CA VERSION Nondiscrimination Notice Discrimination is against the law. Kaiser Permanente1 follows State and Federal civil rights laws. Kaiser Permanente does not unlawfully discriminate, exclude people, or treat them differently because of age, race, ethnic group identification, color, national origin, cultural background, ancestry, religion, sex, gender, gender identity, gender expression, sexual orientation, marital status, physical or mental disability, medical condition, source of payment, genetic information, citizenship, primary language, or immigration status. Kaiser Permanente provides the following services: • No-cost aids and services to people with disabilities to help them communicate better with us, such as:  Qualified sign language interpreters  Written information in other formats (braille, large print, audio, accessible electronic formats, and other formats) • No-cost language services to people whose primary language is not English, such as:  Qualified interpreters  Information written in other languages If you need these services, call our Member Service Contact Center, 24 hours a day, 7 days a week (closed holidays). The call is free: • Medi-Cal: 1-855-839-7613 (TTY 711) • All others: 1-800-464-4000 (TTY 711) Upon request, this document can be made available to you in braille, large print, audiocassette, or electronic form. To obtain a copy in one of these alternative formats, or another format, call our Member Service Contact Center and ask for the format you need. How to file a grievance with Kaiser Permanente You can file a discrimination grievance with Kaiser Permanente if you believe we have failed to provide these services or unlawfully discriminated in another way. You can file a grievance by phone, by mail, in person, or online. Please refer to your Evidence of Coverage or Certificate of Insurance for details. You can call Member Services for more information on the options that apply to you, or for help filing a grievance. You may file a discrimination grievance in the following ways: • By phone: Medi-Cal members may call 1-855-839-7613 (TTY 711). All other members may call 1-800-464-4000 (TTY 711). Help is available 24 hours a day, 7 days a week (closed holidays) • By mail: Download a form at kp.org or call Member Services and ask them to send you a form that you can send back. 1 Kaiser Permanente is inclusive of Kaiser Foundation Health Plan, Inc, Kaiser Foundation Hospitals, The Permanente Medical Group, and the Southern California Medical Group