AIG Employee Choice Dental

About GoldenWest

Founded in 1975 by a group of dentists and health care professionals, Golden West Dental & Vision is dedicated to providing you with stable, quality dental & vision benefits. Our objective is to bring you and your family to a good level of dental health and maintenance. Because preventive and basic services are provided at little or no cost, you are encouraged to maintain excellent oral health. If you should require additional services, significant discounts are given by our quality private practice dentists.

Each participating dental office has been inspected by an Independent Dental Consultant and meets our high standards of care. Dentists must be licensed and have completed very specific credentialing criteria prior to becoming a member of our prestigious panel. Quality Assurance reviews are conducted on a regular basis to ensure the dental office continues to meet professionally recognized standards of care.

When you join one of our plans, we want you to know that we are committed to providing you with exceptional plans at reasonable costs!

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GoldenWest Plan Descriptions

Preferred Choice Plan
Description of plan.
Premium Advantage Plan
Description of plan.
89L3 Dental Plan
Description of plan.
Cosmetic Elective Benefit Rider
Description of plan.
89E - OR4
Description of plan.
PrePaid Shell Plan
Description of plan.
Limitations and Exclusions
Description of plan's limitations and exclusions.

GoldenWest 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.
Cal Cobra (California Only)
This form is used for employees who wish to continue their group coverage and have either exhausted all applicable COBRA benefits or who work for firms with less than 20 employees. When filling out this form the employee must make sure to sign and date as well as send the first six months payment. Once this form has been processed, a new account is created for the former employee and we bill them directly at their home address. Kelsey National Corporation charges a 10% fee for the administration of CAL-COBRA accounts.
Domestic Partner Form
Form for Domestic Partner Certification.
Privacy Policy
GoldenWest Privacy Policy.