Form 5500 · Employee benefit plan · CHEYENNE, WY
BLUE CROSS & BLUE SHIELD OF WYOMING
BLUE CROSS & BLUE SHIELD OF WYOMING of CHEYENNE, WY is a 91-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Coverage is written through BLUE CROSS BLUE SHIELD OF WYOMING and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-0231011 · plan 504 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental and life; the largest, with BLUE CROSS BLUE SHIELD OF WYOMING, covers 92 people.
Reported premium is $1,285,182; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A — the contracts may be direct-written or the broker fields were left blank on the filing.
Two carriers split the book: BLUE CROSS BLUE SHIELD OF WYOMING and DEARBORN LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF WYOMING | Dental | 92 | December | $55,771 | $0 |
| DEARBORN LIFE INSURANCE COMPANY | Life | 92 | December | $16,030 | $0 |
| BLUE CROSS BLUE SHIELD OF WYOMING | Health | 92 | December | $1,213,381 | $0 |
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