| Zip Code | 92886 |
| Age | 2020 |
| Spouse age | 46 |
| # Children | 2 |
| Blue Basic Dental PPO | 108.00 | Brochure | |
| Blue Enhanced Dental PPO | 202.00 | Brochure | |
| Prime Dental PPO Plan A | 93.70 | Brochure | |
| Prime Dental PPO Plan B | 148.45 | Brochure | |
| Prime Dental PPO Plan C | 199.80 | Brochure | |
| Dental Net 3000D DHMO | 52.20 | Brochure | |
| Blue View Vision Plan | 22.06 | Brochure | |
| Dental PPO | 151.60 | Brochure | |
| Dental PPO 50/1250 | 136.00 | Brochure | |
| Dental PPO 25/500 | 112.20 | Brochure | |
| Dental HMO | 89.40 | Brochure | |
| Dental Standard HMO | 47.80 | Brochure | |
| Duo Dental & Vision | 176.00 | Brochure | |
| Ultimate Vision 15/25/120 | 26.00 | Brochure | |
| Ultimate Vision 15/25/150 | 48.00 | Brochure | |