| Zip Code | 90211 |
| Age | 19 |
| Dental Net 3000D DHMO | 16.06 | Brochure | |
| Dental PPO | 39.10 | Brochure | |
| Dental PPO 50/1250 | 33.90 | Brochure | |
| Enhanced Dental PPO 50/2000 | 53.10 | Brochure | |
| Enhanced Dental PPO 50/2000 | 57.70 | Brochure | |
| Dental HMO | 23.70 | Brochure | |
| Dental Standard HMO | 12.50 | Brochure | |
| Duo Dental & Vision | 43.50 | Brochure | |
| Ultimate Vision 15/25/120 | 6.90 | Brochure | |
| Ultimate Vision 15/25/150 | 12.90 | Brochure | |