consumers.encompassinsurance.com Open in urlscan Pro
167.127.109.226  Public Scan

Form analysis
1 forms found in the DOM

POST /Bill-Pay/

<form action="/Bill-Pay/" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden" value="RE_7MlG6JUgCxxET4_p_tCwm3MUDPdxmwGL8aVhavd9DbVOjwQ_GFPJwtLrPw2Cin6L4bBypP5iUk8ezlAxJbeyGVtQ1">
  <div class="form-group">
    <div class="h4" for="PolicyNumber" style="margin-top: 10px;text-align: center;">Log in to your secure account</div>
  </div>
  <div class="form-group">
    <label class="control-label displayInline" for="lastName">Last Name</label>
    <span class="mye_grey" data-toggle="modal" data-target="#LastName" data-placement="left"></span>
    <input autocomplete="off" class="form-control" data-val="true" data-val-length="Last Name must be no more than 25 characters in length." data-val-length-max="25"
      data-val-regex="Please enter the primary policyholder last name with letters, spaces, hyphens, periods, or apostrophes only." data-val-regex-pattern="^(\s*[A-Za-z][a-zA-Z\-\s\.\']*\s*)$" data-val-required="Last Name is required." id="lastName"
      name="LastName" placeholder="Enter Last Name" type="text" value="">
    <span class="field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label class="control-label displayInline" for="policyNumber">Policy Number</label>
    <span class="mye_grey" data-toggle="modal" data-target="#PolicyNumber" data-placement="left"></span>
    <input autocomplete="off" class="form-control onlynumbers" data-val="true" data-val-regex="Only the digits 0-9 are allowed in Policy Number." data-val-regex-pattern="^[0-9]{9}$" data-val-required="Policy Number is required." id="policyNumber"
      name="PolicyNumber" placeholder="Enter Policy Number" type="text" value="">
    <span class="field-validation-valid" data-valmsg-for="PolicyNumber" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label class="control-label displayInline" for="zipCode">Zip Code</label>
    <span class="mye_grey" data-toggle="modal" data-target="#ZipCode" data-placement="left"></span>
    <input autocomplete="off" class="form-control onlynumbers" data-val="true" data-val-regex="Your ZIP code must be 5 digits in length." data-val-regex-pattern="^[0-9]{5}$" data-val-required="Zip Code is required." id="zipCode" name="ZipCode"
      placeholder="Enter Zip Code" type="text" value="">
    <span class="field-validation-valid" data-valmsg-for="ZipCode" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <button type="submit" id="loginSubmit" class="btn mye_btn_orange">LOG IN</button>
  </div>
</form>

Text Content

FOR AUTOMATED BILL PAYMENT ASSISTANCE CALL US:
1-866-430-2916



ONLINE BILL PAY

Log in to your secure account
Last Name
Policy Number
Zip Code
LOG IN


Pay your bill through your MyEncompass account. An easy-to-use tool that gives
you the ability to view policy information, pay premium, request auto ID cards,
signup for an automated monthly payment plan and access your agent’s contact
information.

MYENCOMPASS
FOR AUTOMATED BILL PAYMENT ASSISTANCE CALL US:
1-866-430-2916
×Close



Enter the primary policyholder last name exactly as it appears on your Encompass
policy.
Close
×Close



Zip Code associated with your Encompass Policy.
Close
Locate My Policy Number ×Close




Close
© 2024 AIC | All Rights Reserved
Terms and Conditions Privacy Statement