Availability of Summary Health Information UnityPoint Health offers two medical plans. As required by Patient Protection and Affordable Care Act, your plan makes available a Summary of Bene昀椀ts and Coverage (SBC) for each option. The SBCs can be found at the HR landing page on the Hub. You can also request a paper copy, free of charge, by contacting AskHR ERISA Disclosure Notice UnityPoint Health does not discriminate, exclude, or treat Arabic ERISA Disclosure Notice people differently on the basis of race, color, national origin, ك ﻟ ر ﻓ ا و ﺗ ﺗ ﺔ ﯾ و ﻐ ﻠ ﻟ ا ة د ﻋ ﺎ ﺳ ﻣ ﻟ ا ت ﺎ ﻣ د ﺧ ن ﺈ ﻓ ، ﺔ ﻐ ﻠ ﻟ ا ر ﻛ ذ ا ث د ﺣ ﺗ ﺗ ت ﻧ ﻛ ا ذ إ : ﺔ وظ ﺣ ﻠ ﻣ م ﻗ ر ﺑ ﺻل ﺗ ا . ن ﺎ ﻣﺟ ﻟ ﺎ ﺑ UnityPoint Health does not discriminate, exclude, or age, disability, or sex. We provide the following for free: 1-515-574-6608 treat people differently on the basis of race, color, 注意：如果您使用繁體中文，您可以免費獲得語 Chinese › national origin, age, disability, or sex. We provide the C ommunication aids and services to people with disabilities, 言援助服務。請致電 1-515-574-6608。 such as: following for free: • Communication aids and services to people with French ATTENTION : Si vous parlez français, des services d’aide – Sign language interpreters linguistique vous sont proposés gratuitement. Appelez le disabilities, such as: o Sign language interpreters 1-515-574-6608. – Written information in other formats German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen › o Written information in other formats kostenlos sprachliche Hilfsdienstleistungen zur Language services to people whose primary language is not Verfügung. Rufnummer: 1-515-574-6608. English, such as: • Language services to people whose primary ુ ુ ુ Gujarati !ચના: જો તમે -જરાતી બોલતા હો, તો િન:56ક ભાષા સહાય language is not English, such as: ? – Interpreters o Interpreters સેવાઓ તમારા માટ ઉપલBધ છે. ફોન કરો 1-515-574-6608. – Information written in other languages o Information written in other languages Hindi !यान द': य)द आप ,हदं ी बोलते ह 5 तो आपके िलए मु;त म' भाषा सहायता If you need these services, contact the Section 1557 सेवाएं उपलAध ह।5 1-515-574-6608 पर कॉल कर'। If you need these services, contact the Grievance Coordinator. If you believe that we have failed to Coordinator. If you believe that we have failed to provide Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-515-574-6608. provide these services or discriminated on the basis these services or discriminated on the basis of race, color, Italian ATTENZIONE: In caso la lingua parlata sia l’italiano, sono of race, color, national origin, age, disability, or sex, national origin, age, disability, or sex, you can 昀椀le a grievance disponibili servizi di assistenza linguistica gratuiti. Chiamare il you can file a grievance in person, by mail or by in person, by mail or by phone with: numero 1-515-574-6608. phone with: 주의: 한국어를 사용하시는 경우, 언어 지원 Korean Bene昀椀ts Manager, Human Resources 서비스를 무료로 이용하실 수 있습니다. 1-515-574-6608 Benefits Manager, Human Resources 1776 West Lakes Parkway 번으로 전화해 주십시오. 1776 West Lakes Parkway West Des Moines, IA 50266 Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z West Des Moines, IA 50266 (515) 883-9662 bezpłatnej pomocy językowej. Zadzwoń pod numer 1-515-574-6608. (515) 883-9662 Russian ВНИМАНИЕ: Если вы говорите на русском языке, то The Section 1557 Coordinator is available to help you 昀椀le вам доступны бесплатные услуги перевода. Звоните 1-515-574-6608. The Grievance Coordinator is available to help you a grievance. You can also 昀椀le a complaint with the U.S. file a grievance. You can also file a complaint with the Spanish ATENCIÓN: si habla español, tiene a su disposición Department of Health and Human Services, Of昀椀ce for Civil servicios gratuitos de asistencia lingüística. Llame al 1-515-574-6608. U.S. Department of Health and Human Services, Office Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang for Civil Rights, electronically at Rights, electronically at https://ocrportal.hhs.gov/ocr/portal/ gumamit ng mga serbisyo ng tulong sa wika nang walang https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by lobby.jsf, or by mail or phone at: bayad. Tumawag sa 1-515-574-6608. mail or phone at: ت ﺎ ﻣ د ﺧ ﯽ ﮐ د د ﻣ ﯽ ﮐ ن ﺎ ﺑ ز و ﮐ پ آ و ﺗ ، ں ﯾ ﮨ ﮯ ﺗ ﻟ و ﺑ و د ر ا پ آ ر ﮔ ا : ر ا رد ﺑ U.S. Department of Health and Human Services Urdu . ﯾں ر ﮐ ل ﺎ ﮐ ۔ ﯾں ﮨ ب ﺎ ﯾ ﺗ ﺳ د ﯾں ﻣ ت ﻔ ﻣ 1-515-574-6608 . 200 Independence Avenue, SW Room 509F Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ HHH Building U.S. Department of Health and Human Services 200 ngôn ngữ miễn phí dành cho bạn. Gọi số Independence Avenue, SW Room 509F, Washington, D.C. 20201 1-515-574-6608. HHH Building 1-800-368-1019 | 1-800-537-7697 (TDD) Washington, D.C. 20201 Complaint forms are available at 1-800-368-1019, http://www.hhs.gov/ocr/of昀椀ce/昀椀le/index.html 1-800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html | 48 |