| Zip Code | 91392 |
| Age | 47 |
| # Children | 2 |
| Bronze Dental PPO | 75.60 | Brochure | |
| Silver Dental PPO | 119.25 | Brochure | |
| Gold Dental PPO | 152.25 | Brochure | |
| Platinum Dental PPO | 181.50 | Brochure | |
| Incentive Dental PPO | 173.25 | Brochure | |
| Dental Net 3000D DHMO | 52.20 | Brochure | |
| Blue View Vision Plan | 22.30 | Brochure | |
| Dental PPO | 119.70 | Brochure | |
| Dental PPO 50/1250 | 107.10 | Brochure | |
| Enhanced Dental PPO 50/2000 | 168.10 | Brochure | |
| Enhanced Dental PPO 50/2000 | 182.50 | Brochure | |
| Dental HMO | 70.50 | Brochure | |
| Dental Standard HMO | 38.90 | Brochure | |
| Duo Dental & Vision | 133.70 | Brochure | |
| Ultimate Vision 15/25/120 | 20.70 | Brochure | |
| Ultimate Vision 15/25/150 | 38.70 | Brochure | |