| Zip Code | 94402 |
| Age | 56 |
| Spouse age | 56 |
| # Children | 2 |
| Bronze Dental PPO | 100.80 | Brochure | |
| Silver Dental PPO | 159.00 | Brochure | |
| Gold Dental PPO | 203.00 | Brochure | |
| Platinum Dental PPO | 242.00 | Brochure | |
| Incentive Dental PPO | 231.00 | Brochure | |
| Dental Net 3000D DHMO | 52.20 | Brochure | |
| Blue View Vision Plan | 21.30 | Brochure | |
| Dental PPO | 181.80 | Brochure | |
| Dental PPO 50/2000 | 209.60 | Brochure | |
| Enhanced Dental PPO 50/2000 | 256.80 | Brochure | |
| Enhanced Dental PPO 50/2000 | 278.80 | Brochure | |
| Dental HMO | 104.80 | Brochure | |
| Dental Standard HMO | 59.20 | Brochure | |
| Duo Dental & Vision | 200.40 | Brochure | |
| Ultimate Vision 15/25/120 | 27.60 | Brochure | |
| Ultimate Vision 15/25/150 | 51.60 | Brochure | |