www.bcbsal.org Open in urlscan Pro
66.22.79.39  Public Scan

Form analysis
5 forms found in the DOM

<form role="combobox" aria-expanded="false" aria-haspopup="listbox" aria-labelledby="downshift-1-label">
  <div class="sui-search-box">
    <div class="sui-search-box__wrapper flex-row"><button class="search-btn"><svg width="14" height="14" class="searchIcon" viewBox="0 0 16 16" fill="none" xmlns="http://www.w3.org/2000/svg">
          <path
            d="M6.5644 0C2.95122 0 0 2.94986 0 6.56193C0 10.1737 2.95111 13.1239 6.5644 13.1239C8.00127 13.1239 9.33368 12.657 10.4171 11.8678L14.2508 15.6997C14.6513 16.1001 15.299 16.1001 15.6995 15.6997C16.1002 15.2994 16.1002 14.6455 15.6995 14.2451L11.8724 10.4195C12.6637 9.33556 13.1289 7.99985 13.1289 6.56193C13.1289 2.95001 10.1778 0 6.56448 0H6.5644ZM6.5644 2.05056C9.06895 2.05056 11.0775 4.05822 11.0775 6.56193C11.0775 9.06553 9.06906 11.0733 6.5644 11.0733C4.05974 11.0733 2.05126 9.06564 2.05126 6.56193C2.05126 4.05833 4.05974 2.05056 6.5644 2.05056Z">
          </path>
        </svg></button><input aria-autocomplete="list" aria-labelledby="downshift-1-label" autocomplete="off" id="downshift-1-input" data-transaction-name="search input" class="sui-search-box__text-input search-input" value=""></div>
  </div>
</form>

---

Name: login — POST /webapps/customeraccess/Dispatch?application=org.bcbsal.inet.customermgmt.CustomerAppListApplication

<form name="login" data-id="login" class="login-container" autocomplete="off" method="post" action="/webapps/customeraccess/Dispatch?application=org.bcbsal.inet.customermgmt.CustomerAppListApplication">
  <input name="loginType" type="hidden" data-id="loginType" value="direct">
  <input name="pagetype" type="hidden" data-id="pagetype" value="login">
  <input name="skipSelectContract" type="hidden" value="true">
  <div class="form-row" id="loginRowDiv">
    <div id="userNameColDiv" class="col">
      <input class="input-block-level login-input form-control" autocomplete="off" autocorrect="off" type="text" data-id="userName" id="userName" placeholder="Username" name="userName" aria-label="Username" maxlength="15" size="15"
        title="Please enter your username.">
    </div>
    <div id="passwordColDiv" class="col">
      <div style="position: relative;">
        <input class="input-block-level login-input form-control" type="password" data-id="password" id="password" placeholder="Password" name="password" aria-label="Password" maxlength="100" size="15" title="Please enter your password.">
        <div id="showPassContainer">
          <img id="showpassword" class="showPasswordIEAllign" src="/content_2015/images/ShowPassword.svg" style="cursor: pointer; height: 20px;" alt="Show or Hide password visiblility" onclick="togglePassword(this)">
        </div>
      </div>
    </div>
    <button id="gobutton" type="submit" class="btn btn-warning loginButton" onsubmit="submitGo(this)">
      <b>GO</b>
    </button>
  </div>
  <div class="form-row">
    <div id="rememberMeColDiv2" class="col-md-5 rememberMeColDivClass">
      <div class="form-group rememberMe" style="top: 25%;">
        <div class="form-check">
          <label class="form-check-label">
            <input type="checkbox" class="form-check-input" name="rememberMeCheckBox" id="_login_WAR_mbr_loginportlet_INSTANCE_mobileLoginPortlet_rememberMeCheckBox">
            <span class="loginGreeting" style="position: relative; bottom: 2px;">Remember Username</span>
          </label>
        </div>
      </div>
    </div>
    <div id="usernameAndPasswordDiv" class="col-md-7 usernameAndPassword paddingForUsernameAndPasswordPara">
      <p class="loginGreeting">Forgot
        <a id="_login_WAR_mbr_loginportlet_INSTANCE_mobileLoginPortlet_forgotUserName-desktop" href="/webapps/customeraccess/Dispatch?application=org.bcbsal.inet.customermgmt.CustomerForgotUserIdApplication&amp;responsive=true" class="forgotUserName forgotUserName-mobile">username</a>
        or
        <a id="_login_WAR_mbr_loginportlet_INSTANCE_mobileLoginPortlet_forgotUserName-desktop" href="/webapps/customeraccess/Dispatch?application=org.bcbsal.inet.customermgmt.CustomerForgottenPasswordApplication&amp;responsive=true" class="forgotPassword forgotPassword-mobile">password</a>?
      </p>
    </div>
  </div>
</form>

---

Name: login — POST /webapps/customeraccess/Dispatch?application=org.bcbsal.inet.customermgmt.CustomerAppListApplication

<form name="login" data-id="login" class="login-container" autocomplete="off" method="post" action="/webapps/customeraccess/Dispatch?application=org.bcbsal.inet.customermgmt.CustomerAppListApplication">
  <input name="loginType" type="hidden" data-id="loginType" value="direct">
  <input name="pagetype" type="hidden" data-id="pagetype" value="login">
  <input name="skipSelectContract" type="hidden" value="true">
  <div class="form-row" id="loginRowDiv">
    <div id="userNameColDiv" class="col">
      <input class="input-block-level login-input form-control" autocomplete="off" autocorrect="off" type="text" data-id="userName" id="userName" placeholder="Username" name="userName" aria-label="Username" maxlength="15" size="15"
        title="Please enter your username.">
    </div>
    <div id="passwordColDiv" class="col">
      <div style="position: relative;">
        <input class="input-block-level login-input form-control" type="password" data-id="password" id="password" placeholder="Password" name="password" aria-label="Password" maxlength="100" size="15" title="Please enter your password.">
        <div id="showPassContainer">
          <img id="showpassword" class="showPasswordIEAllign" src="/content_2015/images/ShowPassword.svg" style="cursor: pointer; height: 20px;" alt="Show or Hide password visiblility" onclick="togglePassword(this)">
        </div>
      </div>
    </div>
    <button id="gobutton" type="submit" class="btn btn-warning loginButton" onsubmit="submitGo(this)">
      <b>GO</b>
    </button>
  </div>
  <div class="form-row">
    <div id="rememberMeColDiv2" class="col-md-5 rememberMeColDivClass">
      <div class="form-group rememberMe" style="top: 25%;">
        <div class="form-check">
          <label class="form-check-label">
            <input type="checkbox" class="form-check-input" name="rememberMeCheckBox" id="_login_WAR_mbr_loginportlet_INSTANCE_headerLoginPortlet_rememberMeCheckBox">
            <span class="loginGreeting" style="position: relative; bottom: 2px;">Remember Username</span>
          </label>
        </div>
      </div>
    </div>
    <div id="usernameAndPasswordDiv" class="col-md-7 usernameAndPassword paddingForUsernameAndPasswordPara">
      <p class="loginGreeting">Forgot
        <a id="_login_WAR_mbr_loginportlet_INSTANCE_headerLoginPortlet_forgotUserName-desktop" href="/webapps/customeraccess/Dispatch?application=org.bcbsal.inet.customermgmt.CustomerForgotUserIdApplication&amp;responsive=true" class="forgotUserName forgotUserName-mobile">username</a>
        or
        <a id="_login_WAR_mbr_loginportlet_INSTANCE_headerLoginPortlet_forgotUserName-desktop" href="/webapps/customeraccess/Dispatch?application=org.bcbsal.inet.customermgmt.CustomerForgottenPasswordApplication&amp;responsive=true" class="forgotPassword forgotPassword-mobile">password</a>?
      </p>
    </div>
  </div>
</form>

---

<form role="combobox" aria-expanded="false" aria-haspopup="listbox" aria-labelledby="downshift-0-label">
  <div class="sui-search-box">
    <div class="sui-search-box__wrapper flex-row"><button class="search-btn"><svg width="14" height="14" class="searchIcon" viewBox="0 0 16 16" fill="none" xmlns="http://www.w3.org/2000/svg">
          <path
            d="M6.5644 0C2.95122 0 0 2.94986 0 6.56193C0 10.1737 2.95111 13.1239 6.5644 13.1239C8.00127 13.1239 9.33368 12.657 10.4171 11.8678L14.2508 15.6997C14.6513 16.1001 15.299 16.1001 15.6995 15.6997C16.1002 15.2994 16.1002 14.6455 15.6995 14.2451L11.8724 10.4195C12.6637 9.33556 13.1289 7.99985 13.1289 6.56193C13.1289 2.95001 10.1778 0 6.56448 0H6.5644ZM6.5644 2.05056C9.06895 2.05056 11.0775 4.05822 11.0775 6.56193C11.0775 9.06553 9.06906 11.0733 6.5644 11.0733C4.05974 11.0733 2.05126 9.06564 2.05126 6.56193C2.05126 4.05833 4.05974 2.05056 6.5644 2.05056Z">
          </path>
        </svg></button><input aria-autocomplete="list" aria-labelledby="downshift-0-label" autocomplete="off" id="downshift-0-input" data-transaction-name="search input" class="sui-search-box__text-input search-input" value=""></div>
  </div>
</form>

---

Name: hrefFm — POST #

<form action="#" class="hide" id="hrefFm" method="post" name="hrefFm" aria-hidden="true"><span></span><input hidden="" type="submit"></form>

---

Text Content

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