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.
BASIC BENEFIT INFORMATION
Cigna Health Plan Book (2021)
Flexible Benefits Book (updated 1/1/2020)
Caremark Drug Formulary (Active Employees) Beginning January 1, 2022
Caremark Specialty Drug Formulary (Active Employees) Beginning January 1, 2022
VOLUNTARY BENEFIT INFORMATION
PREMIUM RATES & CALCULATORS
January 2022 Active & Cobra Rates (Health, dental)
January 2021 Active & Cobra Rates (Health, dental)
Voluntary Benefits Brochure (Vision Rates)
2022 Manual Rate Calculator (Full-time)
2022 Manual Rate Calculator (AWEC/TP01)
2022 Manual Rate Calculator (Part-time)
Manual Rate Calculator Jan 2021 (Full-time)
APPLICATION & ENROLLMENT
Active Benefits Application (Health, Dental and Basic Life)
Voluntary Benefits Application (Vision & Disability) revised 5.2021
MASA Ambulance Application (updated 10.2021)
Flex Benefits Change Form (used for mid year changes)
Medical Reimbursement & Dependent Day Claim Form (Updated 4/25/2017)
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.
MedImpact Direct Rx Mail Order Form For use on prescriptions that did not go through a retail pharmacy.
MedImpact Claim Form Used for manual submission of prescription reimbursement.
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.