Checklist

Every Person (individual, family, children) Buying Health Insurance Needs To Have Ready:

 

Subsidy Qualification?

Find out if you can qualify for monthly premium assistance.

After you give us your input, you may be eligible for government assistance or Medi-Cal. Fill out the brief form below to see if you qualify.

 

How many people are on your federal income tax return this year? (if you didn’t file taxes last year, tell us how many people live with you, including yourself)
 
Based on your best guess, what do you expect your Adjusted Gross Income (AGI) to be this year?

Projected Income (line 37 on your 1040): Pleae enter whole numbers only $$ NOT $$.¢¢

*required

 

In determining eligibility for exchange subsidies, income will be based on your attestation of your expected household income in 2014 and will be verified by Covered California with documentation from your most recent tax return, with consideration of reasonable changes you expect. This calculator is intended as an illustration of how families with varying levels of income may be affected by premium tax credits and cost-sharing reductions. The information on this website should not be used in any actual transaction without the advice and guidance of a professional Tax Adviser who is familiar with all the relevant facts

 

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