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benefitconnect.wf.ehr.com Open in urlscan Pro
2620:1ec:29:1::64  Public Scan

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Submitted URL: http://benefitconnect.wf.ehr.com/
Effective URL: https://benefitconnect.wf.ehr.com/
Submission: On October 07 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="" class="">
  <div class="form-group mb-0 mb-md-3 row">
    <div class="col-md-4 col-12 offset-md-4"><label class="mt-4 form-label" for="formEmail"><strong>Email Address</strong></label><input required="" placeholder="Enter email address" pattern="\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*" type="email"
        id="formEmail" class="form-control" value="">
      <div role="alert" class="invalid-feedback"></div>
      <div class="forgot-username-text"><button class="link my-1" type="button">Forgot sign-in email address?</button></div>
      <div class="text-end"><button type="submit" class="account-next mt-3 btn btn-primary">Next</button></div>
    </div>
  </div>
  <div class="button-bar w-100">
    <div id="btn-create-account"><span class="create-account-text">First time user?</span><a href="/account/register">Create an account.</a></div>
  </div>
</form>

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