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

• First Responder Benefit Enrollment Checklist (required for initial enrollment) 

• 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 

Premium Rate Sheet

• EGI Health Insurance Premiums/Rates 

• EGI Premium Rates - Dental, Vision, MASA 

Benefit Information

• Cigna Health Insurance Book  (2025)

                 Summary of Benefit Comparison (SBC) 900 Deductible

                 Summary of Benefit Comparison (SBC) 2,000 Deductible

                  Summary of Benefit Comparison (SBC) 4,000 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

Newly eligibility First Responders must submit the New First Responder Benefit Enrollment checklist as a verification form.   After the initial enrollment, First Responders must submit an annual eligibility verification form to continue coverage for the next year by the yearly deadline of November 30th. 

• Annual Eligibility Verification Form