Instructions for the InRoll Online Enrollment System
In order to begin your benefits enrollment, please proceed to www.in-roll.com. Your User Name will be your
first initial followed by your last name and the last four digits of your
Social Security Number (SS#). The Password will be the word “password”.
Example:
Example Login for Beverly Jones
User Name: bjones1234 (1234 represents the last 4digits of your SS#)
Password: password
After your initial login you will be prompted to change your password. Your new password must be at
least five characters and contain at least one number.
Old Password is the word “password”
Please read carefully
before proceeding.
Click here to begin your benefits
enrollment.
Verify your information is correct, if so, click
“Continue”.
NAME
ADDRESS
CITY, STATE, ZIP CODE
Click here to enter or
update your email address
Enter or update your email
address here
Once you have entered your
email address click “Submit
Information”.
When adding dependents for the first time, you
must also submit the required documentation to
the Human Resources Department. The addition
of dependents is not official until HR receives the
documentation.
Click here to add dependent information: Dates of birth & social security #’s are required.
If you are adding multiple dependents,
you will be redirected to this page after
adding each one. You must add each
dependent separately. Click “Continue
Enrollment” when finished or to continue
if not adding dependents.
If you are planning to add ANY eligible dependents to ANY of
your benefits you MUST enter their information here before
proceeding. Not entering them here will prohibit you from
adding them to ANY coverage later on in this enrollment.
Fields in RED
are required.
This will be the same
page if you are adding
multiple dependents.
From this point you will proceed through each benefit option selecting to either take part or decline each
coverage type. There will be instructions located at the top of each page as well as links to specific plan
information for each type of coverage. If you have to log out during the enrollment, you will not have to re-do
any part that has already been completed.
Re-enroll or select a
new plan or waive
medical benefits.
Please click “Submit and Continue”
Re-enroll or select
a new plan or
waive medical
benefits.
$3.36
$5.38
$5.38
$8.74
Re-enroll or select a new
plan or waive medical
benefits.
You must either elect coverage
by entering dollar amounts in
the spaces, or waive coverage
by clicking on the check box.
You must do either one for
EACH of the options.
Please read and acknowledge.
Please click “Submit and Continue”
If applying for supplemental life insurance (SLI)
for the first time or want to increase your SLI
amount you will need to complete and submit an
EOI before approval can be granted for life
insurance. Payroll deductions for any amount
where EOI is required will begin when/if the EOI
request is approved.
If you are entering more
than one (1) person as a
beneficiary (either
primary or contingent)
the cumulative “% Share”
must equal “100”.
If applying for Short Term Disability (STD)
for the first time you will need to complete
and submit an EOI before approval can be
granted for life insurance. Payroll
deductions for any amount where EOI is
required will begin when/if the EOI request
is approved.
Please notice the
14 and 30 day
options.
Please either select a Benefit
and click “I AGREE…”, or do
not select a Benefit and click “I
do not…”
If applying for Long Term Disability (LTD)
for the first time you will need to
complete and submit an EOI before
approval can be granted for life
insurance. Payroll deductions for
any amount where EOI is required
will begin when/if the EOI request is
approved.
Please either select benefit
and click “I AGREE…”, or do
not select a Benefit and click “I
do not…”
Please read plan requirements
before enrolling.
Please either
elect or waive
coverage.
Please either elect or
waive coverage.
Once you have completed your enrollment, you will be directed to a Confirmation Statement. This page will be a listing
of all the coverage you have for 2016 calendar year. Feel free to print out this form if you would like.