web9.hlthben.com Open in urlscan Pro
12.235.233.22  Public Scan

Form analysis
1 forms found in the DOM

Name: signon — POST https://webs.hlthben.com/mswam/weblogin

<form name="signon" action="https://webs.hlthben.com/mswam/weblogin" method="post" onsubmit="return validateForm();" autocomplete="off">
  <input type="hidden" name="t_targeturl" value="https://portal.hlthben.com/wps/myportal/ice/?icelook=ev&amp;">
  <p><label for="t_username" id="user">Username</label>
    <input type="text" name="t_username" id="t_username" arialabelledby="user error">
    <span id="error"></span>
  </p>
  <p><label for="t_password" id="pass">Password</label>
    <input type="password" name="t_password" id="t_password" arialabelledby="pass">
  </p>
  <button type="submit" class="w3-button submit" id="login_submit">Submit</button>
</form>

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We will be performing routine maintenance on our website and mobile app starting
on Friday, October 11, 2024 at 6:00pm CT until Saturday, October 12, 2024
12:00pm CT. While maintenance is in progress the system will be unavailable for
use. Thank you for your patience during this time.


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