Appendix B MAGI Income Limits 133% of the Federal Poverty Income Guidelines

Effective 1/25/16

 

Persons

 

133% of FPIG's

 

 

Monthly

Annual

5% Disregard based on 100% FPIG's

1

$1,317.00

$15,801.00

$49.50

2

$1,776.00

$21,307.00

$66.75

3

$2,235.00

$26,813.00

$84.00

4

$2,694.00

$32,319.00

$101.25

5

$3,153.00

$37,826.00

$118.50

6

$3,611.00

$43,332.00

$135.75

7

$4,071.00

$48,851.00

$153.05

8

$4,532.00

$54,384.00

$170.40

Each Additional Person

$462.00

$5,533.00

$17.35

 

 

 

Effective 1/22/15

 

Persons

 

133% of FPIG's

 

 

Monthly

Annual

5% Disregard based on 100% FPIG's

1

$1,305.00

$15,655.00

$49.05

2

$1,766.00

$21,187.00

$66.40

3

$2,227.00

$26,720.00

$83.75

4

$2,688.00

$32,253.00

$101.05

5

$3,149.00

$37,786.00

$118.40

6

$3,610.00

$43,319.00

$135.75

7

$4,071.00

$48,851.00

$153.05

8

$4,532.00

$54,384.00

$170.40

Each Additional Person

$462.00

$5,533.00

$17.35

Updated May 25, 2016     Replacing February 2, 2016