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IL444-3455B DEC Rev 06.26 Important Parent Co-payment Information State of Illinois Department of Human Services IMPORTANT PARENT CO-PAYMENT INFORMATION Page 5 of 7 Printed by Authority of the State of Illinois -0- Copies

Effective July 1, 2026 - TABLE B Co-Pay Indicator B - For any month September through May where all children are School Age and approved for Part-Day/ School Age care. Maximum Monthly Income and Monthly Co-Pay by Family Size and Income Level at Time of New Application. Family Size 2 Monthly Income Monthly Co-Pay 0 - 1803 .50 1804 - 1984 9.00 1985 - 2164 20.00 2165 - 2344 32.50 2345 - 2525 47.00 2526 - 2705 63.00 2706 - 2885 81.00 2886 - 3066 101.00 3067 - 3246 107.50 3247 - 3426 113.50 3427 - 3607 120.00 3608 - 3787 126.50 3788 - 3967 132.50 3968 - 4058 139.00 Family Size 3 Monthly Income Monthly Co-Pay 0 - 2277 .50 2278 - 2504 11.50 2505 - 2732 25.00 2733 - 2960 41.00 2961 - 3187 59.00 3188 - 3415 79.50 3416 - 3643 102.50 3644 - 3870 122.50 3871 - 4098 135.50 4099 - 4326 143.50 4327 - 4553 151.50 4554 - 4781 159.50 4782 - 5009 167.50 5010 - 5123 175.50 Family Size 4 Monthly Income Monthly Co-Pay 0 - 2750 .50 2751 - 3025 14.00 3026 - 3300 30.50 3301 - 3575 49.50 3576 - 3850 71.50 3851 - 4125 96.50 4126 - 4400 124.00 4401 - 4675 154.00 4676 - 4950 163.50 4951 - 5225 173.50 5226 - 5500 183.00 5501 - 5775 192.50 5776 - 6050 202.00 6051 - 6188 212.00 Family Size 2 Monthly Income Monthly Co-Pay 4059 - 4148 142.00 4149 - 4328 145.00 4329 - 4508 151.50 4509 - 4689 158.00 4690 - 4869 164.00 4870 - 4959 170.50 Family Size 3 Monthly Income Monthly Co-Pay 5124 - 5236 179.50 5237 - 5464 183.50 5465 - 5692 191.50 5693 - 5919 199.50 5920 - 6147 207.00 6148 - 6261 215.00 Family Size 4 Monthly Income Monthly Co-Pay 6189 - 6325 216.50 6326 - 6600 221.50 6601 - 6875 231.00 6876 - 7150 240.50 7151 - 7425 250.50 7426 - 7563 260.00 Family Size 2 Monthly Income Monthly Co-Pay 4960 - 6172 170.50 Family Size 3 Monthly Income Monthly Co-Pay 6262 - 7624 215.00 Family Size 4 Monthly Income Monthly Co-Pay 7564 - 9077 260.00 Income can extend to the following ranges at the time of Redetermination and qualify for a new 12-month eligibility period. Family Income in the following ranges at the time of redetermination will result in a 3-month eligibility extension, known as a Graduated Phase Out for more information, see CCAP Policy 02.03.01 http://idec.illinois.gov/resources/policies