Notice of Non‐Discrimination and Accessibility Requirements
Delta Dental of Minnesota and its affiliate, DDMN ASO LLC, (collectively referred to herein as “Delta Dental of Minnesota”) comply with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Delta Dental of Minnesota does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Delta Dental of Minnesota 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) Delta Dental of Minnesota 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, please call the number on the back of your ID card.
If you believe that Delta Dental of Minnesota 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 by contacting Delta Dental of Minnesota, Attn: Complaints, Appeals, and Grievances, 500 Washington Ave South, Suite 2060 Minneapolis, MN, 55415, 612‐224‐3300 or 877‐268-3384, fax:612‐351‐5104. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, please call the number on the back of your ID card.
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.