13.02 Eligibility categories62

The following eligibility categories for CSR will be used when making eligibility determinations under this section: An individual who is expected to have household income at least 100 but not more than 150 percent of the FPL for the benefit year for which coverage is requested, or for an individual who is eligible for APTC under § 12.03(e), household income less than 100 percent of the FPL for the benefit year for which coverage is requested; An individual who is expected to have household income greater than 150 but not more than 200 percent of the FPL for the benefit year for which coverage is requested; An individual who is expected to have household income greater than 200 but not more than 250 percent of the FPL for the benefit year for which coverage is requested; and An individual who is expected to have household income greater than 250 but not more than 300 percent of the FPL for the benefit year for which coverage is requested. Income and benefit levels are as shown in the chart below. The actuarial value of the plan must be within one percentage point of the actuarial value listed below. Income as a Percent of Federal Poverty Level Tier Actuarial Value of Plan with Federal and State CSR Not more than 150% I 94% More than 150% but not more than 200% II 87% More than 200% but not more than 250% III 77% More than 250% but not more than 300% IV 73% 62 45 CFR § 155.305(g)(2). Eligibility Standards Part 2 – Page 30 (Sec.14.00, Sub.0)