cloud.email3.humana.com
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13.111.70.144
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Submitted URL: https://click.email3.humana.com/?qs=1700d9b1580b38c96c87a672fb692be8dd62f00176f20a5c5dae9a2fdca510e56df1dc8a1d79b553cc933429b618...
Effective URL: https://cloud.email3.humana.com/idv_broker_opportunity?qs=84a713d0a8c12d248afad8f98cddd2ef9106106349382d166d4f93cfee4413ae4ec879...
Submission: On February 06 via api from US — Scanned from DE
Effective URL: https://cloud.email3.humana.com/idv_broker_opportunity?qs=84a713d0a8c12d248afad8f98cddd2ef9106106349382d166d4f93cfee4413ae4ec879...
Submission: On February 06 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST
<form method="post" id="Leadform">
<input type="hidden" id="Address" value="1030 Pine Valley Dr" name="Address" class="pac-target-input" placeholder="Geben Sie einen Standort ein." autocomplete="off">
<input type="hidden" id="NPN" value="6585405" name="NPN">
<input type="hidden" id="Region" value="East" name="Region">
<input type="hidden" id="Fulladdress" value="1030 Pine Valley Dr Durham NC 27712" name="Fulladdress">
<input type="hidden" id="leadSource" value="Email" name="leadSource">
<input type="hidden" id="updateUtm" value="utm_source_n=email&utm_medium_n=&utm_campaign_n=idvrecruit&utm_content_n=product&utm_term_n=dayzero" name="updateUtm">
<input type="hidden" id="MobileNumber" value="800-517-8071" name="MobileNumber">
<div class="from11">
<div class="first-fm">
<label for="FirstName">First name<span class="star1">*</span></label>
<input type="Text" id="FirstName" name="FirstName" value="Sharon" required="" pattern="[a-zA-Z0-9]+[a-zA-Z0-9 ]+" title="Please enter valid first name">
</div>
<div class="first-fm2">
<label for="Lastname">Last name<span class="star1">*</span></label>
<input type="Text" id="LastName" name="LastName" value="Murphy-Reams" required="" pattern="[a-zA-Z0-9]+[a-zA-Z0-9 ]+" style="margin-top:0px;" title="Please enter valid last name">
</div>
</div>
<div class="from11">
<div class="first-fm">
<label for="City">City<span class="star1">*</span></label>
<input type="Text" id="FirstName" name="City" value="Durham" required="" pattern="[a-zA-Z0-9]+[a-zA-Z0-9 ]+" title="Please enter valid city">
</div>
<div class="first-fm3">
<div class="state">
<label for="cars">State<span class="star1">*</span></label>
<select name="state" id="state" required="required" title="Please select valid state">
<option value=""> Select </option>
<option>AL </option>
<option>AK </option>
<option>AZ </option>
<option>AR </option>
<option>CA </option>
<option>CO </option>
<option>CT </option>
<option>DE </option>
<option>DC </option>
<option>FL </option>
<option>GA </option>
<option>HI </option>
<option>ID </option>
<option>IL </option>
<option>IN </option>
<option>IA </option>
<option>KS </option>
<option>KY </option>
<option>LA </option>
<option>ME </option>
<option>MD </option>
<option>MA </option>
<option>MI </option>
<option>MN </option>
<option>MS </option>
<option>MO </option>
<option>MT </option>
<option>NE </option>
<option>NV </option>
<option>NH </option>
<option>NJ </option>
<option>NM </option>
<option>NY </option>
<option selected="selected">NC </option>
<option>ND </option>
<option>OH </option>
<option>OR </option>
<option>PA </option>
<option>PR </option>
<option>RI </option>
<option>SC </option>
<option>SD </option>
<option>TN </option>
<option>TX </option>
<option>UT </option>
<option>VT </option>
<option>VA </option>
<option>WA </option>
<option>WV </option>
<option>WI </option>
<option>WY </option>
<option>OK </option>
</select>
</div>
<div class="state2">
<label for="ZipCode">ZIP code<span class="star1">*</span></label>
<input type="Text" id="LastName" name="zipcode" value="27712" required="" pattern=".{4,8}" style="margin-top:0px;" title="Please enter valid zip code">
</div>
</div>
</div>
<div class="from11">
<div class="first-fm">
<label for="BusinessEmail">Email<span class="star1">*</span></label>
<input type="email" id="BusinessEmail" name="BusinessEmail" value="sharon.reams@bcbsnc.com" required="required">
</div>
<div class="first-fm2">
<label for="Phone Number">Phone Number<span class="star1">*</span></label>
<input type="Text" id="Phone Number" required="required" name="phoneNumber" pattern="[0-9]{9,11}" mobilenumber="" value="800-517-8071" title="Please enter valid phone number">
</div>
</div>
<div class="from11">
<div class="first-fm pdr-14">
<label for="CompanyName">Agency Name </label>
<input type="Text" id="CompanyName" name="CompanyName" value="" title="Please enter valid company name">
</div>
</div>
<div class="from11 last-sub">
<div class="first-fm ">
<button name="Form_Submit" type="Submit" value="Submitted" class="sub-button1-f">Submit to get started <img src="https://image.email3.humana.com/lib/fe3815717564047b7d1477/m/1/e1b91c7b-5c8b-46e6-9bcb-caee0587eb7d.png"></button>
</div>
</div>
</form>
Text Content
Individual Dental and Vision plans that make a difference Build your book of business all year with robust agent support tools and outstanding dental and vision plans for your clients. Fill out the form below to get started. JOIN THE BEST—BECOME A HUMANA AGENT Let's talk about how our best-in-class support can help build your business * REQUIRED First name* Last name* City* State* Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY OK ZIP code* Email* Phone Number* Agency Name Submit to get started CARE YOU CAN SHARE Your clients will love their coverage. You’ll love the support you receive. For your clients * Expansive network so your clients can find the care they want * Plan options designed to meet your clients’ budgets and health needs * Outstanding customer service For you * 24/7 on-demand support and in-market expertise * Customizable, professional marketing resources * Year-round selling opportunities TURN GOOD PROSPECTS INTO GREAT CLIENTS Millions of American adults don't have dental and vision coverage. You can help fix that with dental and vision plans from Humana. With coverage available to people of all ages and enrollment open all year long, you can turn prospects into clients anytime. Under-65 prospects might include: Someone looking for family coverage or coverage for kids Someone who doesn’t have Group coverage (self-employed, works part-time, newly retired) Someone experiencing a dental challenge for an upcoming appointment You make the difference. We’ll make it simple. Tools you can use After 60 years in the healthcare industry, we’ve learned how to take care of our people, so you have the tools you need to keep pounding the pavement. Our agents maximize their marketing efforts with customizable professional materials that they can leverage in any prospect pool. That’s agent support you can count on. An impact you can be proud of Humana digs deep. Whether it’s in the community, through our ever-growing library of resources and tools, or through our ongoing industry researching, we’re transforming healthcare for the better. We want you to be proud of the plans you sell with Humana. An impact you can be proud of Humana digs deep. Whether it’s in the community, through our ever-growing library of resources and tools, or through our ongoing industry researching, we’re transforming healthcare for the better. We want you to be proud of the plans you sell with Humana. Full-time sales for full-time agents Build your book of business year-round with Individual Dental and Vision plans that are available to everyone—even those who aren’t eligible for Medicare yet—at any time. Whether it’s forging a new client relationship or strengthening an existing one, Individual Dental and Vision plans with Humana are a great way to sell all year long. Individual Dental and Vision plans from Humana For agent use only. Confidential and proprietary. Do not distribute. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender, identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our insurance benefit plans. Our insurance benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. In the event of any disagreement between this communication and the plan document, the plan document will control. © Humana 2024 For accommodations of persons with special needs at meetings, call 1-800-457-4708 (TTY: 711). GHHM6HGEN Back to top * Legal * Privacy Practices * Privacy Policy * Site Map * Disclaimers & Licensure * Fraud, Waste & Abuse * Accessibility * System Requirements © Humana 2024