(authForm.DOBmonth.$invalid || authForm.DOBday.$invalid || authForm.DOByear.$invalid) &amp;&amp; authForm.submitted">Please enter a valid date of
      birth.</small>
  </div><!-- end ngIf: initialCredentialData.isDobRequired -->
  <!-- ngIf: initialCredentialData.isSSNRequired -->
  <div class="form-group row ng-scope" data-ng-if="initialCredentialData.isSSNRequired" data-ng-class="{true: ['has-error','has-feedback']} [authForm.lastFourSSN.$invalid &amp;&amp; authForm.submitted]">
    <label for="lastFourSSN" class="col-xs-12">
      <strong><span id="lastFourSSNLabel" class="ng-binding">Last 4 digits of SSN</span></strong>
      <i class="fa fa-question-circle" tooltip-placement="top" uib-tooltip="We need the last 4 digits of your social security number because it is the most reliable way to confirm who you are." style="font-size: 15px"></i>
    </label>
    <div class="col-xs-4">
      <input autocomplete="off" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-maxlength" type="password" id="lastFourSSN" name="lastFourSSN" size="4" maxlength="4" data-ng-model="user.lastFourSSN"
        data-ng-required="initialCredentialData.isSSNRequired" data-fe-validation="" aria-describedby="authForm-lastFourSSN-error" number-only="" required="required">
    </div>
    <div class="col-xs-6 lastFourSSN-align text-muted">
      <i class="fa fa-lock lock-icon"></i><span class="ng-binding">Secure Server</span>
    </div>
    <small class="error col-xs-12 ng-binding ng-hide" id="authForm-lastFourSSN-error" data-ng-show="authForm.lastFourSSN.$invalid &amp;&amp; authForm.submitted">Please enter 4 digits.</small>
  </div><!-- end ngIf: initialCredentialData.isSSNRequired -->
  <!-- ngIf: initialCredentialData.isEmpIDRequired -->
  <!-- ngIf: showEmail -->
  <div data-ng-show="showPrivacyPolicy" class="form-group row">
    <div class="policy-link col-xs-12">
      <span class="ng-binding"> Edelman Financial Engines uses this information only to verify your identity. It is stored securely in accordance with the Edelman Financial Engines
        <a target="_blank" data-ng-href="https://legaldocs.financialengines.io/Master/FEA_PrivacyPolicy_MA.pdf" class="ng-binding" href="https://legaldocs.financialengines.io/Master/FEA_PrivacyPolicy_MA.pdf">Privacy Policy</a>. </span>
    </div>
  </div>
  <div class="vertical-space-20"></div>
  <!-- ngIf: authForm.submittedPost -->
  <div class="form-group row">
    <div class="col-xs-12">
      <!-- ngIf: !authForm.submittedPost --><button id="confirm-identity-button" type="submit" ladda="submitting" data-style="slide-down" data-ng-if="!authForm.submittedPost" class="ladda-button btn btn-lg btn-primary ng-scope"
        style="width: 100%; background-color: rgb(195, 45, 55); border: 2px solid rgb(195, 45, 55);">
        <span class="ladda-label ng-binding">CONFIRM IDENTITY</span>
        <span class="ladda-spinner"></span></button><!-- end ngIf: !authForm.submittedPost -->
    </div>
  </div>
  <div class="vertical-space-20"></div>
</form>

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All fields required

The personal information you have entered does not match the information
provided to us by {{ sponsor }}. Please correct the information you have entered
and try again. If you are still not able to sign in, please call {{ supportPhone
}} so we can help you. If you were recently hired, then we may not have received
your information yet. Please call {{ supportPhone }} to find out when you may be
eligible.

First name
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Last name
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Zip code

 
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Date of birth

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Secure Server
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Edelman Financial Engines uses this information only to verify your identity. It
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