A Premium for Cases with Multiple Income Groups Examples

Programs Manual Section KidsCare MA1204A.3

The customer lives with and cares for the following children:

Her 15-year-old-daughter;

Her 6-year-old-niece (her brother’s daughter); and

Her 10-year-old-nephew (her sister’s son).

The customer makes $2,400.00 per month. She only claims her daughter on her taxes. Her niece receives $2,000 per month in SSDI. Her nephew receives $2,300 per month in SSDI.

The following table describes the income groups and total monthly income for the customer and the children she lives with:

Income Group Total Monthly Income Income Range The customer’s income group includes her and her daughter (household size of 2) $2,400.00 0 – 150% The niece’s income group only includes the niece (household size of 1) $2,000.00 151 – 175% The nephew’s income group only includes the nephew (household size of 1) $2,300.00 176 – 225%

Because the highest income level is at the 176 - 225% range and there are 2 or more eligible children in the case, the premium for all members in the case is $70.00 for the entire case.