 [ Symptoms ] i understand that the cost of health insurance is based on one is yearly income is this earned income  is ssi included as part of this income how about a self paid pension plan is that considered as part of earned income since it has been paid over many years with one is net earned dollars 401k plans and interest on savings and unemployment benefits    are these considered earned income [ Disease ] it is your modified gross adjusted income   or taxable income that counts under the law income earned from social security benefits are included in the total your investments and assets will not count toward your annual income however only money pulled out of pensions and 401k plans so income you derive from the accounts count toward your total annual income if you have money invested in a 401k but do not pull money out during the year it will not count