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Submitted URL: http://hntips.com/ndn
Effective URL: https://www.healthnet.com/content/healthnet/en_us/disclaimers/legal/non-discrimination-notice.html
Submission: On August 10 via manual from US — Scanned from DE

Form analysis 2 forms found in the DOM

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NONDISCRIMINATION NOTICE

In addition to the State of California nondiscrimination requirements (as
described in benefit coverage documents), Health Net of California, Inc. and
Health Net Life Insurance Company (Health Net) comply with applicable federal
civil rights laws and do not discriminate, exclude people or treat them
differently on the basis of race, color, national origin, ancestry, religion,
marital status, gender, gender identity, gender affirming care, sexual
orientation, age, disability, or sex.

 * Health Net's Nondiscrimination Notice – English (PDF)

Health Net:

 * Provides free aids and services to people with disabilities to communicate
   effectively with us, such as qualified sign language
 * interpreters and written information in other formats (large print,
   accessible electronic formats, other formats).
 * Provides free language services to people whose primary language is not
   English, such as qualified interpreters and
 * information written in other languages.

If you need these services, contact Health Net's Customer Contact Center at:

 * Individual & Family Plan (IFP) Members On Exchange/Covered California
   1-888-926-4988 (TTY: 711)
 * Individual & Family Plan (IFP) Members Off Exchange 1-800-839-2172 (TTY: 711)
 * Individual & Family Plan (IFP) Applicants 1-877-609-8711 (TTY: 711)
 * Group Plans through Health Net 1-800-522-0088 (TTY: 711)

If you believe that Health Net has failed to provide these services or
discriminated in another way based on one of the characteristics listed above,
you can file a grievance by calling Health Net's Customer Contact Center at the
number above and telling them you need help filing a grievance. Health Net's
Customer Contact Center is available to help you file a grievance. You can also
file a grievance by mail, fax or email at:

Mail:
Health Net of California, Inc./Health Net Life Insurance Company Appeals &
Grievances
PO Box 10348
Van Nuys, CA 91410-0348

Fax: 1-877-831-6019

Email:
Member.Discrimination.Complaints@healthnet.com (Members) or
Non-Member.Discrimination.Complaints@healthnet.com (Applicants)

For HMO, HSP, PPO, EOA, and POS plans offered through Health Net of California,
Inc.: If your health problem is urgent, if you already filed a complaint with
Health Net of California, Inc. and are not satisfied with the decision or it has
been more than 30 days since you filed a complaint with Health Net of
California, Inc., you may submit an Independent Medical Review/Complaint Form
with the Department of Managed Health Care (DMHC). You may submit a complaint
form by calling the DMHC Help Desk at 1-888-466-2219 (TDD: 1-877-688-9891) or
online at www.dmhc.ca.gov/FileaComplaint.

For EPO and PPO plans underwritten by Health Net Life Insurance Company: You may
submit a complaint by calling the California Department of Insurance at
1-800-927-4357 or online at
https://www.insurance.ca.gov/01-consumers/101-help/index.cfm.

If you believe you have been discriminated against because of race, color,
national origin, age, disability, or sex, you can also file a civil rights
complaint with the U.S. Department of Health and Human Services, Office for
Civil Rights (OCR), electronically through the OCR Complaint Portal, 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 (TDD: 1-800-537-7697).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

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 * Enroll Now
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Company, and Health Net Community Solutions, Inc. (Health Net) are subsidiaries
of Health Net, LLC. and Centene Corporation. Health Net is contracted with
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Enrollment in Health Net depends on contract renewal. Health Net is a registered
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