Non-discrimination and Language Availability Statements

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call Member Services.

Access Dental Plan and Premier Access Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Access Dental Plan and Premier Access Insurance Company does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Access Dental Plan and Premier Access Insurance Company:

  • 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, 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, call Member Services.

If you believe that Access Dental Plan and Premier Access Insurance Company has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Jennifer Felice, Grievance Coordinator. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Jennifer Felice, Grievance Coordinator is available to help you.

Mailing Address:

ATTN: Civil Rights Coordinator
Access Dental Plan
Complaints/Grievance Department
P.O. Box 659005
Sacramento, CA 95865-9005
ATTN: Civil Rights Coordinator
Premier Access Insurance Company
Complaints/Grievance Department
P.O. Box 659005
Sacramento, CA 95865-9005

 

TTD/TTY: 1-800-735-2929
Fax number 1-916-646-9000
Email: grievancedept@premierlife.com

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, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)

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

Member Services:

Program Member Services TTY/TDD
California Medicaid: Sacramento Geographic Managed Care (GMC) 1-877-821-3234 1-800-735-2929
California Medicaid: Los Angeles Prepaid Health Plan (PHP) 1-888-414-4110 1-800-735-2929
Utah Medicaid 1-877-541-5415 1-888-346-3162
Utah CHIP 1-877-854-4242 1-888-346-3162
Dental HealthCare Exchange 1-844-561-5600 1-800-947-6644
Care1st Cal Medi-Connect 1-844-883-2233 711

 

Laotian
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-707-6453 (TTY: 1-800-735-2929).
Spanish
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al servicios a los miembros.
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。請致電會員服務。
Vietnamese
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số dịch vụ thành viên.
Korean
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 회원 서비스 번으로 전화해 주십시오.
Tagalog
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa mga serbisyo ng miyembro.
Farsi
توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. باخدمات اعضا تماس بگیرید.
Arabic
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم خدمات الأعضاء.
Haitian-Creole
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele sèvis manm.
Polish
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer usług Państwa.
French
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le services aux membres
Italian
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero servizi per i soci.
Russian
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните Отдел обслуживания участников.
Armenian
ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք անդամ ծառայություններ:
German
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: Mitgliederservice.
Portuguese
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para serviços do membro.