NOTICE INFORMING INDIVIDUALS ABOUT NONDISCRIMINATION AND ACCESSIBILITY REQUIREMENTS AND NONDISCRIMINATION STATEMENT Discrimination is Against the Law Triple-S Advantage, Inc., complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)). Triple-S Advantage, Inc. does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex. Triple-S Advantage, Inc.: Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services 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, which may include: Qualified interpreters Information written in other languages. If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact a Service Representative of Triple-S Advantage. If you believe that Triple-S Advantage, Inc. 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 with: Service Representative Grievances & Appeals Unit PO Box 11320, San Juan, PR 00922-1320 Teléfono: 1-888-620-1919, TTY: 1-866-620-2520 Fax.787-993-3261, e-mail: moc.e1747980804gatna1747980804vdass1747980804s@sec1747980804navei1747980804rg-sl1747980804aeppa1747980804 You can file a grievance in person or by mail, fax, or e-mail. If you need help filing a grievance, a Service Representative 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 http://www.hhs.gov/ocr/office/file/index.html. This notice is available at Triple-S Advantage website: sssadvantage.com. ATTENTION: If you speak English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-888-620-1919 (TTY: 1-866-620-2520). 注意：如果您說[中文]，我們可以為您提供免費語言協助服務。也可以免費 提供適當的輔助工具與服務，以無障礙格式提供資訊。請致電 1-888-620-1919 (TTY: 1-866-620-2520) 。 ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al: 1-888-620-1919 (TTY: 1-866-620-2520). Y0082_25CI098E_C
