bcbsil.collectivehealth.com Open in urlscan Pro
52.25.122.40  Public Scan

Form analysis
1 forms found in the DOM

Name: Login.form —

<form class="LoginForm ng-pristine ng-valid-email ng-invalid ng-invalid-required ng-valid-minlength" name="Login.form" ng-submit="Login.login()" novalidate="">
  <div class="LoginForm__inputWrapper"> <label id="emailLabel" for="login-email" class="LoginForm__label"> Email </label> <input id="login-email" type="email"
      class="LoginForm__input ng-pristine ng-untouched ng-empty ng-valid-email ng-invalid ng-invalid-required" name="email" ng-model="Login.email" ng-change="Login.emailChange()" required="" data-hook="login-email">
    <div ng-messages="Login.form.email.$error" class="LoginForm__inputError ng-active"> <label ng-show="Login.form.email.$touched &amp;&amp; Login.form.email.$error" class="LoginForm__label--error ng-hide" data-hook="login-email-error"> <!----><span
          ng-message="required">Oops! This field is blank.</span> <!----> </label> </div>
  </div>
  <div class="LoginForm__inputWrapper"> <label id="passwordLabel" for="login-password" class="LoginForm__label"> Password </label> <button class="LoginForm__forgotPasswordLink" analytics-category="Login" analytics-event="Login-ForgotPassword"
      analytics-label="Login-ForgotPassword-Open" analytics-on="click" ng-click="Login.showPasswordResetModal()" type="button" data-hook="login-forgot-button"> Forgot? </button> <input id="login-password"
      class="LoginForm__input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-minlength" name="password" type="password" required="" ng-minlength="8" ng-model="Login.password" ng-disabled="Login.lockPassword"
      data-hook="login-password">
    <div id="loginPasswordError" ng-messages="Login.form.password.$error" class="LoginForm__inputError ng-active"> <label ng-show="(Login.form.password.$touched || Login.form.$submitted) &amp;&amp; Login.form.password.$error"
        class="LoginForm__label--error ng-hide" data-hook="login-password-error"> <!----><span ng-message="required">Oops! This field is blank.</span> <!----> <!----> </label> </div>
  </div> <dls-button theme="coral" size="medium" class="MxButton LoginForm__submitButton" ng-click="Login.loginSubmit()" analytics-category="Login" analytics-event="Login-Submit" analytics-on="click" ng-attr-disable="{{
            Login.lockPassword || Login.loading.login ? 'light' : undefined
          }}" type="submit" data-hook="login-signin-button"> Sign in <button type="submit" slot="button-form-participant" tabindex="-1" aria-hidden="true"></button> </dls-button>
</form>

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©2022 Collective Health. All rights reserved.
Terms | Privacy | Accessibility
My Collective™ is a member platform. Care Navigation™ is a care management
program. Both are owned and operated by Collective Health. Collective Health is
solely responsible for the products and services they provide. Collective Health
is a separate company that has contracted with Blue Cross and Blue Shield of
Illinois to provide technology and customer service for members with coverage
through BCBSIL. BCBSIL makes no endorsement, representations or warranties
regarding third-party vendors and the products and services offered by them.
Blue Cross and Blue Shield of Illinois, a Division of Health Care Service
Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue
Cross and Blue Shield Association
Questions? Welcome.

We're open: 4:00 AM-6:00 PM PT


855-663-2605
Visit our Help Center
©2022 Collective Health. All rights reserved.
Terms | Privacy | Accessibility
My Collective™ is a member platform. Care Navigation™ is a care management
program. Both are owned and operated by Collective Health. Collective Health is
solely responsible for the products and services they provide. Collective Health
is a separate company that has contracted with Blue Cross and Blue Shield of
Illinois to provide technology and customer service for members with coverage
through BCBSIL. BCBSIL makes no endorsement, representations or warranties
regarding third-party vendors and the products and services offered by them.
Blue Cross and Blue Shield of Illinois, a Division of Health Care Service
Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue
Cross and Blue Shield Association