voluntary brochure - State of Wyoming

Employee PaidVoluntary Benefits are madeavailable through Employees’Group Insurance office.Other than payroll deductions,the plans are administeredby their prospectivecompanies.Voluntary Benefit premiumsare always paid 100% by theemployee. No State insurancecontribution will go towardsthese benefits.All applications for enrollmentmust be submitted to yourBenefit Specialist within 31days from the date you areeligible for coverage if you area newly hired/benefited employee.Employees’ GroupInsuranceState of WyomingPhone: 307-777-6835Toll Free in WY 1-800-891-9241http://personnel.state.wy.us/EGI/Index.htmVoluntary BenefitsVisionShort Term DisabilityLong Term DisabilityLong Term Care

Vision CoverageVSPShort & Long Term DisabilityThe StandardLong Term CareGenworthExamsCovered in full after copay……….every 12 monthsPrescription GlassesLenses covered in full after copay………..every 12 months• Single vision, lined bifocal, & lined trifocal lenses.• Polycarbonate lenses for dependent children.Frames—Plan C…………………………………every 12 monthsFrames—Plan B………………………………...every 24 months• Frame, allowance after copay………………………$120• Plus, 20% off any out-of-pocket costs.ORContact Lens CareCovered …………………………………………...every 12 monthsWhen you choose contacts instead of glasses, your $120allowance applies to the cost of your contacts and thecontact lens exam (fitting and evaluation). This exam isin addition to your vision exam to ensure proper fit ofcontacts. If you choose contact lenses you will be eligiblefor a frame 12 months from the date the contact lenseswere obtained.Current soft contact lens wearers may qualify for a specialcontact lens program that includes a contact lensevaluation and initial supply of replacement lenses. Learnmore from your doctor or vsp.com or 1-800-877-7195.COPAYSExam..……………………………………………….$10.00Prescription Glasses……………………………..$25.00Contacts……………………………….No Copay ApplyStandard Insurance Company provides Voluntary ShortTerm Disability (STD) and Long Term Disability (LTD) insuranceto eligible State of Wyoming employees who electcoverage. The State of Wyoming provides you with theopportunity to purchase Voluntary STD and/or LTD insurance,which is designed to pay a benefit to you in theevent you cannot work because of a covered illness orinjury. This benefit replaces a portion of your income, thushelping you meet your financial commitments in time ofneed. A disability is a reduction in pay by at least 20%.Short Term DisabilityThe Short Term Disability benefit is 66 2/3 percent of yourgross weekly earnings less any deductible income, such asWorkers Compensation pay, retirement pension pay, etc.• Benefits are based on weekly earnings• Benefits are paid weekly• Benefits payable after 14 calendar days from the dateof disability; payable up to 180 daysLong Term DisabilityThe Long term Disability benefit is 60 percent of your grossmonthly earnings less any deductible income, such asWorkers Compensation pay, retirement pension pay, etc.Benefits are based on monthly earnings• Benefits are paid monthly• Benefits payable after 180 calendar days from thedate of disability; payable up to age 65Help protect yourself, your parents, and your family fromthe high cost of long term care. This comprehensive andaffordable group long term care insurance can help you:• Protect yourself and/or eligible family members• Protect your savings and assets when you retire• Stay in your home to receive care as long as possible• Relieve the burden of future care from loved onesAdvantages of Group Coverage:With the State of Wyoming group long term care insuranceprogram, you and your eligible family members may reccievelower premiums and enjoy an easier approval processthan with an individual plan. And, your group coveragecan move with you if you should change jobs, retire, orleave your company.TO APPLYSimply visit online at www.genworth.com/groupltc oraccess through the EGI website:https://personnel/state.wy.us/EGI/index.htm• Enter Group Name: statewy• Enter Access Code: groupltc• OR call 1-800-416-3624PREMIUMSPlan B….Employee Only……………………….$6.76/MonthPlan B….Employee Plus one…………………$13.50/MonthPlan B...Employee Plus Two or more…….$21.74/MonthPlan C...Employee Only…………………………$8.40/MonthPlan C...Employee Plus One…………………$16.78/MonthPlan C...Employee + Two or More……….$27.02/MonthSee your Benefit Specialist orhttp://personnel.state.wy.us/EGI/Index.htmto obtain an enrollment form.IMPORTANT: If vision coverage is waived ordropped, there is a two year waiting period beforemembers can enroll in the coverage.Elections for vision coverage are for two years,and may not be changed without a qualifyingevent.See your Benefit Specialist orhttp://personnel/state.wy.us/EGI/Index.htm toobtain an enrollment form and further information.Short Term Disability Customer Service 1-800-368-2859Long Term Disability Customer Service 1-800-368-1135IMPORTANT: If STD or LTD is not elected when anemployee is originally eligible, they can enroll laterin STD with a 60 day late enrollment penalty forbenefits and LTD will require evidence ofinsurability by Standard to be approved or denied.Employees who enroll when first eligible are guaranteedcoverage. Spouses and parents who apply will/may requiremedical underwriting to be approved or denied coverage.