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 firstname.lastname@example.org.
BENEFIT INFORMATION & PLAN BOOKLETS
Dental Plan Book) (2023)
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
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
If you are considering Retirement, this video will help with things to consider.
844-283-3383 non Medicare Retirees
844-785-0540 Medicare Retirees
800-237-2767 Specialty Drug
800-378-5697 Mail Order