Active Employees
EVERYTHING YOU NEED AS AN EMPLOYEE
Employees' Group Insurance covers active employees with the State of Wyoming, University of Wyoming, Wyoming Community Colleges, Natrona County School District, City of Casper, Goshen County, City of Laramie & Wyoming Energy Authority.
CONTACT INFO
BASIC BENEFIT INFORMATION
Cigna Health Plan Book (2023)
Delta Dental Benefit Summary (2023)
Standard Basic & Voluntary Life Guide (12/2021)
Flexible Benefits Book (updated 1/1/2023)
2024 Summary Benefit Comparisions (SBC) High Deductible Health Plan (HDHP)
Caremark CVS Standard Medical Formulary (Jan 1, 2024)
Caremark CVS Specialty Medication Formulary (Jan 1, 2024)
VOLUNTARY BENEFIT INFORMATION
Voluntary Benefits Brochure (updated 12/2023)
Disability - Aflac Benefit Summary (Eff 1/1/2024)
Disability - Aflac Benefit Summary TP01 (eff 1/1/2024)
Disability - Aflac Short Term Disability (STD) Certificate
Disability - Aflac Long Term Disability (LTD) Certificate
Disability - learn.aflac.com/stateofwyoming
Disability - If you are enrolled in Long Term Disability you are able to participate with Neuroflow mental wellbeing tool. Registration Information.
Vision - VSP Vision Benefit Flyer (effective 1/2024)
Life - Standard Basic & Voluntary Life Benefit Guide (9/2023)
Life - Standard Voluntary Life Certificate (10/2023)
Ambulance - MASA Member Service Agreement
Ambulance - MASA Claim Instructions
Ambulance - MASA mobile app info
NEW 1/1/24- MetLife Pet Insurance Book (direct pay benefit, not payroll deducted)
NEW 1/1/24- MetLife Pet Insurance Overview (includes webinar info)
NEW 1/1/24- MetLife Pet Insurance Enrollment Guide
NEW 1/1/24 - Metlife Pre-Existing information
PREMIUM RATES & CALCULATORS
2024 Active & Cobra Rates (Health, dental)
2022/2023 Active & Cobra Rates (Health, dental)
Voluntary Life Rate Grid (The Standard)
Disability Manual Premium Calculator (Aflac eff 1/1/24)
Disability Premium Calculator (The Standard)
Voluntary Benefits Brochure (Vision Rates)
APPLICATION & ENROLLMENT
Active Benefits Application Health, Dental, Basic Life (eff 1/1/24)
Voluntary Benefits Application (Vision & Disability) Updated 12/2023))
MASA Ambulance Application (updated 7.2022)
Flex Benefits Change Form (used for mid year changes)
Health Savings Account Election Form (updated 7/2023)
OTHER FORMS
Medical Reimbursement & Dependent Day Claim Form (Updated 1/2022)
Flex deadline is every Friday. Reimbursements are payable the 2nd Thursday after deadline.
Qualifying Event Matrix (updated 12/2022) What benefits can be changed based on a qualifying event.
Delta Dental Claim Form Used to send your claim to Delta Dental when your provider is non-participating.
Disability Claim - How to file a claim AFLAC For disability dates 1/1/24 and after
Customer service 800-206-8826 available 1/2/2024
Short Term Disability Claim Form The Standard Company 1-800-368-2859 Do not use after 12/31/23
Long Term Disability Claim Form The Standard Company 1-800-368-1135 Do not use after 12/31/23
Cigna Claim Form Used to send medical claims to Cigna.
PRIOR YEARS INFORMATION
Short/Long Term Disability Book (thru 12/31/2023)
Short Term Disability Certificate (Standard, thru 12/31/2023)
Long Term Disability Certificate (Standard, thru 12/31/2023)
STD Maternity guide (Standard, thru 12/31/2023)
2023 Summary Benefit Comparison (SBC) High Deducible Health Plan (HDHP)
WEBSITE LINKS
(PRINTABLE) Benefit Contact List PDF
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
1-844-283-3383 Customer Service
1-800-237-2767 Specialty Drug
1-800-378-5697 Mail Order
MASA Ambulance
1-307-272-2386