DOMINION NATIONAL IS A LEADING INSURER AND ADMINISTRATOR OF DENTAL AND VISION BENEFITS. We seek a better way to serve you, so you can focus on what makes you extraordinary and fulfilled.

Dominion values you as a customer and respects your right to privacy. The following privacy notices contain our commitment to you that the privacy of your health and financial information is protected. These notices will describe how Dominion protects, uses and discloses member health and financial information, as well as your rights concerning your health information. To access these notices, please use the links below.

Member Authorization Forms
Protected Health Information (PHI) Release Form for Dental Enrollees
Protected Health Information (PHI) Authorization Form for Vision Plan Enrollees 

Notices for Dental Plan Enrollees
Notice of Privacy Practices
Notice Concerning Financial Information


Notices for Vision Plan Enrollees
Notice of Privacy Practices
Notice Concerning Financial Information 
SLOA Notice of Privacy Practices

Notices for Dental and Vision Plan Enrollees
Notice of Privacy Practices
Protected Health Information (PHI) Authorization Form