Medical Plan Policy of Nondiscrimination

PIPELINE INDUSTRY BENEFIT FUND
MEDICAL PLAN
POLICY OF NONDISCRIMINATION
In Accordance with Section 1557 of the Affordable Care Act

DISCRIMINATION IS AGAINST THE LAW

The Pipeline Industry Benefit Fund Medical Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Pipeline Industry Benefit Fund does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Medical benefits provided under the Fund’s Plan are afforded without regard to an individual’s sex assigned at birth, gender identity, or gender.

Pipeline Industry Benefit Fund provides free aids and services to people with disabilities when needed, such as qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, etc.). Pipeline Industry Benefit Fund also provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages. If you need these services, call 918-280-4890.

If you believe that the Pipeline Industry Benefit Fund Medical Plan 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: Renee Vause, Civil Rights Coordinator, Pipeline Industry Benefit Fund, 4845 S. 83rd East Ave., Tulsa, Oklahoma, Tel: 918-280-4800, Fax: 918-280-4899. If you need help filing a grievance, Renee Vause 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
1-800-868-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Click HERE to view or download the PIBF POLICY OF NONDISCRIMINATION document.


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