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NONDISCRIMINATION NOTICE

Discrimination is Against the Law

Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana,
Inc. and Southern National Life Insurance Company, Inc., does not exclude people
or treat them differently on the basis of race, color, national origin, age,
disability or sex in its health programs or activities.

Blue Cross and Blue Shield of Louisiana and its subsidiaries:

 * Provide free aids and services to people with disabilities to communicate
   effectively with us, such as:
   * Qualified sign language interpreters
   * Written information in other formats (audio, accessible electronic formats)
 * Provide 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, you can call the Customer Service number on the back
of your ID card or email MeaningfulAccessLanguageTranslation@bcbsla.com. If you
are hearing impaired call 1-800-711-5519 (TTY 711).

If you believe that Blue Cross, one of its subsidiaries or your employer-insured
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 have
the right to take the following steps;

 1. If you are fully insured through Blue Cross, file a grievance with Blue
    Cross by mail, fax, or email.
    
    Section 1557 Coordinator
    P. O. Box 98012
    Baton Rouge, LA 70898-9012
    225-298-7238 or 1-800-711-5519 (TTY 711)
    Fax: 225-298-7240
    Email: Section1557Coordinator@bcbsla.com
    
    

     

 2. If your employer owns your health plan and Blue Cross administers the plan,
    contact your employer or your company’s Human Resources Department. To
    determine if your plan is fully insured by Blue Cross or owned by your
    employer, go to www.bcbsla.com/checkmyplan.


Whether Blue Cross or your employer owns your plan, you can file a civil rights
complaint with the U.S. Department of Health and Human Services, Office for
Civil Rights by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)

Or

Electronically through the Office for Civil Rights Complaint Portal, available
at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf. Complaint forms are available
at http://www.hhs.gov/ocr/office/file/index.html.

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Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue
Cross and Blue Shield Association and incorporated as Louisiana Health Service &
Indemnity Company. Copyright © 2022 Blue Cross and Blue Shield of Louisiana.
Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the
state of Louisiana.

External links open in new windows to websites Blue Cross and Blue Shield of
Louisiana does not control.

Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana,
Inc. and Southern National Life Insurance Company, Inc., comply with applicable
federal civil rights laws and do not exclude people or treat them differently on
the basis of race, color, national origin, age, disability or sex. More
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