| Zip Code | 92780 |
| Age | 47 |
| Spouse age | 47 |
| # Children | 4 |
| Blue Basic Dental PPO | 108.00 | Brochure | |
| Blue Enhanced Dental PPO | 202.00 | Brochure | |
| Prime Dental PPO Plan A | 90.10 | Brochure | |
| Prime Dental PPO Plan B | 138.75 | Brochure | |
| Prime Dental PPO Plan C | 175.25 | Brochure | |
| Dental Net 3000D DHMO | 52.20 | Brochure | |
| Blue View Vision Plan | 22.06 | Brochure | |
| Dental PPO | 186.30 | Brochure | |
| Dental PPO 50/1250 | 165.50 | Brochure | |
| Dental PPO 25/500 | 136.80 | Brochure | |
| Dental HMO | 110.80 | Brochure | |
| Dental Standard HMO | 58.50 | Brochure | |
| Duo Dental & Vision | 216.50 | Brochure | |
| Ultimate Vision 15/25/120 | 32.50 | Brochure | |
| Ultimate Vision 15/25/150 | 60.00 | Brochure | |