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 (2022)
Standard Basic & Voluntary Life Guide (12/2021)
Flexible Benefits Book (updated 1/1/2020)
2022 Summary Benefits Comparison (SBC) High Deductible Health Plan (HDHP)
Caremark Drug Formulary (Active Employees) Beginning January 1, 2022
Caremark Specialty Drug Formulary (Active Employees) Beginning January 1, 2022
VOLUNTARY BENEFIT INFORMATION
Voluntary Benefits Brochure (updated 10/2021)
Disability - Short/Long Term Disability Book (updated 12/2021)
Disability - Maternity guide Maternity Guide (Short Term disability)
Vision - VSP Vision Benefits Flyer (updated 2019)
Life - Standard Basic & Voluntary Life Benefit Guide (12/2021)
Ambulance - MASA Member Service Agreement
PREMIUM RATES & CALCULATORS
January 2022 Active & Cobra Rates (Health, dental)
Voluntary Benefits Brochure (Vision Rates)
APPLICATION & ENROLLMENT
Active Benefits Application (Health, Dental and Basic Life)
Voluntary Benefits Application (Vision & Disability)
MASA Ambulance Application (updated 10.2021)
Flex Benefits Change Form (used for mid year changes)
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 6/2021) 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