Volunteer First Responders who meet the eligibility requirements, may apply for benefits through the State of Wyoming, Employees' Group Insurance.  Please see the Policy Manual below as well as important information on the Benefit Enrollment Checklist. Please contact Kathy Simpson direct at 307-777-2945 or our office direct at 307-777-6835 with questions or for assistance.

Policy Manual & Checklist - Required for Enrollment

• New First Responder Benefit Enrollment Checklist 

• Volunteer First Responder Policy Manual  

Applications - Required for Enrollment

First Responders must use the below paper applications for initial enrollment.  

• Health & Dental Insurance Application 

• Vision  Insurance Application 

• MASA Ambulance Insurance Application 

• ACH Payment Authorization Form 

Marketplace Screening Information & Rates - Required for Enrollment

For First responders enrolling for the firs time with EGI, please contact an Enroll Wyoming Marketplace Navigator at 307-509-0508. They will conduct a Marketplace Screening and provide EGI with the screening form, which is required to determine your eligibility for EGI enrollment. Screening is required for initial enrollment, annual renewal/open enrollment as well as future qualifying event changes. 

• EGI Insurance Marketplace Comparable Table 

• Sample - Marketplace Exchange Screening Form 

Premium Rate Sheet

• EGI Health Insurance Premiums/Rates 

• EGI Premium Rates - Dental, Vision, MASA 

Benefit Information

• Cigna Health Insurance Book 

                 Summary of Benefit Comparison (SBC) 900 Deductible

                 Summary of Benefit Comparison (SBC) 2000 Deductible

                  Summary of Benefit Comparison (SBC) 2000 Deductible

                  Summary of Benefit Comparison (SBC) HDHP High Deductible Health Plan    

• Delta Dental Benefit Book 

• Vison Service Plan (VSP) Flyer 

• MASA Ambulance Coverage Benefit Booklet 

• MetLife Pet Insurance Information Flyer (enrollment is directly with MetLife)

Verification Forms - Required for Continued Enrollment

First Responders must submit a monthly eligibility verification form after their initial enrollment to continue coverage.  The initial verification is include on the New First Responder Benefit Enrollment Checklist

• Monthly Eligibility Verification Form 

• Annual Eligibility Verification Form