AIG Employee Choice Dental

About Dominion

Dominion Dental Services, Inc. (DOMINION) is a dental benefits corporation headquartered in Alexandria, Virginia and operational in the Mid-Atlantic States of Virginia, Maryland, Delaware, Pennsylvania, and New Jersey. The Company is independently owned and managed.

Dental benefits are DOMINION'S only business. DOMINION provides PPO, DHMO, and traditional indemnity dental programs to individuals, associations and employer groups. ASO services are also available to self-funded groups.

DOMINION currently maintains active DHMO and PPO networks of over 1,600 dentists in five states and the District of Columbia. Our full-time recruitment staff ensures that these networks are continually growing. The DOMINION standard for member access is a minimum of 2 DHMO providers within 12 miles, and 2 PPO providers within 8 miles of subscriber's homes.

Dentist Search

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Dominion Plan Descriptions

Plan 503X Benefit Description
Description of plan.
Plan 505X Benefit Description
Description of plan.
Plan 505X General Information
Description of plan.
Plan 507X Benefit Description
Description of plan.
Plan 507X General Information
Description of plan.

dominion Forms

Employee Application
Please use the employee enrollment form to add a new employee to your plan. This form is also used when an employee is adding on a family member or changing their coverage. You can submit a new enrollment via fax or email.
FAX: (310) 391.6534 or Email
customerservice@employeechoicedental.com.
Cobra (for 20 or more Employees)
Do you have an employee that is leaving the company and wants to keep their coverage? If so, please submit this application to us and we will extend the employee’s coverage per federal guidelines. Please note that the employee will stay on your bill, so you are responsible for billing and collecting premium for that person directly.
Domestic Partner Form
Form for Domestic Partner Certification.
Privacy Policy
Dominion Privacy Policy statement.