| Zip Code | 90274 |
| Age | 58 |
| Spouse age | 57 |
| Dental Net 3000D DHMO | 32.12 | Brochure | |
| Dental PPO | 82.20 | Brochure | |
| Dental PPO 50/1250 | 77.00 | Brochure | |
| Dental PPO 25/500 | 63.00 | Brochure | |
| Dental HMO | 46.60 | Brochure | |
| Dental Standard HMO | 26.40 | Brochure | |
| Duo Dental & Vision | 95.00 | Brochure | |