Affordability Schedule

Affordable Coverage

The Health Connector sets an “Affordability Schedule” each year, which shows the maximum monthly premium that an individual could afford to pay for insurance.  The “affordable” premium varies for each income bracket.  If an individual could have purchased coverage meeting MCC standards for a monthly premium that is equal to or less than the amount that an individual is able to afford, then the individual may be subject to a penalty.

The Schedule HC will ask taxpayers who did not have coverage to provide information to determine if they were eligible for government-subsidized insurance or affordable insurance offered by their employer.  If neither of those options was available, the taxpayers will be directed to check a table of premiums for the lowest-cost coverage available through the Health Connector in the tax year.  If the premium that the taxpayer would have to pay for that coverage is greater than the amount the taxpayer is considered able to afford, then the taxpayer will not have to pay a penalty.  However, if the premium for coverage is equal to or less than the amount the taxpayer could afford, then the taxpayer could have purchased that insurance and may be liable for a penalty.

Calendar Year 2020 Affordability Schedule: Individuals (one person)

% of FPL Bottom of Income Range Top of Income Range Affordability Standard Bottom of Affordable Monthly Premium Range Top of Affordable Monthly Premium Range
0–100% $0 $12,490 0% $0 $0
100.1–150% $12,491 $18,735 0% $0 $0
150.1–200% $18,736 $24,980 2.90% $45 $60
200.1–250% $24,981 $31,225 4.20% $87 $109
250.1–300% $31,226 $37,470 5.00% $130 $156
300.1–350% $37,471 $43,715 7.45% $233 $271
350.1–400% $43,716 $49,960 7.60% $277 $316
Above 400% $49,961 8.00% $333

Calendar Year 2020 Affordability Schedule: Couples (two people)

% of FPL Bottom of Income Range Top of Income Range Affordability Standard Bottom of Affordable Monthly Premium Range Top of Affordable Monthly Premium Range
0–100% $0 $16,910 0% $0 $0
100.1–150% $16,911 $25,365 0% $0 $0
150.1–200% $25,366 $33,820 4.30% $91 $121
200.1–250% $33,821 $42,275 6.20% $175 $218
250.1–300% $42,276 $50,730 7.40% $261 $313
300.1–350% $50,731 $59,185 7.45% $315 $367
350.1–400% $59,186 $67,640 7.60% $375 $428
Above 400% $67,641 8.00% $451

Calendar Year 2020 Affordability Schedule: Families (three or more people)

% of FPL Bottom of Income Range Top of Income Range Affordability Standard Bottom of Affordable Monthly Premium Range Top of Affordable Monthly Premium Range
0–100% $0 $21,330 0% $0 $0
100.1–150% $21,331 $31,995 0% $0 $0
150.1–200% $31,996 $42,660 3.40% $91 $121
200.1–250% $42,661 $53,325 4.90% $174 $218
250.1–300% $53,326 $63,990 5.85% $260 $312
300.1–350% $63,991 $74,655 7.45% $397 $463
350.1–400% $74,656 $85,320 7.60% $473 $540
Above 400% $85,321 8.00% $569

Calendar Year 2019 Affordability Schedule: Individuals (one person)

% of FPL Bottom of Income Range Top of Income Range Affordability Standard Bottom of Affordable Monthly Premium Range Top of Affordable Monthly Premium Range
0–100% $0 $12,140 0% $0 $0
100.1–150% $12,141 $18,210 0% $0 $0
150.1–200% $18,211 $24,280 2.90% $44 $59
200.1–250% $24,281 $30,350 4.20% $85 $106
250.1–300% $30,351 $36,420 5.00% $126 $152
300.1–350% $36,421 $42,490 7.45% $226 $264
350.1–400% $42,491 $48,560 7.60% $269 $308
Above 400% $48,561 8.00% $324

Calendar Year 2019 Affordability Schedule: Couples (two people)

% of FPL Bottom of Income Range Top of Income Range Affordability Standard Bottom of Affordable Monthly Premium Range Top of Affordable Monthly Premium Range
0–100% $0 $16,460 0% $0 $0
100.1–150% $16,461 $24,690 0% $0 $0
150.1–200% $24,691 $32,920 4.30% $88 $118
200.1–250% $32,921 $41,150 6.20% $170 $213
250.1–300% $41,151 $49,380 7.35% $252 $302
300.1–350% $49,381 $57,610 7.45% $307 $358
350.1–400% $57,611 $65,840 7.60% $365 $417
Above 400% $65,841 8.00% $439

Calendar Year 2019 Affordability Schedule: Families (three or more people)

% of FPL Bottom of Income Range Top of Income Range Affordability Standard Bottom of Affordable Monthly Premium Range Top of Affordable Monthly Premium Range
0–100% $0 $20,780 0% $0 $0
100.1–150% $20,781 $31,170 0% $0 $0
150.1–200% $31,171 $41,560 3.40% $88 $118
200.1–250% $41,561 $51,950 4.90% $170 $212
250.1–300% $51,951 $62,340 5.85% $253 $304
300.1–350% $62,341 $72,730 7.45% $387 $452
350.1–400% $72,731 $83,120 7.60% $461 $526
Above 400% $83,121 8.00% $554