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Income Guidelines
Use the chart below to determine which premium category you are in, based on your gross household income.
Depending on how much you earn and the size of your family, coverage may cost very little, in some cases nothing at all. Use the chart below to determine which premium category you are in, based on your gross household income
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MONTHLY INCOME FOR FAMILY SIZE
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Family Contributions
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1
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2
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3
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4
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5
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6
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7
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8
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Each Add'l Person Add
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| Free Insurance |
$1,443
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$1,942
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$2,441
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$2,939
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$3,438
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$3,937
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$4,435
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$4,934
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$499
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$9 Per Child Per Month
(Max of $27 per family) |
$2,004
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$2,696
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$3,388
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$4,080
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$4,772
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$5,464
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$6,155
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$6,847
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$692
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$15 Per Child Per Month
(Max of $45 per family) |
$2,257
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$3,036
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$3,815
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$4,594
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$5,373
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$6,153
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$6,932
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$7,711
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$780
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$30 Per Child Per Month
(Max of $90 per family) |
$2,708
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$3,643
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$4,578
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$5,513
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$6,448
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$7,383
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$8,318
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$9,253
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$935
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$45 Per Child Per Month
(Max of $135 per family) |
$3,159
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$4,250
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$5,341
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$6,432
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$7,523
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$8,613
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$9,704
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$10,795
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$1,091
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$60 Per Child Per Month
(Max of $180 per family) |
$3,610
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$4,857
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$6,104
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$7,350
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$8,597
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$9,844
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$11,090
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$12,337
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$1,247
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| Full Premium Per Child Per Month |
Over $3,610
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Over
$4,857
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Over $6,104
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Over $7,350
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Over $8,597
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Over $9,844
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Over
$11,090
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Over
$12,337
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*This chart is effective 1/1/10 and is subject to income updates by New York State. |