| Zip Code | 92651 |
| Age | 55 |
| Spouse age | 60 |
| # Children | 1 |
| Blue Basic Dental PPO | 101.00 | Brochure | |
| Blue Enhanced Dental PPO | 188.00 | 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 | 116.90 | Brochure | |
| Dental PPO 50/1250 | 106.50 | Brochure | |
| Dental PPO 25/500 | 87.60 | Brochure | |
| Dental HMO | 68.00 | Brochure | |
| Dental Standard HMO | 37.10 | Brochure | |
| Duo Dental & Vision | 135.50 | Brochure | |
| Ultimate Vision 15/25/120 | 19.50 | Brochure | |
| Ultimate Vision 15/25/150 | 36.00 | Brochure | |