CO VERSION NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Colorado (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan 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: • Qualified sign language interpreters • 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: • Qualified interpreters • Information written in other languages If you need these services, call 1-800-632-9700 (TTY 711). If you believe that Kaiser Health Plan 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 at: Customer Experience Department, Attn: Kaiser Permanente Civil Rights Coordinator, 10350 E. Dakota Ave, Denver, CO 80247, or by phone at Member Services 1-800-632-9700 (TTY 711). 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, (TTY 1-800-537-7697). Complaint forms are available at hhs.gov/ocr/office/file/index.html. ____________________________________________________________________ HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-632-9700 (TTY 711). አአማማርኛርኛ (Amharic) ማማስታስታወወሻሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-800-632-9700 (TTY 711). .ناجملاب كل رفاوتت ةيوغللا ةدعاسملا تامدخ نإف ،ةيبرعلا ثدحتت تنك اذإ : ةظوحلم (Arabic) ةيبرعلا . ) 711 TTY( 1-800-632-9700 مق رب لصتا Ɓ愃ఀsɔɔ W甃ɖ甃 (Bassa) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m Ɓàsɔɔ-wùɖù-po-nyɔ jǔ ́ ̀ ̀ ́ ̀ ̀ ní, nìí, à wuɖu kà kò ɖò po-poɔ ɓɛìn m gbo kpáa. Ɖá 1-800-632-9700 (TTY 711) ̀ ́ ̀ 中文 (Chinese) 注意：如果您使用繁體中文，您可以免費獲得語言援 中文 注意： 助服務。請致電 1-800-632-9700（TTY 711）。 60577108_ACA_1557_MarCom_CO_2017_Taglines