Effective April 1, 2016, the affordability standard for Children's Health Insurance Program (CHIP) premium families is changed with the increase to the Federal Poverty Level (FPL) income guidelines. The affordability standard is based upon a percentage of income for a family of three at 150%, 185%, or 225% of the FPL, depending upon the family's gross income.
Effective April 1, 2016, families with income between 150% and 300% of the FPL with access to health insurance must meet the following affordability guidelines:
- 151% - 185% of the FPL (CHIP 73) = $75/month
- 186% - 225% of the FPL (CHIP 74) = $124/month
- 226% - 300% of the FPL (CHIP 75) = $189/month
NOTE: Consider all state agencies where health insurance is available to their employees as affordable regardless of the cost of the health insurance.
For determinations created on or after April 1, 2016, MEDES will use the new affordability standard effective for April 2016.
- Apply the new affordability standards for April 2016 and later.
- Review this memorandum with appropriate staff.