one.wexinc.com
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Submitted URL: http://one.wexinc.com/
Effective URL: https://one.wexinc.com/benefits/
Submission Tags: @phish_report
Submission: On January 25 via api from FI — Scanned from NZ
Effective URL: https://one.wexinc.com/benefits/
Submission Tags: @phish_report
Submission: On January 25 via api from FI — Scanned from NZ
Form analysis 1 forms found in the DOM
POST /benefits/
<form method="post" enctype="multipart/form-data" id="gform_8" action="/benefits/" data-formid="8" novalidate="">
<div class="gform-body gform_body">
<div id="gform_fields_8" class="gform_fields top_label form_sublabel_below description_below">
<fieldset id="field_8_41" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_8_41">
<legend class="gfield_label gform-field-label">Type of Inquiry<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_8_41">
<div class="gchoice gchoice_8_41_0">
<input class="gfield-choice-input" name="input_41" type="radio" value="Sales" id="choice_8_41_0" onchange="gformToggleRadioOther( this )" tabindex="1">
<label for="choice_8_41_0" id="label_8_41_0" class="gform-field-label gform-field-label--type-inline">Sales</label>
</div>
<div class="gchoice gchoice_8_41_1">
<input class="gfield-choice-input" name="input_41" type="radio" value="Customer Service" id="choice_8_41_1" onchange="gformToggleRadioOther( this )" tabindex="2">
<label for="choice_8_41_1" id="label_8_41_1" class="gform-field-label gform-field-label--type-inline">Customer Service</label>
</div>
</div>
</div>
</fieldset>
<div id="field_8_1" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_1"><label
class="gfield_label gform-field-label" for="input_8_1">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_8_1" type="text" value="" class="large" tabindex="3" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_8_2" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_2"><label
class="gfield_label gform-field-label" for="input_8_2">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_8_2" type="text" value="" class="large" tabindex="4" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_8_11" class="gfield gfield--type-email gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_11"><label
class="gfield_label gform-field-label" for="input_8_11">Work Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_11" id="input_8_11" type="email" value="" class="large" tabindex="5" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_8_7" class="gfield gfield--type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_7"><label
class="gfield_label gform-field-label" for="input_8_7">Phone Number<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_7" id="input_8_7" type="tel" value="" class="large" tabindex="6" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_8_3" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_3"><label
class="gfield_label gform-field-label" for="input_8_3">Company Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_8_3" type="text" value="" class="large" tabindex="7" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_8_38" class="gfield gfield--type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_38"><label
class="gfield_label gform-field-label" for="input_8_38">State<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_38" id="input_8_38" class="large gfield_select" tabindex="8" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">-- Please Select --</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">District of 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">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>
</select></div>
</div>
<div id="field_8_40" class="gfield gfield--type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_40"><label
class="gfield_label gform-field-label" for="input_8_40">Size of Organization<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_40" id="input_8_40" class="large gfield_select" tabindex="9" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">-- Please Select --</option>
<option value="0 - 199 Employees">0 - 199 Employees</option>
<option value="200 - 499 Employees">200 - 499 Employees</option>
<option value="500 - 999 Employees">500 - 999 Employees</option>
<option value="1,000 - 4,999 Employees">1,000 - 4,999 Employees</option>
<option value="5,000 - 9,999 Employees">5,000 - 9,999 Employees</option>
<option value="10,000+ Employees">10,000+ Employees</option>
</select></div>
</div>
<div class="spacer gfield" style="grid-column: span 8;"></div>
<div id="field_8_30" class="gfield gfield--type-text gfield--width-half hide wex-coupon-code-field field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_30"><label
class="gfield_label gform-field-label" for="input_8_30">Coupon Code</label>
<div class="ginput_container ginput_container_text"><input name="input_30" id="input_8_30" type="text" value="7015w000000voPCAAY" class="large" tabindex="10" aria-invalid="false"> </div>
</div>
<div id="field_8_29" class="gfield gfield--type-text gfield--width-half hide wex-location-code-field field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_29"><label
class="gfield_label gform-field-label" for="input_8_29">Location Code</label>
<div class="ginput_container ginput_container_text"><input name="input_29" id="input_8_29" type="text" value="" class="large" tabindex="11" aria-invalid="false"> </div>
</div>
<div id="field_8_35" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_8_35">
<div class="ginput_container ginput_container_text"><input name="input_35" id="input_8_35" type="hidden" class="gform_hidden" aria-invalid="false" value="1118"></div>
</div>
<div id="field_8_39" class="gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_8_39"><label class="gfield_label gform-field-label"
for="input_8_39">CAPTCHA</label>
<div id="input_8_39" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LdZ-0sgAAAAACrFSuqoCB0Ewzygt_Hljj7Bk-gD" data-theme="light" data-tabindex="-1" data-size="invisible" data-badge="bottomright">
<div class="grecaptcha-badge" data-style="bottomright"
style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-qtzy2vvaqf3c" 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&k=6LdZ-0sgAAAAACrFSuqoCB0Ewzygt_Hljj7Bk-gD&co=aHR0cHM6Ly9vbmUud2V4aW5jLmNvbTo0NDM.&hl=en&v=Ya-Cd6PbRI5ktAHEhm9JuKEu&theme=light&size=invisible&badge=bottomright&cb=wtkfchsg72fr"
tabindex="-1"></iframe></div>
<div class="grecaptcha-error"></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><iframe style="display: none;"></iframe>
</div>
</div>
<div id="field_8_42" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_8_42"><label
class="gfield_label gform-field-label" for="input_8_42">Phone</label>
<div class="ginput_container"><input name="input_42" id="input_8_42" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_8_42">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_8" class="gform_button button" value="Submit" tabindex="12"
onclick="if(window["gf_submitting_8"]){return false;} if( !jQuery("#gform_8")[0].checkValidity || jQuery("#gform_8")[0].checkValidity()){window["gf_submitting_8"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_8"]){return false;} if( !jQuery("#gform_8")[0].checkValidity || jQuery("#gform_8")[0].checkValidity()){window["gf_submitting_8"]=true;} jQuery("#gform_8").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_8" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="8">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_8"
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<input type="hidden" name="gform_field_values" value="coupon_code=7015w000000voPCAAY&conditional_thank_you_page=1118">
</div>
</form>Text Content
___ Skip to content IT’S TIME TO SIMPLIFY EMPLOYEE BENEFITS WEX OFFERS THE BENEFITS EXPERIENCE EMPLOYEES WANT — AND THE WHITE-GLOVE SERVICE EMPLOYERS NEED An end-to-end solution to streamline benefits administration, reduce complexity and cost, and engage employees year-round. A partner committed to delivering the industry’s best service experience. This year, transform the way you manage benefits. "*" indicates required fields Type of Inquiry* Sales Customer Service First Name* Last Name* Work Email* Phone Number* Company Name* State* -- Please Select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Size of Organization* -- Please Select --0 - 199 Employees200 - 499 Employees500 - 999 Employees1,000 - 4,999 Employees5,000 - 9,999 Employees10,000+ Employees Coupon Code Location Code CAPTCHA Phone This field is for validation purposes and should be left unchanged. REQUEST MORE INFORMATION Connect with a member of our team and learn how WEX can transform benefits for you and your employees. TAKE EMPLOYEE BENEFITS TO THE NEXT LEVEL Let us handle the administrative burden with the easiest and most versatile solution on the market. We’re ready to meet the unique needs of your company. decision-support DECISION SUPPORT Employees get personalized recommendations to help them make educated benefits decisions employee-engagement EMPLOYEE ENGAGEMENT Year-round communications plus an online space to learn about, compare and change benefits customer-care-center CUSTOMER CARE CENTER Call, email or live chat our best-in-class support team for 1:1 assistance from experienced reps dependent-verification DEPENDENT VERIFICATION Our eligibility audit generally reduces the number of covered dependents by 3% to 5% aca-compliance ACA COMPLIANCE Save time and penalties with our one-click solution for ACA tracking, filing and reporting cobra-and-direct-bill COBRA & DIRECT BILL COBRA and billing services for terminations, severance, retirement and leaves of absence reimbursement-accounts REIMBURSEMENT ACCOUNTS Employees can submit and check the status of claims 24/7 through the website or mobile app carrier-payments CARRIER PAYMENTS Reconciling and managing payments between you and your carriers is seamlessly integrated reports-and-analytics REPORTS & ANALYTICS Easy-to-understand reporting and analytics give you the tools to make strategic decisions WE’RE COMMITTED TO GREAT RELATIONSHIPS Our goal is to make outsourcing your benefits administration as intuitive and personal as it should be — for you and your employees. In every client relationship, we pledge to deliver: * Transparent partnership * A flexible and responsive account team * An advanced, user-friendly system * Dedicated and helpful customer service * Strategic guidance on best practices * Cost-saving administrative efficiences Request more information RECOMMENDED READING More to explore 5 TIPS FOR A SUCCESSFUL BENEFITS ADMINISTRATION IMPLEMENTATION Read More WHAT EMPLOYERS ASK WHEN CONSIDERING OUTSOURCING BENEFITS ADMIN Read More EXPERIENCE THE VALUE OF YEAR-ROUND BENEFITS COMMUNICATION Read More READY TO TRANSFORM THE WAY YOU MANAGE BENEFITS? Request more information * Privacy Notice © 2024 WEX Inc. Fuel Card 1 Monthly Gallons at BRANDX† Cents Per Gallon 300-499 1¢ 500-1,499 1.5¢ 1,500-2,499 2¢ 2,500-3,999 3¢ 4,000-4,999 4¢ 5,000-9,999 5¢ 10,000-19,999 6¢ 20,000-49,999 7¢ 50,000+ 8¢ !-- CHEQ INVOCATION TAG --> Notifications Personalize your visit with cookies. 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