| 48 | ERISA Disclosure Notice UnityPoint Health does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, disability, or sex. We provide the following for free: › Communication aids and services to people with disabilities, such as: – Sign language interpreters – Written information in other formats › Language services to people whose primary language is not English, such as: – Interpreters – Information written in other languages If you need these services, contact the Section 1557 Coordinator. If you believe that we have failed to provide these services or discriminated on the basis of race, color, national origin, age, disability, or sex, you can file a grievance in person, by mail or by phone with: Benefits Manager, Human Resources 1776 West Lakes Parkway West Des Moines, IA 50266 (515) 883-9662 The Section 1557 Coordinator is available to help you file a grievance. You can also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically 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 | 1-800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-515-574-6608. Arabic ﻣﻠﺣوظﺔ: إذا ﻛﻧت ﺗﺗﺣدث اذﻛر اﻟﻠﻐﺔ، ﻓﺈن ﺧدﻣﺎت اﻟﻣﺳﺎﻋدة اﻟﻠﻐوﯾﺔ ﺗﺗواﻓر ﻟك ﺑﺎﻟﻣﺟﺎن. اﺗﺻل ﺑرﻗم 1-515-574-6608 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 1-515-574-6608。 French ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-515-574-6608. German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-515-574-6608. Gujarati !ુચના: જો તમે -ુજરાતી બોલતા હો, તો િન:5ુ6ક ભાષા સહાય સેવાઓ તમારા માટ? ઉપલBધ છે. ફોન કરો 1-515-574-6608. Hindi !यान द': य)द आप ,हंदी बोलते ह5 तो आपके िलए मु;त म' भाषा सहायता सेवाएं उपलAध ह5। 1-515-574-6608 पर कॉल कर'। Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-515-574-6608. Italian ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-515-574-6608. Korean주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-515-574-6608 번으로 전화해 주십시오. Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-515-574-6608. Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-515-574-6608. Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-515-574-6608. Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-515-574-6608. Urdu .اﮔر آپ اردو ﺑوﻟﺗﮯ ﮨﯾں، ﺗو آپ ﮐو زﺑﺎن ﮐﯽ ﻣدد ﮐﯽ ﺧدﻣﺎت ﺑردار: ﻣﻔت ﻣﯾں دﺳﺗﯾﺎب ﮨﯾں ۔ ﮐﺎل ﮐرﯾں1-515-574-6608 . Availability of Summary Health Information UnityPoint Health offers two medical plans. As required by Patient Protection and Affordable Care Act, your plan makes available a Summary of Benefits and Coverage (SBC) for each option. The SBCs can be found at the HR landing page on the Hub. You can also request a paper copy, free of charge, by contacting AskHR