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To complete your benefit enrollment, use one of the following options:

  • Call 223-777-4687 to connect with our enrollment partner, BenRoll Monday – Friday between 9:30AM- 6:00PM EST to make updates over the phone with a licensed benefits expert. That means no paperwork or online accounts!
  • Click the appropriate link below, complete the form in full, and submit it. Once submitted, the forms will be sent directly to Human Resources.

Please note: You are eligible to enroll in benefits only if you are within your 90-day new hire enrollment period, have experienced a qualifying life event within the past 30 days, or you are within the annual open enrollment period.

Medical/Dental/Vision Enrollment

  • Click here to access the medical/dental/vision enrollment form.
  • View Plan Summaries:

Symetra Voluntary Plans Enrollment

  • Click here to access the Symetra Voluntary plan enrollment form.
  • Click here to view the Symetra Voluntary plan summary.

Trustmark Life + Care Enrollment

  • To enroll in Trustmark Life + Care insurance, Call 223-777-4687 to connect with our enrollment partner, BenRoll Monday – Friday between 9:30AM- 6:00PM EST.
  • Click here to view the Trustmark Life + Care plan summary.

Spouse Verification

  • Click here to enroll your spouse in NAPA’s medical insurance plan. If this form is not completed by your insurance effective date, your spouse’s health insurance coverage may not be activated.

Life Insurance Beneficiary

  • Click here to add or change your beneficiaries for your company paid & voluntary life insurance policies.

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