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Appendix Page A-3-e 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 $1,963 $2,014 $1,447 $1,498 $1,083 $1,346 $1,397 $2,115 $2,166 $227 $278 2 $2,662 $2,731 $1,962 $2,031 $1,468 $1,825 $1,894 $2,867 $2,936 $306 $375 3 $3,360 $3,447 $2,477 $2,564 $1,853 $2,304 $2,391 $3,620 $3,707 $384 $471 4 $4,058 $4,163 $2,992 $3,097 $2,239 $2,782 $2,887 $4,372 $4,477 $462 $567 5 $4,757 $4,880 $3,506 $3,629 $2,624 $3,261 $3,384 $5,124 $5,247 $541 $664 6 $5,455 $5,596 $4,021 $4,162 $3,009 $3,740 $3,881 $5,877 $6,018 $619 $760 7 $6,154 $6,313 $4,536 $4,695 $3,394 $4,219 $4,378 $6,629 $6,788 $697 $856 8 $6,852 $7,029 $5,051 $5,228 $3,779 $4,698 $4,875 $7,382 $7,559 $775 $952 9 $7,550 $7,745 $5,566 $5,761 $4,165 $5,176 $5,371 $8,134 $8,329 $853 $1,048 10 $8,249 $8,462 $6,080 $6,293 $4,550 $5,655 $5,868 $8,886 $9,099 $931 $1,144 11 $8,947 $9,178 $6,595 $6,826 $4,935 $6,134 $6,365 $9,639 $9,870 $1,009 $1,240 12 $9,646 $9,895 $7,110 $7,359 $5,320 $6,613 $6,862 $10,391 $10,640 $1,087 $1,336 For more than 12, add: $386 for each additional person to increase the FPL. 13 14 15 16 17 18 19 20 $267 $285 $303 $321 $339 $357 $375 $393 HH Size 5% Disregard Amt $699 for each additional person to increase the FPL. $515 for each additional person to increase the FPL. $479 for each additional person to increase the FPL. $753 for each additional person to increase the FPL. For more than 8 persons, add $78 for each additional person to the State Set Income Limit Use the chart below for the correct 5% disregard amount to use for households with more than 12 persons. 2018 MAGI INCOME LIMITS EFFECTIVE MARCH 1, 2018 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 COE-075 - Low-Income Parents & Caretaker Relatives