Appendix C: Qualifying Person (QI-1S)

Income Limits - 135% of the Federal Poverty Guidelines **

Effective 1/26/17

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,357.00

$1,827.00

$2,298.00

$2,768.00

$3,238.00

$3,708.00

$4,179.00

$4,649.00

 

 

$471.00

$16,281.00

$21,924.00

$27,567.00

$33,210.00

$38,853.00

$44,496.00

$50,139.00

$55,782.00

 

 

$5,643.00

 

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

              **The income limit for QI-1's is at least 120% but less than 135%.  

                See chapter 388, Appendix B, Buy-In Desk Guide for additional information.

 

Income  Limits - 135% of the Federal Poverty Guidelines  **

Effective 1/25/16

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,337.00

$1,803.00

$2,268.00

$2,734.00

$3,200.00

$3,666.00

$4,133.00

$4,601.00

 

 

$468.00

$16,038.00

$21,627.00

$27,216.00

$32,805.00

$38,394.00

$43,983.00

$49,586.00

$55,202.00

 

 

$5,616.00

 

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

**The income limit for QI-1's is at least 120% but less than 135%.

 

Resource Limits  Effective 1/1/2017

Family Size*

Resource Limit

1 person
2 or more

$7,390
$11,090

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

 

 

Resource Limits  Effective 1/1/2016

Family Size*

Resource Limit

1 person
2 or more

$7,280
$10,930

 

 

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

 

 

Updated March 1, 2017,  Replacing January 4, 2017