Retirees
INFORMATION FOR RETIRED STATE EMPLOYEES
INFORMATION FOR RETIRED STATE EMPLOYEES
This page contains information for retired State of Wyoming employees. There are downloadable files and links to external websites. Be sure you have the latest version of Adobe Reader to access PDF files. If you have questions or require assistance, contact a benefits specialist at (307) 777-6835 or egi@wyo.gov.
Download files are saved as PDFs. Call (307) 777-6835 if you encounter permissions problems.
BENEFIT INFORMATION & PLAN BOOKLETS
BENEFIT INFORMATION & PLAN BOOKLETS
- Cigna Health Plan Book (Retiree)
- Dental Plan Book
- Standard Life Insurance Plan Book
- Vision Benefit Summary
- Genworth (Long Term Care) When prompted enter Group Name: statewy; Access Code: groupltc
PREMIUM RATES
PREMIUM RATES
FORMS
FORMS
- Retiree Insurance Application
- Direct Pay Authorization Authorization form to deduct premiums from a bank account
- Medicare Part D Certificate
- MedImpact Direct Rx Mail Order Form To claim reimbursement when a prescription has not gone through a retail pharmacy
- MedImpact Claim Form Used for manual submission of prescription reimbursement
- Cigna Medical Claim Form Used to send medical claims to Cigna
WEBSITE LINKS
WEBSITE LINKS
Cigna
Cigna
- mycigna.com
- 1-800-685-1060
Delta Dental of Wyoming
Delta Dental of Wyoming
- deltadental.com
- 307-632-3313 or
- 1-800-735-3379
Vision Service Plan
Vision Service Plan
- vsp.com
- 1-800-877-7195