103.02 Partners for Healthy Children (Eff. 03/01/19) 208% + 5% of 208% of Federal Poverty Family Size Federal Poverty Monthly Income Annual Income Monthly Income Annual Income 2,164.93 25,979.20 2,216.97 26,603.70 1 2,931.06 35,172.80 3,001.52 36,018.30 2 3,697.20 44,366.40 3,786.07 45,432.90 3 4,463.33 53,560.00 4,570.62 54,847.50 4 5,229.46 62,753.60 5,355.17 64,262.10 5 5,995.60 71,947.20 6,139.72 73,676.70 6 6,761.73 81,140.80 6,924.27 83,091.30 7 7,527.86 90,334.40 7,708.82 92,505.90 8 Each Additional 766.13 9,193.60 784.55 9,414.60 Member
103.02 Partners for Healthy Children (Eff. 03/01/19) Family Size 208% of Federal Poverty 208% + 5% of Federal Poverty Monthly Income Annual Income Monthly Income Annual Income 1 2,164.93 25,979.20 2,216.97 26,603.70 2 2,931.06 35,172.80 3,001.52 36,018.30 3 3,697.20 44,366.40 3,786.07 45,432.90 4 4,463.33 53,560.00 4,570.62 54,847.50 5 5,229.46 62,753.60 5,355.17 64,262.10 6 5,995.60 71,947.20 6,139.72 73,676.70 7 6,761.73 81,140.80 6,924.27 83,091.30 8 7,527.86 90,334.40 7,708.82 92,505.90 Each Additional Member 766.13 9,193.60 784.55 9,414.60