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United Concordia is committed to protecting our memberís privacy in accordance with all applicable federal and state laws.

If you want more information about our privacy practices or have questions or concerns, you can contact us using this email form.

This form should be used if you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your protected health information, or in response to a request you made to amend or restrict the use or disclosure of your protected health information or to have us communicate with you in confidence by alternative means or at an alternative location, you may complain to us using this email form.

Please be sure to complete the required information so that we may respond to you. We will respond by email unless you request us to respond by fax, phone, or mail and provide us with the necessary information to do so.

Enter your questions, concerns, or complaints in the space provided below:

Comments Box:

Tell us about yourself:
  Your Name (required)
  Identification Number (required)
  Email Address (required)
  Daytime Telephone
  Fax Number
  Address
  City
  State
  Zip