Designation of Confidential and Proprietary Information

Download PDF

Summary

New health plans should use this form to request that certain materials submitted to ETF with the New Health Plan Application be kept confidential under the Wisconsin Open Records Law.

If you would like to complete the form electronically, be sure to first download the form, complete using Acrobat Reader, and save.

Note: ETF is unable to assist with Adobe Acrobat Reader technical or compatibility issues. If you need assistance, please visit Adobe’s help site.