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KAISER PERMANENTE NONDISCRIMINATION NOTICE AND LANGUAGE ACCESS SERVICES


NOTICE OF NONDISCRIMINATION

Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of
Washington Options, Inc. (“Kaiser Permanente”) comply with applicable Federal
and Washington state civil rights laws and do not discriminate, exclude people,
or treat them differently on the basis of race, color, national origin, age,
disability, sex, sexual orientation, gender identity, or any other basis
protected by applicable federal, state, or local law. We also:

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 (large print, audio, accessible
   electronic formats, and other formats)
 * Assistive devices (magnifiers, Pocket Talkers, and other aids)

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, contact Member Services at 1-888-901-4636 (TTY 711).

If you believe that Kaiser Permanente has failed to provide these services or
discriminated in another way on the basis of race, color, national origin, age,
disability, sex, sexual orientation, or gender identity, you can file a
grievance with our Civil Rights Coordinator by writing to P.O. Box 35191, Mail
Stop: RCR-A3S-03, Seattle, WA 98124-5191 or calling Member Services at the
number listed above. You can file a grievance by mail, phone, or online at
kp.org/wa/feedback. If you need help filing a grievance, our Civil Rights
Coordinator is available to help you.

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,
   800-537-7697 (TDD)Complaint forms are available at
   http://www.hhs.gov/ocr/office/file/
 * The Washington State Office of the Insurance Commissioner, electronically
   through the Office of the Insurance Commissioner Complaint portal available
   at
   https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status,
   or by phone at 800-562-6900, 360-586-0241 (TDD). Complaint forms are
   available at
   https://fortress.wa.gov/oic/onlineservices/cc/pub/complaintinformation.aspx

--------------------------------------------------------------------------------


LANGUAGE ACCESS SERVICES

English: ATTENTION: If you speak a language other than English, language
assistance services, free of charge, are available to you. Call 1-888-901-4636
(TTY: 1-800-833-6388 or 711).

Español (Spanish) ATENCIÓN: Si habla español, tiene a su disposición servicios
gratuitos de asistencia lingüística. Llame al 1-888-901-4636 (TTY:1-800-833-6388
/ 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助服務。請致電 1-888-901-4636 (TTY:1-800-833-6388
/ 711)。

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ
ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-901-4636 (TTY:1-800-833-6388 /
711).

한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-901-4636 (TTY:
1-800-833-6388 / 711) 번으로 전화해 주십시오.

Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны
бесплатные услуги перевода. Звоните 1-888-901-4636 (телетайп: 1-800-833-6388 /
711).

Filipino (Tagalog) PAUNAWA: Kung nagsasalita kang Tagalog, maaari kang gumamit
ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-901-4636
(TTY: 1-800-833-6388 / 711).

Українська (Ukrainian): УВАГА! Якщо ви розмовляєте українською мовою, ви можете
звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером
1-888-901-4636 (телетайп: 1-800-833-6388 / 711).





日本語(Japanese):
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-888-901-4636(TTY:1-800-833-6388 /
711)まで、お電話にてご連絡ください。

አማርኛ (Amharic)፥ ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡
ወደ ሚከተለው ቁጥር ይደውሉ 1-888-901-4636 (መስማት ለተሳናቸው: 1-800-833-6388 / 711).

Oromiffa (Oromo): XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa
afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-888-901-4636 (TTY:
1-800-833-6388 / 711).



ਪੰਜਾਬੀ (Punjabi) ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ
ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-888-901-4636 (TTY: 1-800-833-6388 / 711) ‘ਤੇ ਕਾਲ ਕਰੋ।

Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos
sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-901-4636
(TTY: 1-800-833-6388 / 711).

ພາສາລາວ (Lao): ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາລາວ, ການບໍ ລິການຊ່ວຍເຫຼືອດ້ານພາສາ,
ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-888-901-4636 (TTY: 1-800-833-6388 /
711).

© 2021 Kaiser Foundation Health Plan of Washington