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fepazrewards.com Open in urlscan Pro
18.245.86.3  Public Scan

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Submitted URL: http://fepazrewards.com/
Effective URL: https://fepazrewards.com/
Submission: On March 12 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="" class="w-lg-75" data-v-b225dfd2=""><!---->
  <div data-v-b225dfd2="">
    <h2 data-v-b225dfd2="">Sign Up</h2>
    <div class="my-3" data-v-b225dfd2=""><label class="form-label" for="dob" data-v-569c8974="">Date of Birth</label><input id="dob" inputmode="numeric" type="text" class="form-control" placeholder="mm / dd / yyyy" name="dob" data-v-569c8974="">
      <div class="invalid-feedback" data-v-569c8974=""></div>
    </div>
    <div class="mb-3" data-v-b225dfd2=""><label class="form-label" for="memberId" data-v-9bdc1d54="">Member ID</label><!----><!----><input id="memberId" type="text" class="form-control" placeholder="Enter Member ID" name="memberId" autocomplete="on"
        data-related-checkbox="" max="" showinfoimg="false" data-v-9bdc1d54="">
      <div class="invalid-feedback" data-v-9bdc1d54=""></div><!---->
    </div>
  </div><!----><!----><!----><button type="submit" class="btn btn-dark" data-v-b225dfd2=""><!----> Continue</button>
  <p class="my-3" data-v-b225dfd2=""> Already have an account? <a href="#/login" class="" data-v-b225dfd2="">Log in here.</a></p>
</form>

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The Blue Cross® and Blue Shield® words and symbols, Federal Employee Program®,
MyBlue®, Blue365®, and FEP® are all trademarks owned by the Blue Cross Blue
Shield Association. These benefits are neither offered nor guaranteed under
contract with the FEHB Program, but are made available to all Arizona enrollees
18 years of age and older who become members of the Blue Cross and Blue Shield
Service Benefit Plan.

The FEP AZ Rewards Card Mastercard® Prepaid Card is issued by Stride Bank, N.A.,
Member FDIC, pursuant to license by Mastercard International. Mastercard and
Stride Bank are independent companies offering debit card services and are
solely responsible for their products.

Funds are available for use within the program time zone.

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