register.gotowebinar.com
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Submitted URL: https://esp7tjzab.cc.rs6.net/tn.jsp?f=001IgXpxH1gppIHS3C4UiY5p6EERQbB4_NjJT4N3F2oa-0wzO7jyErmOC7vXe7MxWVPK9gVRNZ8IAb5CzX0g_eu...
Effective URL: https://register.gotowebinar.com/register/8303937762326897494
Submission: On April 19 via manual from US — Scanned from DE
Effective URL: https://register.gotowebinar.com/register/8303937762326897494
Submission: On April 19 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="registrationForm" data-view="registration/body/body" data-active-view="true" style="">
<div data-bind="visible:!webinarTimesVM().allSessionsOver()" class="trainingTimesBox clearfix">
<!-- ko compose : { view : 'registration/body/body.webinarTimes' } -->
<div data-view="registration/body/body.webinarTimes" data-active-view="true" style="">
<!-- ko 'if' : showDates() === true -->
<hr>
<!-- ko 'if': !getWebinarInfo().description --><!-- /ko -->
<!-- ko 'if' : getWebinarInfo().type === 'series' --><!-- /ko -->
<!-- ko 'if' : getWebinarInfo().type !== 'series' -->
<div data-bind="'visible': getWebinarInfo().type === 'sequence'" class="row col-md-12" style="display: none;">
<div data-bind="'html': multipleSessionsText">This webinar meets 1 times.</div>
</div>
<div class="row col-md-12">
<div id="training-times" class="trainingTimesRegister">
<table class="webinarTimes" data-bind="'foreach': webinarTimesVM().webinarSessions()">
<tbody>
<!-- ko 'if' : $parent.webinarTimesVM().showFirstOfMonth($data) && $parent.getWebinarInfo().type === 'sequence'--><!-- /ko -->
<tr data-bind="css:{'past':past && !$data.inSession, 'next':next, 'future':future, 'far-future':farFuture}" class="next">
<!--ko 'if': $data.getDay() && $parent.getWebinarInfo().type === 'sequence' --><!--/ko-->
<td data-bind="'text':$data.getStartAndEndDate()">Tue, Apr 23, 2024 5:00 PM - 5:45 PM CEST</td>
</tr>
</tbody>
</table>
</div>
</div>
<!-- /ko -->
<div class="row col-md-12">
<a class="timeZone pointer launch-tz-modal" data-i18n="registration.webinarTimes.timeZone" data-bind="click:webinarTimesVM().showInMyTimeZoneDialog">Show in My Time Zone</a>
<!-- ko 'if' : webinarTimesVM().priceInfo --><!-- /ko -->
</div>
<!-- /ko -->
<!-- ko 'if' : showDates() === false && webinarTimesVM().priceInfo --><!-- /ko -->
</div><!-- /ko -->
</div>
<!-- ko 'if': getWebinarInfo().description -->
<!-- ko compose : {view:'registration/body/body.description'} -->
<div data-bind="visible:getWebinarInfo().description" data-view="registration/body/body.description" data-active-view="true" style="">
<hr>
<div class="description trainingDescription">
<div class="clearfix">
<img id="customThemeImage" data-bind="attr:{src:getBrandingInfo().themeImageUrl}" class="customImage" onerror="this.style.display='none'">
<span class="registration-description" data-bind="expander:{'expandText': moreButtonText(), 'userCollapseText': lessButtonText(), 'text':getWebinarInfo().description}">In this webinar we will discuss some foundational elements of COBRA:
qualified beneficiaries and their rights, and qualifying events. While these are COBRA basics, they are not simple, and there are many ways employers can be tripped up while trying to follow the rules. Join us as we provide a refresher of
the regulations and how to handle both common and unusual situations that HR professionals might encounter. The webinar will be led by Dan Taylor, Flores Senior Vice President of Sales. This session is designed for employers subject to
COBRA as well as brokers/plan advisors. Feel free to share this invitation with your teammates that may benefit from it. RECORDING OPTION: If you are not able to attend live, go ahead and register for the session, and we will send you a
copy of the slides and link to the recording afterward. After registering you will receive a confirmation email containing information about joining the webinar. Attendees may use PC, Mac, or mobile devices (including iPhone, iPad, Android,
and tablets). For more information on Flores plan administration and other services, visit flores-associates.com.</span>
</div>
</div>
</div><!-- /ko -->
<!-- /ko -->
<!-- ko compose : {view:'registration/body/body.registrationQuestions'} -->
<div class="questions" data-view="registration/body/body.registrationQuestions" data-active-view="true" style="">
<hr>
<!-- General Questions -->
<p class="requiredMessage" data-i18n="registration.registrationQuestions.requiredInstructions">Required field</p>
<div id="studentInformation">
<div data-bind="'foreach':registrationQuestionsVM().groupedGeneralQuestions">
<div data-bind="'foreach':$data" class="row">
<div class="form-group col-sm-6 required" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.firstNameLabel" for="registrant.firstName">First Name</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">128</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' --><!-- /ko -->
<!-- ko 'if' : name !== 'email' -->
<input type="text" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.firstName" maxlength="128" tabindex="2">
<!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
<div class="form-group col-sm-6 required" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.lastNameLabel" for="registrant.lastName">Last Name</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">128</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' --><!-- /ko -->
<!-- ko 'if' : name !== 'email' -->
<input type="text" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.lastName" maxlength="128" tabindex="3">
<!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
</div>
<div data-bind="'foreach':$data" class="row">
<div class="form-group col-sm-6 required" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.emailLabel" for="registrant.email">Email Address</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">128</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' -->
<input type="email" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.email" maxlength="128" tabindex="4">
<!-- /ko -->
<!-- ko 'if' : name !== 'email' --><!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
<div class="form-group col-sm-6" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.addressLabel" for="registrant.address">Street Address</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">128</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' --><!-- /ko -->
<!-- ko 'if' : name !== 'email' -->
<input type="text" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.address" maxlength="128" tabindex="5">
<!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
</div>
<div data-bind="'foreach':$data" class="row">
<div class="form-group col-sm-6" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.cityLabel" for="registrant.city">City</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">128</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' --><!-- /ko -->
<!-- ko 'if' : name !== 'email' -->
<input type="text" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.city" maxlength="128" tabindex="6">
<!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
<div class="form-group col-sm-6 required" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.stateLabel" for="registrant.state">State/Province</label>
<!-- ko 'if': type == 'shortAnswer' --><!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' -->
<select class="form-control maxCharLimit"
data-bind="visible: equalToCountryState, 'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'options':answers, 'optionsText':'answer', optionsCaption:$root.chooseOneText, value:selectedAnswer, optionsValue:'answerKey'"
id="registrant.state" tabindex="7">
<option value="">Choose One...</option>
<option value="None">None</option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Virgin Islands">Virgin Islands</option>
<option value="Guam">Guam</option>
<option value="Alberta">Alberta</option>
<option value="British Columbia">British Columbia</option>
<option value="Manitoba">Manitoba</option>
<option value="New Brunswick">New Brunswick</option>
<option value="Newfoundland">Newfoundland</option>
<option value="Northwest Territories">Northwest Territories</option>
<option value="Nova Scotia">Nova Scotia</option>
<option value="Nunavut">Nunavut</option>
<option value="Ontario">Ontario</option>
<option value="Prince Edward Island">Prince Edward Island</option>
<option value="Quebec">Quebec</option>
<option value="Saskatchewan">Saskatchewan</option>
<option value="Yukon">Yukon</option>
</select>
<select class="form-control maxCharLimit"
data-bind="visible: name === 'country', 'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'options':countriesOptions, optionsCaption:$root.chooseOneText, 'optionsText':'COUNTRY_NAME', value:selectSelectedAnswer, event: {change: onChangeSelect}"
id="registrant.state" tabindex="7" style="display: none;">
<option value="">Choose One...</option>
</select>
<select class="form-control maxCharLimit"
data-bind="visible: shouldStateEnable, enable: isStateEnable,'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'options':stateOptions, optionsCaption:$root.chooseOneText, value:stateSelectedAnswer, event: {change: onChangeState} "
disabled="" id="registrant.state" tabindex="7" style="display: none;">
<option value="">Choose One...</option>
</select>
<!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
</div>
<div data-bind="'foreach':$data" class="row">
<div class="form-group col-sm-6" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.zipCodeLabel" for="registrant.zipCode">Zip/Postal Code</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">128</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' --><!-- /ko -->
<!-- ko 'if' : name !== 'email' -->
<input type="text" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.zipCode" maxlength="128" tabindex="8">
<!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
<div class="form-group col-sm-6" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.phoneLabel" for="registrant.phone">Phone Number</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">20</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' --><!-- /ko -->
<!-- ko 'if' : name !== 'email' -->
<input type="text" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.phone" maxlength="20" tabindex="9">
<!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
</div>
<div data-bind="'foreach':$data" class="row">
<div class="form-group col-sm-6 required" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.organizationLabel" for="registrant.organization">Organization</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">128</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' --><!-- /ko -->
<!-- ko 'if' : name !== 'email' -->
<input type="text" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.organization" maxlength="128" tabindex="10">
<!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
<div class="form-group col-sm-6" data-bind="'css':{required : required, 'has-error':verificationFailed }, visible:name != 'comments'">
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'registrant.' + name}, 'text':question" id="registrant.jobTitleLabel" for="registrant.jobTitle">Job Title</label>
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, 'visible':isSelected, 'css':{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit"
style="display: none;">128</span>
<!-- TODO : IE8 Doesn't allow to change type of input field-->
<!-- ko 'if' : name === 'email' --><!-- /ko -->
<!-- ko 'if' : name !== 'email' -->
<input type="text" data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'registrant.' + name, 'maxlength':maxSize, 'tabindex':tabIdx}, 'hasFocus':isSelected, 'value':selectedAnswer, 'valueUpdate': 'afterkeydown'"
class="form-control maxCharLimit" id="registrant.jobTitle" maxlength="128" tabindex="11">
<!-- /ko -->
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<!-- ko 'if': verificationFailed --><!-- /ko -->
</div>
</div>
</div>
</div>
<!-- Custom Questions-->
<!-- ko 'if': registrationQuestionsVM().customQuestions().length > 0 -->
<hr class="skinny">
<div class="alert-info">
<p data-i18n=""></p>
</div>
<div class="row" data-bind="'foreach':registrationQuestionsVM().customQuestions">
<div class="form-group col-sm-12 required" data-bind="'css':{required : required, 'has-error':verificationFailed}">
<!-- ko 'if' : question -->
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'customQuestion' + $index()}, 'html':question" id="registrant.573091928Label" for="customQuestion0">Are you an employer or a broker?</label>
<!-- /ko -->
<!-- ko 'if': type == 'shortAnswer' --><!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' -->
<select class="form-control maxCharLimit"
data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'customQuestion' + $index(), tabindex:tabIdx},hasFocus:isSelected, options: answers, optionsText:'answer', optionsCaption:$parent.chooseOneText, value:selectedAnswer, optionsValue:'answerKey'"
id="customQuestion0" tabindex="12">
<option value="">Choose One...</option>
<option value="573091929">Employer</option>
<option value="573091930">Broker / Broker Account Manager / Broker Support</option>
<option value="573091931">Other</option>
</select>
<!-- /ko -->
<span data-bind="visible:verificationFailed" class="help-block" style="display: none;"><i class="togo-icon togo-icon-error"></i><span data-bind="'text':errorMessage"></span></span>
</div>
<div class="form-group col-sm-12" data-bind="'css':{required : required, 'has-error':verificationFailed}">
<!-- ko 'if' : question -->
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'customQuestion' + $index()}, 'html':question" id="registrant.573091932Label" for="customQuestion1">If you are an employer, are you currently a Flores
client?</label>
<!-- /ko -->
<!-- ko 'if': type == 'shortAnswer' --><!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' -->
<select class="form-control maxCharLimit"
data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'customQuestion' + $index(), tabindex:tabIdx},hasFocus:isSelected, options: answers, optionsText:'answer', optionsCaption:$parent.chooseOneText, value:selectedAnswer, optionsValue:'answerKey'"
id="customQuestion1" tabindex="13">
<option value="">Choose One...</option>
<option value="573091933">Yes</option>
<option value="573091934">No</option>
</select>
<!-- /ko -->
<span data-bind="visible:verificationFailed" class="help-block" style="display: none;"><i class="togo-icon togo-icon-error"></i><span data-bind="'text':errorMessage"></span></span>
</div>
<div class="form-group col-sm-12" data-bind="'css':{required : required, 'has-error':verificationFailed}">
<!-- ko 'if' : question -->
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'customQuestion' + $index()}, 'html':question" id="registrant.573091935Label" for="customQuestion2">If you are an employer, approximately how many
employees do you have?</label>
<!-- /ko -->
<!-- ko 'if': type == 'shortAnswer' -->
<span data-bind="'text':maxSize - selectedAnswer().length, visible:isSelected, css:{'danger':maxSize - selectedAnswer().length === 0, 'warning':maxSize - selectedAnswer().length < 20}" class="charLimit" style="display: none;">128</span>
<input data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'customQuestion' + $index(), maxlength:maxSize, tabindex:tabIdx}, hasFocus:isSelected, value:selectedAnswer, valueUpdate: 'afterkeydown'"
class="form-control maxCharLimit" type="text" id="customQuestion2" maxlength="128" tabindex="14">
<!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' --><!-- /ko -->
<span data-bind="visible:verificationFailed" class="help-block" style="display: none;"><i class="togo-icon togo-icon-error"></i><span data-bind="'text':errorMessage"></span></span>
</div>
<div class="form-group col-sm-12" data-bind="'css':{required : required, 'has-error':verificationFailed}">
<!-- ko 'if' : question -->
<label class="control-label" data-bind="'attr':{'id':'registrant.' + name + 'Label', 'for':'customQuestion' + $index()}, 'html':question" id="registrant.573091936Label" for="customQuestion3">How did you hear about this webinar?</label>
<!-- /ko -->
<!-- ko 'if': type == 'shortAnswer' --><!-- /ko -->
<!-- ko 'if': type == 'multipleChoice' -->
<select class="form-control maxCharLimit"
data-bind="'css':{'inputError': verificationFailed}, 'attr':{'id':'customQuestion' + $index(), tabindex:tabIdx},hasFocus:isSelected, options: answers, optionsText:'answer', optionsCaption:$parent.chooseOneText, value:selectedAnswer, optionsValue:'answerKey'"
id="customQuestion3" tabindex="15">
<option value="">Choose One...</option>
<option value="573091937">Email from Flores</option>
<option value="573091938">A friend or colleague</option>
<option value="573091939">Social media</option>
<option value="573091940">A conference or event</option>
<option value="573091941">Other</option>
</select>
<!-- /ko -->
<span data-bind="visible:verificationFailed" class="help-block" style="display: none;"><i class="togo-icon togo-icon-error"></i><span data-bind="'text':errorMessage"></span></span>
</div>
</div>
<hr class="skinny">
<!-- /ko -->
<!-- ko 'if' : registrationQuestionsVM().commentsField --><!-- /ko -->
</div><!-- /ko -->
<div class="paymentBody" id="payment-form" data-bind="visible: showPayment" style="display: none;">
<!-- ko 'if' : registrationQuestionsVM().commentsField || registrationQuestionsVM().customQuestions().length == 0 --><!-- /ko -->
<div class="paymentFields" data-bind="visible: showCreditCardFields" style="display: none;">
<div clss="row">
<div class="card-disclaimer">
<i class="togo-icon togo-icon-lock-closed"></i>
<span class="stripe-text" data-i18n="registration.cardDisclaimer">Secured payments with your credit or debit card via stripe</span>
<span class="cards-icons">
<img src="../../../../images/visa.png">
<img src="../../../../images/masterCard.png">
<img src="../../../../images/amex.png">
<img src="../../../../images/discover.jpg">
</span>
</div>
<!-- Used to display form errors. -->
<div id="card-errors" role="alert"></div>
</div>
<div id="paymentBody-paymentRequest">
<!-- Stripe paymentRequestButton Element inserted here-->
</div>
<div class="row">
<div class="field card-number col-xs-12 col-sm-6 col-md-6 col-lg-6">
<label class="control-label" for="card-number" data-i18n="registration.creditCardNumber">Card Number</label>
<div id="card-number" class="field empty input payment-fields">
<!-- A Stripe Element will be inserted here. -->
</div>
</div>
<div class="field card-expiry col-xs-6 col-sm-3 col-md-3 col-lg-3">
<label class="control-label" for="card-expiry" data-i18n="registration.expirationDate">Expiration Date</label>
<div id="card-expiry" class="empty input payment-fields">
<!-- A Stripe Element will be inserted here. -->
</div>
</div>
<div class="field card-cvc col-xs-6 col-sm-3 col-md-3 col-lg-3">
<label class="control-label" for="card-cvc" data-i18n="registration.cvv">CVV</label>
<div id="card-cvc" class="empty input payment-fields">
<!-- A Stripe Element will be inserted here. -->
</div>
</div>
</div>
<div class="error" role="alert">
<svg xmlns="http://www.w3.org/2000/svg" width="17" height="17" viewBox="0 0 17 17">
<path class="base" fill="#000" d="M8.5,17 C3.80557963,17 0,13.1944204 0,8.5 C0,3.80557963 3.80557963,0 8.5,0 C13.1944204,0 17,3.80557963 17,8.5 C17,13.1944204 13.1944204,17 8.5,17 Z"></path>
<path class="glyph" fill="#FFF"
d="M8.5,7.29791847 L6.12604076,4.92395924 C5.79409512,4.59201359 5.25590488,4.59201359 4.92395924,4.92395924 C4.59201359,5.25590488 4.59201359,5.79409512 4.92395924,6.12604076 L7.29791847,8.5 L4.92395924,10.8739592 C4.59201359,11.2059049 4.59201359,11.7440951 4.92395924,12.0760408 C5.25590488,12.4079864 5.79409512,12.4079864 6.12604076,12.0760408 L8.5,9.70208153 L10.8739592,12.0760408 C11.2059049,12.4079864 11.7440951,12.4079864 12.0760408,12.0760408 C12.4079864,11.7440951 12.4079864,11.2059049 12.0760408,10.8739592 L9.70208153,8.5 L12.0760408,6.12604076 C12.4079864,5.79409512 12.4079864,5.25590488 12.0760408,4.92395924 C11.7440951,4.59201359 11.2059049,4.59201359 10.8739592,4.92395924 L8.5,7.29791847 L8.5,7.29791847 Z">
</path>
</svg>
<span class="message"></span>
<span id="invalidCardDetailsError" style="display:none" data-i18n="registration.emptyPaymentFieldError">Enter your card details</span>
</div>
</div>
<div class="row promotion-code-row" data-bind="visible: showDiscountCodeField">
<div class="field promotion-code col-xs-6 col-sm-3 col-md-3 col-lg-3">
<label class="control-label" for="promotion-code" data-i18n="registration.promotionCodeLabel">Discount Code</label>
<input type="text" id="promotion-code" class="empty input payment-fields" data-bind="textInput: promotionCodeValue">
</div>
<button id="promotion-code-apply-Btn field col-xs-6 col-sm-3 col-md-3 col-lg-3" type="button" class="btn btn-tertiary promotion-code-applyBtn" data-i18n="registration.promotionCodeApplyBtn"
data-bind="click:applyPromoCode, disable:disablePromoCodeButton">Apply</button>
</div>
<div class="promotion-code-errorMsg">
<span data-i18n="registration.promotionCodeInvalidErrorMessage">Invalid discount code.</span>
</div>
<div class="promotion-code-SuccessMsg">
<span data-i18n="registration.promotionCodeSuccessMessage">Discount code applied successfully!</span>
</div>
<div class="alert-info payment-disclaimer">
<p class="paymentDisclaimerText" data-i18n="[html]registration.paymentDisclaimer">NOTE: Please direct all payment-related questions to the webinar organizer. Your registration for this webinar is subject to GoTo’s
<a href="https://www.logmeininc.com/legal/terms-and-conditions" target="_blank" rel="noopener noreferrer">Terms of Service</a> and
<a href="https://www.logmeininc.com/legal/privacy" target="_blank" rel="noopener noreferrer">Privacy Policy</a>.</p>
</div>
<hr class="skinny-bottom">
</div>
<div data-bind="visible: showPaymentError" class="paymentError" style="display: none;">
<div data-i18n="payment.error.unsupportedBrowserText">Unfortunately your browser isn't supported. Please upgrade to Safari v7+ or switch to Chrome™ or FireFox®.</div>
</div>
<div class="alert-info disclaimer">
<!-- ko 'if' : registrationQuestionsVM().disclaimerNotice --><!-- /ko -->
<!-- ko 'if' : registrationQuestionsVM().defaultDisclaimerNotice -->
<p class="disclaimerText" data-bind="html: registrationQuestionsVM().defaultDisclaimerNotice">By clicking this button, you submit your information to the webinar organizer, who will use it to communicate with you regarding this event and their
other services.</p>
<!-- /ko -->
</div>
<!-- this div is only needed for recaptcha checkbox mode -->
<!-- for invisible, could put id on the submit button below, but this works too. -->
<div id="recaptchaDiv"></div>
<div id="hcaptchaDiv" class="h-captcha"></div>
<div class="sectionFooter">
<p>
<button data-bind=" enable:enableButton,
buttonColor:getBrandingInfo().selectedHeaderColor(),
click:submit" type="submit" id="registration.submit.button" class="btn btn-primary" style="background-color: rgb(50, 153, 205); border-color: rgb(50, 153, 205);">
<!-- ko 'if': getWebinarInfo().experienceType === 'SIMULIVE' && getWebinarInfo().recurrencePeriod === 'ANYTIME' --><!-- /ko -->
<!-- ko 'if': webinarTimesVM().selectedWebinarSession().inSession && !(getWebinarInfo().experienceType === 'SIMULIVE' && getWebinarInfo().recurrencePeriod === 'ANYTIME') --><!-- /ko -->
<!-- ko 'if': !webinarTimesVM().selectedWebinarSession().inSession -->
<span data-bind="text: submitBtnText">Register</span>
<!-- /ko -->
</button>
</p>
</div>
</form>Text Content
COBRA QUALIFIED BENEFICIARIES AND QUALIFYING EVENTS The email address you're registering with is already in use. Please register using an alternate email address. -------------------------------------------------------------------------------- This webinar meets 1 times. Tue, Apr 23, 2024 5:00 PM - 5:45 PM CEST Show in My Time Zone -------------------------------------------------------------------------------- In this webinar we will discuss some foundational elements of COBRA: qualified beneficiaries and their rights, and qualifying events. While these are COBRA basics, they are not simple, and there are many ways employers can be tripped up while trying to follow the rules. Join us as we provide a refresher of the regulations and how to handle both common and unusual situations that HR professionals might encounter. The webinar will be led by Dan Taylor, Flores Senior Vice President of Sales. This session is designed for employers subject to COBRA as well as brokers/plan advisors. Feel free to share this invitation with your teammates that may benefit from it. RECORDING OPTION: If you are not able to attend live, go ahead and register for the session, and we will send you a copy of the slides and link to the recording afterward. After registering you will receive a confirmation email containing information about joining the webinar. Attendees may use PC, Mac, or mobile devices (including iPhone, iPad, Android, and tablets). For more information on Flores plan administration and other services, visit flores-associates.com. -------------------------------------------------------------------------------- Required field First Name 128 Last Name 128 Email Address 128 Street Address 128 City 128 State/Province Choose One...NoneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto RicoVirgin IslandsGuamAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Choose One... Choose One... Zip/Postal Code 128 Phone Number 20 Organization 128 Job Title 128 -------------------------------------------------------------------------------- Are you an employer or a broker? Choose One...EmployerBroker / Broker Account Manager / Broker SupportOther If you are an employer, are you currently a Flores client? Choose One...YesNo If you are an employer, approximately how many employees do you have? 128 How did you hear about this webinar? Choose One...Email from FloresA friend or colleagueSocial mediaA conference or eventOther -------------------------------------------------------------------------------- Secured payments with your credit or debit card via stripe Card Number Expiration Date CVV Enter your card details Discount Code Apply Invalid discount code. Discount code applied successfully! NOTE: Please direct all payment-related questions to the webinar organizer. Your registration for this webinar is subject to GoTo’s Terms of Service and Privacy Policy. -------------------------------------------------------------------------------- Unfortunately your browser isn't supported. Please upgrade to Safari v7+ or switch to Chrome™ or FireFox®. By clicking this button, you submit your information to the webinar organizer, who will use it to communicate with you regarding this event and their other services. Register ©2024 GoTo, Inc. All rights reserved. View the GoTo Webinar Privacy Policy Firefox is a registered trademark of the Mozilla Foundation. To review the webinar organizer's privacy policy or opt out of their other communications, contact the webinar organizer directly. Safeguarding your email address and webinar registration information is taken seriously at GoTo Webinar. GoTo Webinar will not sell or rent this information.