account.bcbsil.com
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205.172.134.131
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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
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
#
<form action="#">
<div class="mt-6">
<div class="mt-6"><label for="member-first-name" class="fiber_label_30e4676d"><span
class="fiber_text_b06ad8fb fiber_text_Size2_b06ad8fb fiber_text_ColorTextDark_b06ad8fb fiber_text_WeightBold_b06ad8fb fiber_text_StyleNormal_b06ad8fb fiber_taLeft_22dc9e15"><span>First Name </span></span></label><span
class="fiber_input_d6c55251"><input class="fiber_input__input_d6c55251" name="firstName" type="string" id="member-first-name" data-testid="member-first-name" maxlength="1000" value=""></span></div>
</div>
<div class="mt-6">
<div class="mt-6"><label for="member-last-name" class="fiber_label_30e4676d"><span
class="fiber_text_b06ad8fb fiber_text_Size2_b06ad8fb fiber_text_ColorTextDark_b06ad8fb fiber_text_WeightBold_b06ad8fb fiber_text_StyleNormal_b06ad8fb fiber_taLeft_22dc9e15"><span>Last Name </span></span></label><span
class="fiber_input_d6c55251"><input class="fiber_input__input_d6c55251" name="lastName" type="string" id="member-last-name" data-testid="member-last-name" maxlength="1000" value=""></span></div>
</div>
<div class="mt-6">
<div class="mt-6"><label for="member-dob" 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 / DD / YYYY" value=""></span></div>
</div>
<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
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" xml:space="preserve" fill="currentColor" role="img" aria-hidden="true" focusable="false">
<path d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm0 18.5c-4.7 0-8.5-3.8-8.5-8.5S7.3 3.5 12 3.5s8.5 3.8 8.5 8.5-3.8 8.5-8.5 8.5z"></path>
<path d="M13 9.5H9.2V11h2.3v5.5H9.2V18h6v-1.5H13z"></path>
<ellipse cx="12.3" cy="7.2" rx="0.9" ry="1"></ellipse>
</svg></span><span class="fiber_iconButton__srOnly_a842c970">Member card information</span></button>
</div>
<div class="flex"><img class="mr-2 bcbs-memmber-icon hidden md:block"
src="data:image/svg+xml;base64,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"
alt="member-id-icon">
<div class="flex w-full max-w-full"><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[0]" type="text" placeholder="A" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
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"
aria-label="memberId-4" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[5]" type="text" placeholder="3" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
aria-label="memberId-5" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[6]" type="text" placeholder="4" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
aria-label="memberId-6" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[7]" type="text" placeholder="5" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
aria-label="memberId-7" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[8]" type="text" placeholder="6" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
aria-label="memberId-8" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[9]" type="text" placeholder="7" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
aria-label="memberId-9" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[10]" type="text" placeholder="8" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
aria-label="memberId-10" value=""></span><span class="mr-1 flex-auto w-full bcbs-input-group-wrapper"><input name="memberId[11]" type="text" placeholder="9" maxlength="1" class="bcbs-input-group" data-testid="input-group-memberId"
aria-label="memberId-11" value=""></span></div>
</div>
</div>
<div class="communication-preference mt-8"><label class="fiber_checkbox_ded49b71"><input type="checkbox" name="communicationPreferences" data-testid="communicationPreferences"><span
class="fiber_checkbox__label_ded49b71 fiber_checkbox__label_Left_ded49b71"><span
class="fiber_text_b06ad8fb fiber_text_Size2_b06ad8fb fiber_text_ColorTextDark_b06ad8fb fiber_text_WeightNormal_b06ad8fb fiber_text_StyleNormal_b06ad8fb fiber_taLeft_22dc9e15 fiber_mt0_22dc9e15 fiber_mb0_22dc9e15 fiber_mr3_22dc9e15 fiber_ml3_22dc9e15">
<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
class="fiber_icon_dd0fc6a6 fiber_icon_Size2_dd0fc6a6"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 32 32" xml:space="preserve" fill="currentColor" role="img" aria-hidden="true" focusable="false">
<path
d="M25 15h-1v-5c0-2.8-1.4-5.4-4-6.9-1.3-.8-2.6-1.1-4-1.1-2.8 0-5.5 1.4-6.9 4C8.3 7.3 8 8.6 8 10v5H7c-1.7 0-3 1.3-3 3v9c0 1.7 1.3 3 3 3h18c1.7 0 3-1.3 3-3v-9c0-1.7-1.3-3-3-3zm-15-3v-2c0-1.1.3-2.1.8-3 1.1-1.9 3.1-3 5.2-3 1 0 2.1.3 3 .8 1.8 1.1 3 3.1 3 5.2v5H10v-3z">
</path>
</svg></span><span class="fiber_button__text_efb864cc">Log In</span></button></div>
</form>Text Content
Español Español Get your plan information online. Get email or text updates to know when there are new things to view. LOG IN First Name Last Name Date Of Birth MEMBER ID NUMBER Member card information I agree with the Communication Preferences Privacy Statement Log In Non-Discrimination Notice A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2021 Health Care Service Corporation. All Rights Reserved.