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login.ngahagents.ngic.com Open in urlscan Pro
167.19.21.161  Public Scan

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Submitted URL: http://quote.nationalgeneral.com/qiprom1/logon.asp?sid=7c34edb9efd1487abb06dc9b239cb38a
Effective URL: https://login.ngahagents.ngic.com/Account/Login?ReturnUrl=%2Fconnect%2Fauthorize%2Fcallback%3Fclient_id%3Dd52e8176-afea-4177-38ff-...
Submission: On November 21 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST 

<form method="post">
  <div class="form-group">
  </div>
  <div class="form-group">
    <label class="sr-only" for="Username">Username</label>
    <input class="form-control" placeholder="Username" data-val="false" type="text" data-val-required="The Username field is required." id="Username" name="Username" value="">
    <span class="text-danger field-validation-valid" data-valmsg-for="Username" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label class="sr-only" for="Password">Password</label>
    <div class="input-group">
      <input type="password" class="form-control pw" placeholder="Password" data-val="false" data-val-required="The Password field is required." id="Password" name="Password">
      <div class="input-group-append">
        <a id="showHidePw" class="btn btn-outline-dark" onclick="ShowHidePassword('Password', 'showHidePw', 'Show', 'Hide')" alt="Toggle Show/Hide Password">Show</a>
      </div>
    </div>
    <span class="text-danger field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <button type="submit" class="btn btn-block btn-primary" alt="Log In">Log In</button>
  </div>
  <input type="hidden" id="ReturnUrl" name="ReturnUrl"
    value="/connect/authorize/callback?client_id=d52e8176-afea-4177-38ff-08da2f870d08&amp;redirect_uri=https%3A%2F%2Fngahagents.ngic.com%2Fsignin-oidc&amp;response_type=code&amp;scope=openid%20profile%20email%20offline_access&amp;code_challenge=-AwLdlyJ2lBKD5BPMbkklrog12o-aG84eHPJ1wL550s&amp;code_challenge_method=S256&amp;max_age=1800&amp;nonce=638046582842078760.Zjc2M2MwYzMtNDVmNi00NWYyLWIwZTgtZTc1N2I5NGUwMWRiNDYwMjYyMGUtNjUyYi00ZWQ3LTg2NzktNTM0NzM1NzU5ZDRj&amp;state=CfDJ8LaKQL-NJR9IhqkFzxUw6mBpmWcT7qAx9jvvUT8mlx8Fo0doNQr25JA2dahaFwS2GqpW0GzH5whWmGcywSqpQzUGUy1kPp5xlXfFjoJkDbLJHbZThyr_OYu5zNd3-07Rr87sRXs3jSL46EQ5IMJEFH81YgPpBXizj1Vnx5Ie8w7fCjQm0C08fdel4blE28Z6a1Aut0RUxFl-yQQvie7aMlizXUaAF7oUA2gM_1HD016EO2Bwu0OEGb3Xzh1efc62X48R9SJh3ewUNAIRXYRBtfnVGaJUH8IonMLjhjADtcYW7mTWu2IN65LO4QaKkxqkSzkhMCUBWKDj93I5njH8oZZTPR8Gdo2p7Jc7EgHNQDFBSYIdN42P7cFwFUiP7vMpuw&amp;x-client-SKU=ID_NETSTANDARD2_0&amp;x-client-ver=6.8.0.0">
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8MW_UfODFAhLvg5K36B3wtfqzAnv9N3S7nDLP-tyNdgaK4MU7s0FQUV-btxIuQDaC-ItyT7d2gjtb0XqjRqgPf2yoEQETzFOsv75iRIi02_0E0hx_YTx7xCjPJvMVmkAXN1mZA8hP-xhSIBzN-fs478">
</form>

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Allstate Health Solutions is a marketing name for products underwritten by
National Health Insurance Company, Integon National Insurance Company, Integon
Indemnity Corporation and American Heritage Life Insurance Company.
© 2022 Allstate Insurance Company. www.allstate.com or www.allstatehealth.com

Allstate Benefits is a marketing name for: Integon National Insurance Company in
CT, NY and VT; Integon Indemnity Corporation in FL; and National Health
Insurance Company in CO, WA and all other states where offered.
© 2022 Allstate Insurance Company. www.allstate.com or www.allstatebenefits.com