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TTY 415-292-8898

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Nondiscrimination Notice

Discrimination is Against the Law

On Lok Lifeways complies with applicable Federal and state civil rights laws and does not discriminate on the basis of race, ethnicity, color, national origin, ancestry, religion, sex, age, sexual orientation, marital status, registered domestic partner status, military status, mental or physical disability, medical condition, genetic information, or source of payment. On Lok Lifeways does not exclude people or treat them differently because of race, ethnicity, color, national origin, ancestry, religion, sex, age, sexual orientation, marital status, registered domestic partner status, military status, mental or physical disability, medical condition, genetic information, or source of payment.

Specifically, On Lok Lifeways:

  • 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, contact the On Lok Health Plan Associate at 888-996-6565 [TTY: 415-292-8898], Fax at 415-292-8745, or email at memberservices@onlok.org.

If you believe that On Lok Lifeways has failed to provide these services or discriminated in another way on the basis of race, ethnicity, color, national origin, ancestry, religion, sex, age, sexual orientation, marital status, registered domestic partner status, military status, mental or physical disability, medical condition, genetic information, or source of payment, you can file a grievance with:

ATTN: Health Plan Associate, 1333 Bush Street, San Francisco, California 94109, 888-996-6565 [TTY: 415-292-8898], Fax at 415-292-8745, or email at memberservices@onlok.org.

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, any On Lok staff member or the On Lok Health Plan Associate 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, 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.