NON-DISCRIMINATION NOTICE. California Dental Network complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. California Dental Network does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. California Dental Network: • Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, and accessible electronic formats) • Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, please call customer service at 0-000-000-0000. If you believe that California Dental Network has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Xxxxxx Xxxxxxx Civil Rights Coordinator Compliance Department 000 Xxxxxxx Xxxxxx Xxxxxx, XX 00000 Fax: 000-000-0000 Phone: 000-000-0000 Email: XxxxXxxxxxxxx@xxxxxxxxxxxxxxxx.xxx TTY: 711 You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Xxxxxx Xxxxxxx is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Complaint forms are available at xxxx://xxx.xxx.xxx/ocr/office/file/index.html. You can file a complaint electronically through the Office for Civil Rights Complaint Portal, available at xxxxx://xxxxxxxxx.xxx.xxx/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 000 Xxxxxxxxxxxx Xxxxxx, XX Room 509F, HHH Building Washington, D.C. 20201 0-000-000-0000, 000-000-0000 (TDD)
Appears in 25 contracts
Samples: Group Subscriber Agreement, Individual Subscriber Agreement, Group Subscriber Agreement