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Appendix Page A-3-f 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 $2,020 $2,072 $1,489 $1,541 $1,114 $1,385 $1,437 $2,176 $2,228 $227 $279 2 $2,734 $2,805 $2,016 $2,087 $1,508 $1,875 $1,946 $2,946 $3,017 $306 $377 3 $3,449 $3,538 $2,542 $2,631 $1,902 $2,365 $2,454 $3,715 $3,804 $384 $473 4 $4,163 $4,270 $3,069 $3,176 $2,297 $2,854 $2,961 $4,485 $4,592 $462 $569 5 $4,878 $5,004 $3,596 $3,722 $2,691 $3,344 $3,470 $5,255 $5,381 $541 $667 6 $5,593 $5,737 $4,122 $4,266 $3,085 $3,834 $3,978 $6,025 $6,169 $619 $763 7 $6,307 $6,470 $4,649 $4,812 $3,479 $4,324 $4,487 $6,795 $6,958 $697 $860 8 $7,022 $7,203 $5,176 $5,357 $3,873 $4,814 $4,995 $7,565 $7,746 $775 $956 9 $7,736 $7,935 $5,703 $5,902 $4,267 $5,304 $5,503 $8,334 $8,533 $853 $1,052 10 $8,451 $8,669 $6,229 $6,447 $4,661 $5,794 $6,012 $9,104 $9,322 $931 $1,149 11 $9,165 $9,401 $6,756 $6,992 $5,055 $6,284 $6,520 $9,874 $10,110 $1,009 $1,245 12 $9,880 $10,135 $7,283 $7,538 $5,449 $6,774 $7,029 $10,644 $10,899 $1,087 $1,342 For more than 12, add: $395 for each additional person to increase the FPL. 13 14 15 16 17 18 19 20 $273 $292 $310 $328 $347 $365 $384 $402 HH Size 5% Disregard Amt Use the chart below for the correct 5% disregard amount to use for households with more than 12 persons. COE-088-Pregnant Women, COE-071 - Infants to Age 1, COE-029 Family Planning Waiver COE-072 - Children Age 1 to Age 6 COE-074- Children Age 6 to Age 19 COE-099 - CHIP $715 for each additional person to increase the FPL. $527 for each additional person to increase the FPL. $490 for each additional person to increase the FPL. 2019 MAGI INCOME LIMITS EFFECTIVE MARCH 1, 2019 $770 for each additional person to increase the FPL. COE-075 - Low-Income Parents & Caretaker Relatives For more than 8 persons, add $78 for each additional person to the State Set Income Limit