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A-03-2026

4 3,685 - 3,905 3,933 – 4,373 4,400 - 4,868 4,868 - 5,830 5 4,319 - 4,577 4,609 – 5,125 5,157 - 5,672 5,705 – 6,833 6 4,954– 5,250 5,287 - 5,878 5,915 – 6,507 6,544 – 7,838 7 5,588 - 5,921 5,963 - 6,630 6,672 – 7,339 7,381 – 8,840 8 6,222– 6,593 6,639 – 7,382 7,429 - 8172 8218 – 9,843 9 6,857 - 7,266 7,317 - 8,136 8,187 -9,006 9,057 - 10,848 10 7,491 - 7,938 7,994 - 8,888 8,944- 9,838 9,894 - 11,851

2026 AGI 5% FPL Income Disregard Family Size 5% Income Disregard 1 $67 2 $90 3 $114 4 $138 5 $161 6 $185 7 $209 8 $232 9 $256 10 $280 Delaware Healthy Children Program 2026 Countable Income Limits 212% FPL Family Size Monthly Income 1 $2,820 2 $3,824 3 $4,827 4 $5,830 5 $6.833 6 $7,838 7 $8,840 8 $9,843 9 $10,848 10 $11,851 Docusign Envelope ID: 4C24504D-3858-486F-8AB2-80022EC1F181