Page 3
Appendix Page A-3-k COE-073- Children Age 6 to 19 HH Size 194% FPL 194% + 5% Disregard 143% FPL 143% + 5% Disregard 107% FPL (no 5% disregard) 133% FPL 133% + 5% Disregard 209% FPL 209% + 5% Disregard State Set Income Limit Limit + 5% Disregard 1 $2,435 $2,498 $1,795 $1,858 $1,343 $1,670 $1,733 $2,623 $2,686 $227 $290 2 $3,305 $3,390 $2,436 $2,521 $1,823 $2,266 $2,351 $3,560 $3,645 $306 $391 3 $4,175 $4,283 $3,077 $3,185 $2,303 $2,862 $2,970 $4,497 $4,605 $384 $492 4 $5,044 $5,174 $3,718 $3,848 $2,782 $3,458 $3,588 $5,434 $5,564 $462 $592 5 $5,914 $6,066 $4,360 $4,512 $3,262 $4,055 $4,207 $6,372 $6,524 $541 $693 6 $6,784 $6,959 $5,001 $5,176 $3,742 $4,651 $4,826 $7,309 $7,484 $619 $794 7 $7,654 $7,851 $5,642 $5,839 $4,222 $5,247 $5,444 $8,246 $8,443 $697 $894 8 $8,524 $8,744 $6,283 $6,503 $4,701 $5,844 $6,064 $9,183 $9,403 $775 $995 9 $9,393 $9,635 $6,924 $7,166 $5,181 $6,440 $6,682 $10,120 $10,362 $853 $1,095 10 $10,263 $10,528 $7,565 $7,830 $5,661 $7,036 $7,301 $11,057 $11,322 $931 $1,196 11 $11,133 $11,420 $8,206 $8,493 $6,141 $7,632 $7,919 $11,994 $12,281 $1,009 $1,296 12 $12,003 $12,312 $8,847 $9,156 $6,620 $8,229 $8,538 $12,931 $13,240 $1,087 $1,396 For more than 12, add: $480 for each additional person to increase the FPL. 13 14 15 16 17 18 19 20 $332 $354 $377 $399 $421 $444 $466 $489 Use the chart below for the correct 5% disregard amount to use for households with more than 12 persons. HH Size 5% Disregard Amt $870 for each additional person to increase the FPL. $641 for each additional person to increase the FPL. $596 for each additional person to increase the FPL. $937 for each additional person to increase the FPL. $78 for each additional person to increase the FPL. 2024 MAGI INCOME LIMITS EFFECTIVE MARCH 1, 2024 COE-088-Pregnant Women, COE-071 - Infants to Age 1, COE-029 Family COE-072 - Children Age 1 to Age 6 COE-074- Children Age 6 to Age 19 COE-099 - CHIP COE-075 - Low- Income Parents & Caretaker Relatives