IMPORTANT NOTICE
To obtain information or make
a complaint:
| You may contact YOUR Member Services Representative at (210) 358-6262. |
You may call Community First’s toll-free telephone number for information or to make a complaint at |
1-877-698-7032 |
You may also write to Community First at:
12238 Silicon Drive, Suite 100
San Antonio, Texas 78249 |
| |
You may contact the Texas Department of Insurance to obtain information on companies, Coverages, rights or complaints at |
1-800-252-3439 |
You may write the Texas Department of Insurance
P.O. Box 149104
Austin, TX 78714-9104
Fax (512) 475-1771
Web:http://www.tdi.state.tx.us
E-Mail: ConsumerProtection@tdi.state.tx.us |
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium
or a claim, you should first contact Community First. If the dispute is not resolved,
you may contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR
POLICY:
This notice is for information only and does
not become a part or condition of the attached
document.
AVISO IMPORTANTE
Para obtener informacion o para someter una queja: |
Puede comunicarse con Member Services Representative al (210) 358-6262. |
Usted puede llamar al numero de telefono gratis de Community First’s para informacion o para someter una queja al |
1-877-698-7032 |
Usted tambien puede escribir a Community First
[12238 Silicon Drive, Suite 100
San Antonio, Texas 78249]
|
Puede comunicarse con el Departamento de Seguros de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al |
1-800-252-3439
|
Puede escribir al Departamento de Seguros de Texas
P.O. Box 149104
Austin, TX 78714-9104
Fax # (512)475-1771
Web:http://www.tdi.state.tx.us
E-Mail: ConsumerProtection@tdi.state.tx.us |
DESPUTAS SOBRE SU PREMIO O
RECLAMOS:
Si tiene una disputa concerniente a su premio
o a un reclamo, debe comunicarse con Community
First primero.Ý Si no se resuelve la disputa,
puede entonces comunicarse con el departamento.
ESTE AVISO SE ADHERE A SU
POLIZA:
Este aviso es solo para propόsito de informaciόn
y no se convierte en parte o condiciόn
del documento adjunto.
TO MAKE A COMPLAINT
ABOUT A PRIVATE PSYCHIATRIC HOSPITAL, CHEMICAL
DEPENDENCY TREATMENT CENTER, OR PSYCHIATRIC OR CHEMICAL
DEPENDENCY SERVICE AT A GENERAL
HOSPITAL, CALL: (800) 228-1570
Your complaint will be referred to the state
agency that regulates the Hospital or chemical
dependency treatment center.
AVISO DE NUMERO TELEFONICO GRATIS ESPECIAL PARA QUEJAS
PARA SOMETER UNA
QUEJA ACERCA DE UN HOSPITAL PSIQUIATRICO PRIVADO,
DE CENTRO TRATAMIENTO PARA LA DEPENDENCIA QUIMICA,
DE SERVICIOS PSIQUIATRICOS O DE DEPENDENCIA
QUIMICA EN UN HOSPITAL GENERAL, LLAME A: (800) 228-1570
Su queja ser· referida a la agencia estatal
que regula la Hospital o centro de tratamiento
para la dependencia quÌmica.
