| Zip Code | 91423 |
| Age | 15 |
| Blue Basic Dental PPO | 28.00 | Brochure | |
| Blue Enhanced Dental PPO | 61.00 | Brochure | |
| Prime Dental PPO Plan A | 28.85 | Brochure | |
| Prime Dental PPO Plan B | 44.60 | Brochure | |
| Prime Dental PPO Plan C | 56.35 | Brochure | |
| Dental Net 3000D DHMO | 16.06 | Brochure | |
| Blue View Vision Plan | 7.88 | Brochure | |
| Dental PPO | 34.70 | Brochure | |
| Dental PPO 50/1250 | 29.50 | Brochure | |
| Dental PPO 25/500 | 24.60 | Brochure | |
| Dental HMO | 21.40 | Brochure | |
| Dental Standard HMO | 10.70 | Brochure | |
| Duo Dental & Vision | 40.50 | Brochure | |
| Ultimate Vision 15/25/120 | 6.50 | Brochure | |
| Ultimate Vision 15/25/150 | 12.00 | Brochure | |