Modal Agency, LLC

Nondiscrimination Policy, Language Assistance, and Grievance Procedure

Discrimination is Against the Law

Modal Agency, LLC complies with applicable federal and state civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of:

  • Race

  • Color

  • Ethnicity

  • National origin

  • Age

  • HIV status

  • Marital status

  • Sex (as defined by law and MoDal Agency LLC policy)

  • Sexual orientation

  • Gender identity or expression

  • Disability

  • Religion

  • Socioeconomic status or source of payment for services

  • Height

  • Weight

  • Veteran status

  • Association

  • Any other protected characteristic under applicable federal, state, or local law

 

Availability of Free Language Assistance and Auxiliary Aids and Services

Modal Agency, LLC provides free language services to people whose primary language is not English, which may include:

  • Qualified interpreters

  • Information written in other languages

Modal Agency, LLC also provides people with disabilities with reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as:

  • Qualified sign language interpreters

  • Written information in other formats (e.g., large print, audio, accessible electronic formats)

If you need reasonable modifications, auxiliary aids, or language assistance services, please contact us:

Phone: 616-726-6325
Email: ladom@modalinsuranceagency.com
Mail:
Modal Agency, LLC
Civil Rights Coordinator
2025 E Beltline SE, Suite 402, Grand Rapids, MI 49546

 

Filing a Grievance

If you believe that Modal Agency, LLChas failed to provide these services or has discriminated against you on the basis of any of the protected characteristics listed above, you can file a grievance in person, or by mail, phone, fax, or email.

Our Civil Rights Coordinator can answer questions and help you file a grievance:

Mail:
Civil Rights Coordinator
Modal Agency, LLC
2025 E Beltline SE, Suite 402, Grand Rapids, MI 49546

Phone: 616-726-6325
Email: ladom@modalinsuranceagency.com

 

You Can Also File a Civil Rights Complaint with the U.S. Department of Health and Human Services (HHS)

Mail:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

Phone: 800-368-1019 (TTY: 800-537-7697)

Online Complaint Form: https://www.hhs.gov/civil-rights/filing-a-complaint

 

Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
Last updated: August 2025