account.bcbsil.com Open in urlscan Pro
205.172.134.131  Public Scan

Submitted URL: https://links.mkt2527.com/els/v2/-egbtRm-ykC0/UnFBcCtoTlRWSkxiaHJnbXdCMlY4Z0c2bGgwSHhOU3JQMHptNzE2cGUzcnZmYXpmSzJCQ0Z5bXk5...
Effective URL: https://account.bcbsil.com/upp/
Submission: On February 18 via manual from CA — Scanned from CA

Form analysis 1 forms found in the DOM

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<form action="#">
  <div class="mt-6">
    <div class="mt-6"><label for="member-first-name" class="fiber_label_30e4676d"><span
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        class="fiber_input_d6c55251"><input class="fiber_input__input_d6c55251" name="dateOfBirth" type="text" id="member-dob" data-testid="member-date-of-birth" maxlength="14" placeholder="MM&nbsp;/&nbsp;DD&nbsp;/&nbsp;YYYY" value=""></span></div>
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  <div class="bcbs-member-id mt-6">
    <div class="flex items-center">
      <h2 class="heading-2">Member ID Number</h2><button class="fiber_iconButton_a842c970" type="button" data-testid="information"><span class="fiber_icon_dd0fc6a6 fiber_icon_SizeInherit_dd0fc6a6 fiber_icon_ColorBlack_dd0fc6a6"><svg
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    </div>
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        alt="member-id-icon">
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            aria-label="memberId-0" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[1]" type="text" placeholder="B" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
            aria-label="memberId-1" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[2]" type="text" placeholder="C" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
            aria-label="memberId-2" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[3]" type="text" placeholder="1" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
            aria-label="memberId-3" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[4]" type="text" placeholder="2" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
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  </div>
  <div class="communication-preference mt-8"><label class="fiber_checkbox_ded49b71"><input type="checkbox" name="communicationPreferences" data-testid="communicationPreferences"><span
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          <div class="sm:flex sm:flex-col"><span>I agree with the Communication Preferences </span><span class="communication-preference-privacy-statement" data-testid="communication-preference-privacy-statement">Privacy Statement</span></div>
        </span></span></label></div>
  <div class="flex mt-16 sm:justify-start xs:flex-row-reverse"><button class="fiber_button_efb864cc fiber_button_Size2_efb864cc fiber_button_Primary_efb864cc" type="submit" data-testid="logInButton" disabled=""><span
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        </svg></span><span class="fiber_button__text_efb864cc">Log In</span></button></div>
</form>

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