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Family Income and Contribution Schedule Revised February 21, 2022 State of Alaska Department of Health Division of Public Assistance Child Care Program Office AK State Median Income by Family Size l2015 - 2D19 ACS Estimates\ $12 228 $12488 $12 749 $13 009 $13 269 $13 529 $13 7 89 Percent SM/ 1% Percent Copay 1% 9p Gross Income $122 9p Copay Amt $1 10p Gross Income $125 10p Copay Amt $1 11p Gross Income $127 11p Copay Amt $1 12p Gross Income $130 12p Copay Amt $1 13p Gross Income $133 13p Copay Amt $1 14p Gross Income $135 14p Copay Amt $1 15p Gross Income $138 15p Copay Amt $1 2% 1% $245 $2 $250 $3 $255 $3 $260 $3 $265 $3 $271 $3 $276 $3 3% 1% $367 $4 $375 $4 $382 $4 $390 $4 $398 $4 $406 $4 $414 $4 4% 1% $489 $5 $500 $5 $510 $5 $520 $5 $531 $5 $541 $5 $552 $6 5% 1% $611 $6 $624 $6 $637 $6 $650 $7 $663 $7 $676 $7 $689 $7 6% 1% $734 $7 $749 $7 $765 $8 $781 $8 $796 $8 $812 $8 $827 $8 7% 1% $856 $9 $874 $9 $892 $9 $911 $9 $929 $9 $947 $9 $965 $10 8% 1% $978 $10 $999 $10 $1,020 $10 $1,041 $10 $1,062 $11 $1,082 $11 $1,103 $11 9% 2% $1 101 $22 $1 124 $22 $1 147 $23 $1 171 $23 $1,194 $24 $1 218 $24 $1,241 $25 10% 2% $1,223 $24 $1,249 $25 $1,275 $26 $1,301 $26 $1,327 $27 $1,353 $27 $1,379 $28 11% 2% $1 345 $27 $1 374 $27 $1 402 $28 $1 431 $29 $1 460 $29 $1 488 $30 $1517 $30 12% 2% $1 467 $29 $1 499 $30 $1 530 $31 $1 561 $31 $1 592 $32 $1 623 $32 $1 655 $33 13% 2% $1 590 $32 $1 623 $32 $1 657 $33 $1 691 $34 $1 725 $35 $1 759 $35 $1 793 $36 14% 2% $1 712 $34 $1 748 $35 $1 785 $36 $1 821 $36 $1 858 $37 $1 894 $38 $1 930 $39 15% 2% $1 834 $37 $1 873 $37 $1 912 $38 $1 951 $39 $1 990 $40 $2 029 $41 $2 068 $41 16% 2% $1 956 $39 $1 998 $40 $2 040 $41 $2 081 $42 $2 123 $42 $2 165 $43 $2 206 $44 17% 2% $2 079 $42 $2 123 $42 $2 167 $43 $2 212 $44 $2 256 $45 $2 300 $46 $2 344 $47 18% 3% $2,201 $66 $2,248 $67 $2 295 $69 $2 342 $70 $2 388 $72 $2 435 $73 $2 482 $74 19% 3% $2,323 $70 $2,373 $71 $2,422 $73 $2,472 $74 $2,521 $76 $2,571 $77 $2,620 $79 20% 3% $2 446 $73 $2 498 $75 $2,550 $77 $2 602 $78 $2,654 $80 $2 706 $81 $2,758 $83 21% 3% $2,568 $77 $2,622 $79 $2,677 $80 $2,732 $82 $2,786 $84 $2,841 $85 $2,896 $87 22% 3% $2 690 $81 $2 747 $82 $2 805 $84 $2 862 $86 $2 919 $88 $2 976 $89 $3 034 $91 23% 3% $2,812 $84 $2,872 $86 $2,932 $88 $2,992 $90 $3,052 $92 $3,112 $93 $3,171 $95 24% 3% $2 935 $88 $2 997 $90 $3 060 $92 $3 122 $94 $3 185 $96 $3 247 $97 $3 309 $99 25% 3% $3 057 $92 $3 122 $94 $3 187 $96 $3 252 $98 $3 317 $100 $3 382 $101 $3 447 $103 26% 4% $3 179 $127 $3 247 $130 $3 315 $133 $3 382 $135 $3 450 $138 $3 518 $141 $3 585 $143 27% 4% $3 302 $132 $3 372 $135 $3 442 $138 $3 512 $140 $3 583 $143 $3 653 $146 $3 723 $149 28% 4% $3 424 $137 $3 497 $140 $3 570 $143 $3 643 $146 $3 715 $149 $3 788 $152 $3 861 $154 29% 4% $3 546 $142 $3 622 $145 $3 697 $148 $3 773 $151 $3 848 $154 $3 923 $157 $3 999 $160 30% 4% $3 668 $147 $3 746 $150 $3 825 $153 $3 903 $156 $3 981 $159 $4 059 $162 $4 137 $165 31% 4% $3 791 $152 $3 871 $155 $3 952 $158 $4 033 $161 $4 113 $165 $4 194 $168 $4 275 $171 32% 4% $3,913 $157 $3,996 $160 $4,080 $163 $4,163 $167 $4,246 $170 $4,329 $173 $4,412 $176 33% 4% $4,035 $161 $4 121 $165 $4,207 $168 $4 293 $172 $4,379 $175 $4 465 $179 $4,550 $182 34% 4% $4,158 $166 $4,246 $170 $4,335 $173 $4,423 $177 $4,511 $180 $4,600 $184 $4,688 $188 35% 5% $4 280 $214 $4 371 $219 $4,462 $223 $4 553 $228 $4,644 $232 $4 735 $237 $4,826 $241 36% 5% $4,402 $220 $4,496 $225 $4,590 $230 $4,683 $234 $4,777 $239 $4,870 $244 $4,964 $248 37% 5% $4 524 $226 $4 621 $231 $4 717 $236 $4 813 $241 $4 910 $246 $5 006 $250 $5 102 $255 38% 5% $4 647 $232 $4 745 $237 $4 845 $242 $4 943 $247 $5 042 $252 $5 141 $257 $5 240 $262 39% 5% $4 769 $238 $4 870 $244 $4 972 $249 $5 074 $254 $5 175 $259 $5 276 $264 $5 378 $269 40% 5% $4 891 $245 $4 995 $250 $5 100 $255 $5 204 $260 $5 308 $265 $5 412 $271 $5 516 $276 41% 5% $5 013 $251 $5 120 $256 $5 227 $261 $5 334 $267 $5 440 $272 $5 547 $277 $5 653 $283 42% 5% $5 136 $257 $5 245 $262 $5 355 $268 $5 464 $273 $5 573 $279 $5 682 $284 $5 791 $290 43% 6% $5 258 $315 $5 370 $322 $5 482 $329 $5 594 $336 $5 706 $342 $5 817 $349 $5 929 $356 44% 6% $5 380 $323 $5 495 $330 $5 610 $337 $5 724 $343 $5 838 $350 $5 953 $357 $6 067 $364 45% 6% $5 503 $330 $5 620 $337 $5 737 $344 $5 854 $351 $5 971 $358 $6 088 $365 $6 205 $372 46% 6% $5,625 $338 $5 744 $345 $5,865 $352 $5 984 $359 $6,104 $366 $6 223 $373 $6,343 $381 47% 6% $5,747 $345 $5,869 $352 $5,992 $360 $6,114 $367 $6,236 $374 $6,359 $382 $6,481 $389 48% 6% $5 869 $352 $5 994 $360 $6 120 $367 $6 244 $375 $6 369 $382 $6 494 $390 $6 619 $397 49% 6% $5,992 $360 $6,119 $367 $6,247 $375 $6,374 $382 $6,502 $390 $6,629 $398 $6,757 $405 50% 6% $6 114 $367 $6 244 $375 $6 375 $383 $6 505 $390 $6 635 $398 $6 765 $406 $6 895 $414 51% 6% $6,236 $374 $6,369 $382 $6,502 $390 $6,635 $398 $6,767 $406 $6,900 $414 $7,032 $422 52% 7% $6 359 $445 $6 494 $455 $6 629 $464 $6 765 $474 $6 900 $483 $7 035 $492 $7 170 $502 53% 7% $6 481 $454 $6 619 $463 $6 757 $473 $6 895 $483 $7 033 $492 $7 170 $502 $7 308 $512 54% 7% $6 603 $462 $6 744 $472 $6 884 $482 $7 025 $492 $7 165 $502 $7 306 $511 $7 446 $521 55% 7% $6 725 $471 $6 868 $481 $7 012 $491 $7 155 $501 $7 298 $511 $7 441 $521 $7 584 $531 56% 7% $6 848 $479 $6 993 $490 $7 139 $500 $7 285 $510 $7 431 $520 $7 576 $530 $7 722 $541 57% 7% $6 970 $488 $7 118 $498 $7 267 $509 $7 415 $519 $7 563 $529 $7 712 $540 $7 860 $550 58% 7% $7 092 $496 $7 243 $507 $7 394 $518 $7 545 $528 $7 696 $539 $7 847 $549 $7 998 $560 59% 60% 7% 7% $7,215 $7,337 $505 $514 $7,368 $7,493 $516 $525 $7,522 $7,649 $527 $535 $7,675 $7,805 $537 $546 $7,829 $7,961 $548 $557 $7 982 $8,117 $559 $568 $8,136 $8,273 $570 $579 61% 8% $7 459 $597 $7 618 $609 $7,777 $622 $7 935 $635 $8,094 $648 $8 253 $660 $8,411 $673 62% 8% $7,581 $606 $7,743 $619 $7,904 $632 $8,066 $645 $8,227 $658 $8,388 $671 $8,549 $684 63% 8% $7 704 $616 $7 867 $629 $8,032 $643 $8 196 $656 $8,359 $669 $8 523 $682 $8,687 $695 64% 8% $7,826 $626 $7,992 $639 $8,159 $653 $8,326 $666 $8,492 $679 $8,659 $693 $8,825 $706 65% 8% $7 948 $636 $8 117 $649 $8 287 $663 $8 456 $676 $8,625 $690 $8 794 $704 $8,963 $717 66% 8% $8,070 $646 $8,242 $659 $8,414 $673 $8,586 $687 $8,758 $701 $8,929 $714 $9,101 $728 67% 8% $8 193 $655 $8 367 $669 $8 542 $683 $8 716 $697 $8 890 $711 $9 064 $725 $9 239 $739 68% 8% $8 315 $665 $8 492 $679 $8 669 $694 $8 846 $708 $9 023 $722 $9 200 $736 $9 377 $750 69% 8% $8 437 $675 $8 617 $689 $8 797 $704 $8 976 $718 $9 156 $732 $9 335 $747 $9 514 $761 70% 8% $8 560 $685 $8 742 $699 $8 924 $714 $9 106 $728 $9 288 $743 $9 470 $758 $9 652 $772 71% 8% $8 682 $695 $8 866 $709 $9 052 $724 $9 236 $739 $9 421 $754 $9 606 $768 $9 790 $783 72% 8% $8 804 $704 $8 991 $719 $9 179 $734 $9 366 $749 $9 554 $764 $9 741 $779 $9 928 $794 73% 9% $8,926 $803 $9,116 $820 $9,307 $838 $9,497 $855 $9,686 $872 $9,876 $889 $10,066 $906 74% 9% $9,049 $814 $9 241 $832 $9 434 $849 $9 627 $866 $9 819 $884 $10 011 $901 $10 204 $918 75% 9% $9,171 $825 $9,366 $843 $9,562 $861 $9,757 $878 $9,952 $896 $10,147 $913 $10,342 $931 76% 9% $9 293 $836 $9 491 $854 $9 689 $872 $9 887 $890 $10 084 $908 $10 282 $925 $10 480 $943 77% 9% $9,416 $847 $9,616 $865 $9,817 $884 $10,017 $902 $10,217 $920 $10,417 $938 $10,618 $956 78% 9% $9 538 $858 $9 741 $877 $9 944 $895 $10 147 $913 $10 350 $932 $10 553 $950 $10 755 $968 79% 9% $9 660 $869 $9 866 $888 $10 072 $906 $10 277 $925 $10 483 $943 $10 688 $962 $10 893 $980 80% 9% $9 782 $880 $9 990 $899 $10 199 $918 $10 407 $937 $10 615 $955 $10 823 $974 $11 031 $993 81% 9% $9 905 $891 $10 115 $910 $10 327 $929 $10 537 $948 $10 748 $967 $10 958 $986 $11169 $1 005 82% 9% $10 027 $902 $10 240 $922 $10 454 $941 $10 667 $960 $10 881 $979 $11 094 $998 $11 307 $1 018 83% 9% $10 149 $913 $10 365 $933 $10 582 $952 $10 797 $972 $11 013 $991 $11 229 $1 011 $11 445 $1 030 84% 9% $10 272 $924 $10 490 $944 $10 709 $964 $10 928 $984 $11 146 $1 003 $11 364 $1 023 $11 583 $1 042 85% 9% $10 394 $935 $10 615 $955 $10 837 $975 $11 058 $995 $11 279 $1 015 $11 500 $1 035 $11 721 $1 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