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:

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: