Forms and Resources
Forms and Resources
Forms - Enrollment & Updates
Forms - Enrollment & Updates
Printable Forms:
Printable Forms:
NOTE: If you receive a new Wyoming Driver's license, change insurance, or move to a new address please complete and submit a Renewal Form.
Forms can be submitted in one of the following ways:
-Postal Service: 511 Running W Dr Suite 304 Gillette, WY 82718 - Email: minershospbd@wyo.gov - In-person: at either our Gillette Office
Claim Forms
Claim Forms
Hearing Aid Benefit information:
Hearing Aid Benefit information:
Please call the Gillette office (307-685-6827) or the Rock Springs office (307-352-2925) to confirm eligibility for hearing aid benefits prior to purchase.
Please call the Gillette office (307-685-6827) or the Rock Springs office (307-352-2925) to confirm eligibility for hearing aid benefits prior to purchase.
-Members are eligible for a new set of hearing aids every 5 years.
- The benefit pays up to $3,000 for a new set of aids when eligible.
- Hearing aid repairs pay up to $250/aid twice for the life of the aid.
-NO over-the-counter hearing aids are covered through the Miner's benefits
Other Resources
Other Resources
Flowcharts to assist in understanding the process
Flowcharts to assist in understanding the process