| EMPLOYEE STATUS AND COVERAGE | EMPLOYER MEDICAL | EMPLOYER DENTAL | TOTAL | OBJECT CODE |
|---|---|---|---|---|
| Full-time Single Employee | $254.84 | $16.28 | $271.12 | 1X95 |
| Part-time Single Employee | $203.95 | $12.01 | $215.96 | 1X95 |
| Full-time Employee, Dependent Coverage | $118.56 | $6.92 | $125.48 | 1X75 |
| Part-time Employee, Dependent Coverage | $93.16 | $6.06 | $99.22 | 1X75 |