HEALTH INSURANCE INFORMATION
Health Insurance Application (MUST BE RETURNED TO YOUR PAYROLL CLERK – DO NOT MAIL TO BCBS as they are unable to process unless received by Fremont County Bookkeeping): BCBS Enrollment Application. Please use for new enrollment, any changes you need to make and if you wish to remove yourself from the plan.
Plan Document July 1, 2015: Employee Medical, Vision and Dental Benefit Document 1/1/2015.
Blank BCBS of WY Claim Form: BCBS claim_form.
Blank Prescription Drug Claim Form with Magellan: Rx Claim Form.
You may review your claims information or give permission for another person to discuss your claims with BCBS by clicking on the BCBS of WY link: https://www.bcbswy.com/members/ and setting up an account. For further information or assistance you may contact Blue Cross Blue Shield of Wyoming at (307) 634-1393.
WORKERS COMPENSATION INFORMATION
Injury Claim Form: WY Workers Compensation Claim Form
Please Note: after you have completed this form there is a section that must be completed by your supervisor. Your supervisor must then submit it to your payroll clerk. DO NOT MAIL TO WY Workers Comp.
FREMONT COUNTY PERSONNEL POLICY HANDBOOK
October 20, 2015
This handbook has not been adopted by any Fremont County off-line boards.
To view your online paystub or W2 go to: www.doculivery.com/fremontwy. You must know your employee ID number and the last 4 digits of your social security number the first time you log in. You will also be required to answer some security questions and will be asked to change your password to replace your social security number.
WYOMING RETIREMENT SYSTEM
After you have turned in your initial (when you sign up as a new employee) Wyoming Retirement enrollment form to the payroll clerk, it will now be your responsibility, per WRS, to make changes and look up information through the Wyoming Retirement System RAIN program at http://retirement.state.wy.us/default.aspx. This is also true even if you have been in the system for a period of time. You will be required create a user account with WRS the first time you go in to their website. You may also contact the Wyoming Retirement System at 6101 Yellowstone Road, Suite 500, Cheyenne WY 82002; (307) 777-7691 and fax number is (307) 777-5995.
Watch for notices in the Newsletter for personal visits from WRS educators to Fremont County. WRS also posts this schedule on their website.
WELLNESS PROGRAM INFORMATION
Employees and spouses who are participating in the county’s insurance plan are eligible to receive up to $100 per month in a premium reduction or participation incentive by participating in the Wellness program. Also, have your family’s prescriptions for high blood pressure, cholesterol, diabetes, and asthma covered by participating in the Prescription Coverage Plan. The Wellness program includes easy, fun ways to participate whether you have a computer or not? Contact Penny Fahey, Wellness Program Coordinator, at 307-714-2380 or firstname.lastname@example.org for more information. You can also sign up for an account on the Wellness Website at www.fremont.extracon.com.