www.randirichmond.com Open in urlscan Pro
23.111.70.25  Public Scan

Submitted URL: http://randirichmond.com/
Effective URL: https://www.randirichmond.com/
Submission: On March 07 via api from US — Scanned from CA

Form analysis 7 forms found in the DOM

POST

<form method="post" action="" id="ston" class="vqform"> <input type="hidden" name="fsstone" value="1"> <input name="firstname" type="text" id="firstname" class="hide-robot">
  <div class="fleft vhc"> <label>Name</label><br> <input type="text" name="name_newsletter" id="name_newsletter" value="" autocomplete="false" required=""> </div>
  <div class="fright vhc"> <label>Phone</label><br> <input type="tel" name="phone_newsletter" id="phone_newsletter" class="vphone" pattern="\d{3}[\-]\d{3}[\-]\d{4}" required="" value="" autocomplete="false"> </div>
  <div class="clear"></div>
  <div class="fbig vhc" style="margin-top:10px;margin-bottom: 15px;"> <label>Email</label><br> <input type="email" name="email_newsletter" id="email_newsletter" required="" value="" autocomplete="false"> </div>
  <div class="fleft vhb"> <label for="ans1" class="btn btn-info"><input type="checkbox" required="" id="ans1" name="captcha_entered" class="badgebox"><span class="badge">✓</span> I am human</label> </div>
  <div class="fright vhb"> <input type="submit" value="Subscribe" name="newsletter" class="vsubmit_btn"> </div>
  <div class="clear"></div>
</form>

POST

<form method="post" action="" id="ston1" class="vqform"> <input type="hidden" name="fsston1" value="1"><input name="firstname" type="text" id="firstname" class="hide-robot">
  <div class="fleft vhc"> <label>Name</label><br> <input type="text" name="name_affordablehcare1" id="name_affordablehcare1" value="" required="" autocomplete="false"> </div>
  <div class="fright vhc"> <label>Phone</label><br> <input type="tel" name="phone_affordablehcare1" id="phone_affordablehcare1" value="" autocomplete="false" class="vphone" pattern="\d{3}[\-]\d{3}[\-]\d{4}" required=""> </div>
  <div class="clear"></div>
  <div class="fbig vhc" style="margin-top:10px;margin-bottom: 15px;"> <label>Email</label><br> <input type="email" name="email_affordablehcare1" id="email_affordablehcar1e" value="" autocomplete="false" required=""> </div>
  <div class="fleft vhb"> <label for="ans2" class="btn btn-info"><input type="checkbox" required="" id="ans2" name="captcha_entered2" class="badgebox"><span class="badge">✓</span> I am human</label> </div>
  <div class="fright vhb"> <input type="hidden" value="Get Information" name="affordablehcare1"> <input type="submit" value="Get Answers" name="submit1" class="vsubmit_btn"> </div>
  <div class="clear"></div>
</form>

Name: healthquoterPOST /rrichm/health-quoter

<form id="healthquoter" method="post" name="healthquoter" action="/rrichm/health-quoter" class="form_field vqform">
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="text" value="" placeholder="Full Name" minlength="3" name="fname" id="fname" required="" pattern="[a-zA-Z ]*" class="txt alphaonly"> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="tel" name="dob" id="dob" value="" placeholder="Date of Birth" class="txt vdob" required="" pattern="(0[1-9]|1[012])[- /.](0[1-9]|[12][0-9]|3[01])[- /.](19|20)\d\d"> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="tel" name="phone" id="Bphone" value="" class="phone txt vphone" required="" placeholder="Phone" pattern="\d{3}[\-]\d{3}[\-]\d{4}"> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="text" name="email" id="email" class="email txt" required="" placeholder="Email" pattern="^[a-zA-Z0-9_.+-]+@[a-zA-Z0-9-]+\.[a-zA-Z0-9-.]+$" value=""> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt"> <select name="state" id="state" required="" class="vstxt">
        <option value="AL">Alabama</option>
        <option value="AK">Alaska</option>
        <option value="AZ">Arizona</option>
        <option value="AR">Arkansas</option>
        <option value="CA">California</option>
        <option value="CO">Colorado</option>
        <option value="CT">Connecticut</option>
        <option value="DE">Delaware</option>
        <option value="DC">Dist. Columbia</option>
        <option value="FL">Florida</option>
        <option value="GA">Georgia</option>
        <option value="HI">Hawaii</option>
        <option value="ID">Idaho</option>
        <option value="IL">Illinois</option>
        <option value="IN">Indiana</option>
        <option value="IA">Iowa</option>
        <option value="KS">Kansas</option>
        <option value="KY">Kentucky</option>
        <option value="LA">Louisiana</option>
        <option value="ME">Maine</option>
        <option value="MD">Maryland</option>
        <option value="MA">Massachusetts</option>
        <option value="MI" selected="selected">Michigan</option>
        <option value="MN">Minnesota</option>
        <option value="MS">Mississippi</option>
        <option value="MO">Missouri</option>
        <option value="MT">Montana</option>
        <option value="NE">Nebraska</option>
        <option value="NV">Nevada</option>
        <option value="NH">New Hampshire</option>
        <option value="NJ">New Jersey</option>
        <option value="NM">New Mexico</option>
        <option value="NY">New York</option>
        <option value="NC">North Carolina</option>
        <option value="ND">North Dakota</option>
        <option value="OH">Ohio</option>
        <option value="OK">Oklahoma</option>
        <option value="OR">Oregon</option>
        <option value="PA">Pennsylvania</option>
        <option value="RI">Rhode Island</option>
        <option value="SC">South Carolina</option>
        <option value="SD">South Dakota</option>
        <option value="TN">Tennessee</option>
        <option value="TX">Texas</option>
        <option value="UT">Utah</option>
        <option value="VT">Vermont</option>
        <option value="VA">Virginia</option>
        <option value="WA">Washington</option>
        <option value="WV">West Virginia</option>
        <option value="WI">Wisconsin</option>
        <option value="WY">Wyoming</option>
        <option value="Other">Other</option>
      </select> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="tel" name="zip" id="zip" maxlength="5" value="" placeholder="Zip" class="numberonly txt" required="" pattern="\d{5}"> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <select name="hsize" id="hsize" class="vstxt">
        <option data-default="" value="" selected="">Household Size</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>
      </select> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <select name="hsin" id="hsin" class="vstxt">
        <option value="" data-default="" selected="">Household Income</option>
        <option value="Less than $13,000">Less than $13,000</option>
        <option value="$13,001/yr to $17,000/yr">$13,001/yr to $17,000/yr</option>
        <option value="$17,001/yr to $20,000/yr">$17,001/yr to $20,000/yr</option>
        <option value="$20,001/yr to $25,000/yr">$20,001/yr to $25,000/yr</option>
        <option value="$25,001/yr to $30,000/yr">$25,001/yr to $30,000/yr</option>
        <option value="$30,001/yr to $35,000/yr">$30,001/yr to $35,000/yr</option>
        <option value="$35,001/yr to $40,000/yr">$35,001/yr to $40,000/yr</option>
        <option value="$40,001/yr to $45,000/yr">$40,001/yr to $45,000/yr</option>
        <option value="$45,001/yr to $50,000/yr">$45,001/yr to $50,000/yr</option>
        <option value="$50,001/yr to $55,000/yr">$50,001/yr to $55,000/yr</option>
        <option value="$55,001/yr to $60,000/yr">$55,001/yr to $60,000/yr</option>
        <option value="$60,001/yr to $65,000/yr">$60,001/yr to $65,000/yr</option>
        <option value="$65,001/yr to $70,000/yr">$65,001/yr to $70,000/yr</option>
        <option value="$70,001/yr to $75,000/yr">$70,001/yr to $75,000/yr</option>
        <option value="$75,001/yr to $80,000/yr">$75,001/yr to $80,000/yr</option>
        <option value="$80,001/yr to $85,000/yr">$80,001/yr to $85,000/yr</option>
        <option value="$85,001/yr to $90,000/yr">$85,001/yr to $90,000/yr</option>
        <option value="$90,001/yr to $95,000/yr">$90,001/yr to $95,000/yr</option>
        <option value="$95,001/yr to $100,000/yr">$95,001/yr to $100,000/yr</option>
        <option value="Over $100,000/yr">Over $100,000/yr</option>
      </select> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap mbs">
    <div class="field_contnt text"> <textarea name="otherdesc" id="otherdesc" placeholder="Comments" class="txt" style="height: 50px;"></textarea> </div>
  </div>
  <div class="col-md-12 form_field_wrap">
    <p style="font-size: 11px;line-height: 14px;color: #5B9BAA; font-style: italic;padding: 0 10px;">As per ACA(Affordable Care Act) regulations, plan pricing and availability will be determined by your household size &amp; household income as it
      relates to the FPL(federal poverty level) Chart.</p>
  </div> <input type="hidden" name="action" value="validate"> <button type="submit"><i class="fa fa-bar-chart"></i> Get Instant Quote</button>
</form>

Name: medquoterPOST /rrichm/med-quoter

<form id="medquoter" method="post" name="medquoter" action="/rrichm/med-quoter" class="form_field vqform">
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="text" value="" placeholder="Full Name" minlength="3" name="fname" id="fname" required="" pattern="[a-zA-Z ]*" class="txt alphaonly"> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="tel" name="dob" id="dob" value="" placeholder="Date of Birth" class="txt vdob" required="" pattern="(0[1-9]|1[012])[- /.](0[1-9]|[12][0-9]|3[01])[- /.](19|20)\d\d"> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="tel" name="phone" id="Bphone" value="" class="phone txt vphone" required="" placeholder="Phone" pattern="\d{3}[\-]\d{3}[\-]\d{4}"> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="text" name="email" id="email" class="email txt" required="" placeholder="Email" pattern="^[a-zA-Z0-9_.+-]+@[a-zA-Z0-9-]+\.[a-zA-Z0-9-.]+$" value=""> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <select name="state" id="state" required="" class="vstxt">
        <option value="">State</option>
        <option value="AL">Alabama</option>
        <option value="AK">Alaska</option>
        <option value="AZ">Arizona</option>
        <option value="AR">Arkansas</option>
        <option value="CA">California</option>
        <option value="CO">Colorado</option>
        <option value="CT">Connecticut</option>
        <option value="DE">Delaware</option>
        <option value="DC">Dist. Columbia</option>
        <option value="FL">Florida</option>
        <option value="GA">Georgia</option>
        <option value="HI">Hawaii</option>
        <option value="ID">Idaho</option>
        <option value="IL">Illinois</option>
        <option value="IN">Indiana</option>
        <option value="IA">Iowa</option>
        <option value="KS">Kansas</option>
        <option value="KY">Kentucky</option>
        <option value="LA">Louisiana</option>
        <option value="ME">Maine</option>
        <option value="MD">Maryland</option>
        <option value="MA">Massachusetts</option>
        <option value="MI" selected="selected">Michigan</option>
        <option value="MN">Minnesota</option>
        <option value="MS">Mississippi</option>
        <option value="MO">Missouri</option>
        <option value="MT">Montana</option>
        <option value="NE">Nebraska</option>
        <option value="NV">Nevada</option>
        <option value="NH">New Hampshire</option>
        <option value="NJ">New Jersey</option>
        <option value="NM">New Mexico</option>
        <option value="NY">New York</option>
        <option value="NC">North Carolina</option>
        <option value="ND">North Dakota</option>
        <option value="OH">Ohio</option>
        <option value="OK">Oklahoma</option>
        <option value="OR">Oregon</option>
        <option value="PA">Pennsylvania</option>
        <option value="RI">Rhode Island</option>
        <option value="SC">South Carolina</option>
        <option value="SD">South Dakota</option>
        <option value="TN">Tennessee</option>
        <option value="TX">Texas</option>
        <option value="UT">Utah</option>
        <option value="VT">Vermont</option>
        <option value="VA">Virginia</option>
        <option value="WA">Washington</option>
        <option value="WV">West Virginia</option>
        <option value="WI">Wisconsin</option>
        <option value="WY">Wyoming</option>
        <option value="Other">Other</option>
      </select> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <input type="tel" name="zip" id="zip" maxlength="5" value="" placeholder="Zip" class="numberonly txt" required="" pattern="\d{5}"> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <select name="gender" id="gender" required="" class="vstxt">
        <option value="" selected="">Gender</option>
        <option value="Male">Male</option>
        <option value="Female">Female</option>
      </select> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
    <div class="field_contnt text"> <select name="smoker" id="smoker" required="" class="vstxt">
        <option value="" selected="">Smoker</option>
        <option value="Yes">Yes</option>
        <option value="No">No</option>
      </select> </div>
  </div>
  <div class="col-md-4 col-sm-4 col-xs-12 form_field_wrap">
    <div class="field_contnt text"> <textarea name="otherdesc" id="otherdesc" placeholder="Comments" class="txt" style="height: 50px;"></textarea> </div>
  </div><input type="hidden" name="action" value="validate"><button type="submit"><i class="fa fa-bar-chart"></i> Get Instant Quote</button>
</form>

Name: form1POST /rrichm/contact

<form id="form1" name="form1" class="vqform" method="post" action="/rrichm/contact"> <input type="hidden" name="fs" id="fs" value="1"> <input name="lastname" type="text" id="lastname" class="hide-robot" style="display: none;"> <input type="text"
    required="" name="fname" id="name" value="" autocomplete="false" placeholder="Name:"> <input type="tel" required="" name="phone" id="phone" class="conphone" value="" autocomplete="false" placeholder="Phone:"> <input type="email" required=""
    name="email" id="emailc" value="" autocomplete="false" placeholder="Email:"> <textarea name="comments" id="comments" placeholder="Comment"></textarea><input name="Rochester48307" type="text" class="hide-robot" style="display: none;"><input
    name="vtoken" type="hidden" value="ca14731fd9160e29ff50b7597755f6a0">
  <div class="col-md-12" style="padding: 0;">
    <div class="submit_btn"> <label for="cans" class="btn-info" style="padding: 7px 10px;border-radius: 5px;font-size: 13px;font-weight: normal;"><input required="" type="checkbox" id="cans" name="captcha4" class="badgebox"><span class="badge"
          style="display: inline-block;">✓</span> I am human</label> </div>
    <div class="submit_btn"> <input type="submit" value="Send Message"> </div>
  </div>
  <div class="clear"></div>
</form>

Name: loginform

<form name="loginform" onsubmit="return letlogin();"><input type="text" name="aemail" id="aemail" placeholder="Your Email | Username" value=""><input type="password" name="apassword" id="apassword" placeholder="Password" value=""><input type="submit"
    value="LOG IN" name="alogin" id="alogin"></form>

Name: forgetform

<form name="forgetform" onsubmit="return letforgetp();">
  <div class="field_wrap"><label id="fpdiv">Enter your email address or username below, and we'll email it to you.</label><input type="text" name="forgetpassword" id="forgetpassword" placeholder="Enter Your Username | Email">
    <div class="submit_wrap"><span>Back</span><input name="submig" value="Submit" type="submit"></div><span style="font-size: 12px;margin:12px 0 0 0;padding: 0;line-height: 1.2;display: block;"><b>Note:</b> Our email servers will only email one
      password retrieval per 24 hours. Please contact Agent Care for assistance.</span>
  </div>
</form>

Text Content

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RANDI RICHMOND


LICENSED INSURANCE AGENT

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586.549.0123

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HEALTH INSURANCE QUOTER

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist.
Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky
Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri
Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North
Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West
Virginia Wisconsin Wyoming Other

Household Size12345678+
Household Income Less than $13,000 $13,001/yr to $17,000/yr $17,001/yr to
$20,000/yr $20,001/yr to $25,000/yr $25,001/yr to $30,000/yr $30,001/yr to
$35,000/yr $35,001/yr to $40,000/yr $40,001/yr to $45,000/yr $45,001/yr to
$50,000/yr $50,001/yr to $55,000/yr $55,001/yr to $60,000/yr $60,001/yr to
$65,000/yr $65,001/yr to $70,000/yr $70,001/yr to $75,000/yr $75,001/yr to
$80,000/yr $80,001/yr to $85,000/yr $85,001/yr to $90,000/yr $90,001/yr to
$95,000/yr $95,001/yr to $100,000/yr Over $100,000/yr


As per ACA(Affordable Care Act) regulations, plan pricing and availability will
be determined by your household size & household income as it relates to the
FPL(federal poverty level) Chart.

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