Appendix C: Qualifying Person (QI-1S)

Family Size*

Monthly Limits

Annual Limit

QI-1
135%

QI-1
135%

1
2
3
4
5
6
7
8

Each additional person

$1,293
$1,745
$2,198
$2,650
$3,102
$3,554
$4,007
$4,459

$453

$15,512
$20,939
$26,366
$31,793
$37,220
$42,647
$48,074
$53,501

$5,427

* Count each individual, including unborn children, who is included in the Healthy Horizons family.

Family Size*

Resource Limit

1 person
2 or more

$6,940
$10,410

* Use the two-person limit when the Healthy Horizons family includes more than one individual, including unborn children.

Family Size*

Resource Limit

1 person
2 or more

$7,080
$10,620

* Use the two-person limit when the Healthy Horizons family includes more than one individual, including unborn children.