Nondiscrimination statement
Discrimination is against the law. Liberty Dental Plan (“Liberty”) follows State and Federal civil rights laws. Liberty does not unlawfully discriminate, exclude people, or treat them differently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation.
Liberty provides free aids and services to people with disabilities or people whose primary language is not English:
Qualified interpreters, including sign language interpreters
Written information in other languages or formats (large print, audio, accessible electronic formats, other formats)
If you need these services, please contact us between 8 a.m. to 5 p.m PT by calling 888-703-6999. Or, if you cannot hear or speak well, please call 1-800-735-2929
How to file a grievance
If you believe that Liberty has failed to provide these services or unlawfully discriminated in another way on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, you can file a grievance with Liberty's Civil Rights Coordinator. You can file a grievance by phone, in writing, in person, or electronically:
By phone: Contact Liberty's Civil Rights Coordinator, Monday through Friday, 8 a.m to 5 p.m PT by calling 888-704-9833. Or if you cannot hear or speak well, please call 1-800-735-2929.
In writing: Fill out a complaint form or write a letter and send it to: P.O. Box 26110, Santa Ana, CA 92799
In person: Visit your doctor's office or Liberty Dental Plan and say you want to file a grievance.
Electronically: Visit Liberty Dental Plan website at https://www.libertydentalplan.com.
Office of Civil Rights - California Department of Health Care Services
You can also file a civil rights complaint with the California Department of Health Care Services, Office of Civil Rights by phone, in writing, or electronically:
By phone: Call 916-440-7370. If you cannot speak or hear well, please call 711 (telecommunications relay service).
In writing: Fill out a complaint form or write a letter and send it to:
Deputy Director, Office of Civil Rights Department of Health Care Services
Office of Civil Rights
P.O. Box 997413, MS 0009
Sacramento, CA 95899-7413
Complaint forms are available at http://www.dhcs.ca.gov/Pages/Language_Access.aspx.
Electronically: Send an email to CivilRights@dhcs.ca.gov.
Office of Civil Rights - U.S. Department of Health and Human Services
If you believe you have been discriminated against on the basis of race, color, national origin, age, disability or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by phone, in writing, or electronically:
By phone: Call 1-800-368-1019. If you cannot speak or hear well, please call TTY/TDD 1-800-537-7697.
In writing: Fill out a complaint form or send a letter to:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Electronically: Visit the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
You can also download and print the full nondiscrimination notice.