A Premium for Cases with Multiple Income Groups Example

Programs

Manual Section

KidsCare

MA1204A.3


The customer lives with and cares for the following children:

·        Her 15 year old daughter;

·        Her 6 year old niece (her brother’s daughter ); and

·        Her 10 year old nephew (her sister’s son).

The customer makes $2,250.00 per month.  She only claims her daughter on her taxes.  Her niece receives $2,000 per month in SSDI.  Her nephew receives $2,000 per month in SSDI.

The following table describes the income groups and total monthly income for the customer and the children she lives with:

Income Group

Total Monthly Income

Income Range

The customer’s income group includes her and her daughter (household size of 2)

$2,250.00

0 – 150%

The niece’s income group only includes the niece (household size of 1)

$2,000.00

150 – 175%

The nephew’s income group only includes the nephew (household size of 1)

$2,000.00

150 – 175%

 

Because the highest income level is at the 150 - 175% range and there are 2 or more eligible children in the case at an income level over 150%, the premium is $60.00 for the entire case.