Active Employees
EVERYTHING YOU NEED AS AN EMPLOYEE
Employees' Group Insurance covers active employees with the State of Wyoming, University of Wyoming, Wyoming Community Colleges and Natrona County School District.
CONTACT INFO
BASIC BENEFIT INFORMATION
Cigna Health Plan Book (2023)
Standard Basic & Voluntary Life Guide (12/2021)
Flexible Benefits Book (updated 1/1/2023)
2023 Summary Benefit Comparison (SBC) High Deductible Health Plan (HDHP)
Caremark CVS Standard Medical Formulary (Oct 1, 2023)
Caremark CVS Specialty Medications Formulary (Oct 1, 2023)
VOLUNTARY BENEFIT INFORMATION
Voluntary Benefits Brochure (updated 9/2022)
Disability - Short/Long Term Disability Book (updated 12/2021)
Disability - Maternity guide Maternity Guide (Short Term disability)
Disability - Short Term Disability Certificate (2023)
Disability - Long Term Disability Certificate (2023)
Vision - VSP Vision Benefits Flyer (updated for 2023)
Life - Standard Basic & Voluntary Life Benefit Guide (12/2021)
Life - Standard Voluntary Life Certificate (12/2022)
Ambulance - MASA Member Service Agreement
PREMIUM RATES & CALCULATORS
2024 Active & Cobra Rates (Health, dental)
2022/2023 Active & Cobra Rates (Health, dental)
Voluntary Life Rate Grid (The Standard)
Voluntary Benefits Brochure (Vision Rates)
APPLICATION & ENROLLMENT
Active Benefits Application Health, Dental, Basic Life
2023 deductible information
Active Benefits Application Health, Dental, Basic Life
2024 deductible update, use for Open Enrollment
Voluntary Benefits Application (Vision & Disability) Updated 9/2022))
MASA Ambulance Application (updated 7.2022)
Flex Benefits Change Form (used for mid year changes)
Health Savings Account Election Form (updated 7/2023)
OTHER FORMS
Medical Reimbursement & Dependent Day Claim Form (Updated 1/2022)
Flex deadline is every Friday. Reimbursements are payable the the 2nd Thursday after deadline.
Qualifying Event Matrix (updated 12/2022) What benefits can be changed based on a qualifying event.
Delta Dental Claim Form Used to send your claim to Delta Dental when your provider is non-participating.
Short Term Disability Claim Form The Standard Company 1-800-368-2859
Long Term Disability Claim Form The Standard Company 1-800-368-1135
Cigna Claim Form Used to send medical claims to Cigna.
PRIOR YEARS INFORMATION
WEBSITE LINKS
Cigna
1-800-685-1060
Delta Dental of Wyoming
307-632-3313 or
1-800-735-3379
Vision Service Plan
1-800-877-7195
Caremark Pharmacy
caremark.com
1-844-283-3383 Customer Service
1-800-237-2767 Specialty Drug
1-800-378-5697 Mail Order
MASA Ambulance
1-888-575-2547