| Zip Code | |
| Age | 2024 |
| Spouse age | 33 |
| Bronze Dental PPO | 53.45 | Brochure | |
| Silver Dental PPO | 84.30 | Brochure | |
| Gold Dental PPO | 107.60 | Brochure | |
| Platinum Dental PPO | 128.30 | Brochure | |
| Incentive Dental PPO | 122.45 | Brochure | |
| Blue View Vision Plan | 13.31 | Brochure | |
| Dental PPO | 98.40 | Brochure | |
| Dental PPO 50/2000 | 113.60 | Brochure | |
| Enhanced Dental PPO 50/2000 | 144.60 | Brochure | |
| Enhanced Dental PPO 50/2000 | 157.00 | Brochure | |
| Dental HMO | 54.80 | Brochure | |
| Dental Standard HMO | 32.80 | Brochure | |
| Duo Dental & Vision | 108.40 | Brochure | |
| Ultimate Vision 15/25/120 | 13.80 | Brochure | |
| Ultimate Vision 15/25/150 | 25.80 | Brochure | |