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login.sunlifeconnect.com Open in urlscan Pro
104.111.219.143  Public Scan

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Submitted URL: https://login.sunlifeconnect.com/commonlogin/#/registration/createaccount
Effective URL: https://login.sunlifeconnect.com/commonlogin/
Submission: On August 04 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

<form _ngcontent-c3="" autocomplete="off" id="createAccount" novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div _ngcontent-c3="" class="container">
    <div _ngcontent-c3="" id="header">
      <div _ngcontent-c3="" class="row">
        <div _ngcontent-c3="" class="col-lg-12">
          <h1 _ngcontent-c3="" class="pagetitle">New user - create an account</h1>
        </div>
      </div>
    </div>
    <div _ngcontent-c3="" id="body">
      <div _ngcontent-c3="" class="col-lg-12 col-md-12 largescreen required">
        <h5 _ngcontent-c3="">*Required field</h5>
      </div>
      <div _ngcontent-c3="" class="row">
        <div _ngcontent-c3="" class="col-lg-8 col-md-8 col-sm-12 col-xs-12">
          <p _ngcontent-c3=""><strong _ngcontent-c3="">Already registered? Click <a _ngcontent-c3="" routerlink="/" routerlinkactive="active" href="#/" class="active">here</a> to sign in.</strong></p>
          <p _ngcontent-c3="">Please provide some basic information to initiate registration. Once you submit this information, we will send you an email that will provide a link to continue the registration process.</p>
          <div _ngcontent-c3="" class="form-group has-error"><!----></div>
          <div _ngcontent-c3="" class="form-group has-error"><!----></div>
          <div _ngcontent-c3="" class="form-group has-error"><!----></div>
          <div _ngcontent-c3="" class="form-group has-error topspace2"><!----></div>
          <p _ngcontent-c3="" class="label">First name*</p><input _ngcontent-c3="" autocomplete="off" autofocus="" formcontrolname="firstname" id="FIRSTNAME" maxlength="40" name="FIRSTNAME"
            onkeypress="return event.charCode === 0 || /^[^@*%<>#$!~&amp;^]*$/.test(String.fromCharCode(event.charCode));" placeholder="Enter your first name" type="text" class="ng-untouched ng-pristine ng-invalid">
          <div _ngcontent-c3="" class="form-group has-error"><!----></div>
          <p _ngcontent-c3="" class="label">Last name*<span _ngcontent-c3="" class="pull-right"><button _ngcontent-c3="" class="fakelink">Does capitalization matter?</button></span></p><input _ngcontent-c3="" autocomplete="off"
            formcontrolname="lastname" id="LASTNAME" maxlength="40" name="LASTNAME" onkeypress="return event.charCode === 0 || /^[^@*%<>#$!~&amp;^]*$/.test(String.fromCharCode(event.charCode));" placeholder="Enter your last name" type="text"
            class="ng-untouched ng-pristine ng-invalid">
          <div _ngcontent-c3="" class="form-group has-error"><!----></div>
          <div _ngcontent-c3="" class="form-group has-error"><!----></div>
          <p _ngcontent-c3="" class="label">Email*</p><input _ngcontent-c3="" autocomplete="off" formcontrolname="email" id="EMAIL" name="EMAIL" placeholder="Enter your email address" type="text" class="ng-untouched ng-pristine ng-invalid">
        </div>
        <div _ngcontent-c3="" class="col-lg-4 col-md-4 col-sm-12 largescreen">
          <div _ngcontent-c3="" class="sidebar"><label _ngcontent-c3="">
              <div _ngcontent-c3="">
                <h3>Questions?</h3>
                <p class="text-left">If you have questions about registering, <a href="https://www.brainshark.com/sunlife/New-User-Registration" target="_blank">view our short demo</a> for help, or call our Client Services team at 1-800-247-6875,
                  Monday through Friday, 8:00 a.m. to 8:00 p.m. ET.</p>
              </div>
            </label></div>
        </div>
      </div>
      <div _ngcontent-c3="" class="contentSection">
        <h2 _ngcontent-c3="">What type of account do you need?</h2><mat-expansion-panel _ngcontent-c3="" class="mat-expansion-panel ng-tns-c4-0"><mat-expansion-panel-header _ngcontent-c3=""
            class="mat-expansion-panel-header ng-tns-c5-1 ng-trigger ng-trigger-expansionHeight ng-star-inserted" role="button" id="mat-expansion-panel-header-0" tabindex="0" aria-controls="cdk-accordion-child-0" aria-expanded="false"
            aria-disabled="false" style="height: 48px;"><span class="mat-content"><mat-panel-title _ngcontent-c3="" class="mat-expansion-panel-header-title">
                <p _ngcontent-c3="" class="mb-0"><a _ngcontent-c3="" aria-controls="collapse-1" aria-expanded="false" class="collapsed" data-toggle="collapse" href="javascript:void(0);" role="button"><label _ngcontent-c3=""></label></a></p>
                <div _ngcontent-c3=""><a _ngcontent-c3="" aria-controls="collapse-1" aria-expanded="false" class="collapsed" data-toggle="collapse" href="javascript:void(0);" role="button">Member - Employee who receives benefits.</a></div>
                <p></p>
              </mat-panel-title></span><!----></mat-expansion-panel-header>
          <div class="mat-expansion-panel-content ng-trigger ng-trigger-bodyExpansion" role="region" aria-labelledby="mat-expansion-panel-header-0" id="cdk-accordion-child-0" style="height: 0px; visibility: hidden;">
            <div class="mat-expansion-panel-body"><label _ngcontent-c3="">
                <div _ngcontent-c3="">
                  <p>Members can access plan information, print Dental ID cards, view and submit claims, submit Evidence of Insurability, and more. (Specific access depends on policy.)</p>
                  <p class="font-weight-bold">To register as a member, you will need ONE of the following:</p>
                  <ul>
                    <li>Social Security number</li>
                    <li>Member ID</li>
                    <li>Disability/Absence claim #</li>
                    <li>Policy number</li>
                  </ul>
                  <p>To view your dental ID card, benefit information or coverage statement, you must register with your Social Security number or Member ID.</p>
                  <p>Your employer should be able to assist you with identifying your Member ID or Policy number.</p>
                </div>
              </label><!----></div>
          </div>
        </mat-expansion-panel><mat-expansion-panel _ngcontent-c3="" class="mat-expansion-panel ng-tns-c4-2"><mat-expansion-panel-header _ngcontent-c3=""
            class="mat-expansion-panel-header ng-tns-c5-3 ng-trigger ng-trigger-expansionHeight ng-star-inserted" role="button" id="mat-expansion-panel-header-1" tabindex="0" aria-controls="cdk-accordion-child-1" aria-expanded="false"
            aria-disabled="false" style="height: 48px;"><span class="mat-content"><mat-panel-title _ngcontent-c3="" class="mat-expansion-panel-header-title">
                <p _ngcontent-c3="" class="mb-0"><a _ngcontent-c3="" aria-controls="collapse-2" aria-expanded="false" class="collapsed" data-toggle="collapse" href="javascript:void(0);" role="button"><label _ngcontent-c3=""></label></a></p>
                <div _ngcontent-c3="">
                  <a _ngcontent-c3="" aria-controls="collapse-2" aria-expanded="false" class="collapsed" data-toggle="collapse" href="javascript:void(0);" role="button">Broker - Broker assistant, account executives, and others who sell insurance coverage.</a>
                </div>
                <p></p>
              </mat-panel-title></span><!----></mat-expansion-panel-header>
          <div class="mat-expansion-panel-content ng-trigger ng-trigger-bodyExpansion" role="region" aria-labelledby="mat-expansion-panel-header-1" id="cdk-accordion-child-1" style="height: 0px; visibility: hidden;">
            <div class="mat-expansion-panel-body"><label _ngcontent-c3="">
                <div _ngcontent-c3="">
                  <p>Brokers can view commission statements and block of business</p>
                  <p class="font-weight-bold">To register as a broker you need:</p>
                  <ul>
                    <li>Tax ID</li>
                    <li>Pay to number (payee number)</li>
                  </ul>
                </div>
              </label><!----></div>
          </div>
        </mat-expansion-panel><mat-expansion-panel _ngcontent-c3="" class="mat-expansion-panel ng-tns-c4-4"><mat-expansion-panel-header _ngcontent-c3=""
            class="mat-expansion-panel-header ng-tns-c5-5 ng-trigger ng-trigger-expansionHeight ng-star-inserted" role="button" id="mat-expansion-panel-header-2" tabindex="0" aria-controls="cdk-accordion-child-2" aria-expanded="false"
            aria-disabled="false" style="height: 48px;"><span class="mat-content"><mat-panel-title _ngcontent-c3="" class="mat-expansion-panel-header-title">
                <p _ngcontent-c3="" class="mb-0"><a _ngcontent-c3="" aria-controls="collapse-3" aria-expanded="false" class="collapsed" data-toggle="collapse" href="javascript:void(0);" role="button"><label _ngcontent-c3=""></label></a></p>
                <div _ngcontent-c3="">
                  <a _ngcontent-c3="" aria-controls="collapse-3" aria-expanded="false" class="collapsed" data-toggle="collapse" href="javascript:void(0);" role="button">Provider - Dentist and support staff who provide benefit services.</a></div>
                <p></p>
              </mat-panel-title></span><!----></mat-expansion-panel-header>
          <div class="mat-expansion-panel-content ng-trigger ng-trigger-bodyExpansion" role="region" aria-labelledby="mat-expansion-panel-header-2" id="cdk-accordion-child-2" style="height: 0px; visibility: hidden;">
            <div class="mat-expansion-panel-body"><label _ngcontent-c3="">
                <div _ngcontent-c3="">
                  <p>Providers can view eligibility, plan descriptions, claim status, and other patient related information.</p>
                  <p class="font-weight-bold">To register as a provider you need:</p>
                  <ul>
                    <li>Tax ID</li>
                    <li>ZIP code</li>
                  </ul>
                </div>
              </label><!----></div>
          </div>
        </mat-expansion-panel><mat-expansion-panel _ngcontent-c3="" class="mat-expansion-panel ng-tns-c4-6"><mat-expansion-panel-header _ngcontent-c3=""
            class="mat-expansion-panel-header ng-tns-c5-7 ng-trigger ng-trigger-expansionHeight ng-star-inserted" role="button" id="mat-expansion-panel-header-3" tabindex="0" aria-controls="cdk-accordion-child-3" aria-expanded="false"
            aria-disabled="false" style="height: 48px;"><span class="mat-content"><mat-panel-title _ngcontent-c3="" class="mat-expansion-panel-header-title">
                <p _ngcontent-c3="" class="mb-0"><a _ngcontent-c3="" aria-controls="collapse-4" aria-expanded="false" class="collapsed" data-toggle="collapse" href="javascript:void(0);" role="button"><label _ngcontent-c3=""></label></a></p>
                <div _ngcontent-c3="">
                  <a _ngcontent-c3="" aria-controls="collapse-4" aria-expanded="false" class="collapsed" data-toggle="collapse" href="javascript:void(0);" role="button">Employer - Policy administrator, benefits administrator, Human Resources personnel who manage benefits, or Third Party Administrator (TPA).</a>
                </div>
                <p></p>
              </mat-panel-title></span><!----></mat-expansion-panel-header>
          <div class="mat-expansion-panel-content ng-trigger ng-trigger-bodyExpansion" role="region" aria-labelledby="mat-expansion-panel-header-3" id="cdk-accordion-child-3" style="height: 0px; visibility: hidden;">
            <div class="mat-expansion-panel-body"><label _ngcontent-c3="">
                <div _ngcontent-c3="">
                  <p>Employers can submit enrollments, process changes, and view your bill. Administrative or view only access will be validated for each request. </p>
                  <p>Not all policies allow employers to self-register. Contact your benefits administrator if you have questions.</p>
                  <p class="font-weight-bold">To register as a employer you need:</p>
                  <ul>
                    <li>Policy number</li>
                  </ul>
                </div>
              </label><!----></div>
          </div>
        </mat-expansion-panel>
      </div><!---->
      <div _ngcontent-c3="" class="ng-star-inserted">
        <div _ngcontent-c3="" class="row">
          <div _ngcontent-c3="" class="col-md-6"><re-captcha _ngcontent-c3="" size="invisible" id="ngrecaptcha-0">
              <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"
                    src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LeJAzgUAAAAAOJpQwUoH924p7imiMVvz-uvet5W&amp;co=aHR0cHM6Ly9sb2dpbi5zdW5saWZlY29ubmVjdC5jb206NDQz&amp;hl=de&amp;v=5JGZgxkKwe0uOXDdUvSaNtk_&amp;size=invisible&amp;cb=s2rbj81pboaq"
                    width="256" height="60" role="presentation" name="a-hg8ikjd0xclm" frameborder="0" scrolling="no"
                    sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></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>
            </re-captcha>
            <div _ngcontent-c3=""></div>
          </div>
        </div>
      </div>
      <div _ngcontent-c3="" class="row">
        <div _ngcontent-c3="" class="col-lg-12 topspace1 cta-buttons"><span _ngcontent-c3="" class="pull-right"><button _ngcontent-c3="" class="btn btn-tertiary" title="Cancel registration" type="button">Cancel</button><button _ngcontent-c3=""
              class="btn btn-primary" title="Continue to start registration" type="button">Continue</button></span></div>
      </div>
    </div>
  </div>
  <div _ngcontent-c3="" class="row">
    <div _ngcontent-c3="" class="col-md-12 col-sm-12 col-12 smallscreen topspace">
      <div _ngcontent-c3="" class="sidebar"><label _ngcontent-c3="">
          <div _ngcontent-c3="">
            <h3>Questions?</h3>
            <p class="text-left">If you have questions about registering, <a href="https://www.brainshark.com/sunlife/New-User-Registration" target="_blank">view our short demo</a> for help, or call our Client Services team at 1-800-247-6875, Monday
              through Friday, 8:00 a.m. to 8:00 p.m. ET.</p>
          </div>
        </label></div>
    </div>
  </div>
  <div _ngcontent-c3="" class="smallscreen topspace2">
    <h5 _ngcontent-c3="">*Required field</h5>
  </div>
</form>

Text Content

NEW USER - CREATE AN ACCOUNT

*REQUIRED FIELD

Already registered? Click here to sign in.

Please provide some basic information to initiate registration. Once you submit
this information, we will send you an email that will provide a link to continue
the registration process.






First name*



Last name*Does capitalization matter?




Email*


QUESTIONS?

If you have questions about registering, view our short demo for help, or call
our Client Services team at 1-800-247-6875, Monday through Friday, 8:00 a.m. to
8:00 p.m. ET.


WHAT TYPE OF ACCOUNT DO YOU NEED?

Member - Employee who receives benefits.

Members can access plan information, print Dental ID cards, view and submit
claims, submit Evidence of Insurability, and more. (Specific access depends on
policy.)

To register as a member, you will need ONE of the following:

 * Social Security number
 * Member ID
 * Disability/Absence claim #
 * Policy number

To view your dental ID card, benefit information or coverage statement, you must
register with your Social Security number or Member ID.

Your employer should be able to assist you with identifying your Member ID or
Policy number.

Broker - Broker assistant, account executives, and others who sell insurance
coverage.

Brokers can view commission statements and block of business

To register as a broker you need:

 * Tax ID
 * Pay to number (payee number)

Provider - Dentist and support staff who provide benefit services.

Providers can view eligibility, plan descriptions, claim status, and other
patient related information.

To register as a provider you need:

 * Tax ID
 * ZIP code

Employer - Policy administrator, benefits administrator, Human Resources
personnel who manage benefits, or Third Party Administrator (TPA).

Employers can submit enrollments, process changes, and view your bill.
Administrative or view only access will be validated for each request.

Not all policies allow employers to self-register. Contact your benefits
administrator if you have questions.

To register as a employer you need:

 * Policy number


CancelContinue


QUESTIONS?

If you have questions about registering, view our short demo for help, or call
our Client Services team at 1-800-247-6875, Monday through Friday, 8:00 a.m. to
8:00 p.m. ET.

*REQUIRED FIELD


Life's brighter under the sun
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In all states except New York, insurance products and prepaid dental products
are underwritten or provided by Sun Life Assurance Company of Canada (Wellesley
Hills, MA) ("SLOC") and by Union Security Insurance Company (Kansas City, MO),
administered by SLOC. In certain states prepaid dental products are provided by
prepaid dental companies affiliated with SLOC. In New York, insurance products
and prepaid dental products are underwritten or provided by Sun Life and Health
Insurance Company (U.S.) (Lansing, MI) ("SLHICUS") or by Union Security Life
Insurance Company of New York (Fayetteville, NY), administered by SLHICUS.

Copyright © 2020 Sun Life Assurance Company of Canada. All rights reserved. Sun
Life and the globe symbol are trademarks of Sun Life Assurance Company of
Canada.