forbusiness.benenden.co.uk Open in urlscan Pro
3.215.172.219  Public Scan

Form analysis
1 forms found in the DOM

POST https://forbusiness.benenden.co.uk/l/482581/2021-04-20/299px2

<form accept-charset="UTF-8" method="post" action="https://forbusiness.benenden.co.uk/l/482581/2021-04-20/299px2" class="form" id="pardot-form">
  <style type="text/css">
    form.form p label {
      color: #000000;
    }
  </style>
  <p class="form-field  first_name pd-text required    ">
    <label class="field-label" for="482581_112477pi_482581_112477">First name</label>
    <input type="text" name="482581_112477pi_482581_112477" id="482581_112477pi_482581_112477" value="" class="text" size="30" maxlength="40" onchange="" onfocus="">
  </p>
  <div id="error_for_482581_112477pi_482581_112477" style="display:none"></div>
  <p class="form-field  last_name pd-text required    ">
    <label class="field-label" for="482581_112479pi_482581_112479">Last name</label>
    <input type="text" name="482581_112479pi_482581_112479" id="482581_112479pi_482581_112479" value="" class="text" size="30" maxlength="80" onchange="" onfocus="">
  </p>
  <div id="error_for_482581_112479pi_482581_112479" style="display:none"></div>
  <p class="form-field  company pd-text required    ">
    <label class="field-label" for="482581_112481pi_482581_112481">Company</label>
    <input type="text" name="482581_112481pi_482581_112481" id="482581_112481pi_482581_112481" value="" class="text" size="30" maxlength="255" onchange="" onfocus="">
  </p>
  <div id="error_for_482581_112481pi_482581_112481" style="display:none"></div>
  <p class="form-field  email pd-text required    ">
    <label class="field-label" for="482581_112483pi_482581_112483">Email</label>
    <input type="text" name="482581_112483pi_482581_112483" id="482581_112483pi_482581_112483" value="" class="text" size="30" maxlength="255" onchange="" onfocus="">
  </p>
  <div id="error_for_482581_112483pi_482581_112483" style="display:none"></div>
  <p class="form-field  phone pd-text required    ">
    <label class="field-label" for="482581_112485pi_482581_112485">Work telephone number</label>
    <input type="text" name="482581_112485pi_482581_112485" id="482581_112485pi_482581_112485" value="" class="text" size="30" maxlength="40" onchange="" onfocus="">
  </p>
  <div id="error_for_482581_112485pi_482581_112485" style="display:none"></div>
  <p class="form-field  industry pd-select required    ">
    <label class="field-label" for="482581_140438pi_482581_140438">Industry</label>
    <select name="482581_140438pi_482581_140438" id="482581_140438pi_482581_140438" class="select" onchange="">
      <option value="" selected="selected"></option>
      <option value="1891379">Agriculture, Forestry and Fishing</option>
      <option value="1891382">Mining and Quarrying</option>
      <option value="1891385">Manufacturing</option>
      <option value="1891388">Electricity, gas, steam and air conditioning supply</option>
      <option value="1891391">Water supply, sewerage, waste management and remediation activities</option>
      <option value="1891394">Construction</option>
      <option value="1891397">Wholesale and retail trade; repair of motor vehicles and motorcycles</option>
      <option value="1891400">Transportation and storage</option>
      <option value="1891403">Accommodation and food service activities</option>
      <option value="1891406">Information and communication</option>
      <option value="1891409">Financial and insurance activities</option>
      <option value="1891412">Real estate activities</option>
      <option value="1891415">Professional, scientific and technical activities</option>
      <option value="1891418">Administrative and support service activities</option>
      <option value="1891421">Public administration and defence; compulsory social security</option>
      <option value="1891424">Education</option>
      <option value="1891427">Human health and social work activities</option>
      <option value="1891430">Arts, entertainment and recreation</option>
      <option value="1891433">Other service activities</option>
      <option value="1891436">Activities of households as employers; undifferentiated goods- and services-producing activities of households for own use</option>
      <option value="1891439">Activities of extraterritorial organisations and bodies</option>
    </select>
  </p>
  <div id="error_for_482581_140438pi_482581_140438" style="display:none"></div>
  <p class="form-field  employees pd-text required    ">
    <label class="field-label" for="482581_140441pi_482581_140441">Number of employees</label>
    <input type="text" name="482581_140441pi_482581_140441" id="482581_140441pi_482581_140441" value="" class="text" size="30" maxlength="32" onchange="" onfocus="">
  </p>
  <div id="error_for_482581_140441pi_482581_140441" style="display:none"></div>
  <p class="form-field  zip pd-text required    ">
    <label class="field-label" for="482581_112487pi_482581_112487">Postcode</label>
    <input type="text" name="482581_112487pi_482581_112487" id="482581_112487pi_482581_112487" value="" class="text" size="30" maxlength="32" onchange="" onfocus="">
  </p>
  <div id="error_for_482581_112487pi_482581_112487" style="display:none"></div>
  <p class="form-field  utm_campaign pd-hidden  hidden   ">
    <input type="hidden" name="482581_112489pi_482581_112489" id="482581_112489pi_482581_112489" value="data_hq_cold_email_jan_2024_all_personas">
  </p>
  <div id="error_for_482581_112489pi_482581_112489" style="display:none"></div>
  <p class="form-field  utm_medium pd-hidden  hidden   ">
    <input type="hidden" name="482581_112491pi_482581_112491" id="482581_112491pi_482581_112491" value="email">
  </p>
  <div id="error_for_482581_112491pi_482581_112491" style="display:none"></div>
  <p class="form-field  source pd-hidden  hidden   ">
    <input type="hidden" name="482581_112493pi_482581_112493" id="482581_112493pi_482581_112493" value="">
  </p>
  <div id="error_for_482581_112493pi_482581_112493" style="display:none"></div>
  <p class="form-field  device pd-hidden  hidden   ">
    <input type="hidden" name="482581_112495pi_482581_112495" id="482581_112495pi_482581_112495" value="">
  </p>
  <div id="error_for_482581_112495pi_482581_112495" style="display:none"></div>
  <p class="form-field  keyword pd-hidden  hidden   ">
    <input type="hidden" name="482581_112497pi_482581_112497" id="482581_112497pi_482581_112497" value="">
  </p>
  <div id="error_for_482581_112497pi_482581_112497" style="display:none"></div>
  <p class="form-field  creative pd-hidden  hidden   ">
    <input type="hidden" name="482581_112499pi_482581_112499" id="482581_112499pi_482581_112499" value="">
  </p>
  <div id="error_for_482581_112499pi_482581_112499" style="display:none"></div>
  <p class="form-field  matchtype pd-hidden  hidden   ">
    <input type="hidden" name="482581_112501pi_482581_112501" id="482581_112501pi_482581_112501" value="">
  </p>
  <div id="error_for_482581_112501pi_482581_112501" style="display:none"></div>
  <p class="form-field  network pd-hidden  hidden   ">
    <input type="hidden" name="482581_112503pi_482581_112503" id="482581_112503pi_482581_112503" value="">
  </p>
  <div id="error_for_482581_112503pi_482581_112503" style="display:none"></div>
  <p style="position:absolute; width:190px; left:-9999px; top: -9999px;visibility:hidden;">
    <label for="pi_extra_field">Comments</label>
    <input type="text" name="pi_extra_field" id="pi_extra_field">
  </p>
  <!-- forces IE5-8 to correctly submit UTF8 content  -->
  <input name="_utf8" type="hidden" value="☃">
  <p class="submit">
    <input type="submit" accesskey="s" value="Get started">
  </p>
  <p><span style="font-size:9px;">By downloading this brochure from Benenden Health, you agree to our&nbsp;<a href="https://www.benenden.co.uk/privacy-policy/" target="_top">Privacy Policy</a>. Please note we may contact you about our business
      products. You can opt out at any time.</span></p>
  <script type="text/javascript">
    //<![CDATA[
    var anchors = document.getElementsByTagName("a");
    for (var i = 0; i < anchors.length; i++) {
      var anchor = anchors[i];
      if (anchor.getAttribute("href") && !anchor.getAttribute("target")) {
        anchor.target = "_top";
      }
    }
    //]]>
  </script>
  <input type="hidden" name="hiddenDependentFields" id="hiddenDependentFields" value="">
</form>

Text Content

DOWNLOAD OUR FULL BROCHURE

First name



Last name



Company



Email



Work telephone number



Industry Agriculture, Forestry and Fishing Mining and Quarrying Manufacturing
Electricity, gas, steam and air conditioning supply Water supply, sewerage,
waste management and remediation activities Construction Wholesale and retail
trade; repair of motor vehicles and motorcycles Transportation and storage
Accommodation and food service activities Information and communication
Financial and insurance activities Real estate activities Professional,
scientific and technical activities Administrative and support service
activities Public administration and defence; compulsory social security
Education Human health and social work activities Arts, entertainment and
recreation Other service activities Activities of households as employers;
undifferentiated goods- and services-producing activities of households for own
use Activities of extraterritorial organisations and bodies



Number of employees



Postcode



































Comments



By downloading this brochure from Benenden Health, you agree to our Privacy
Policy. Please note we may contact you about our business products. You can opt
out at any time.


HEALTHCARE DONE DIFFERENT



AFFORDABLE PRIVATE HEALTHCARE FOR JUST £12.80* PER EMPLOYEE, PER MONTH

Download our brochure to discover how private healthcare can support both your
employees and your business.

With financial wellbeing concerns growing and the NHS under increased pressure,
offering private health cover can go a long way to support employee health and
wellbeing, as well as nurturing a positive company culture and improving
employee retention.

Providing private medical insurance is often seen as the only option, but these
costs can be out of reach for many businesses.

That’s why, at Benenden Health, we offer affordable, quality, private healthcare
for all employees.

We’re proud to be a not-for-profit mutual that’s been supporting the health and
wellbeing needs of more than 850,000 members and over 1,200 businesses.


WHY CHOOSE BENENDEN HEALTHCARE FOR BUSINESS?

✔ Joining is simple. Everyone is welcome regardless of age or medical history
✔ We have no exclusions to join and there are no lengthy medical questionnaires
✔ Membership is just £12.80* per employee, per month. It’s one flat price for
everyone, with no exceptions
✔ There’s one monthly fee and no excesses to pay.
✔ The price you pay won’t change based on how often your employees use our
services
✔ Our price is not subject to Insurance Premium Tax (IPT) or VAT




LEARN MORE ABOUT HOW BENENDEN HEALTH FOR BUSINESS CAN SUPPORT BOTH YOUR
EMPLOYEES AND YOUR BUSINESS BY VISITING OUR WEBSITE.




TRUSTED BY BUSINESSES ACROSS THE UK INCLUDING:




AND IT SHOWS...

*The current price for membership is £12.80 per person. However, this will
increase to £15.50 per person, per month, with effect from 1st April 2024..

UK residents only and limits and exclusion apply. Our services are offered on a
discretionary basis and minimum NHS wait times apply to private diagnostics and
private medical treatment. A full list of the procedures we cover is on our
website: www.benenden.co.uk/our-procedures. For the full details of Benenden
Health membership, please refer to the Healthcare for Business Brochure.

Benenden Health is a trading name of The Benenden Healthcare Society Limited.
Healthcare for Business is offered by The Benenden Healthcare Society Limited,
which is an incorporated Friendly Society, registered under the Friendly
Societies Act 1992, registered number 480F. The Society’s contractual business
(the provision of tuberculosis benefit) is authorised by the Prudential
Regulation Authority and regulated by the Financial Conduct Authority and the
Prudential Regulation Authority, (Financial Services Register number 205351).
Verify our registration at register.fca.org.uk. The remainder of the Society’s
business is undertaken on a discretionary basis. Registered Office: Holgate Park
Drive, York, YO26 4GG.