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

$1,313
$1,770
$2,227
$2,684
$3,140
$3,597
$4,054
$4,511

$457

$15,755
$21,236
$26,717

$32,198
$37,679
$43,160
$48,641

$54,122

$5,481

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

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

$7,160
$10,750

* 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.