NONDISCRIMINATION NOTICE Regence complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Regence does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Regence: Provides free aids and services to people with disabilities to communicate effectively with us, such as:  Qualified sign language interpreters  Written information in other formats (large print, audio, and accessible electronic formats, other formats) Provides 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 listed above, You can also file a civil rights complaint with the please contact: U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Medicare Customer Service Office for Civil Rights Complaint Portal at 1-800-541-8981 (TTY: 711) https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: Customer Service for all other plans 1-888-344-6347 (TTY: 711) U.S. Department of Health and Human Services 200 Independence Avenue SW, If you believe that Regence has failed to Room 509F HHH Building provide these services or discriminated in Washington, DC 20201 another way on the basis of race, color, national origin, age, disability, or sex, you can 1-800-368-1019, 800-537-7697 (TDD). file a grievance with our civil rights coordinator below: Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Medicare Customer Service Civil Rights Coordinator MS: B32AG, PO Box 1827 Medford, OR 97501 1-866-749-0355, (TTY: 711) Fax: 1-888-309-8784 [email protected] Customer Service for all other plans Civil Rights Coordinator MS CS B32B, P.O. Box 1271 Portland, OR 97207-1271 1-888-344-6347, (TTY: 711) [email protected] 01012017.04PF12LNoticeNDMARegence