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employerbenefits.wexhealth.com Open in urlscan Pro
192.160.101.25  Public Scan

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Submitted URL: https://employer.discoverybenefits.com/
Effective URL: https://employerbenefits.wexhealth.com/login/index?ReturnUrl=%2F
Submission: On March 21 via api from US — Scanned from DE

Form analysis 6 forms found in the DOM

POST /login/index?ReturnUrl=%2F

<form action="/login/index?ReturnUrl=%2F" id="__AjaxAntiForgeryForm" method="post">
  <div class="disclose disclosed card bg-boxlight" id="form-login" style="display: block;">
    <div class="card-body">
      <div class="form-group">
        <label> Username: </label>
        <input autocomplete="off" class="form-control form-control-sm" data-val="true" data-val-regex="Your Username contains invalid characters. Please make sure you're not using your email address." data-val-regex-pattern="^[a-zA-Z0-9_.]{3,20}$"
          data-val-required="The Username field is required." id="UserName" name="UserName" required="required" tabindex="1" type="text" value="">
        <div class="invalid-feedback">
          <strong>Please enter username</strong>
        </div>
        <div class="float-right small">
          <a href="javascript:void(0)" class="discloser" data-show="#form-forgot-username" data-hide="#form-login">
						Forgot Username?
					</a>
        </div>
      </div>
      <div class="form-group">
        <label> Password: </label>
        <input autocomplete="off" class="form-control form-control-sm" data-val="true" data-val-required="The Password field is required." id="Password" name="Password" required="required" tabindex="2" type="password">
        <div class="invalid-feedback">
          <strong>Please enter password</strong>
        </div>
        <div class="float-right small">
          <a href="javascript:void(0)" class="discloser" data-show="#form-password-reset" data-hide="#form-login">
						Forgot Password?
					</a>
        </div>
      </div>
      <div class="form-group">
        <label> User Passcode: </label>
        <input autocomplete="off" class="form-control form-control-sm" data-val="true" data-val-required="The User Passcode field is required." id="Passcode" name="Passcode" required="required" tabindex="3" type="password">
        <div class="invalid-feedback">
          <strong>Please enter user passcode</strong>
        </div>
        <div class="float-right small">
          <a href="javascript:void(0)" class="forgot-popover" data-original-title="" title="">
                                        Retrieve User Passcode?
                                    </a>
        </div>
      </div>
      <div class="text-right pt-3">
        <button type="submit" class="btn btn-primary" id="logIn" tabindex="4">
          <span class="btn-text">Log In</span>
        </button>
      </div>
    </div>
  </div>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8MEsXQrvthhPvmSOlwe3Bj9YMNO-LQDZEhz73iTiodwWwZ-Hr-_Eq8aPuNwJnQl0KaV3JclKOGjvh6fbJD0uLJm4z1bQCH9U1wBGn0EX5XhXXhm_m3F3AYmcGRMS-aX9f3rcv3ATTUOjJu3-9CRggVs">
</form>

<form class="needs-validation" id="form-forgot-username-1" novalidate="">
  <div class="card bg-lite-secondary">
    <div class="card-body">
      <div class="card-title">
        <b>Retrieve Username...</b>
      </div>
      <div id="retrieve-username-error-1" class="alert alert-danger small text-center collapse login-alert"> Oops, something went wrong. </div>
      <div class="form-row form-group">
        <label for="field-email-username-step1" class="col-form-label col-form-label-sm col-4 text-right"> Email:* </label>
        <div class="col-8">
          <input type="email" id="field-email-username-step1" class="form-control form-control-sm" autocomplete="off" required="">
          <div class="invalid-feedback"> Please enter a valid email address. </div>
        </div>
      </div>
      <div class="form-row form-group mb-0">
        <label for="field-password-username-step1" class="col-form-label col-form-label-sm col-4 text-right"> User Passcode:* </label>
        <div class="col-8">
          <input type="password" id="field-password-username-step1" class="form-control form-control-sm" autocomplete="off" required="">
          <div class="invalid-feedback"> Please enter user passcode. </div>
        </div>
      </div>
    </div>
    <div class="card-footer d-flex align-items-center">
      <a href="javascript:void(0)" class="discloser got-username btn btn-sm btn-light mr-auto" data-show="#form-login" data-hide="#form-forgot-username">
						Cancel
					</a>
      <button type="submit" class="btn btn-sm btn-primary"> Continue <svg class="svg-inline--fa fa-chevron-right fa-w-10" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-right" role="img" xmlns="http://www.w3.org/2000/svg"
          viewBox="0 0 320 512" data-fa-i2svg="">
          <path fill="currentColor"
            d="M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z">
          </path>
        </svg><!-- <i class="fas fa-chevron-right"></i> -->
      </button>
    </div>
  </div>
</form>

<form class="needs-validation" id="form-forgot-username-2" novalidate="">
  <div class="card bg-lite-secondary">
    <div class="card-body">
      <div class="card-title">
        <b>Retrieve Username...</b>
      </div>
      <div id="retrieve-username-error-2" class="alert alert-danger small text-center collapse login-alert"> Oops, something went wrong. </div>
      <div class="form-group">
        <label>
          <span id="retrieve-user-name-question-1"></span> * </label>
        <input id="field-retrieve-user-name-answer-1" type="text" class="form-control form-control-sm" autocomplete="off" required="">
        <div class="invalid-feedback"> Please enter an answer. </div>
      </div>
      <div class="form-group">
        <label>
          <span id="retrieve-user-name-question-2"></span> * </label>
        <input id="field-retrieve-user-name-answer-2" type="text" class="form-control form-control-sm" autocomplete="off" required="">
        <div class="invalid-feedback"> Please enter an answer. </div>
      </div>
      <div class="form-group">
        <label>
          <span id="retrieve-user-name-question-3"></span> * </label>
        <input id="field-retrieve-user-name-answer-3" type="text" class="form-control form-control-sm" autocomplete="off" required="">
        <div class="invalid-feedback"> Please enter an answer. </div>
      </div>
    </div>
    <div class="card-footer d-flex align-items-center">
      <a href="javascript:void(0)" class="discloser got-username btn btn-sm btn-light mr-auto" data-show="#form-login" data-hide="#form-forgot-username">
						Cancel
					</a>
      <button type="submit" class="btn btn-sm btn-primary"> Continue <svg class="svg-inline--fa fa-chevron-right fa-w-10" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-right" role="img" xmlns="http://www.w3.org/2000/svg"
          viewBox="0 0 320 512" data-fa-i2svg="">
          <path fill="currentColor"
            d="M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z">
          </path>
        </svg><!-- <i class="fas fa-chevron-right"></i> -->
      </button>
    </div>
  </div>
</form>

<form class="needs-validation" id="form-password-reset-1" novalidate="">
  <div class="card bg-lite-secondary">
    <div class="card-body">
      <div class="card-title">
        <b>Reset password...</b>
      </div>
      <div id="password-reset-error-1" class="alert alert-danger small text-center collapse login-alert"> Oops, something went wrong. </div>
      <div class="form-row form-group">
        <label for="field-email-password-step1" class="col-form-label col-form-label-sm col-4 text-right"> Email:* </label>
        <div class="col-8">
          <input type="email" id="field-email-password-step1" class="form-control form-control-sm" autocomplete="off" required="">
          <div class="invalid-feedback"> Please enter a valid email address. </div>
        </div>
      </div>
      <div class="form-row form-group mb-0">
        <label for="field-passcode-password-step1" class="col-form-label col-form-label-sm col-4 text-right"> User Passcode:* </label>
        <div class="col-8">
          <input type="password" id="field-passcode-password-step1" class="form-control form-control-sm" autocomplete="off" required="">
          <div class="invalid-feedback"> Please enter user passcode. </div>
        </div>
      </div>
    </div>
    <div class="card-footer d-flex align-items-center">
      <a href="javascript:void(0)" class="discloser got-password btn btn-sm btn-light mr-auto" data-show="#form-login" data-hide="#form-password-reset">
						Cancel
					</a>
      <button type="submit" class="btn btn-sm btn-primary"> Continue <svg class="svg-inline--fa fa-chevron-right fa-w-10" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-right" role="img" xmlns="http://www.w3.org/2000/svg"
          viewBox="0 0 320 512" data-fa-i2svg="">
          <path fill="currentColor"
            d="M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z">
          </path>
        </svg><!-- <i class="fas fa-chevron-right"></i> -->
      </button>
    </div>
  </div>
</form>

<form class="needs-validation" id="form-password-reset-2" novalidate="">
  <div class="card bg-lite-secondary">
    <div class="card-body">
      <div class="card-title">
        <b>Reset password...</b>
      </div>
      <div id="password-reset-error-2" class="alert alert-danger small text-center collapse login-alert"> Oops, something went wrong. </div>
      <div class="form-group">
        <label>
          <span id="reset-password-question-1"></span> * </label>
        <input id="field-reset-password-answer-1" type="text" class="form-control form-control-sm" autocomplete="off" required="">
        <div class="invalid-feedback"> Please enter an answer. </div>
      </div>
      <div class="form-group">
        <label>
          <span id="reset-password-question-2"></span> * </label>
        <input id="field-reset-password-answer-2" type="text" class="form-control form-control-sm" autocomplete="off" required="">
        <div class="invalid-feedback"> Please enter an answer. </div>
      </div>
      <div class="form-group">
        <label>
          <span id="reset-password-question-3"></span> * </label>
        <input id="field-reset-password-answer-3" type="text" class="form-control form-control-sm" autocomplete="off" required="">
        <div class="invalid-feedback"> Please enter an answer. </div>
      </div>
    </div>
    <div class="card-footer d-flex align-items-center">
      <a href="javascript:void(0)" class="discloser got-password btn btn-sm btn-light mr-auto" data-show="#form-login" data-hide="#form-password-reset">
						Cancel
					</a>
      <button type="submit" class="btn btn-sm btn-primary"> Continue <svg class="svg-inline--fa fa-chevron-right fa-w-10" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-right" role="img" xmlns="http://www.w3.org/2000/svg"
          viewBox="0 0 320 512" data-fa-i2svg="">
          <path fill="currentColor"
            d="M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z">
          </path>
        </svg><!-- <i class="fas fa-chevron-right"></i> -->
      </button>
    </div>
  </div>
</form>

<form class="needs-validation" id="form-password-reset-3" novalidate="">
  <div class="card bg-lite-secondary">
    <div class="card-body">
      <div class="card-title">
        <b>Reset password...</b>
      </div>
      <div id="password-reset-error-3" class="alert alert-danger small text-center collapse login-alert">
        <span id="password-reset-error-3-message"> Oops, something went wrong. </span>
      </div>
      <div class="form-group">
        <label> New Password * </label>
        <input type="password" id="field-reset-password-new-password" class="form-control form-control-sm" autocomplete="off" required="">
        <div class="invalid-feedback"> Please enter a password. </div>
      </div>
      <div class="form-group">
        <label> Confirm New Password * </label>
        <input type="password" id="field-reset-password-confirm-password" class="form-control form-control-sm" autocomplete="off" required="">
        <div class="invalid-feedback"> Please enter a password. </div>
      </div>
    </div>
    <div class="card-footer d-flex align-items-center">
      <a href="javascript:void(0)" class="discloser got-password btn btn-sm btn-light mr-auto" data-show="#form-login" data-hide="#form-password-reset">
						Cancel
					</a>
      <button type="submit" class="btn btn-sm btn-primary"> Continue <svg class="svg-inline--fa fa-chevron-right fa-w-10" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-right" role="img" xmlns="http://www.w3.org/2000/svg"
          viewBox="0 0 320 512" data-fa-i2svg="">
          <path fill="currentColor"
            d="M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z">
          </path>
        </svg><!-- <i class="fas fa-chevron-right"></i> -->
      </button>
    </div>
  </div>
</form>

Text Content

Username:
Please enter username
Forgot Username?
Password:
Please enter password
Forgot Password?
User Passcode:
Please enter user passcode
Retrieve User Passcode?
Log In
To retrieve your User Passcode, please contact employer services at (877)
765-8810.
Retrieve Username...
Oops, something went wrong.
Email:*
Please enter a valid email address.
User Passcode:*
Please enter user passcode.
Cancel Continue
Retrieve Username...
Oops, something went wrong.
*
Please enter an answer.
*
Please enter an answer.
*
Please enter an answer.
Cancel Continue
Retrieve Username...

Your Username is



OK
Reset password...
Oops, something went wrong.
Email:*
Please enter a valid email address.
User Passcode:*
Please enter user passcode.
Cancel Continue
Reset password...
Oops, something went wrong.
*
Please enter an answer.
*
Please enter an answer.
*
Please enter an answer.
Cancel Continue
Reset password...
Oops, something went wrong.
New Password *
Please enter a password.
Confirm New Password *
Please enter a password.
Cancel Continue
Reset password...

Your password has been reset successfully.

OK