Nondiscrimination Notice
Kaiser Permanente Insurance Company (KPIC) complies with applicable federal civil rights
law
and does not discriminate on the basis
of
race, color, national origin, age, disability,
or
sex.
Kaiser Permanente does not exclude people
or
treat them differently because
of
race, color,
national origin, age, disability
or
sex.
We
also:
- Provide no cost 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, such as large print, audio, and accessible
electronic formats
- Provide no cost 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 the
Customer Service number on the back
of
your
ID card.
If you believe KPIC 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 by mail
or
phone at the
following addresses based on your Region:
Region Address / Phone Number
KPIC Civil Rights Coordinator, Grievance 1557, 5855 Copley Drive, Suite
250, San Diego, CA
92111
Telephone number: 1-888-251-7052 (TTY:711)
California
Customer Experience Department, Attn: KPIC Civil Rights Coordinator,
2500 South Havana, Aurora, CO 80014
Telephone number:1-800-632-9700 (TTY: 711)
Colorado
Customer Experience Department, Attn: KPIC Civil Rights Coordinator,
Nine Piedmont Center, 3495 Piedmont Road,
NE
Atlanta, GA 30305-1736
Telephone number: 1-888-865-5813 (TTY: 711)
Georgia
KPIC Civil Rights Coordinator, Grievance 1557, 5855 Copley Drive, Suite
250, San Diego, CA
92111
Telephone number: 1-888-251-7052 (TTY:711)
Hawaii
KPIC Civil Rights Coordinator, Grievance 1557, 5855 Copley Drive, Suite
250, San Diego, CA
92111
Telephone number: 1-888-251-7052 (TTY:711)
Maryland
/Virginia/
Washington D.C.
You can also file a civil rights complaint with the U.S. Department
of
Health and Human Services,
Office
for
Civil Rights electronically through the Office
for
Civil Rights Complaint Portal, available
at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf,
or
by mail
or
phone at: U.S. Department
of
Health and
Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC
20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at:
http://www.hhs.gov/ocr/office/file/index.html.
