i was curious so i just went online and looked at my former civil service employer's open enrollment information for 2024 to see what it currently costs for an active employee's coverage w/ a spouse under the plan i had before i retired-
employee monthly share of premium-$5285.26

medical ONLY, vision and dental (LOUSY minimal coverage) tag on another $50.
so i guess on 'payday' the staff lines up and pays the employer (b/c between state and fed taxes, union dues and other mandatory deductions i imagine a good number are working a second job to pay for the first)