Retirees
INFORMATION FOR RETIRED EMPLOYEES
This page contains information for retired State of Wyoming employees and other covered entities. 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
Caremark Silver Script Drug Formulary (effective 1/1/2022) Tier 1 generic $10, Tier 2 preferred brand $20, Tier 3 non preferred brand $50, Tier 4 specialty $80
Contact us at 307-777-6835 for a personalized retiree packet
FORMS
MASA Ambulance Election Form (only available for non-Medicare eligible retirees, IF ambulance was elected prior to retiring.)
Direct Pay Authorization Authorization form to deduct premiums from a bank account
Cigna Medical Claim Form Used to send medical claims to Cigna
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
844-283-3383 non Medicare Retirees
844-785-0540 Medicare Retirees
800-237-2767 Specialty Drug
800-378-5697 Mail Order