| Zip Code | 93313 |
| Age | 67 |
| # Children | 0 |
| Bronze Dental PPO | 28.25 | Brochure | |
| Silver Dental PPO | 44.55 | Brochure | |
| Gold Dental PPO | 56.85 | Brochure | |
| Platinum Dental PPO | 67.80 | Brochure | |
| Incentive Dental PPO | 64.70 | Brochure | |
| Dental Net 3000D DHMO | 16.06 | Brochure | |
| Blue View Vision Plan | 7.61 | Brochure | |
| Dental PPO | 46.20 | Brochure | |
| Dental PPO 50/1250 | 43.50 | Brochure | |
| Enhanced Dental PPO 50/2000 | 68.50 | Brochure | |
| Enhanced Dental PPO 50/2000 | 74.30 | Brochure | |
| Dental HMO | 25.90 | Brochure | |
| Dental Standard HMO | 15.50 | Brochure | |
| Duo Dental & Vision | 51.20 | Brochure | |
| Ultimate Vision 15/25/120 | 6.90 | Brochure | |
| Ultimate Vision 15/25/150 | 12.90 | Brochure | |