resource.itsourcebox.com Open in urlscan Pro
92.204.129.232  Public Scan

Form analysis
1 forms found in the DOM

Name: signup_form — POST HREM-Unum_PO-73662_1-sendmail.php

<form method="POST" action="HREM-Unum_PO-73662_1-sendmail.php" id="signup_form" name="signup_form" class="signup_form" onsubmit="return formCheck(this);">
  <!--XXX ... DON'T CHANGE THIS CODE ... XXX-->
  <input type="hidden" name="action" id="action" value="insert">
  <input type="hidden" name="camp_id" id="camp_id" value="HREM-Unum_PO-73662_1">
  <!--XXX ... DON'T CHANGE THIS CODE ... XXX-->
  <div class="gform_body gform-body">
    <ul id="gform_fields_424" class="gform_fields top_label form_sublabel_below description_below">
      <li id="field_424_1" class="gfield style=&quot;font-family: Arial;&quot; gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible" data-js-reload="field_424_1">
        <label class="gfield_label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_424_1">
          <span id="input_424_1_3_container" class="name_first">
            <label for="input_424_1_3">First</label>
            <input type="text" name="firstname" id="input_424_1_3" value="" aria-required="true">
          </span>
          <span id="input_424_1_6_container" class="name_last">
            <label for="input_424_1_6">Last</label>
            <input type="text" name="data[0]" id="input_424_1_6" value="" aria-required="true">
          </span>
        </div>
      </li>
      <li id="field_424_2" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_2"><label class="gfield_label" for="input_424_2">Work Email<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="data[1]" id="data[1]" type="email" value="" class="medium" aria-required="true" aria-invalid="false">
        </div>
      </li>
      <li id="field_424_23" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_23"><label class="gfield_label" for="input_424_23">Job Title<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="data[2]" id="input_424_23" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value=""></option>
            <option value="CHRO">CHRO</option>
            <option value="VP HR">VP HR</option>
            <option value="HR Mngr">Director HR</option>
            <option value="Manager HR">Manager HR</option>
            <option value="VP Benefits">VP Benefits</option>
            <option value="Director Benefits">Director Benefits</option>
            <option value="Manager Benefits">Manager Benefits</option>
          </select></div>
      </li>
      <li id="field_424_4" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_4"><label class="gfield_label" for="input_424_4">Company<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="data[3]" id="input_424_4" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_424_15" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_15"><label class="gfield_label" for="input_424_15">Work Phone<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="data[4]" id="input_424_15" type="text" value="" class="medium" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_424_17" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_17">
        <label class="gfield_label" for="input_424_23">Job Function<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select">
          <select name="data[25]" id="input_424_23" class="medium gfield_select" aria-required="true" aria-invalid="false" style="width: 100%;">
            <option value=""></option>
            <option value="HR">HR</option>
            <option value="Talent Acquisition">Talent Acquisition </option>
          </select>
        </div>
        <label class="gfield_label gfield_label_before_complex">Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address" id="input_424_17">
          <span class="ginput_full address_line_1 ginput_address_line_1" id="input_424_17_1_container">
            <input type="text" name="data[5]" id="input_424_17_1" value="" aria-required="true">
            <label for="input_424_17_1" id="input_424_17_1_label">Street Address</label>
          </span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_424_17_2_container">
            <input type="text" name="data[6]" id="input_424_17_2" value="" aria-required="false">
            <label for="input_424_17_2" id="input_424_17_2_label">Address Line 2</label>
          </span><span class="ginput_left address_city ginput_address_city" id="input_424_17_3_container">
            <input type="text" name="data[7]" id="input_424_17_3" value="" aria-required="true">
            <label for="input_424_17_3" id="input_424_17_3_label">City</label>
          </span><input type="hidden" class="gform_hidden" name="input_17.4" id="input_424_17_4" value=""><span class="ginput_right address_zip ginput_address_zip" id="input_424_17_5_container">
            <input type="text" name="data[8]" id="input_424_17_5" value="" aria-required="true">
            <label for="input_424_17_5" id="input_424_17_5_label">ZIP / Postal Code</label>
          </span><input type="hidden" class="gform_hidden" name="input_17.6" id="input_424_17_6" value="">
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </li>
      <li id="field_424_25" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_25"><label class="gfield_label" for="input_424_25">State<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="data[9]" id="input_424_25" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value=""></option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CO">CO</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="IA">IA</option>
            <option value="KS">KS</option>
            <option value="LA">LA</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NJ">NJ</option>
            <option value="OK">OK</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="WI">WI</option>
            <option value="WY">WY</option>
          </select></div>
      </li>
      <li id="field_424_24" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_24"><label class="gfield_label" for="input_424_24">Country<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="data[10]" id="input_424_24" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value=""></option>
            <option value="United States">United States</option>
            <option value="Canada">Canada</option>
            <option value="Afghanistan">Afghanistan</option>
            <option value="Åland Islands">Åland Islands</option>
            <option value="Albania">Albania</option>
            <option value="Algeria">Algeria</option>
            <option value="American Samoa">American Samoa</option>
            <option value="Andorra">Andorra</option>
            <option value="Angola">Angola</option>
            <option value="Anguilla">Anguilla</option>
            <option value="Antarctica">Antarctica</option>
            <option value="Antigua and Barbuda">Antigua and Barbuda</option>
            <option value="Argentina">Argentina</option>
            <option value="Armenia">Armenia</option>
            <option value="Aruba">Aruba</option>
            <option value="Australia">Australia</option>
            <option value="Austria">Austria</option>
            <option value="Azerbaijan">Azerbaijan</option>
            <option value="Bahamas">Bahamas</option>
            <option value="Bahrain">Bahrain</option>
            <option value="Bangladesh">Bangladesh</option>
            <option value="Barbados">Barbados</option>
            <option value="Belarus">Belarus</option>
            <option value="Belgium">Belgium</option>
            <option value="Belize">Belize</option>
            <option value="Benin">Benin</option>
            <option value="Bermuda">Bermuda</option>
            <option value="Bhutan">Bhutan</option>
            <option value="Bolivia">Bolivia</option>
            <option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
            <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
            <option value="Botswana">Botswana</option>
            <option value="Bouvet Island">Bouvet Island</option>
            <option value="Brazil">Brazil</option>
            <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
            <option value="Brunei Darussalam">Brunei Darussalam</option>
            <option value="Bulgaria">Bulgaria</option>
            <option value="Burkina Faso">Burkina Faso</option>
            <option value="Burundi">Burundi</option>
            <option value="Cambodia">Cambodia</option>
            <option value="Cameroon">Cameroon</option>
            <option value="Cape Verde">Cape Verde</option>
            <option value="Cayman Islands">Cayman Islands</option>
            <option value="Central African Republic">Central African Republic</option>
            <option value="Chad">Chad</option>
            <option value="Chile">Chile</option>
            <option value="China">China</option>
            <option value="Christmas Island">Christmas Island</option>
            <option value="Cocos Islands">Cocos Islands</option>
            <option value="Colombia">Colombia</option>
            <option value="Comoros">Comoros</option>
            <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
            <option value="Congo, Republic of the">Congo, Republic of the</option>
            <option value="Cook Islands">Cook Islands</option>
            <option value="Costa Rica">Costa Rica</option>
            <option value="Côte d'Ivoire">Côte d'Ivoire</option>
            <option value="Croatia">Croatia</option>
            <option value="Cuba">Cuba</option>
            <option value="Curaçao">Curaçao</option>
            <option value="Cyprus">Cyprus</option>
            <option value="Czech Republic">Czech Republic</option>
            <option value="Denmark">Denmark</option>
            <option value="Djibouti">Djibouti</option>
            <option value="Dominica">Dominica</option>
            <option value="Dominican Republic">Dominican Republic</option>
            <option value="Ecuador">Ecuador</option>
            <option value="Egypt">Egypt</option>
            <option value="El Salvador">El Salvador</option>
            <option value="Equatorial Guinea">Equatorial Guinea</option>
            <option value="Eritrea">Eritrea</option>
            <option value="Estonia">Estonia</option>
            <option value="Eswatini (Swaziland)">Eswatini (Swaziland)</option>
            <option value="Ethiopia">Ethiopia</option>
            <option value="Falkland Islands">Falkland Islands</option>
            <option value="Faroe Islands">Faroe Islands</option>
            <option value="Fiji">Fiji</option>
            <option value="Finland">Finland</option>
            <option value="France">France</option>
            <option value="French Guiana">French Guiana</option>
            <option value="French Polynesia">French Polynesia</option>
            <option value="French Southern Territories">French Southern Territories</option>
            <option value="Gabon">Gabon</option>
            <option value="Gambia">Gambia</option>
            <option value="Georgia">Georgia</option>
            <option value="Germany">Germany</option>
            <option value="Ghana">Ghana</option>
            <option value="Gibraltar">Gibraltar</option>
            <option value="Greece">Greece</option>
            <option value="Greenland">Greenland</option>
            <option value="Grenada">Grenada</option>
            <option value="Guadeloupe">Guadeloupe</option>
            <option value="Guam">Guam</option>
            <option value="Guatemala">Guatemala</option>
            <option value="Guernsey">Guernsey</option>
            <option value="Guinea">Guinea</option>
            <option value="Guinea-Bissau">Guinea-Bissau</option>
            <option value="Guyana">Guyana</option>
            <option value="Haiti">Haiti</option>
            <option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
            <option value="Holy See">Holy See</option>
            <option value="Honduras">Honduras</option>
            <option value="Hong Kong">Hong Kong</option>
            <option value="Hungary">Hungary</option>
            <option value="Iceland">Iceland</option>
            <option value="India">India</option>
            <option value="Indonesia">Indonesia</option>
            <option value="Iran">Iran</option>
            <option value="Iraq">Iraq</option>
            <option value="Ireland">Ireland</option>
            <option value="Isle of Man">Isle of Man</option>
            <option value="Israel">Israel</option>
            <option value="Italy">Italy</option>
            <option value="Jamaica">Jamaica</option>
            <option value="Japan">Japan</option>
            <option value="Jersey">Jersey</option>
            <option value="Jordan">Jordan</option>
            <option value="Kazakhstan">Kazakhstan</option>
            <option value="Kenya">Kenya</option>
            <option value="Kiribati">Kiribati</option>
            <option value="Kuwait">Kuwait</option>
            <option value="Kyrgyzstan">Kyrgyzstan</option>
            <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
            <option value="Latvia">Latvia</option>
            <option value="Lebanon">Lebanon</option>
            <option value="Lesotho">Lesotho</option>
            <option value="Liberia">Liberia</option>
            <option value="Libya">Libya</option>
            <option value="Liechtenstein">Liechtenstein</option>
            <option value="Lithuania">Lithuania</option>
            <option value="Luxembourg">Luxembourg</option>
            <option value="Macau">Macau</option>
            <option value="Macedonia">Macedonia</option>
            <option value="Madagascar">Madagascar</option>
            <option value="Malawi">Malawi</option>
            <option value="Malaysia">Malaysia</option>
            <option value="Maldives">Maldives</option>
            <option value="Mali">Mali</option>
            <option value="Malta">Malta</option>
            <option value="Marshall Islands">Marshall Islands</option>
            <option value="Martinique">Martinique</option>
            <option value="Mauritania">Mauritania</option>
            <option value="Mauritius">Mauritius</option>
            <option value="Mayotte">Mayotte</option>
            <option value="Mexico">Mexico</option>
            <option value="Micronesia">Micronesia</option>
            <option value="Moldova">Moldova</option>
            <option value="Monaco">Monaco</option>
            <option value="Mongolia">Mongolia</option>
            <option value="Montenegro">Montenegro</option>
            <option value="Montserrat">Montserrat</option>
            <option value="Morocco">Morocco</option>
            <option value="Mozambique">Mozambique</option>
            <option value="Myanmar">Myanmar</option>
            <option value="Namibia">Namibia</option>
            <option value="Nauru">Nauru</option>
            <option value="Nepal">Nepal</option>
            <option value="Netherlands">Netherlands</option>
            <option value="New Caledonia">New Caledonia</option>
            <option value="New Zealand">New Zealand</option>
            <option value="Nicaragua">Nicaragua</option>
            <option value="Niger">Niger</option>
            <option value="Nigeria">Nigeria</option>
            <option value="Niue">Niue</option>
            <option value="Norfolk Island">Norfolk Island</option>
            <option value="North Korea">North Korea</option>
            <option value="Northern Mariana Islands">Northern Mariana Islands</option>
            <option value="Norway">Norway</option>
            <option value="Oman">Oman</option>
            <option value="Pakistan">Pakistan</option>
            <option value="Palau">Palau</option>
            <option value="Palestine, State of">Palestine, State of</option>
            <option value="Panama">Panama</option>
            <option value="Papua New Guinea">Papua New Guinea</option>
            <option value="Paraguay">Paraguay</option>
            <option value="Peru">Peru</option>
            <option value="Philippines">Philippines</option>
            <option value="Pitcairn">Pitcairn</option>
            <option value="Poland">Poland</option>
            <option value="Portugal">Portugal</option>
            <option value="Puerto Rico">Puerto Rico</option>
            <option value="Qatar">Qatar</option>
            <option value="Réunion">Réunion</option>
            <option value="Romania">Romania</option>
            <option value="Russia">Russia</option>
            <option value="Rwanda">Rwanda</option>
            <option value="Saint Barthélemy">Saint Barthélemy</option>
            <option value="Saint Helena">Saint Helena</option>
            <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
            <option value="Saint Lucia">Saint Lucia</option>
            <option value="Saint Martin">Saint Martin</option>
            <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
            <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
            <option value="Samoa">Samoa</option>
            <option value="San Marino">San Marino</option>
            <option value="Sao Tome and Principe">Sao Tome and Principe</option>
            <option value="Saudi Arabia">Saudi Arabia</option>
            <option value="Senegal">Senegal</option>
            <option value="Serbia">Serbia</option>
            <option value="Seychelles">Seychelles</option>
            <option value="Sierra Leone">Sierra Leone</option>
            <option value="Singapore">Singapore</option>
            <option value="Sint Maarten">Sint Maarten</option>
            <option value="Slovakia">Slovakia</option>
            <option value="Slovenia">Slovenia</option>
            <option value="Solomon Islands">Solomon Islands</option>
            <option value="Somalia">Somalia</option>
            <option value="South Africa">South Africa</option>
            <option value="South Georgia">South Georgia</option>
            <option value="South Korea">South Korea</option>
            <option value="South Sudan">South Sudan</option>
            <option value="Spain">Spain</option>
            <option value="Sri Lanka">Sri Lanka</option>
            <option value="Sudan">Sudan</option>
            <option value="Suriname">Suriname</option>
            <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
            <option value="Sweden">Sweden</option>
            <option value="Switzerland">Switzerland</option>
            <option value="Syria">Syria</option>
            <option value="Taiwan">Taiwan</option>
            <option value="Tajikistan">Tajikistan</option>
            <option value="Tanzania">Tanzania</option>
            <option value="Thailand">Thailand</option>
            <option value="Timor-Leste">Timor-Leste</option>
            <option value="Togo">Togo</option>
            <option value="Tokelau">Tokelau</option>
            <option value="Tonga">Tonga</option>
            <option value="Trinidad and Tobago">Trinidad and Tobago</option>
            <option value="Tunisia">Tunisia</option>
            <option value="Turkey">Turkey</option>
            <option value="Turkmenistan">Turkmenistan</option>
            <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
            <option value="Tuvalu">Tuvalu</option>
            <option value="Uganda">Uganda</option>
            <option value="Ukraine">Ukraine</option>
            <option value="United Arab Emirates">United Arab Emirates</option>
            <option value="United Kingdom">United Kingdom</option>
            <option value="Uruguay">Uruguay</option>
            <option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
            <option value="Uzbekistan">Uzbekistan</option>
            <option value="Vanuatu">Vanuatu</option>
            <option value="Venezuela">Venezuela</option>
            <option value="Vietnam">Vietnam</option>
            <option value="Virgin Islands, British">Virgin Islands, British</option>
            <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
            <option value="Wallis and Futuna">Wallis and Futuna</option>
            <option value="Western Sahara">Western Sahara</option>
            <option value="Yemen">Yemen</option>
            <option value="Zambia">Zambia</option>
            <option value="Zimbabwe">Zimbabwe</option>
          </select></div>
      </li>
      <li id="field_424_18" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_18"><label class="gfield_label" for="input_424_18">Industry<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="data[11]" id="input_424_18" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value=""></option>
            <option value="Agriculture">Agriculture</option>
            <option value="Apparel">Apparel</option>
            <option value="Banking">Banking</option>
            <option value="Biotechnology">Biotechnology</option>
            <option value="Chemicals">Chemicals</option>
            <option value="Communications">Communications</option>
            <option value="Construction">Construction</option>
            <option value="Consulting">Consulting</option>
            <option value="Education">Education</option>
            <option value="Electronics">Electronics</option>
            <option value="Energy">Energy</option>
            <option value="Engineering">Engineering</option>
            <option value="Entertainment">Entertainment</option>
            <option value="Environmental">Environmental</option>
            <option value="Finance">Finance</option>
            <option value="Food &amp; Beverage">Food &amp; Beverage</option>
            <option value="Government">Government</option>
            <option value="Healthcare">Healthcare</option>
            <option value="Hospitality">Hospitality</option>
            <option value="Insurance">Insurance</option>
            <option value="Machinery">Machinery</option>
            <option value="Manufacturing">Manufacturing</option>
            <option value="Media">Media</option>
            <option value="Not For Profit">Not For Profit</option>
            <option value="Other">Other</option>
            <option value="Recreation">Recreation</option>
            <option value="Retail">Retail</option>
            <option value="Shipping">Shipping</option>
            <option value="Technology">Technology</option>
            <option value="Telecommunications">Telecommunications</option>
            <option value="Transportation">Transportation</option>
            <option value="Utilities">Utilities</option>
          </select></div>
      </li>
      <li id="field_424_7" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_7"><label class="gfield_label" for="input_424_7">Employee Size<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="data[12]" id="input_424_7" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value=""></option>
            <option value="500-999">500-999</option>
            <option value="1,000-1,999">1,000-1,999</option>
            <option value="2,000+">2,000+</option>
          </select></div>
      </li>
      <li id="field_424_18" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_18"><label class="gfield_label" for="input_424_18">Relationship to
          Unum?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select" style="margin-top: 25px;"><select name="data[11]" id="input_424_18" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value=""></option>
            <option value="Not a current client">Not a current client</option>
            <option value="Existing client">Existing client</option>
            <option value="Former client">Former client</option>
          </select></div>
      </li>
      <li id="field_424_7" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_7"><label class="gfield_label" for="input_424_7">Who is your current HCM
          Provider?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="data[12]" id="input_424_7" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value=""></option>
            <option value="Workday HCM">Workday HCM</option>
            <option value="ADP Workforce Now">ADP Workforce Now</option>
            <option value="UKG Pro">UKG Pro</option>
            <option value="UKG Dimensions">UKG Dimensions</option>
            <option value="Ceridian Dayforce">Ceridian Dayforce</option>
            <option value="Paylocity">Paylocity</option>
            <option value="Paycom">Paycom</option>
            <option value="Rippling">Rippling</option>
            <option value="Zenefits">Zenefits</option>
            <option value="Other">Other</option>
          </select></div>
      </li>
      <li id="field_424_26" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_424_26"><label class="gfield_label" for="input_424_26">Email</label>
        <div class="ginput_container"><input name="input_26" id="input_424_26" type="text" value=""></div>
        <div class="gfield_description" id="gfield_description_424_26">This field is for validation purposes and should be left unchanged.</div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label">
    <input type="submit" id="gform_submit_button_424" class="gform_button button" value="Submit" onclick="if(window[&quot;gf_submitting_424&quot;]){return false;}  window[&quot;gf_submitting_424&quot;]=true;  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_424&quot;]){return false;} window[&quot;gf_submitting_424&quot;]=true;  jQuery(&quot;#gform_424&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" class="gform_hidden" name="is_submit_424" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="424">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_424" value="WyJbXSIsIjg5MzQzMWQ3ZTU2MDUzYWEwZjE4NTFhZDI4YzFhYTA0Il0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_424" id="gform_target_page_number_424" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_424" id="gform_source_page_number_424" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

Text Content

 * Conferences
   * HR Tech Conference
   * HR Tech Conference news
   * HR Tech Virtual
   * Health & Benefits Leadership Conference
   * Health & Benefits Leadership Conference News
   * HR Tech Festival Asia
 * DEI
   * DEI strategy
   * DEI technology
   * People analytics
   * Recruitment and sourcing
   * Retaining diverse talent
 * Employee Benefits
   * Benefits technology
   * Financial wellness
   * Healthcare
   * Legislation and policy
   * Mental health
   * Wellbeing
 * HR Technology
   * AI and machine learning
   * Analytics
   * Core HR
   * Digital transformation
   * Top 100 HR Tech Influencers
   * Work tech
 * Leadership
   * Communication strategy
   * Compliance and policy
   * Ethics
   * Future-ready workforce
   * HR strategy
     * Guest viewpoints
     * HRE experts
     * Insights from a CHRO
 * Talent Management
   * Coronavirus
   * Employee experience
   * Learning and development
   * Performance management
   * Recruiting
   * Remote/hybrid work
   * Reskilling/upskilling
   * Retention


Subscribe
 * About Us
 * Advertise
 * Awards
 * Digital Editions
 * Editorial Calendar
 * Webinars
 * White Papers


 * Conferences
   * HR Tech Conference
   * HR Tech Conference news
   * HR Tech Virtual
   * Health & Benefits Leadership Conference
   * Health & Benefits Leadership Conference News
   * HR Tech Festival Asia
 * DEI
   * DEI strategy
   * DEI technology
   * People analytics
   * Recruitment and sourcing
   * Retaining diverse talent
 * Employee Benefits
   * Benefits technology
   * Financial wellness
   * Healthcare
   * Legislation and policy
   * Mental health
   * Wellbeing
 * HR Technology
   * AI and machine learning
   * Analytics
   * Core HR
   * Digital transformation
   * Top 100 HR Tech Influencers
   * Work tech
 * Leadership
   * Communication strategy
   * Compliance and policy
   * Ethics
   * Future-ready workforce
   * HR strategy
     * Guest viewpoints
     * HRE experts
     * Insights from a CHRO
 * Talent Management
   * Coronavirus
   * Employee experience
   * Learning and development
   * Performance management
   * Recruiting
   * Remote/hybrid work
   * Reskilling/upskilling
   * Retention

Subscribe
 * About Us
 * Advertise
 * Awards
 * Digital Editions
 * Editorial Calendar
 * Webinars
 * White Papers

 * Conferences
   * HR Tech Conference
   * HR Tech Conference news
   * HR Tech Virtual
   * Health & Benefits Leadership Conference
   * Health & Benefits Leadership Conference News
   * HR Tech Festival Asia
 * DEI
   * DEI strategy
   * DEI technology
   * People analytics
   * Recruitment and sourcing
   * Retaining diverse talent
 * Employee Benefits
   * Benefits technology
   * Financial wellness
   * Healthcare
   * Legislation and policy
   * Mental health
   * Wellbeing
 * HR Technology
   * AI and machine learning
   * Analytics
   * Core HR
   * Digital transformation
   * Top 100 HR Tech Influencers
   * Work tech
 * Leadership
   * Communication strategy
   * Compliance and policy
   * Ethics
   * Future-ready workforce
   * HR strategy
     * Guest viewpoints
     * HRE experts
     * Insights from a CHRO
 * Talent Management
   * Coronavirus
   * Employee experience
   * Learning and development
   * Performance management
   * Recruiting
   * Remote/hybrid work
   * Reskilling/upskilling
   * Retention


ENROLLMENT TECH BEST PRACTICES GUIDE



 

 

 

Employers know that their employee benefits package can make or break their
strategy for attracting and keeping great workers.

But what many employers don’t consider is the importance of the enrollment
experience in fulfilling that strategic promise. If employees don’t understand
the enrollment process, or struggle to complete it, the employer has lost an
important lever not only in protecting employees’ physical and financial health,
but also in building a better all-around employee experience.

Download the guide to learn how enrollment technology, and the right carrier,
can improve the employee experience.



 * Name*
   First Last
 * Work Email*
   
 * Job Title*
   CHRO VP HR Director HR Manager HR VP Benefits Director Benefits Manager
   Benefits
 * Company*
   
 * Work Phone*
   
 * Job Function*
   HR Talent Acquisition
   Address*
   Street Address Address Line 2 City ZIP / Postal Code
   
 * State*
   ALARAZCOFLGAIAKSLAMNMOMSNDNENJOKSCSDTNTXUTWIWY
 * Country*
   United StatesCanadaAfghanistanÅland IslandsAlbaniaAlgeriaAmerican
   SamoaAndorraAngolaAnguillaAntarcticaAntigua and
   BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
   Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet
   IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina
   FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African
   RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo,
   Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte
   d'IvoireCroatiaCubaCuraçaoCyprusCzech
   RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
   SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland
   IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench
   Southern
   TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
   and McDonald IslandsHoly SeeHondurasHong
   KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
   ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao
   People's Democratic
   RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
   IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
   CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
   KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State
   ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
   RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts
   and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and
   the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
   ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
   MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth
   KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen
   IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad
   and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
   IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor
   Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands,
   BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe
 * Industry*
   Agriculture Apparel Banking Biotechnology Chemicals Communications
   Construction Consulting Education Electronics Energy Engineering
   Entertainment Environmental Finance Food & Beverage Government Healthcare
   Hospitality Insurance Machinery Manufacturing Media Not For Profit Other
   Recreation Retail Shipping Technology Telecommunications Transportation
   Utilities
 * Employee Size*
   500-999 1,000-1,999 2,000+
 * Relationship to Unum?*
   Not a current client Existing client Former client
 * Who is your current HCM Provider?*
   Workday HCM ADP Workforce Now UKG Pro UKG Dimensions Ceridian Dayforce
   Paylocity Paycom Rippling Zenefits Other
 * Email
   
   This field is for validation purposes and should be left unchanged.



Share
Tweet
Share



Click here to unsubscribe
Human Resource Executive magazine
Privacy Policy
222 Lakeview Ave. West Palm Beach, FL 33401

Copyright © ITSourcebox by Marketry, Inc
Click here to unsubscribe
Privacy Policy
1420 NW Gilman Blvd. #2558
Issaquah, WA 98027,
800-346-2013




Notifications