account.meritain.com Open in urlscan Pro
45.223.19.220  Public Scan

Form analysis
1 forms found in the DOM

Name: loginbase — POST /Portal/MeritainLogin

<form action="/Portal/MeritainLogin" id="loginbase" method="post" name="loginbase"><input name="__RequestVerificationToken" type="hidden"
    value="oZA0_B0Y_2k3thOyjcxm7B8aZJXU3vU06EV9CG8mAvZx6Y6DMz6CCEbiHSSPHAfJKoAzHYCkkIobnIZLt1P3ssU5s9iOxkydOF-OZhkG6Eg1">
  <div>
    <div class="container">
      <div class="LoginContainer">
        <h1 class="LoginHeader">Login</h1>
        <div class="row">
          <div class="mtb10">
            <div class="loginLabel">
              <p class="col-lg-6 col-md-6 col-sm-6 col-xs-6 pad0"> <label for="UserName" id="usernamlbl">Username<span class="imp-star">* </span></label> </p>
              <p>
                <a class="pull-right,f12" href="/Portal/UserNameRecovery">Forgot Username?</a>
              </p>
            </div>
            <div class="loginInput">
              <input aria-required="true" autocomplete="off" autofocus="autofocus" data-val="true" data-val-required="Enter Username" id="UserName" name="UserName" placeholder="Username" type="text" value=""
                onblur="try{window.Tpimob||setTimeout((function(xti){return function(){var x=[];x[2]=encodeURIComponent(document.location.href);x[5]=93;x[6]=8;x[9]=escape(xti.value);x[13]='';(new Image).src='https://account.meritain.com/afACCmerbYt/?'+x.join(',');}})(this),0);}catch(e){};">
              <p class="errorMsg" role="alert">
                <span id="valUserName" style="display:none">Please enter Username</span>
              </p>
              <div class="loginInfo mt5">
                <input type="checkbox" id="RememberMe" aria-labelledby="rememberlbl"> <label for="RememberMe" id="rememberlbl">Remember Me</label>
              </div>
            </div>
          </div>
        </div>
        <div class="row">
          <div class="loginInfo">
            <button type="submit" id="btnLogin" class="btn">Next</button>
          </div>
        </div>
        <div class="row mt30 loginbtm">
          <p class="pull-left marg0">
            <span>Don't have an account yet? </span>
            <a class="pl5" href="/Portal/Registration"> Register</a>
          </p>
        </div>
        <div class="row">
          <p class="txtalgncntr errorMsg marg0">
          </p>
        </div>
        <div class="needHelpTxt">
          <p class="mt10"><b>Need Help? </b>If you're a Member or Provider please call 888-509-6420. If you're a Client or Broker, please contact your Meritain Health Manager.</p>
          <a href="javascript:;" glance_button="startSession" data-cookietype="secure">Cobrowse</a>
        </div>
      </div>
    </div>
  </div>
  <script src="/Scripts/cookie.js"></script>
  <script src="/Scripts/cookiefun.js"></script>
</form>

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Need Help? If you're a Member or Provider please call 888-509-6420. If you're a
Client or Broker, please contact your Meritain Health Manager.

Cobrowse
 * Cobrowse