apply.okhca.org Open in urlscan Pro
68.109.249.168  Public Scan

Submitted URL: https://apply.okhca.org.admin-mcas.ms/
Effective URL: https://apply.okhca.org/Site/UserAccountLogin.aspx
Submission Tags: @phishunt_io
Submission: On August 26 via api from DE

Form analysis 1 forms found in the DOM

Name: aspnetFormPOST ./UserAccountLogin.aspx

<form name="aspnetForm" method="post" action="./UserAccountLogin.aspx" onsubmit="javascript:return WebForm_OnSubmit();" id="aspnetForm" class="screenWrap">
  <div>
    <input type="hidden" name="__LASTFOCUS" id="__LASTFOCUS" value="">
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="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">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['aspnetForm'];
    if (!theForm) {
      theForm = document.aspnetForm;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script src="/WebResource.axd?d=2cD8mNbLhXHOPPI4oIy3MPHSX_Ww-5nwusWEGi-r00QasHbjuzCEFZ6y9ZbXdUyGSo8EFUXgfOuBpJ9wS8RuYZetpaI1&amp;t=637453853640000000" type="text/javascript"></script>
  <script type="text/javascript">
    function OnPageLoadBtn() {
      Sys.Debug.fail("OnPageLoadBtn");
    }
  </script>
  <script type="text/javascript">
    //<![CDATA[
    var IsPageSectioned = false;
    var CurrentSectionNumber = -1; //]]>
  </script>
  <script src="/ScriptResource.axd?d=qntVBTz3p6ZwtbKQJF7ZVaDLNEvmqUSdM95vaj-mU028VLDcXmz4bOmMt9csqVwpCPNo-CnuN-5c79hqQu5_IC4H2eHpn0eYvWLWhopW1E8R8_aNaLLpvOcFzcL5Tm0VCZ6jNj3L1oOwvUY6fFr7r32Nzt81&amp;t=79e27d6" type="text/javascript"></script>
  <script src="/ScriptResource.axd?d=oQFpN1TAZjjqAZmgB3fgBmbS33fv1kyIEinCuetjVs9thFcbhK_P7de3-Dnozws-FhpA1j63HHoRbZx41UdDn6OFHKodwjx61B2q_FFXyl5vtd5PQBlMrxSYirZgTpRChtGPQDjsD3wBHIzUyr7ePIi8U0ZZi2vpKJr4PHzyoxjVPb6t0&amp;t=2fe674eb"
    type="text/javascript"></script>
  <script src="/ScriptResource.axd?d=9MCIrX9yvI4oSOznrm0A9mmQgKo7APELROflKe-fogpvJL68uR_ZrPTMVxU_wBL2KcVy-NdqYsxCgrLl1MO9hjDb9ye3NLUnbNkp_EMWHu5mXVXi1n0uno1vZxi6dql3GhiRZ7uhLO8_nL_PkIwaXDUKFxvLdPpCeKF75GwqXSeHGjN10&amp;t=2fe674eb"
    type="text/javascript"></script>
  <script type="text/javascript">
    //<![CDATA[
    var PageMethods = function() {
      PageMethods.initializeBase(this);
      this._timeout = 0;
      this._userContext = null;
      this._succeeded = null;
      this._failed = null;
    }
    PageMethods.prototype = {
      _get_path: function() {
        var p = this.get_path();
        if (p) return p;
        else return PageMethods._staticInstance.get_path();
      },
      AtMediaBreakpoint: function(breakpoint, succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'AtMediaBreakpoint', false, {
          breakpoint: breakpoint
        }, succeededCallback, failedCallback, userContext);
      },
      IsMobileLayout: function(succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'IsMobileLayout', false, {}, succeededCallback, failedCallback, userContext);
      },
      IsStandardLayout: function(succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'IsStandardLayout', false, {}, succeededCallback, failedCallback, userContext);
      },
      GetWindowWidth: function(succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'GetWindowWidth', false, {}, succeededCallback, failedCallback, userContext);
      },
      GetWindowHeight: function(succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'GetWindowHeight', false, {}, succeededCallback, failedCallback, userContext);
      },
      LogOffAndUnlockCase: function(succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'LogOffAndUnlockCase', false, {}, succeededCallback, failedCallback, userContext);
      },
      ExtendSessionLogCaseDateTime: function(succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'ExtendSessionLogCaseDateTime', false, {}, succeededCallback, failedCallback, userContext);
      },
      TrackReferral: function(referralCode, wasClicked, pageSak, caseSak, succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'TrackReferral', false, {
          referralCode: referralCode,
          wasClicked: wasClicked,
          pageSak: pageSak,
          caseSak: caseSak
        }, succeededCallback, failedCallback, userContext);
      },
      SetPageReset: function(reset, succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'SetPageReset', false, {
          reset: reset
        }, succeededCallback, failedCallback, userContext);
      },
      LogPageEnd: function(succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'LogPageEnd', false, {}, succeededCallback, failedCallback, userContext);
      },
      SetSakRecipEEN: function(sakRecip, succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'SetSakRecipEEN', false, {
          sakRecip: sakRecip
        }, succeededCallback, failedCallback, userContext);
      },
      SetWindowSize: function(width, height, succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'SetWindowSize', false, {
          width: width,
          height: height
        }, succeededCallback, failedCallback, userContext);
      },
      ResetWindowName: function(succeededCallback, failedCallback, userContext) {
        return this._invoke(this._get_path(), 'ResetWindowName', false, {}, succeededCallback, failedCallback, userContext);
      }
    }
    PageMethods.registerClass('PageMethods', Sys.Net.WebServiceProxy);
    PageMethods._staticInstance = new PageMethods();
    PageMethods.set_path = function(value) {
      PageMethods._staticInstance.set_path(value);
    }
    PageMethods.get_path = function() {
      return PageMethods._staticInstance.get_path();
    }
    PageMethods.set_timeout = function(value) {
      PageMethods._staticInstance.set_timeout(value);
    }
    PageMethods.get_timeout = function() {
      return PageMethods._staticInstance.get_timeout();
    }
    PageMethods.set_defaultUserContext = function(value) {
      PageMethods._staticInstance.set_defaultUserContext(value);
    }
    PageMethods.get_defaultUserContext = function() {
      return PageMethods._staticInstance.get_defaultUserContext();
    }
    PageMethods.set_defaultSucceededCallback = function(value) {
      PageMethods._staticInstance.set_defaultSucceededCallback(value);
    }
    PageMethods.get_defaultSucceededCallback = function() {
      return PageMethods._staticInstance.get_defaultSucceededCallback();
    }
    PageMethods.set_defaultFailedCallback = function(value) {
      PageMethods._staticInstance.set_defaultFailedCallback(value);
    }
    PageMethods.get_defaultFailedCallback = function() {
      return PageMethods._staticInstance.get_defaultFailedCallback();
    }
    PageMethods.set_enableJsonp = function(value) {
      PageMethods._staticInstance.set_enableJsonp(value);
    }
    PageMethods.get_enableJsonp = function() {
      return PageMethods._staticInstance.get_enableJsonp();
    }
    PageMethods.set_jsonpCallbackParameter = function(value) {
      PageMethods._staticInstance.set_jsonpCallbackParameter(value);
    }
    PageMethods.get_jsonpCallbackParameter = function() {
      return PageMethods._staticInstance.get_jsonpCallbackParameter();
    }
    PageMethods.set_path("UserAccountLogin.aspx");
    PageMethods.AtMediaBreakpoint = function(breakpoint, onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.AtMediaBreakpoint(breakpoint, onSuccess, onFailed, userContext);
    }
    PageMethods.IsMobileLayout = function(onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.IsMobileLayout(onSuccess, onFailed, userContext);
    }
    PageMethods.IsStandardLayout = function(onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.IsStandardLayout(onSuccess, onFailed, userContext);
    }
    PageMethods.GetWindowWidth = function(onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.GetWindowWidth(onSuccess, onFailed, userContext);
    }
    PageMethods.GetWindowHeight = function(onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.GetWindowHeight(onSuccess, onFailed, userContext);
    }
    PageMethods.LogOffAndUnlockCase = function(onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.LogOffAndUnlockCase(onSuccess, onFailed, userContext);
    }
    PageMethods.ExtendSessionLogCaseDateTime = function(onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.ExtendSessionLogCaseDateTime(onSuccess, onFailed, userContext);
    }
    PageMethods.TrackReferral = function(referralCode, wasClicked, pageSak, caseSak, onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.TrackReferral(referralCode, wasClicked, pageSak, caseSak, onSuccess, onFailed, userContext);
    }
    PageMethods.SetPageReset = function(reset, onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.SetPageReset(reset, onSuccess, onFailed, userContext);
    }
    PageMethods.LogPageEnd = function(onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.LogPageEnd(onSuccess, onFailed, userContext);
    }
    PageMethods.SetSakRecipEEN = function(sakRecip, onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.SetSakRecipEEN(sakRecip, onSuccess, onFailed, userContext);
    }
    PageMethods.SetWindowSize = function(width, height, onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.SetWindowSize(width, height, onSuccess, onFailed, userContext);
    }
    PageMethods.ResetWindowName = function(onSuccess, onFailed, userContext) {
      PageMethods._staticInstance.ResetWindowName(onSuccess, onFailed, userContext);
    }
    //]]>
  </script>
  <script src="/WebResource.axd?d=ZdhVEJyCy8-09_qKlMxBP1hK-LJeiwD3aXiGjqZLcbySDMz8w_eR0-T2Ifvpthl57SXRI_Id_aDLPtjPdmDQJAGKj3U1&amp;t=637453853640000000" type="text/javascript"></script>
  <script type="text/javascript">
    //<![CDATA[
    function WebForm_OnSubmit() {
      if (typeof(ValidatorOnSubmit) == "function" && ValidatorOnSubmit() == false) return false;
      if (Validate_Page_CustomValidator()) showBusy();
      else return false;
      return true;
    }
    //]]>
  </script>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CD635E55">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="/wEdAA4t2UvWG0v/f9V8+q+ETJqUwg+5TBk/lfssupyZ6+cTc8x6NpFNYxpZSIjvqVykKFBR4JuDj6PlFrfXdPiLI6/5zWdjIfJNbTTolxbDhQQ+FDe4w7ByeiM5BTG820DKRwhwJFpCuLnfZ2JztfdCu9wOAJoc4vwwiXPSbYOa3Kr5fM2wRMEZSUFE87BzAmFPc00I4iLcO7FzjV9TW4KRWNfaTtH3ko/gs851SPTw1RDfqC9oPI6J+AWoGpqqSVANBxTxYq8uyoMSUUG5t7lwFsRPQ2uf220fUX91DimWAXTvdMKRcs6XtDyEsVkidoUwmMS2vwMZ">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    Sys.WebForms.PageRequestManager._initialize('ctl00$ScriptManager1', 'aspnetForm', [], [], [], 90, 'ctl00');
    //]]>
  </script>
  <div id="divModal" class="modal modal-fullscreen fade" tabindex="-1" role="dialog" aria-labelledby="divModalTitle" aria-hidden="true" data-backdrop="static" data-keyboard="false">
    <div class="modal-dialog modal-width-Default" role="document">
      <div id="divModalContent" class="modal-content">
        <div id="divModalBody" class="modal-body mb-0 p-0">
          <div id="divModalBodyContainer" class="embed-responsive z-depth-1-half" style="height:100%">
            <iframe id="iframeModalBodyContainer" class="embed-responsive-item"></iframe>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div id="divModalTimeoutWarning" class="modal modal-fullscreen fade" tabindex="-1" role="dialog" aria-labelledby="divModalTimeoutWarningTitle" aria-hidden="true" data-backdrop="static" data-keyboard="false">
    <div class="modal-dialog modal-width-TimeoutWarning" role="document">
      <div id="divModalContentTimeoutWarning" class="modal-content">
        <div id="divModalBodyTimeoutWarning" class="modal-body mb-0 p-0">
          <div id="divModalBodyContainerTimeoutWarning" class="embed-responsive z-depth-1-half" style="height:100%">
            <iframe id="iframeModalBodyContainerTimeoutWarning" class="embed-responsive-item"></iframe>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div id="divBusy" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="lblBusy" aria-hidden="true" data-backdrop="static" data-keyboard="false">
    <div class="modal-dialog modal-dialog-centered modal-width-BusyBox" role="document">
      <div class="modal-content">
        <div class="modal-body text_center BusyBoxBody" role="status">
          <div class="container h-100">
            <div class="row align-items-center">
              <div class="col-12 col-md-2 BusyBoxFontCol p-0">
                <div class="BusyBoxSpinner"></div>
              </div>
              <div class="col-12 col-md-10 justify-content-center BusyBoxLabelCol">
                <span id="ctl00_lblBusy">Processing. Please wait...</span>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div id="bannerWrap" class="container-fluid bannerWrap">
    <nav class="navbar navbar-expand-md navbar-light">
      <div class="navHeader">
        <div class="navbar-brand">
          <img class="d-inline-block align-top logo" src="../Images/logoOHCA2020.png">
        </div>
        <button type="button" class="navbar-toggler collapsed position-relative" data-toggle="collapse" data-target="#navbarNavDropdown">
          <span></span>
          <span></span>
          <span></span>
        </button>
      </div>
      <div class="collapse navbar-collapse bg-color" id="navbarNavDropdown">
        <ul class="navbar-nav ml-auto">
          <li id="ctl00_liLogon" class="nav-item active">
            <a onclick="clicked=true;" id="ctl00_lnkLogon" title="Log on to your account" class="nav-link" href="javascript:__doPostBack('ctl00$lnkLogon','')">Log On</a>
          </li>
          <li id="ctl00_liContactUs" class="nav-item active">
            <a id="ctl00_hlnkContactUs" title="Contact Us(New window)" class="nav-link" href="http://www.okhca.org/individuals.aspx?id=10285" target="_blank">Contact Us</a>
          </li>
          <li id="ctl00_liChangePassword" class="nav-item active">
          </li>
          <li id="ctl00_liChangeLanguage" class="nav-item active dropdown">
            <div class="dropdown" id="dropdown">
              <a id="ctl00_dropdownMenuButton" class="nav-link dropdown-toggle dropdownStyle" autopostback="True" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false" href="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl00$dropdownMenuButton&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, true))">Idioma</a>
              <div class="dropdown-menu dropdown-menu-right dropdownMenuStyle" aria-labelledby="dropdownMenuButton">
                <a onclick="clicked=true;" id="ctl00_btn_lang_english" class="dropdown-item dropdown-item-style" autopostback="True" href="javascript:__doPostBack('ctl00$btn_lang_english','')">English</a>
                <a onclick="clicked=true;" id="ctl00_btn_lang_spanish" class="dropdown-item dropdown-item-style" autopostback="True" href="javascript:__doPostBack('ctl00$btn_lang_spanish','')">Español</a>
              </div>
            </div>
          </li>
        </ul>
      </div>
    </nav>
  </div>
  <div id="titleWrap" class="container-fluid titleWrap">
    <div class="appTitle">
      <p> Member Enrollment </p>
    </div>
  </div>
  <div id="divTopBorder" class="topBorder">
  </div>
  <div id="ctl00_pnlFrame" class="container-fluid contentWrap">
    <p id="ctl00_pContentTitle" class="pageContentTitle">
      <a name="skipnav" id="skipnav"></a>
      <span id="ctl00_lblPageContentTitle">Log On or Create Your Account</span>
    </p>
    <a name="errorSummary"></a>
    <div id="ctl00_pnlValidatorSummary">
      <div id="ctl00_ValidationSummary" class="errorList" style="display:none;">
      </div>
      <div id="ctl00_ValidationSummaryMINIMUM" class="errorList" style="display:none;">
      </div>
    </div>
    <input name="ctl00$txtWindowName" type="text" id="ctl00_txtWindowName" tabindex="-1" class="Collapsed">
    <input name="ctl00$txtLanguage" type="text" id="ctl00_txtLanguage" tabindex="-1" class="Collapsed">
    <div id="ctl00_divTopPadding">
      <div id="ctl00_pnlContentSteps">
        <div class="noBack">
          <img id="ctl00_imgNotBackButton" src="../Images/icon_noBackButton.gif" alt="Do not use your browser back button" style="border-width:0px;">
          <span id="ctl00_Label1">Do not use your browser back button or do a screen refresh.</span>
        </div>
      </div>
    </div>
    <div onkeypress="javascript:return WebForm_FireDefaultButton(event, 'ctl00_cphStepPageData_btnLogOn')">
      <script type="text/javascript" src="../JS/ViewControl.js"></script>
      <script type="text/javascript" src="../JS/Validation.js"></script>
      <script type="text/javascript">
        if (window.name != "dde377f3566a4b0bb00c43c34614551b") {
          if (clicked == false) {
            clicked = true;
            window.open("../Default.aspx", "_self");
          } else {
            window.name = "invalidAccess";
            window.open("SystemNoNewTab.aspx", "_self");
          }
        }
        clicked = false;
        isValidClose = true;

        function ResetWindowName() {
          window.name = ResetWindowNameWebMethod();
          SetBrowserWindowName();
        }

        function ResetWindowNameWebMethod() {
          var getWindowNameURL = window.location.pathname + "/ResetWindowName";
          var newname = "NotSet";
          $.ajax({
            url: getWindowNameURL,
            async: false,
            type: "post",
            dataType: "json",
            contentType: "application/json;charset=utf-8",
            data: "",
            success: function(data) {
              newname = data.d;
            },
            error: function(response, status, error) {}
          });
          return newname;
        }
      </script>
      <p id="ctl00_cphStepPageData_EmailSentParagraph" class="infoMessage" style="display:none;">
        <span id="ctl00_cphStepPageData_EmailSent">Please check your email for instructions to complete the registration. If you don’t receive email in 15 minutes please check your spam folder and retry or verify that your email address is
          correct.</span>
      </p>
      <p>
        <span id="ctl00_cphStepPageData_lbllLogin">To log on to your existing account, Please enter your User ID or e-mail address below, with your password. This ID may have been created by you, your spouse or your authorized representative. </span>
      </p>
      <p class="modHeadNoteLeft">
        <span id="ctl00_cphStepPageData_lblRqdFields1">Required fields are marked with an asterisk (</span>
        <span id="ctl00_cphStepPageData_lblAsterisk" class="highlightText">*</span>
        <span id="ctl00_cphStepPageData_lblRqdFields2">).</span>
        <span id="ctl00_cphStepPageData_lblLogin1">You may enter a User ID (or E-Mail Address) to begin the application but at least one is required along with the password.</span>
      </p>
      <div id="ctl00_cphStepPageData_divMainForm" class="formModule">
        <div class="form-group row">
          <div class="col-12 col-md-4 formLabel requiredSymbol">
            <label for="ctl00_cphStepPageData_txtUserId" id="ctl00_cphStepPageData_lblUserId" class="formLabel">User ID</label>
            <span id="ctl00_cphStepPageData_lblUserId2" class="highlightText formLabel" style="font-style:italic;"> or </span>
            <span id="ctl00_cphStepPageData_lblUserId3" class="formLabel">E-Mail Address:</span>
          </div>
          <div class="col-12 col-md-5">
            <input name="ctl00$cphStepPageData$txtUserId" type="text" maxlength="50" id="ctl00_cphStepPageData_txtUserId" tabindex="1" autocapitalize="none">
            <br>
            <span id="ctl00_cphStepPageData_rfvUserId" class="errorListValidator" style="display:none;">User ID or E-Mail Address is required</span>
            <span id="ctl00_cphStepPageData_txtUserId_CustomVal" class="errorListValidator" style="display: none;">User ID The &lt; character cannot be followed by a letter or any of the following three characters ! / ?.</span>
            <div><span id="ctl00_cphStepPageData_txtUserId_CustomVal2" class="errorListValidator" style="display: none;">User ID The &amp; character cannot be followed by the # character.</span></div>
          </div>
          <div class="col-12 col-md-3">
            <a onclick="ResetWindowName();clicked=true;" id="ctl00_cphStepPageData_lnkForgotUserId" title="Forgot your User ID?" href="javascript:__doPostBack('ctl00$cphStepPageData$lnkForgotUserId','')">Forgot your User ID?</a>
          </div>
        </div>
        <div class="form-group row">
          <div class="col-12 col-md-4 formLabel requiredSymbol">
            <label for="ctl00_cphStepPageData_txtPassword" id="ctl00_cphStepPageData_lblPassword" class="formLabel">Password:</label>
          </div>
          <div class="col-12 col-md-5 require">
            <input name="ctl00$cphStepPageData$txtPassword" type="password" maxlength="20" id="ctl00_cphStepPageData_txtPassword" tabindex="2">
            <br>
            <span id="ctl00_cphStepPageData_rfvPassword" class="errorListValidator" style="display:none;">Password is required</span>
            <span id="ctl00_cphStepPageData_txtPassword_CustomVal" class="errorListValidator" style="display: none;">Password: The &lt; character cannot be followed by a letter or any of the following three characters ! / ?.</span>
            <div><span id="ctl00_cphStepPageData_txtPassword_CustomVal2" class="errorListValidator" style="display: none;">Password: The &amp; character cannot be followed by the # character.</span></div>
          </div>
          <div class="col-12 col-md-3 require">
            <a onclick="ResetWindowName();clicked=true;" id="ctl00_cphStepPageData_lnkForgotPassword" title="Forgot your Password?" href="javascript:__doPostBack('ctl00$cphStepPageData$lnkForgotPassword','')">Forgot your Password?</a>
          </div>
        </div>
      </div>
      <div class="buttonPageWrap row">
        <div class="col-12 colNoPadding text-md-right">
          <a onclick="javascript:displayErrors();ResetWindowName();changeClicked();" id="ctl00_cphStepPageData_btnLogOn" tabindex="3" title="Log On" class="btn buttonNormal" href="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl00$cphStepPageData$btnLogOn&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, true))"><span id="ctl00_cphStepPageData_lblOK">Log On</span></a>
        </div>
      </div>
      <p>
        <span id="ctl00_cphStepPageData_lblNoUserButPIN">If you do not have a user account, but you have your Personal Identification Number (PIN), you may </span>
        <a onclick="ResetWindowName();clicked=true;" id="ctl00_cphStepPageData_lnkNoUserButPIN" title="create an account using your PIN" href="javascript:__doPostBack('ctl00$cphStepPageData$lnkNoUserButPIN','')">create an account using your PIN</a>
        <span id="ctl00_cphStepPageData_lblNoUserButPIN2"> now.</span>
      </p>
      <p>
        <span id="ctl00_cphStepPageData_lblCreateAcct">If you do not have a user account or PIN, please </span>
        <a onclick="ResetWindowName();clicked=true;" id="ctl00_cphStepPageData_LnkCreateAcct" title="create a new account" href="javascript:__doPostBack('ctl00$cphStepPageData$LnkCreateAcct','')">create a new account</a>
        <span id="ctl00_cphStepPageData_lblCreateAcct2"> now.</span>
      </p>
    </div>
  </div>
  <div id="footerWrap" class="container-fluid footerWrap">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var Page_ValidationSummaries = new Array(document.getElementById("ctl00_ValidationSummary"), document.getElementById("ctl00_ValidationSummaryMINIMUM"));
    var Page_Validators = new Array(document.getElementById("ctl00_cphStepPageData_rfvUserId"), document.getElementById("ctl00_cphStepPageData_rfvPassword"));
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    var ctl00_ValidationSummary = document.all ? document.all["ctl00_ValidationSummary"] : document.getElementById("ctl00_ValidationSummary");
    ctl00_ValidationSummary.headertext = "<p class=\'headP\'><span class=\'head\'>The following fields require your attention:</span></p>";
    var ctl00_ValidationSummaryMINIMUM = document.all ? document.all["ctl00_ValidationSummaryMINIMUM"] : document.getElementById("ctl00_ValidationSummaryMINIMUM");
    ctl00_ValidationSummaryMINIMUM.headertext = "<p class=\'headP\'><span class=\'head\'>The following fields require your attention:</span></p>";
    ctl00_ValidationSummaryMINIMUM.validationGroup = "MINIMUM";
    var ctl00_cphStepPageData_rfvUserId = document.all ? document.all["ctl00_cphStepPageData_rfvUserId"] : document.getElementById("ctl00_cphStepPageData_rfvUserId");
    ctl00_cphStepPageData_rfvUserId.controltovalidate = "ctl00_cphStepPageData_txtUserId";
    ctl00_cphStepPageData_rfvUserId.errormessage = "User ID or E-Mail Address is required";
    ctl00_cphStepPageData_rfvUserId.display = "Dynamic";
    ctl00_cphStepPageData_rfvUserId.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_cphStepPageData_rfvUserId.initialvalue = "";
    var ctl00_cphStepPageData_rfvPassword = document.all ? document.all["ctl00_cphStepPageData_rfvPassword"] : document.getElementById("ctl00_cphStepPageData_rfvPassword");
    ctl00_cphStepPageData_rfvPassword.controltovalidate = "ctl00_cphStepPageData_txtPassword";
    ctl00_cphStepPageData_rfvPassword.errormessage = "Password is required";
    ctl00_cphStepPageData_rfvPassword.display = "Dynamic";
    ctl00_cphStepPageData_rfvPassword.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_cphStepPageData_rfvPassword.initialvalue = "";
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    hideBusy();
    (function(id) {
      var e = document.getElementById(id);
      if (e) {
        e.dispose = function() {
          Array.remove(Page_ValidationSummaries, document.getElementById(id));
        }
        e = null;
      }
    })('ctl00_ValidationSummary');
    (function(id) {
      var e = document.getElementById(id);
      if (e) {
        e.dispose = function() {
          Array.remove(Page_ValidationSummaries, document.getElementById(id));
        }
        e = null;
      }
    })('ctl00_ValidationSummaryMINIMUM');
    var Page_ValidationActive = false;
    if (typeof(ValidatorOnLoad) == "function") {
      ValidatorOnLoad();
    }

    function ValidatorOnSubmit() {
      if (Page_ValidationActive) {
        return ValidatorCommonOnSubmit();
      } else {
        return true;
      }
    }
    WebForm_AutoFocus('ctl00_cphStepPageData_txtUserId');
    document.getElementById('ctl00_cphStepPageData_rfvUserId').dispose = function() {
      Array.remove(Page_Validators, document.getElementById('ctl00_cphStepPageData_rfvUserId'));
    }
    document.getElementById('ctl00_cphStepPageData_rfvPassword').dispose = function() {
      Array.remove(Page_Validators, document.getElementById('ctl00_cphStepPageData_rfvPassword'));
    }
    //]]>
  </script>
</form>

Text Content

Processing. Please wait...
 * Log On
 * Contact Us
 * 
 * Idioma
   English Español

Member Enrollment



Log On or Create Your Account


Do not use your browser back button or do a screen refresh.

Please check your email for instructions to complete the registration. If you
don’t receive email in 15 minutes please check your spam folder and retry or
verify that your email address is correct.

To log on to your existing account, Please enter your User ID or e-mail address
below, with your password. This ID may have been created by you, your spouse or
your authorized representative.

Required fields are marked with an asterisk ( * ). You may enter a User ID (or
E-Mail Address) to begin the application but at least one is required along with
the password.

User ID or E-Mail Address:

User ID or E-Mail Address is required User ID The < character cannot be followed
by a letter or any of the following three characters ! / ?.
User ID The & character cannot be followed by the # character.
Forgot your User ID?
Password:

Password is required Password: The < character cannot be followed by a letter or
any of the following three characters ! / ?.
Password: The & character cannot be followed by the # character.
Forgot your Password?
Log On

If you do not have a user account, but you have your Personal Identification
Number (PIN), you may create an account using your PIN now.

If you do not have a user account or PIN, please create a new account now.