This page tells you how health insurance Navigators at Covering Wisconsin use your personally identifiable information.  Personally identifiable information includes things such as:

• Name

• Email address

• Address

• Phone number

• Social Security Number

• Eligibility determination

Navigators use your personally identifiable information only to help you apply for maintain, and renew health coverage in the Marketplace or Medicaid. A Navigator can only create, collect, disclose, access, maintain, store, and use your personal information in order to do their job.

Sharing my information allows a Navigator to:

• Tell me about all the qualified health plans, options, and insurance affordability programs for which I may be eligible

• Tell me about other health programs like Wisconsin’s Medicaid program, Badger Care Plus, for which I may be eligible

• Help me with complaints or questions about my health plan, coverage, or a decision made by a plan or coverage

• Assist me when I sign up for a health plan

• Refer me to another agency to help with complaints or questions about my health plan, coverage, or a decision made by a plan or coverage 

• Refer me to another Navigator, in-person assistance person, or the federal Marketplace Call Center if needed

• Contact me to share information about renewal, special savings opportunities, or follow-up on assistance provided

As part of their job, Navigators are required to:

• Collect and use my personal information in a private and secure way

• Give information and services in a fair, accurate, and impartial way

• Give information that is sensitive and appropriate to all, including those with limited English

• Make sure that tools and functions are accessible and usable for individuals with disabilities

• Know current rules in eligibility, enrollment, and program specifications for health plans and insurance affordability programs

• Conduct public education activities about the Marketplace

• Provide me with a copy of this consent form upon request

A Navigator may never:

• Choose a health insurance plan for me

• Re-use my personal information for any purposes other than to do their job as a Navigator

• Charge me a fee for any help provided

• Give me tax or legal advice, or serve as a tax advisor or lawyer

It’s important to know that:

• I don’t have to give the Navigator more information than I want to

• The Navigator can help me only with the amount of information I give them

• If the information I give is not correct or incomplete, the Navigator may not be able to offer all the help that is available for me

• This consent form will be kept on file and will remain valid for at least six (6) years

• I may end my consent at any time by notifying [Insert Organization Name] in writing

• Whenever it says, “me” or “my” this includes my authorized representative, if I have one