Income Guidelines

If you qualify for the program, 50 percent up to 100 percent of your bill may be paid depending on your gross annual income, family size and asset guidelines. You must comply with all the terms of the program when you apply, and we also ask you to follow the rules set by your insurance plan.

Income Limits by Family Size
Family size	Annual Gross Income (200% FPL) up to 100% benefit	Annual Gross Income (300% FPL) up to 50% benefit
1	$25,520	$38,280
2	$34,480	$51,720
3	$43,440	$65,160
4	$52,400	$78,600
5	$61,360	$92,040

Asset Guidelines

If a family has total assets in bank accounts, stock assets, and retirement totaling more than $500,000 they are not eligible for Financial Assistance.