chubb.benselect.com
Open in
urlscan Pro
66.150.0.100
Public Scan
Submitted URL: https://email.eoiservice.com/e3t/Ctc/GB+113/clNT904/VWP1dF39PgQzW8zTx0h17WVL1W6P_DFt5pqhVqN13dgqF3prCCW8wLKSR6lZ3m7Vr8yl_4qsT...
Effective URL: https://chubb.benselect.com/enroll/Login.aspx?Path=tcs&utm_campaign=EOI%20External%3A%20Marketing%20Example%20Emails&utm_med...
Submission: On December 10 via manual from IN — Scanned from SE
Effective URL: https://chubb.benselect.com/enroll/Login.aspx?Path=tcs&utm_campaign=EOI%20External%3A%20Marketing%20Example%20Emails&utm_med...
Submission: On December 10 via manual from IN — Scanned from SE
Form analysis 1 forms found in the DOM
POST ./Login.aspx?Path=tcs&utm_campaign=EOI+External%3a+Marketing+Example+Emails&utm_medium=email&_hsenc=p2ANqtz-_j5A-O-Y212jEH8QxRxFD0ix7tYcGNdY_A_n_47YabT777DbiCjvszcFMKRrbigCyJF6H7uva0IjgI5nre8rWM_CXM3w&_hsmi=337869243&utm_content=337869243&utm_source=hs_email
<form method="post"
action="./Login.aspx?Path=tcs&utm_campaign=EOI+External%3a+Marketing+Example+Emails&utm_medium=email&_hsenc=p2ANqtz-_j5A-O-Y212jEH8QxRxFD0ix7tYcGNdY_A_n_47YabT777DbiCjvszcFMKRrbigCyJF6H7uva0IjgI5nre8rWM_CXM3w&_hsmi=337869243&utm_content=337869243&utm_source=hs_email"
id="login" autocomplete="off">
<div class="aspNetHidden">
<input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
<input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
value="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">
</div>
<script type="text/javascript">
//<![CDATA[
var theForm = document.forms['login'];
if (!theForm) {
theForm = document.login;
}
function __doPostBack(eventTarget, eventArgument) {
if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
theForm.__EVENTTARGET.value = eventTarget;
theForm.__EVENTARGUMENT.value = eventArgument;
theForm.submit();
}
}
//]]>
</script>
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="E5F9233E">
<input type="hidden" name="__VIEWSTATEENCRYPTED" id="__VIEWSTATEENCRYPTED" value="">
<input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
value="29dzAV6uho+lLG2LmAhjRDQ1bieRIDe9bxHYCUWH/mmYNeRp38Q9SyNxlXVioQ4v37jYcidaFqsxXB+O0VMPNUJV5phdnKKyq5BMdVj0KeM0eVXN9wmu4/0AG8sxCRGQSDXAneEE6F9baTOz47M97vovjy6RI6IFAPEe+w9JohE=">
</div>
<link href="lib/shared/css/loginpageoverride.css" rel="stylesheet">
<style type="text/css">
body {
font-family: Georgia;
padding-top: 0;
background: white;
margin-bottom: 0px;
}
p,
a {
font-family: Arial;
}
h1 {
font-family: 'Times New Roman', 'serif';
font-size: 5rem;
}
h1:not(.mt-7) {
font-weight: 900;
}
h3 {
font-family: 'Times New Roman', 'serif';
}
div.container-fluid {
background-color: #01C1D6;
max-width: 1920px;
}
div.container-fluid>div.row {
background-image: url(Lib/Images/Chubb/enroll-background.jpg);
background-repeat: no-repeat;
background-size: auto 100%;
height: auto;
}
div.row>div {
background-color: white;
}
#HeroImage {}
.pl-10 {
padding-left: 8rem !important;
}
.pb-7 {
padding-bottom: 5rem !important;
}
.ml-9 {
margin-left: 7rem !important;
}
.mr-9 {
margin-right: 7rem !important;
}
.mt-9 {
margin-top: 7rem !important;
}
.mt-7 {
margin-top: 5rem !important;
}
.inline {
display: inline;
}
section {
width: 60%;
}
.link {
text-decoration: underline;
font-weight: bold;
color: #000000;
cursor: pointer;
}
.chubb-form-control {
display: block;
width: 100%;
height: 50px;
padding: 10px;
line-height: 1.42857143;
background-color: #ffffff !important;
border-radius: 0;
margin: 2.5px 0;
border-top: none;
border-left: none;
border-right: none;
border-bottom: 1px solid black;
}
.chubb-form-control {
background-color: #ffffff !important;
}
.centerBox {
width: auto;
padding-top: 0;
}
.logo {
max-width: 200px;
padding: 15px 30px 15px 0px;
}
.btn-default:hover {
background-color: #4e4e4e;
}
a.link:hover {
color: #01C1D6;
}
.login-panel {
background-color: #F4F4F4;
}
.accent {
background-color: #01C1D6;
}
.terms-and-conditions {
position: relative;
top: 12px;
}
#SeeExample {
font-weight: bold;
text-decoration: underline;
cursor: pointer;
}
#SeeExample+.tooltip>.tooltip-inner {
background-color: white;
color: black;
box-shadow: .25rem .25rem .25rem #CCCCCC;
}
.logos-container {
display: table-cell;
}
.logos-container div {
vertical-align: middle;
}
.case-logo {
max-width: 150px;
}
.pin-instructions {
font-size: 1.4rem;
}
footer {
background-color: #D7D7D7;
margin-bottom: 0px;
padding-bottom: 0px;
}
footer>div {
padding-left: 15px;
}
footer a {
text-decoration: underline;
color: #000000;
cursor: pointer;
}
hr {
border: none;
height: 1px;
background-color: #AFAFAF;
}
.copyright {
font-size: 11px;
}
@media (max-width: 992px) {
section,
header {
width: 85%;
}
}
@media (min-width: 857px) {
.case-logo {
padding-left: 3rem;
border-left: 1px solid black;
}
}
@media (min-width: 768px) {
div.container-fluid>div.row {
background-position: 100px 10%;
}
}
@media (min-width: 820px) {
div.container-fluid>div.row {
background-position: 150px 10%;
}
}
@media (min-width: 861px) {
div.container-fluid>div.row {
background-position: 120px 10%;
}
}
@media (min-width: 921px) {
div.container-fluid>div.row {
background-position: 300px 10%;
}
}
@media (min-width: 1010px) {
div.container-fluid>div.row {
background-position: 350px 10%;
}
}
@media (min-width: 1096px) {
div.container-fluid>div.row {
background-position: 520px 10%;
}
}
@media (min-width: 1331px) {
div.container-fluid>div.row {
background-position: 120% 10%;
}
}
@media (min-width: 1571px) {
div.container-fluid>div.row {
background-position: 100% 10%;
}
}
</style>
<div class="container-fluid">
<div class="row mr-2 bg-login">
<div class="col-lg-8 col-md-8 col-sm-8 col-xs-12 pb-7 pl-10">
<header class="mt-5">
<div class="logos-container">
<div class="logo inline-block-compatibility">
<img class="img-responsive" src="Lib/Images/Chubb/CHUBB_Logo_Black_RBG.png" alt="Chubb">
</div>
<div class="case-logo inline-block-compatibility">
<img id="LoginCtrl_imgCaseLogo" class="img-responsive pull-right" src="https://dgzzzj1fwk67n.cloudfront.net/enroll/images/4582/TCS_NewLogo_Final_CMYK(2)(1).png?ts=638659813766430000">
</div>
</div>
<h1 class="mb-0 mt-7">Welcome to the</h1>
<h1 class="mt-0 mb-0">Enrollment Portal</h1>
<p class="mt-4 mb-5">
<span id="LoginCtrl_customLoginDetailsLabel" class="pin-instructions" lang="en"> Are you the HR manager or plan administrator? </span>
<a class="link" href="../admin">Login as Admin</a>
</p>
</header>
<section class="accent pt-2 mt-4">
<div class="login-panel pt-2">
<div class="mr-5 ml-5">
<h3>Login</h3>
<div class="mt-5">
<div class="form-group">
</div>
<label for="LoginCtrl_txtEmployeeIdent" id="LoginCtrl_lblEID1" class="loginLabel hide" lang="en">Username</label>
<input name="LoginCtrl$txtEmployeeIdent" type="text" autocomplete="off" id="LoginCtrl_txtEmployeeIdent" tabindex="1" class="loginInput form-control" placeholder="Username">
<label for="LoginCtrl_txtPINorKeyCode" id="LoginCtrl_Label1" class="mouseOverHelp loginLabel hide" title="Personal Identification Number" lang="en">PIN (8 Digits)</label>
<input name="LoginCtrl$txtPINorKeyCode" type="password" autocomplete="off" id="LoginCtrl_txtPINorKeyCode" tabindex="2" class="loginInput form-control" placeholder="PIN (8 Digits)">
</div>
<div class="mt-4">
<span id="LoginCtrl_customLoginInstructionLabel" class="pin-instructions" lang="en">
<p>Here is how your PIN is generated (8 digits): </p>
<ul>
<li>Last four of EEID </li>
<li>Full Birth Year </li>
</ul>
</span>
</div>
<div class="pb-5 mt-3">
<input type="submit" name="LoginCtrl$cmdLogon" value="Log in" id="LoginCtrl_cmdLogon" class="btn btn-default mr-4">
<p class="inline-block-compatibility w-75 terms-and-conditions mb-0">By entering your user ID and PIN, you are agreeing to the terms of
<a class="link" data-toggle="modal" data-target="#terms-of-use-dialog">Consent to enroll electronically.</a></p>
<div class="mt-2">
<a id="LoginCtrl_cmdCreateNewEmployee" class="linkButton" lang="en" href="/enroll/login.aspx?intro=4582&ts=638694359438677953&Language=English&Path=tcs">New Employee? Click here</a>
</div>
</div>
</div>
</div>
</section>
<section class="login-panel mt-1">
<div class="mr-5 ml-5 pt-4">
<a id="LoginCtrl_forgotPinHyperLink" class="link" lang="en" href="ResetPin.aspx?Start=yes">Forgot PIN?</a>
</div>
<div class="mr-5 ml-5 mt-1 pb-4">
<span id="LoginCtrl_additionalDetailsText"></span>
</div>
<div class="form-group">
<div id="errorBox">
</div>
</div>
</section>
</div>
</div>
</div>
<footer class="pt-4 pb-4">
<div class="ml-9 mr-9">
<div class="logo">
<img class="img-responsive" src="Lib/Images/Chubb/CHUBB_Logo_Black_RBG.png" alt="Chubb">
</div>
<ul class="list-unstyled list-inline mt-5 mb-5">
<li>
<a href="#" id="termsConditions" data-toggle="modal" data-target="#terms-of-use-dialog">Terms & conditions</a>
</li>
<li>
<a href="#" id="securityInformation" data-toggle="modal" data-target="#security-information-dialog">Security information</a>
</li>
<li>
<a href="#" id="privacyPolicyLink" data-toggle="modal" data-target="#privacy-policy-dialog">Privacy Policy</a>
</li>
</ul>
<hr class="mt-4 mb-2">
<p class="pb-4 copyright">© 2024 CHUBB</p>
</div>
</footer>
<script type="text/javascript">
$(function() {
$('[data-toggle="tooltip"]').tooltip();
});
</script>
<div id="modals-vue">
<div>
<div>
<div tabindex="-1" role="dialog" aria-labelledby="privacy-policy-dialog_title" class="modal fade" id="privacy-policy-dialog">
<div role="document" class="modal-dialog modal-md">
<div class="modal-content">
<div class="modal-header bg-primary"><button type="button" data-dismiss="modal" aria-label="Close" class="close"><span aria-hidden="true" class="bg-primary">×</span></button>
<h4 id="privacy-policy-dialog_title" class="modal-title">Privacy Policy</h4>
</div>
<div class="modal-body">
<div></div>
</div>
<div class="modal-footer">
<div class="pull-left"><span><a href="#" data-dismiss="modal" data-target="terms-of-use-dialog"><u>Terms of Use Agreement</u></a> <span> |
</span></span><span><a href="#" data-dismiss="modal" data-target="security-information-dialog"><u>Security Information</u></a> <span> |
</span></span><span><a href="#" data-dismiss="modal" data-target="hipaa-notice-dialog"><u>HIPAA Notice</u></a> <!----></span></div> <button type="button" data-dismiss="modal" class="btn btn-sm btn-default">OK</button>
</div>
</div>
</div>
</div>
</div>
<div>
<div tabindex="-1" role="dialog" aria-labelledby="security-information-dialog_title" class="modal fade" id="security-information-dialog">
<div role="document" class="modal-dialog modal-md">
<div class="modal-content">
<div class="modal-header bg-primary"><button type="button" data-dismiss="modal" aria-label="Close" class="close"><span aria-hidden="true" class="bg-primary">×</span></button>
<h4 id="security-information-dialog_title" class="modal-title">Security Information</h4>
</div>
<div class="modal-body">
<div></div>
</div>
<div class="modal-footer">
<div class="pull-left"><span><a href="#" data-dismiss="modal" data-target="terms-of-use-dialog"><u>Terms of Use Agreement</u></a> <span> |
</span></span><span><a href="#" data-dismiss="modal" data-target="privacy-policy-dialog"><u>Privacy Policy</u></a> <span> |
</span></span><span><a href="#" data-dismiss="modal" data-target="hipaa-notice-dialog"><u>HIPAA Notice</u></a> <!----></span></div> <button type="button" data-dismiss="modal" class="btn btn-sm btn-default">OK</button>
</div>
</div>
</div>
</div>
</div>
<div>
<div tabindex="-1" role="dialog" aria-labelledby="terms-of-use-dialog_title" class="modal fade" id="terms-of-use-dialog">
<div role="document" class="modal-dialog modal-md">
<div class="modal-content">
<div class="modal-header bg-primary"><button type="button" data-dismiss="modal" aria-label="Close" class="close"><span aria-hidden="true" class="bg-primary">×</span></button>
<h4 id="terms-of-use-dialog_title" class="modal-title">Terms of Use Agreement</h4>
</div>
<div class="modal-body">
<div></div>
</div>
<div class="modal-footer">
<div class="pull-left"><span><a href="#" data-dismiss="modal" data-target="privacy-policy-dialog"><u>Privacy Policy</u></a> <span> |
</span></span><span><a href="#" data-dismiss="modal" data-target="security-information-dialog"><u>Security Information</u></a> <span> |
</span></span><span><a href="#" data-dismiss="modal" data-target="hipaa-notice-dialog"><u>HIPAA Notice</u></a> <!----></span></div> <button type="button" data-dismiss="modal" class="btn btn-sm btn-default">OK</button>
</div>
</div>
</div>
</div>
</div>
<div>
<div tabindex="-1" role="dialog" aria-labelledby="hipaa-notice-dialog_title" class="modal fade" id="hipaa-notice-dialog">
<div role="document" class="modal-dialog modal-md">
<div class="modal-content">
<div class="modal-header bg-primary"><button type="button" data-dismiss="modal" aria-label="Close" class="close"><span aria-hidden="true" class="bg-primary">×</span></button>
<h4 id="hipaa-notice-dialog_title" class="modal-title">HIPAA Notice</h4>
</div>
<div class="modal-body">
<div></div>
</div>
<div class="modal-footer">
<div class="pull-left"><span><a href="#" data-dismiss="modal" data-target="terms-of-use-dialog"><u>Terms of Use Agreement</u></a> <span> |
</span></span><span><a href="#" data-dismiss="modal" data-target="privacy-policy-dialog"><u>Privacy Policy</u></a> <span> |
</span></span><span><a href="#" data-dismiss="modal" data-target="security-information-dialog"><u>Security Information</u></a> <!----></span></div> <button type="button" data-dismiss="modal"
class="btn btn-sm btn-default">OK</button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<script type="text/javascript">
require(['selerix_common/vues/pages/login/linked-modals/LinkedModals.vue'], function(LinkedModals) {
LinkedModals.mount('#modals-vue', [{
"id": "privacy-policy-dialog",
"title": "Privacy Policy",
"theme": "primary",
"url": "privacy-policy.html",
"buttons": ["terms-of-use-dialog", "security-information-dialog", "hipaa-notice-dialog"]
}, {
"id": "security-information-dialog",
"title": "Security Information",
"theme": "primary",
"url": "security-information.html",
"buttons": ["terms-of-use-dialog", "privacy-policy-dialog", "hipaa-notice-dialog"]
}, {
"id": "terms-of-use-dialog",
"title": "Terms of Use Agreement",
"theme": "primary",
"url": "Lib/Chubb/terms-of-use.html",
"buttons": ["privacy-policy-dialog", "security-information-dialog", "hipaa-notice-dialog"]
}, {
"id": "hipaa-notice-dialog",
"title": "HIPAA Notice",
"theme": "primary",
"url": "hipaa-notice.html",
"buttons": ["terms-of-use-dialog", "privacy-policy-dialog", "security-information-dialog"]
}]);
$('a[data-dismiss="modal"][data-target]').click(function() {
var a = $(this);
setTimeout(function() {
$(a.data('target')).modal('show')
}, 500);
});
$("#LoginCtrl_txtEmployeeIdent").attr("placeholder", $("#LoginCtrl_lblEID1").html());
$("#LoginCtrl_txtPINorKeyCode").attr("placeholder", $("#LoginCtrl_Label1").html());
});
</script>
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selerix.optionalFieldError = 'Important: Please complete this optional field or leave it empty';
selerix.validatorSummary = 'Required information is missing or invalid.';
selerix.textbank.handlerUrl = 'App_SelerixResource/Selerix.BenSelect.Web.dll/Selerix.BenSelect.Web.WebHandlers.TextBankEditorHandler.aspx';
selerix.localization.languageId = 1;
selerix.localization.languageDescription = 'English';
selerix.caseUnLocked = '';
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else ValidatorOnLoad();
prepareForm();
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selerix.globals.setSiteStyle('');
selerix.globals.siteTheme = ''
selerix.globals.isLaptop = 'false' == 'true';
selerix.globals.textBankAutoPost = function() {
setTimeout('__doPostBack(\'__Page\',\'TextBank\')', 0)
};
$(function() {
postInitializeLocalizationPage();
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//]]>
</script>
</form>Text Content
WELCOME TO THE ENROLLMENT PORTAL Are you the HR manager or plan administrator? Login as Admin LOGIN Username PIN (8 Digits) Here is how your PIN is generated (8 digits): * Last four of EEID * Full Birth Year By entering your user ID and PIN, you are agreeing to the terms of Consent to enroll electronically. New Employee? Click here Forgot PIN? * Terms & conditions * Security information * Privacy Policy -------------------------------------------------------------------------------- © 2024 CHUBB × PRIVACY POLICY Terms of Use Agreement | Security Information | HIPAA Notice OK × SECURITY INFORMATION Terms of Use Agreement | Privacy Policy | HIPAA Notice OK × TERMS OF USE AGREEMENT Privacy Policy | Security Information | HIPAA Notice OK × HIPAA NOTICE Terms of Use Agreement | Privacy Policy | Security Information OK