2) The health insurance premium supplement is less than the total premium paid.

A pay stub from Arizona State Retirement System (ASRS) shows:

$1200 gross monthly income;

$100 of the gross amount is for a health insurance premium supplement; AND

$300 is deducted for a health insurance premium.

$1200 (Gross income) - $100 (health insurance supplement) = $1100.00 countable income.

NOTE For ALTCS, only $200 would be allowed as a share of cost deduction because it is the amount the customer actually pays for the premium.