NondiscriminationNotice Call customer service toll free at 888.936.PLAN(7526)TTY/TDD711. Discrimination is against the law. Health Plan of San Joaquin follows State and Federal civil rights laws. Health Plan of San Joaquin does not unlawfully discriminate, exclude people or treat them differently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity or sexual orientation. Health Plan of San Joaquin provides: • Free aids and services to people with disabilities to help them communicate better, such as: ✓ Qualified sign language interpreters ✓ Written information in other formats (large print, audio, accessible electronic formats and other formats) • Free language services to people whose primary language is not English, such as: ✓ Qualified interpreters ✓ Information written in other languages If you need these services, contact Health Plan of San Joaquin between Monday-Friday 8:00 a.m. - 5:00 p.m. by calling 888.936.7526. If you cannot hear or speak well, please call TTY/TDD 711 to use the California Relay Service. Upon request, this document can be made available to you in braille, large print, audio, and accessible electronic format. To obtain a copy in one of these alternative formats, please call or write to: Health Plan of San Joaquin 7751 South Manthey Road, French Camp, CA 95231 888.936.PLAN (7526), TTY/TDD 711 HOW TO FILE A GRIEVANCE If you believe that Health Plan of San Joaquin has failed to provide these services or unlawfully discriminated in another way on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity or sexual orientation, you can file a grievance with Health Plan of San Joaquin’s Civil Rights Coordinator, the Chief Compliance Officer. You can file a grievance in writing, in person, or electronically: • By phone: Contact between Monday - Friday, 8:00 a.m. - 5:00 p.m. by calling 888.936.7526. Or, if you cannot hear or speak well, please call TTY/TDD 711. • In writing: Fill out a complaint form or write a letter and send it to: Health Plan of San Joaquin Attn: Grievance and Appeals Department 7551 S. Manthey Road French Camp, CA 95231 —Continued on page 8
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