You can use this form to file a complaint about our privacy policies, procedures and practices. You can also file a complaint if you don’t think we’ve complied with our Notice of Privacy Practices, or state and federal privacy rules and laws.
What you’ll need:
- Your enrollee ID card
- A printer to print the form
- An envelope and postage to mail the form, or a fax machine. Each form includes instructions, a mailing address and a fax number.
If you have any questions, please contact us.