| Zip Code | 95677 |
| Age | 35 |
| # Children | 1 |
| Dental Net 3000D DHMO | 32.12 | Brochure | |
| Dental PPO | 85.30 | Brochure | |
| Dental PPO 50/1250 | 77.40 | Brochure | |
| Enhanced Dental PPO 50/2000 | 121.60 | Brochure | |
| Enhanced Dental PPO 50/2000 | 132.00 | Brochure | |
| Dental HMO | 49.60 | Brochure | |
| Dental Standard HMO | 28.00 | Brochure | |
| Duo Dental & Vision | 94.70 | Brochure | |
| Ultimate Vision 15/25/120 | 13.80 | Brochure | |
| Ultimate Vision 15/25/150 | 25.80 | Brochure | |