Appendix C: Qualifying Person (QI-1S)

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

Effective 1/11/19

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,406.00

$1,903.00

$2,400.00

$2,897.00

$3,395.00

$3,892.00

$4,389.00

$4,886.00

 

$498.00

$16,862.00

$22,829.00

$28,796.00

$34,763.00

$40,730.00

$46,697.00

$52,664.00

$58,631.00

 

$5,967.00

 

*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 1/13/18

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,366.00

$1,852.00

$2,338.00

$2,824.00

$3,310.00

$3,796.00

$4,282.00

$4,768.00

 

$486.00

$16,389.00

$22,221.00

$28,053.00

$33,885.00

$39,717.00

$45,549.00

$51,381.00

$57,213.00

 

$5,832.00

 

*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 1/26/17

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%.

 

Resource Limits  Effective 1/1/2019

Family Size*

Resource Limit

1 person
2 or more

$7,730
$11,600

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

 

 

Resource Limits  Effective 1/1/2018

Family Size*

Resource Limit

1 person
2 or more

$7,560
$11,340

 

 

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

 

 

Updated February 01, 2019, Replacing November 29, 2018