NONDISCRIMINATION NOTICE Regence complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity or sexual identity. Regence does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, gender identity or sexual orientation. Regence: Provides 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, and accessible electronic formats, other formats) Provides 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 listed above, You can also file a civil rights complaint with: please contact: Medicare Customer Service • The U.S. Department of Health and Human 1-800-541-8981 (TTY: 711) Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal Customer Service for all other plans at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or 1-888-344-6347 (TTY: 711) by mail or phone at: If you believe that Regence has failed to U.S. Department of Health and Human Services provide these services or discriminated in 200 Independence Avenue SW, another way on the basis of race, color, Room 509F HHH Building national origin, age, disability, sex, gender Washington, DC 20201 identity or sexual orientation, you can file a 1-800-368-1019, 800-537-7697 (TDD). grievance with our civil rights coordinator below: Complaint forms are available at Medicare Customer Service http://www.hhs.gov/ocr/office/file/index.html. Civil Rights Coordinator • The Washington State Office of the Insurance MS: B32AG, PO Box 1827 Commissioner, electronically through the Office of Medford, OR 97501 the Insurance Commissioner Complaint portal 1-866-749-0355, (TTY: 711) available at https://www.insurance.wa.gov/file- Fax: 1-888-309-8784 complaint-or-check-your-complaint-status, or by [email protected] phone at 800-562-6900, 360-586-0241 (TDD). Customer Service for all other plans Complaint forms are available at Civil Rights Coordinator https://fortress.wa.gov/oic/onlineservices/cc/pub/c MS CS B32B, P.O. Box 1271 omplaintinformation.aspx Portland, OR 97207-1271 1-888-344-6347, (TTY: 711) [email protected] 01012022.04PF12LNoticeNDMARegence-WA