Retirees

Benefit Information and Plan Booklets
When prompted enter: Group Name: statewy   Access code: groupltc
Authorization form to deduct premiums from a bank account.
To claim reimbursement when a prescription has not gone through a retail pharmacy.
  MedImpact Claim Form
Used for manual submission of prescription reimbursement.

Used to send medical claims to Cigna.


Website Links

www.medimpactdirect.com    
www.diplomatpharmacy.com     1-877-319-6337


Contact Us


Emerson Building
2001 Capitol Ave. Rm. B3
Cheyenne, Wy   82002
Telephone: (307) 777-6835 or (800) 891-9241 in WY
FAX: (307) 777-7685
EMAIL: egi@wyo.gov 

Office hours are 8:00 am to 5:00 pm, MST, Monday through Friday.