| Zip Code | |
| Age | 33 |
| Blue Basic Dental PPO | Brochure | | |
| Blue Enhanced Dental PPO | Brochure | | |
| Prime Dental PPO Plan A | 0.00 | Brochure | |
| Prime Dental PPO Plan B | 0.00 | Brochure | |
| Prime Dental PPO Plan C | 0.00 | Brochure | |
| Blue View Vision Plan | 7.88 | Brochure | |
| Dental PPO | 44.50 | Brochure | |
| Dental PPO 50/1250 | 41.90 | Brochure | |
| Dental PPO 25/500 | 550.00 | Brochure | |
| Enhanced Dental PPO 50/2000 | 0.00 | Brochure | |
| Dental HMO | 24.90 | Brochure | |
| Dental Standard HMO | 14.90 | Brochure | |
| Duo Dental & Vision | 49.50 | Brochure | |
| Ultimate Vision 15/25/120 | 6.90 | Brochure | |
| Ultimate Vision 15/25/150 | 12.90 | Brochure | |