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Response to 90-percent (Reply #5)

Sun Jul 1, 2012, 05:33 AM

85. Table 3. Maximum Monthly Premium Contributions, by Family Size

 

If you are single, and make around $33,000 US dollars a year, for example, you pay $3135 dollars a year (unless you get coverage for cheaper through an employer or on your own) for the lowest level of government coverage. Starting in 2016 (the year the full penalty aka 'tax' goes into effect), your 'tax', if you choose to not use the government plan and go uninsured would be $825 dollars a year, collected by the IRS.


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http://www.fas.org/sgp/crs/misc/R41137.pdf


If Premium
Credits were Available in 2011
(for the 48 contiguous states and the District of Columbia)
Maximum Monthly Premium Contribution (2011), by Family Size
Federal
Poverty
Line (FPL)
Maximum Premium
Contribution as a %
of Income
(“Applicable Percentages”)

1 person 2 persons 3 persons 4 persons
100% 2.0% $18 $25 $31 $37
133.00% 2.0% $24 $33 $41 $50
133.01% 3.0% $36 $49 $62 $74
150% 4.0% $54 $74 $93 $112
200% 6.3% $114 $154 $195 $235
250% 8.05% $183 $247 $311 $375
300% 9.5% $259 $349 $440 $531
350% 9.5% $302 $408 $513 $619
400% 9.5% $345 $466 $587 $708

Source: CRS computation based on “Annual Update of the HHS Poverty Guidelines,” 76 Federal Register 3637-
3638, January 20, 2011, and ACA.

Notes: Under ACA, premium credits for eligible exchange coverage will not be available until 2014; the data in
this table are for illustrative purposes only. Different income levels, as measured against the FPL, apply separately
to Alaska and Hawaii (see “Annual Update of the HHS Poverty Guidelines” referenced under Source). The
Federal Poverty Guidelines are updated annually for inflation. If individuals enroll in more expensive plans than
the second lowest-cost silver plan in their respective areas, they would be responsible for the additional
premium amounts. The premium contribution amounts are rounded to the nearest dollar.
Both Figure 2 and Table 3 illustrate the “cliff effect” that occurs at 133% FPL.

For those at or below 133% FPL who are not eligible for Medicaid but eligible for premium credits (e.g., certain
legal permanent residents), the credits will ensure that such individuals pay no more than 2% of
their income (if any) for exchange coverage. Above 133% FPL, a formula is applied so that a
family at 133.01% FPL will pay 3% of their income for those premiums. For example, as shown
in Table 3, a family of four with income at 133% FPL ($29,726 in annual income) may be
required to pay $50 in monthly premiums, if the exchange and premium credit provisions were
currently in effect. With one additional dollar of income ($29,727 in annual income), they would
be required to pay $74 in monthly premiums. Thus, in this example, that additional $1 in income
would lead to $24 more in required premium payments for the family per month (an additional
$288 in premium contributions for the year). Some might observe that prior to the
implementation of the ACA premium credits in 2014, an even larger cliff exists for citizens and
qualified aliens, whose extra dollar of income makes them ineligible for Medicaid, at which point
no premium credits were available.

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