www.randirichmond.com
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Submitted URL: http://randirichmond.com/
Effective URL: https://www.randirichmond.com/
Submission: On March 07 via api from US — Scanned from CA
Effective URL: https://www.randirichmond.com/
Submission: On March 07 via api from US — Scanned from CA
Form analysis
7 forms found in the DOMPOST
<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: healthquoter — POST /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 $100,000/yr</option>
</select> </div>
</div>
<div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap mbs">
<div class="field_contnt text"> <textarea name="otherdesc" id="otherdesc" placeholder="Comments" class="txt" style="height: 50px;"></textarea> </div>
</div>
<div class="col-md-12 form_field_wrap">
<p style="font-size: 11px;line-height: 14px;color: #5B9BAA; font-style: italic;padding: 0 10px;">As per ACA(Affordable Care Act) regulations, plan pricing and availability will be determined by your household size & household income as it
relates to the FPL(federal poverty level) Chart.</p>
</div> <input type="hidden" name="action" value="validate"> <button type="submit"><i class="fa fa-bar-chart"></i> Get Instant Quote</button>
</form>
Name: medquoter — POST /rrichm/med-quoter
<form id="medquoter" method="post" name="medquoter" action="/rrichm/med-quoter" class="form_field vqform">
<div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
<div class="field_contnt text"> <input type="text" value="" placeholder="Full Name" minlength="3" name="fname" id="fname" required="" pattern="[a-zA-Z ]*" class="txt alphaonly"> </div>
</div>
<div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
<div class="field_contnt text"> <input type="tel" name="dob" id="dob" value="" placeholder="Date of Birth" class="txt vdob" required="" pattern="(0[1-9]|1[012])[- /.](0[1-9]|[12][0-9]|3[01])[- /.](19|20)\d\d"> </div>
</div>
<div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
<div class="field_contnt text"> <input type="tel" name="phone" id="Bphone" value="" class="phone txt vphone" required="" placeholder="Phone" pattern="\d{3}[\-]\d{3}[\-]\d{4}"> </div>
</div>
<div class="col-md-4 col-sm-4 col-xs-6 form_field_wrap">
<div class="field_contnt text"> <input type="text" name="email" id="email" class="email txt" required="" placeholder="Email" pattern="^[a-zA-Z0-9_.+-]+@[a-zA-Z0-9-]+\.[a-zA-Z0-9-.]+$" 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: form1 — POST /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
Edit Logo & Text RANDI RICHMOND LICENSED INSURANCE AGENT Make a Call 586.549.0123 * Home * Contact * Subscribe to Our Newsletter Subscribe to Our Newsletter Name Phone Email ✓ I am human Let Us Help You Name Phone Email ✓ I am human Edit Header Background Your browser does not support HTML5 video. 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. Get Instant Quote Click to Edit TAKE A WORRY OUT OF LIFE WITH INSURANCE PROTECTION PEACE OF MIND `A` rated carriers that insure millions are available at your fingertips. WE LISTEN Clients told us what they like/dislike most about insurance. We listen and deliver. TAILORED COVERAGE Experts in Health Insurance. We know what is available. Click to Edit FIND THE RIGHT INSURANCE STORIES AND INFORMATION TO HELP YOU PLAN, PREPARE AND PROTECT WHAT MATTERS MOST. TELL US ABOUT YOUR BUSINESS. WE`LL LISTEN AND THEN WORK WITH YOU TO MAKE SURE YOU`RE COVERED. Contact Us Click to Edit SHOPPING & SAVING STARTS HERE CLICK TO QUOTE HEALTH GET NOW MEDICARE GET NOW FINAL EXPENSE GET NOW MEDICARE SUPPLEMENT QUOTER State 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 GenderMaleFemale SmokerYesNo Get Instant Quote Click to Edit CONTACT US TODAY Click to Edit CALL NOW Office: 586.549.0123 Cell: 586.549.0123 -------------------------------------------------------------------------------- Click to Edit AGENCY HOURS: Weekdays: 9:00am - 7:00pm Weekends: By appointment CONTACT US ✓ I am human Click to Edit Have any Question? Ask us anything, we’d love to answer! 586.549.0123 Click to Edit WE`RE PROUD TO REPRESENT INSURERS SUCH AS: ‹› Member Login | Privacy Policy Click to Edit Copyright © 2023 Randi Richmond / NAAIP. All rights reserved. Click to Edit X X LOGIN TO AGENT BACK OFFICE BY WAY OF * * * * OR WITH LOGIN CREDENTIALS Forgot password? New to us? Join Now FORGOT PASSWORD -------------------------------------------------------------------------------- Enter your email address or username below, and we'll email it to you. Back Note: Our email servers will only email one password retrieval per 24 hours. Please contact Agent Care for assistance.