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104.122.24.37  Public Scan

Submitted URL: http://www.cognizantbenefits.com/
Effective URL: https://www2.benefitsolver.com/benefits/BenefitSolverView?page_name=signon&co_num=9066&co_affid=cognizant
Submission: On October 11 via manual from DE — Scanned from DE

Form analysis 2 forms found in the DOM

Name: signonFormPOST ./BenefitSolverView

<form name="signonForm" action="./BenefitSolverView" method="POST" onsubmit="isValidBrowser(); return submitForm(this)" novalidate="novalidate">
  <input type="hidden" name="fingerprint" value="UNKNOWN"><input type="hidden" name="isSignonPage" value="t"><input autocorrect="off" autocapitalize="off" type="hidden" name="co_affid" value="cognizant"><input autocorrect="off" autocapitalize="off"
    type="hidden" name="page_name" value=""><input autocorrect="off" autocapitalize="off" type="hidden" name="BrowserName" value="Chrome"><input autocorrect="off" autocapitalize="off" type="hidden" name="BrowserVersion" value="106"><input
    autocorrect="off" autocapitalize="off" type="hidden" name="CURRENT_LANGUAGE" value="en"><input autocorrect="off" autocapitalize="off" type="hidden" name="org.springframework.web.servlet.HandlerMapping.bestMatchingPattern"
    value="/{_:^(?!swagger).*$}/**"><input autocorrect="off" autocapitalize="off" type="hidden" name="signonurl" value="http://www2.benefitsolver.com/benefits/BenefitSolverView"><input autocorrect="off" autocapitalize="off" type="hidden"
    name="org.springframework.web.util.UrlPathHelper.path" value="/BenefitSolverView"><input autocorrect="off" autocapitalize="off" type="hidden" name="org.springframework.web.servlet.HandlerMapping.pathWithinHandlerMapping"
    value="/BenefitSolverView"><input type="hidden" name="co_num" value="9066">
  <div id="checkJS" class="m-top-sm" style="display: none;">
    <div class="alert alert-danger" role="alert">
      <table cellpadding="3" cellspacing="0" width="100%" role="presentation">
        <tbody>
          <tr>
            <td align="" valign="top" class="text-danger"><i class="icon-warning-sign pull-left icon-warning-sign-padding"></i><b>Warning&nbsp;-&nbsp;</b><span class="normalFont">It appears that you have JavaScript disabled. Please enable JavaScript
                in your browser and refresh this page to log in.</span></td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script type="text/javascript">
    document.getElementById("checkJS").style.display = "none";
  </script><input type="hidden" name="USERID" value=""><input type="hidden" name="PASSWORD" value="">
  <div class="mega-nav">
    <div id="tab-content" class="tab-content mega-page">
      <div id="portal-page-1" class="portal tab-pane fade active in">
        <div class="columnWrapper">
          <div id="widget_1164938" class="row">
            <div class="col-sm-12 col-md-12  ">
              <div class="column">
                <div style="vertical-align: top;">
                  <div id="widget_1164928" style="
																			margin: auto; max-width: 900px;
																		">
                    <div class="panel" widget-type="signon">
                      <div class="panel-heading">
                        <h2 class="panel-title">Welcome</h2>
                      </div>
                      <div class="panel-body">
                        <div class="row">
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group required">
                              <label for="USERID1164928" id="label_USERID1164928" class="control-label">User Name</label><span class="input-group"><span class="input-group-addon" id="USERID1164928_addon_before"><span class="icon icon-user icon-lg">
                                  </span></span><input id="USERID1164928" name="USERID1164928" value="" class="form-control input-lg" type="text" required="required" aria-required="true" autocorrect="off" autocapitalize="off"
                                  aria-describedby="USERID1164928_helptext USERID1164928_addon_before"></span>
                              <div class="help-block" id="USERID1164928_helptext">case sensitive</div>
                            </div>
                            <div class="form-group required">
                              <label for="PASSWORD1164928" id="label_PASSWORD1164928" class="control-label">Password</label><span class="input-group"><span class="input-group-addon" id="PASSWORD1164928_addon_before"><span
                                    class="icon icon-lock icon-lg"> </span></span><input id="PASSWORD1164928" name="PASSWORD1164928" value="" class="form-control input-lg" type="password" required="required" aria-required="true" autocomplete="off"
                                  aria-describedby="PASSWORD1164928_helptext PASSWORD1164928_addon_before"></span>
                              <div class="help-block" id="PASSWORD1164928_helptext">case sensitive</div>
                            </div>
                            <button id="button_0bf0bc1f-0934-48ce-9418-cd7b4185a85f" value="Login" class="loginButton btn btn-lg btn-primary btn-block index_next m-bottom-sm" type="submit">Login <span class="icon icon-chevron-right"></span></button>
                            <div class="text-center m-bottom-sm">
                              <a href="javascript:gotoPage(null, 'signup/pwdverify', false, false, { formActionURL: './BenefitSolverView', co_num: '9066', co_affid: 'cognizant', RelayState: '' });" onclick="return handleClick('forgotpwd')">Forgot your user name or password?</a>
                            </div>
                          </div>
                          <div class="col-xs-12 col-sm-5 pull-right">
                            <div style="overflow-y:auto;max-height:300px;">
                              <h4>First time here?</h4>
                              <p><span style="color: #000000;"><strong><span style="color: #ff0000;">You must REGISTER to enroll in or make changes to your benefits.</span></strong></span></p>
                            </div>
                            <br>
                            <button id="button_4eb42995-f661-44ed-9cef-4fa95d7edfe1" value="Register"
                              onclick="gotoPage(null, 'signup/verify', false, false, { formActionURL: './BenefitSolverView', co_num: '9066', gd_num: '', co_affid: 'cognizant', RelayState: '' })" class="btn btn-default btn-block" type="button"><span
                                class="icon icon-user"></span> Register</button>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <script type="text/javascript">
      $(document).on('shown.bs.tab', 'a[data-toggle="tab"]', function(e) {
        try {
          equalHeight();
        } catch (err) {}
      });
      $(document).ready(function() {
        equalHeight();
      });

      function showSlideshowModal(slideshowSrc) {
        $('#slideshowIframe_' + slideshowSrc).attr('src', 'BenefitSolverView?FrameworkId=None&page_name=shared/framework/widgets/slideshow&wid_num=' + slideshowSrc);
        $('#slideshowModal_' + slideshowSrc).modal('show');
      }
      /**
       * This function displays the retirement widget's modal for inputting a date of intent to retire
       *
       * @param: wid_num - widget id
       * @param: date - date of intent to retire (if provided)
       */
      function showRetirementModal(wid_num, date, th_status) {
        if (date === undefined) {
          date = "";
        }
        var th_status = th_status || 'f';
        $('#retirementIframe_' + wid_num).attr('src', 'BenefitSolverView?FrameworkId=None&page_name=shared/framework/widgets/retirement&EM_INTENDED_RETIRE_DATE=' + encodeURIComponent(date) + '&TH_STATUS=' + encodeURIComponent(th_status) + '&CSRF=');
        $('#retirementModal_' + wid_num).modal('show');
      }

      function showCalc(url, name, collapseDef, widgetNumber) {
        var source = './BenefitSolverView?page_name=calculator/index&calcType=' + url + '&calcCollapseDef=' + collapseDef + '&WID_NUM=' + widgetNumber;
        source += '&FrameworkId=None';
        $('#calculator_modal' + widgetNumber + ' h1#myModalLabel_calculator_modal' + widgetNumber).text(name + ' Calculator');
        $('#calculator_modal' + widgetNumber + ' #calculatorContainer').attr('src', source);
        $('#calculator_modal' + widgetNumber).modal({
          show: true,
          backdrop: 'static'
        });
      }

      function resizeCalcModal(widgetNumber) {
        var newHeight = $('#calculator_modal' + widgetNumber + ' #calculatorContainer').contents().find('body .body-content').height();
        if (newHeight > 0) {
          $('#calculator_modal' + widgetNumber + ' .modal-body').css({
            height: newHeight + 40 + "px"
          });
        }
      }
      //used in widgetEditAdd
      function closeWidgetModal() {
        $('#widgetModal').modal('hide');
      }
    </script>
  </div>
  <input type="hidden" name="CSRF" value=""><input type="hidden" name="session_co_num" value="9066"><input type="hidden" name="requestUUID" value="a9ceebc9-7720-4a61-adfc-02b0b2d9c722">
</form>

<form onsubmit="return false;" id="loginForm">
  <div class="form-group">
    <label for="loginModalUsername" class="control-label">User Name</label>
    <div class="input-group">
      <span class="input-group-addon"><i class="icon icon-user icon-large"></i></span><input type="text" class="form-control input-lg" id="loginModalUsername" name="loginModalUsername" value="" autocorrect="off" autocapitalize="off">
    </div>
  </div>
  <div class="form-group">
    <label for="loginModalPassword" class="control-label">Password</label>
    <div class="input-group">
      <span class="input-group-addon"><i class="icon icon-lock icon-large"></i></span><input type="password" class="form-control input-lg" id="loginModalPassword" name="loginModalPassword" value="" autocomplete="off">
    </div>
  </div>
  <input type="hidden" name="CSRF" value=""><input type="hidden" name="session_co_num" value="9066"><input type="hidden" name="requestUUID" value="1aee501f-023a-41e8-9af3-0c426f9c2a04">
</form>

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