| Zip Code | 92867 |
| Age | 44 |
| Spouse age | 45 |
| # Children | 2 |
| Bronze Dental PPO | 100.80 | Brochure | |
| Silver Dental PPO | 159.00 | Brochure | |
| Gold Dental PPO | 203.00 | Brochure | |
| Platinum Dental PPO | 242.00 | Brochure | |
| Incentive Dental PPO | 231.00 | Brochure | |
| Dental Net 3000D DHMO | 52.20 | Brochure | |
| Blue View Vision Plan | 22.30 | Brochure | |