| Zip Code | 94903 |
| Age | 33 |
| Blue Basic Dental PPO | 26.00 | Brochure | |
| Blue Enhanced Dental PPO | 50.00 | Brochure | |
| Prime Dental PPO Plan A | 32.30 | Brochure | |
| Prime Dental PPO Plan B | 49.75 | Brochure | |
| Prime Dental PPO Plan C | 62.85 | Brochure | |
| Dental Net 3000D DHMO | 16.06 | Brochure | |
| Blue View Vision Plan | 7.88 | Brochure | |
| Dental PPO | 41.10 | Brochure | |
| Dental PPO 50/1250 | 38.50 | Brochure | |
| Dental PPO 25/500 | 31.50 | Brochure | |
| Duo Dental & Vision | 47.50 | Brochure | |
| Ultimate Vision 15/25/120 | 6.50 | Brochure | |
| Ultimate Vision 15/25/150 | 12.00 | Brochure | |