Delta Dental of Arkansas’s Non-Discrimination Notice

This plan complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

This plan does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

This plan 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)

This plan 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 1-800-462-5410 (TTY users call 711).

If you believe that this plan 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 the civil rights coordinator at PO Box 15965, Attn: Civil Rights Coordinator, Little Rock, AR 72231; by phone at 1-800-462-5410 (TTY users call 711) or fax to 1-501-992-1864.

You can file a grievance by mail, fax or phone. If you need help filing a grievance, the civil rights coordinator is available to help you.

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, DC 20201; 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

 

Download Non-Discrimination Notice

Please feel free to download our non-discrimination notice to keep on hand and utilize if you experience any form of discrimination.

Non-Discrimination Notice