Appendix C: Qualifying Person (QI-1S)

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

Effective 1/13/2024

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,695.00

$2,300.00

$2,905.00

$3,510.00

$4,116.00

$4,721.00

$5,326.00

$5,931.00

 

 $606.00

$20,331.00

$27,594.00

$34,857.00

$42,120.00

$49,383.00

$56,646.00

$63,909.00

$71,172.00

 

 $7,263.00

*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 1/13/2023

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,641.00

$2,219.00

$2,797.00

$3,375.00

$3,954.00

$4,532.00

$5,110.00

$5,688.00

 

 $579.00

$19,683.00

$26,622.00

$33,561.00

$40,500.00

$47,439.00

$54,378.00

$61,317.00

$68,256.00

 

 $6,939.00

 

*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 1/13/2022

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,529.00

$2,060.00

$2,591.00

$3,122.00

$3,653.00

$4,184.00

$4,715.00

$5,246.00

 

 $531.00

$18,347.00

$24,719.00

$31,091.00

$37,463.00

$43,835.00

$50,207.00

$56,579.00

$62,951.00

 

 $6,372.00

 

*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 1/13/2021

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,449.00

$1,960.00

$2,471.00

$2,982.00

$3,492.00

$4,003.00

$4,514.00

$5,025.00

 

 $511.00

$17,388.00

$23,517.00

$29,646.00

$35,775.00

$41,904.00

$48,033.00

$54,162.00

$60,291.00

 

 $6,129.00

 

*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.

Resource Limits  Effective 1/1/2024

Family Size*

Resource Limit

1 person
2 or more

$9,430
$14,130

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

 

Resource Limits  Effective 1/1/2023

Family Size*

Resource Limit

1 person
2 or more

$9,090
$13,630

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

 

 

 

Updated February 8, 2024, Replacing December 21, 2023