www5.benefitsolver.com Open in urlscan Pro
23.75.67.221  Public Scan

Form analysis
2 forms found in the DOM

Name: signonForm — POST ./BenefitSolverView

<form name="signonForm" action="./BenefitSolverView" method="POST" onsubmit="isValidBrowser(); return submitForm(this)" novalidate="novalidate">
  <input type="hidden" name="fingerprint" value="UNKNOWN"><input type="hidden" name="isSignonPage" value="t"><input autocorrect="off" autocapitalize="off" type="hidden" name="q" value="0e4dd40fbf9eeb992977becec83d1b11"><input autocorrect="off"
    autocapitalize="off" type="hidden" name="page_name" value="member/event/pixel"><input autocorrect="off" autocapitalize="off" type="hidden" name="s" value="USNtuhVJUMjLDOKn8ty8IxkyZXPvI16Jf6pkLmDgWV8="><input autocorrect="off" autocapitalize="off"
    type="hidden" name="BrowserName" value="Chrome"><input autocorrect="off" autocapitalize="off" type="hidden" name="BrowserVersion" value="118"><input autocorrect="off" autocapitalize="off" type="hidden" name="CURRENT_LANGUAGE" value="en"><input
    autocorrect="off" autocapitalize="off" type="hidden" name="org.springframework.web.servlet.HandlerMapping.bestMatchingPattern" value="/{_:^(?!swagger|graphiql).*$}/**"><input autocorrect="off" autocapitalize="off" type="hidden" name="signonurl"
    value="http://www5.benefitsolver.com/benefits/BenefitSolverView"><input autocorrect="off" autocapitalize="off" type="hidden" name="org.springframework.web.util.UrlPathHelper.path" value="/BenefitSolverView"><input autocorrect="off"
    autocapitalize="off" type="hidden" name="displayMessage" value="An error occurred while signing on.  Please try again later."><input autocorrect="off" autocapitalize="off" type="hidden"
    name="org.springframework.web.servlet.HandlerMapping.pathWithinHandlerMapping" value="/BenefitSolverView"><input type="hidden" name="co_num" value="">
  <div id="checkJS" class="no-margin-top" style="display: none;">
    <div class="alert alert-danger" role="alert">
      <table cellpadding="3" cellspacing="0" width="100%" role="presentation">
        <tbody>
          <tr>
            <td align="" valign="top" class="text-danger"><i class="icon-warning-sign pull-left icon-warning-sign-padding"></i><b>Warning&nbsp;-&nbsp;</b><span class="normalFont">It appears that you have JavaScript disabled. Please enable JavaScript
                in your browser and refresh this page to log in.</span></td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script type="text/javascript">
    document.getElementById("checkJS").style.display = "none";
  </script>
  <h1 class="sr-only">Login</h1>
  <input type="hidden" name="USERID" value=""><input type="hidden" name="PASSWORD" value="">
  <div class="panel" widget-type="signon">
    <div class="panel-heading">
      <h2 class="panel-title">Welcome</h2>
    </div>
    <div class="panel-body">
      <div class="row">
        <div class="col-xs-12 col-sm-6">
          <div class="form-group required">
            <label for="USERID1" id="label_USERID1" class="control-label">User Name</label><span class="input-group"><span class="input-group-addon" id="USERID1_addon_before"><span class="icon icon-user icon-lg"> </span></span><input id="USERID1"
                name="USERID1" value="" class="form-control input-lg" type="text" required="required" aria-required="true" autocorrect="off" autocapitalize="off" aria-describedby="USERID1_helptext USERID1_addon_before"></span>
            <div class="help-block" id="USERID1_helptext">case sensitive</div>
          </div>
          <div class="form-group required">
            <label for="PASSWORD1" id="label_PASSWORD1" class="control-label">Password</label><span class="input-group"><span class="input-group-addon" id="PASSWORD1_addon_before"><span class="icon icon-lock icon-lg"> </span></span><input
                id="PASSWORD1" name="PASSWORD1" value="" class="form-control input-lg" type="password" required="required" aria-required="true" autocomplete="off" aria-describedby="PASSWORD1_helptext PASSWORD1_addon_before"></span>
            <div class="help-block" id="PASSWORD1_helptext">case sensitive</div>
          </div>
          <button id="button_8646dfd3-bb4a-4f0f-be15-15d9e9ec4183" value="Login" class="loginButton btn btn-lg btn-primary btn-block index_next m-bottom-sm" type="submit">Login <span class="icon icon-chevron-right"></span></button>
          <div class="text-center m-bottom-sm">
            <a href="javascript:gotoPage(null, 'signup/pwdverify', false, false, { formActionURL: './BenefitSolverView', co_num: '', co_affid: '', RelayState: '' });" onclick="return handleClick('forgotpwd')">Trouble Logging In?</a>
          </div>
        </div>
        <div class="col-xs-12 col-sm-5 pull-right">
          <div style="overflow-y:auto;max-height:300px;">
            <h4>Don't have an account?</h4>Register to create your<br>user name and password.
          </div>
          <br>
          <button id="button_7a89bdc5-3106-4ce0-8c9c-670deac72182" value="Register" onclick="gotoPage(null, 'signup/verify', false, false, { formActionURL: './BenefitSolverView', co_num: '', gd_num: '', co_affid: '', RelayState: '' })"
            class="btn btn-default btn-block" type="button"><span class="icon icon-user"></span> Register</button>
        </div>
      </div>
    </div>
  </div>
  <input type="hidden" name="CSRF" value=""><input type="hidden" name="requestUUID" value="494575ad-7b5d-4a2f-a32f-43cbb027f56f">
</form>

<form onsubmit="return false;" id="loginForm">
  <div class="form-group">
    <label for="loginModalUsername" class="control-label">User Name</label>
    <div class="input-group">
      <span class="input-group-addon"><i class="icon icon-user icon-large"></i></span><input type="text" class="form-control input-lg" id="loginModalUsername" name="loginModalUsername" value="" autocorrect="off" autocapitalize="off">
    </div>
  </div>
  <div class="form-group">
    <label for="loginModalPassword" class="control-label">Password</label>
    <div class="input-group">
      <span class="input-group-addon"><i class="icon icon-lock icon-large"></i></span><input type="password" class="form-control input-lg" id="loginModalPassword" name="loginModalPassword" value="" autocomplete="off">
    </div>
  </div>
  <input type="hidden" name="CSRF" value=""><input type="hidden" name="requestUUID" value="c0cb8a90-63b4-4ada-9ad3-84b9708a351b">
</form>

Text Content

Error

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 * An error occurred while signing on. Please try again later.

Warning

The following warning(s) have occurred.

Information

The following action(s) have occurred.

Warning - It appears that you have JavaScript disabled. Please enable JavaScript
in your browser and refresh this page to log in.


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