benefits.plansource.com Open in urlscan Pro
66.35.92.16  Public Scan

Form analysis
1 forms found in the DOM

Name: b_form — POST /logon

<form name="b_form" id="main_login" action="/logon" accept-charset="UTF-8" method="post"><input type="hidden" name="authenticity_token" value="tzwr7uGuIGn+5kzeZz1tdtXaOK4pcMq3MPrklMv5wUajJPEowX46GrL2CZlKgNi0kgzpL+VS+fxro2cMIJragg==">
  <div class="row mb-5">
    <div class="col logo-container">
      <img class="img-fluid" src="/shared/images/login/ps-logo.png">
    </div>
  </div>
  <div id="login_block">
    <div class="row mt-5">
      <div class="col pb-4">
        <h2 class="font-xl">Login</h2>
      </div>
    </div>
    <div class="row">
      <div class="col">
        <div class="form-group">
          <label for="first_name"> Username </label>
          <input type="text" name="user_name" id="user_name" placeholder="Username" class="form-control " autofocus="autofocus">
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col">
        <div class="form-group">
          <label for="password">Password</label>
          <div class="select-wrap" role="group">
            <div class="select-wrap">
              <input type="password" name="password" id="password" placeholder="Password" class="form-control password-eye ">
              <input type="hidden" name="password_enc" id="password_enc">
              <span class="input-icon">
                <i class="eye clickable material-icons" id="passwordToggle">visibility</i>
              </span>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col">
        <span class="mt-2">&nbsp;</span>
      </div>
    </div>
    <div class="row">
      <div class="col">
        <input id="logon_submit" type="submit" name="Submit" value="Login" class="btn custom-btn btn-primary btn-block font-l clickable" onclick="encrypt_password();">
      </div>
    </div>
    <div class="row mx-xl-5 mt-5">
      <div class="col text-center">
        <strong>
          <a class="font-l" id="need_help_link" href="/logon_assist/user_type">NEED HELP?</a>
        </strong>
      </div>
    </div>
  </div>
</form>

Text Content

error Required fields
error Required fields


LOGIN

Username
Password
visibility
 

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