| Zip Code | 93238 |
| Age | 77 |
| Spouse age | 76 |
| # Children | 0 |
| Bronze Dental PPO | 56.50 | Brochure | |
| Silver Dental PPO | 89.10 | Brochure | |
| Gold Dental PPO | 113.70 | Brochure | |
| Platinum Dental PPO | 135.60 | Brochure | |
| Incentive Dental PPO | 129.40 | Brochure | |
| Dental Net 3000D DHMO | 32.12 | Brochure | |
| Blue View Vision Plan | 13.31 | Brochure | |
| Dental PPO | 89.00 | Brochure | |
| Dental PPO 50/1250 | 83.80 | Brochure | |
| Enhanced Dental PPO 50/2000 | 131.80 | Brochure | |
| Enhanced Dental PPO 50/2000 | 143.00 | Brochure | |
| Dental HMO | 49.80 | Brochure | |
| Dental Standard HMO | 29.80 | Brochure | |
| Duo Dental & Vision | 99.00 | Brochure | |
| Ultimate Vision 15/25/120 | 13.80 | Brochure | |
| Ultimate Vision 15/25/150 | 25.80 | Brochure | |