| Zip Code | 94208 |
| Age | 54 |
| Bronze Dental PPO | 25.20 | Brochure | |
| Silver Dental PPO | 39.75 | Brochure | |
| Gold Dental PPO | 50.75 | Brochure | |
| Platinum Dental PPO | 60.50 | Brochure | |
| Incentive Dental PPO | 57.75 | Brochure | |
| Dental Net 3000D DHMO | 16.06 | Brochure | |
| Blue View Vision Plan | 7.81 | Brochure | |
| Dental PPO | 44.50 | Brochure | |
| Dental PPO 50/1250 | 41.90 | Brochure | |
| Enhanced Dental PPO 50/2000 | 65.90 | Brochure | |
| Enhanced Dental PPO 50/2000 | 71.50 | Brochure | |
| Dental HMO | 24.90 | Brochure | |
| Dental Standard HMO | 14.90 | Brochure | |
| Duo Dental & Vision | 49.50 | Brochure | |
| Ultimate Vision 15/25/120 | 6.90 | Brochure | |
| Ultimate Vision 15/25/150 | 12.90 | Brochure | |