Confidential Communications

California law states that you can ask for confidential communications regarding the receipt of sensitive services. These types of services can include:

• Bills and attempts to collect payment
• A Notice of Adverse Benefit Determination(s)
• An Explanation of Benefit notice(s)
• A Plan’s request for additional information regarding a claim
• A notice of a contested claim
• The name and address of a provider, description of services received, and other information related to a visit
• Any verbal, written or electronic communications from the Plan that contain protected health information

To request confidential communications from LIBERTY for any of the services listed above, please call Member Services or you can submit a request in writing by mail to the address below:

• By mail to:
     LIBERTY Dental Plan
     C/O Privacy Officer
     1730 Flight Way, #125, Tustin, CA 92782
• By email to: privacy@libertydentalplan.com
• By telephone to: LIBERTY’s Member Services at (888) 703-6999
• By TDD/TTY: (877) 855-8039