Obsolete 0325 Table I

Effective Date:  June 1, 2024 - February 28, 2025

 

Previous Table

HOUSEHOLD SIZE

PLAN B

Up to 150% OF POVERTY LEVEL

PLAN C

Up to 200% OF POVERTY LEVEL

State CHIP

Up to 200% OF POVERTY LEVEL

1

$1883

$2510

$2510

2

$2555

$3407

$3407

3

$3228

$4304

$4304

4

$3900

$5200

$5200

5

$4573

$6097

$6097

6

$5245

$6994

$6994

7

$5918

$7890

$7890

8

$6590

$8787

$8787

9

$7263

$9684

$9684

10

$7935

$10580

$10580