| Zip Code | 94590 |
| Age | 39 |
| Dental Net 3000D DHMO | 16.06 | Brochure | |
| Dental PPO | 46.20 | Brochure | |
| Dental PPO 50/1250 | 43.50 | Brochure | |
| Enhanced Dental PPO 50/2000 | 68.50 | Brochure | |
| Enhanced Dental PPO 50/2000 | 74.30 | Brochure | |
| Dental HMO | 33.40 | Brochure | |
| Dental Standard HMO | 19.80 | Brochure | |
| Duo Dental & Vision | 51.20 | Brochure | |
| Ultimate Vision 15/25/120 | 6.90 | Brochure | |
| Ultimate Vision 15/25/150 | 12.90 | Brochure | |