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You will not be penalized or in any other way retaliated against for filing a complaint with the Office for Civil Rights or
with the Plan.

Section 5. ADDITIONAL INFORMATION
If you have any questions regarding this Notice or the subjects addressed in it, you may contact [the HIPAA Privacy
Officer in writing at human.resources@co.mclennan.tx.us or 214 N. 4 Street, Suite 200, Waco, Texas 76701; or by
th
calling (254)-757-5158.]

NOTICE CONCERNING NON-DISCRIMINATION

McLennan County complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color,
national origin, age, disability, or sex. McLennan County does not exclude people or treat them differently because of
race, color, national origin, age, disability, or sex.

McLennan County:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
o Qualified sign language interpreters
o 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:
o Qualified interpreters
o Information written in other languages

If you need these services, contact the McLennan County Human Resources Department.

If you believe that McLennan County 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: Human Resources Director, 214 N 4
th
Street, Suite 200, Waco, Texas 76701-1366, Phone: 254-757-5158, Fax: 254-757-5073 or via email
Human.Resources@co.mclennan.tx.us. You can file a grievance in person or by mail, fax, or email. If you need help filing
a grievance, the Human Resources Director 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.

Notice of Women’s Health and Cancer Rights Act

The Women’s Health and Cancer Rights Act of 1998 requires group health plans to make certain benefits available to
participants who have undergone a mastectomy. In particular, a plan must offer mastectomy patients benefits for:

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