www.kemperhealth.us
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Submitted URL: http://www.kemperhealth.us/
Effective URL: https://www.kemperhealth.us/
Submission: On June 03 via manual from US — Scanned from US
Effective URL: https://www.kemperhealth.us/
Submission: On June 03 via manual from US — Scanned from US
Form analysis
1 forms found in the DOMName: formSubmitter —
<form id="formSubmitter" name="formSubmitter" onsubmit="return handleClick()">
<div class="col-md-12 content-wrapper ">
<div class="input-group input-group-lg">
<div class="col-md-3">
<input class="form-control" required="" style="margin-bottom:1.3em;" type="text" placeholder="First Name*" name="FirstName" id="Inputfirstname">
</div>
<div class="col-md-3">
<input class="form-control" required="" style="margin-bottom:1.3em;" type="text" placeholder="Last Name*" name="LastName" id="Inputlastname">
</div>
<div class="col-md-3">
<input pattern=".{13,}" class="form-control" required="" style="margin-bottom:1.3em;" placeholder="Phone*" onkeydown="javascript:backspacerDOWN(this,event);" onkeyup="javascript:backspacerUP(this,event);" name="Phone" id="Inputphone">
</div>
<div class="col-md-3">
<input class="form-control" required="" style="margin-bottom:1.3em;" placeholder="Zip Code*" onkeypress="return isNumberKey(event)" type="text" maxlength="5" name="ZipCode" id="Inputzip" minlength="5">
</div>
<br>
<div class="col-md-6">
<input class="form-control" style="margin-bottom:1.3em;" type="text" placeholder="Address" name="Address" id="Inputaddress">
</div>
<div class="col-md-3">
<input class="form-control" style="margin-bottom:1.3em;" type="text" placeholder="City" name="City" id="Inputcity">
</div>
<div class="col-md-3">
<input class="form-control" style="margin-bottom:1.3em;" type="text" placeholder="State" name="State" id="Inputstate">
</div>
</div>
<div class="input-group input-group-lg">
<div class="col-md-3">
<input class="form-control" required="" style="margin-bottom:1.3em;" placeholder="Email*" type="email" id="Inputemail">
</div>
<div class="col-md-3">
<input class="form-control" style="margin-bottom:1.3em;" type="text" placeholder="Business Name" name="BusinessName" id="Inputbusinessname">
</div>
<div class="col-md-6">
<input class="form-control" style="margin-bottom:1.3em;" type="text" placeholder="How many people does your business employ?" name="Hobby" id="Inputhobby">
</div>
</div>
<div class="input-group input-group-lg">
<div class="col-md-12">
<input type="submit" style="margin-bottom:1.3em;" class="form-control btn-danger btn" name="FormSubmit" value="Submit">
</div>
</div>
<div style="font-size:1.1em; margin-bottom:1.5em; color: red;"> * Required fields</div>
<div style="font-size:1.1em; margin-bottom:1.5em;"> By Clicking "Submit" I Provide My Signature, Expressly Authorizing Telemarketing Calls From This Website, Our Marketing And Re-Marketing Partners, And Parent or Affiliated Companies At The Phone
Number, Including Wireless Numbers, Provided, In Order To Deliver Insurance Quotes Or To Obtain Additional Information For Such Purpose, Via Live Calls and Email. I Understand That My Consent Is Not A Condition Of Purchasing Any Property, Goods
Or Services, And May Be Revoked At Any Time. Please Read Our <a href="https://reservenational.com/privacy.aspx" title="Privacy Statement" target="_blank">Privacy Statement</a>. </div>
<div style="font-size:2.8em; font-weight:bold; margin-top:1em;"> Or call us at <a href="tel:833-349-7470">(833) 349-7470</a>
</div>
<div style="font-size:1.8em; margin-bottom:2em;">Representatives are available to take your call from 9 a.m. – 5 p.m. (Eastern Time) Monday - Friday.</div>
<div style="font-size:1.1em; margin-bottom:1.5em;"> Kemper Health is the brand name for insurance products issued by subsidiary insurance companies controlled by Kemper Corporation. Each subsidiary of Kemper Corporation is solely responsible for
the insurance products it underwrites and issues. </div>
<div style="font-size:1.1em; margin-bottom:1.5em;"> These are individual insurance plans underwritten by <b> Reserve National Insurance Company</b>. Form numbers, availability and policy provisions may vary by state. A company agent may contact
you with details about benefits, costs, limitations, exclusions, renewability and waiting periods. Not affiliated with any government agency. Each individual’s eligibility is subject to underwriting guidelines. This coverage is designed to
supplement, and not take the place of, “minimum essential coverage” under the federal Patient Protection and Affordable Care Act. </div>
</div>
</form>
Text Content
Affordable protection in an ever-changing world. Menu * Medical Submenu * Individuals & Families * Small Business Owners * Dental Submenu * Individuals & Families * Small Business Owners * Vision Submenu * Individuals & Families * Small Business Owners * Accident Submenu * Individuals & Families * Small Business Owners * Life Submenu * Individuals & Families * Small Business Owners Dental AND vision insurance, one AFFORDABLE premium! * No restrictions, choose the dentist or the doctor you want * Guaranteed renewable regardless of any future dental or vision problems * Pay no deductible for check-ups on select plans Get your plan started today! * Required fields By Clicking "Submit" I Provide My Signature, Expressly Authorizing Telemarketing Calls From This Website, Our Marketing And Re-Marketing Partners, And Parent or Affiliated Companies At The Phone Number, Including Wireless Numbers, Provided, In Order To Deliver Insurance Quotes Or To Obtain Additional Information For Such Purpose, Via Live Calls and Email. I Understand That My Consent Is Not A Condition Of Purchasing Any Property, Goods Or Services, And May Be Revoked At Any Time. Please Read Our Privacy Statement. Or call us at (833) 349-7470 Representatives are available to take your call from 9 a.m. – 5 p.m. (Eastern Time) Monday - Friday. Kemper Health is the brand name for insurance products issued by subsidiary insurance companies controlled by Kemper Corporation. Each subsidiary of Kemper Corporation is solely responsible for the insurance products it underwrites and issues. These are individual insurance plans underwritten by Reserve National Insurance Company. Form numbers, availability and policy provisions may vary by state. A company agent may contact you with details about benefits, costs, limitations, exclusions, renewability and waiting periods. Not affiliated with any government agency. Each individual’s eligibility is subject to underwriting guidelines. This coverage is designed to supplement, and not take the place of, “minimum essential coverage” under the federal Patient Protection and Affordable Care Act. * Terms of Use * Privacy Statement * Accessibility © 2022 Reserve National Insurance Company