Evernorth complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, ancestry, religion, marital status, gender, sexual orientation, gender identity or sex stereotypes.

Evernorth does not exclude people or treat them less favorably because of race, color, national origin, age, disability, sex, ancestry, religion, marital status, gender, sexual orientation, gender identity or sex stereotypes.

Evernorth

• Provides people with disabilities reasonable modifications and free appropriate auxiliary aids 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 assistance services to people whose primary language is not English, in a timely manner such as:
  • Qualified interpreters
  • Information written in other languages

If you need reasonable modifications, appropriate auxiliary aids and services or language assistance services, contact the Civil Rights Coordinator.

If you believe that Evernorth has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex, ancestry, religion, marital status, gender, sexual orientation, gender identity or sex stereotypes, you can file a grievance with the Civil Rights Coordinator P.O. Box 4083, Dublin, OH 43016, (877) 819-6184 (TTY: Dial 711), affordablecareactgrievance@evernorth.com.

You can file a grievance in person or by mail, fax, or email. 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, 800.537.7697 (TDD)

Complaint forms are available at https://www.hhs.gov/civil-rights/filing-a-complaint/complaint-process/index.html

All Evernorth products and services are provided exclusively by or through operating subsidiaries of Evernorth, including Evernorth Care Solutions, Inc., and Evernorth Behavioral Health, Inc. ATTENTION: If you speak languages other than English, language assistance services, are available to you at no cost. For current customers, call 888.736.7009 (TTY: Dial 711). ATENCIÓN: Si usted habla un idioma que no sea inglés, tiene a su disposición servicios gratuitos de asistencia lingüística. Si es un cliente actual, llame al 888.736.7009 (los usuarios de TTY deben llamar al 711).

824709b 2/25 © 2025 Evernorth.