NUMBER OF
PEOPLE IN HOUSEHOLD
Almost done! Now tell us which of the three income groups below 
best describes you. 
Choose the group that best describes you, and a worksheet will open in a new tab to help you determine your eligibility
based on your income. 
First, are you sure that your employer DOES NOT offer a health insurance plan? 
  • If your employer DOES NOT offer health coverage, choose the income bracket that best describes your annual or monthly income. 
  • If your employer DOES OFFER health coverage, you must use WORKSHEET D, and then use the Employer Coverage Tool
    to generate documents for your employer. 
  • If your employer offers a health insurance plan, you may use the healthcare marketplace, but you will not receive
    tax benefits. 
For additional information, click here to find an event in your local area. 

Income is less than

1 - $17,235  ($1,436/month)
2 - $23,265  ($1,939/month)
3 - $29,295  ($2,441/month)
4 - $35,325  ($2,944/month)
5+  $41,355  ($3,446/month)

Income is less than

1 - $22,980  ($1,195/month)
2 - $31,020  ($2,585/month)
3 - $39,060  ($3,255/month)
4 - $47,100  ($3,925/month)
5+ $55,140  ($4,595/month)

Income is less than

1 - $28,725  ($2,394/month)
2 - $38,775  ($3,231/month)
3 - $48,825  ($4,069/month)
4 - $58,875  ($4,906/month)
5+ $68,925  ($5,744/month)

Income is more than

1 - $28,725  ($2,394/month)
2 - $38,775  ($3,231/month)
3 - $48,825  ($4,069/month)
4 - $58,875  ($4,906/month)
5+ $68,925  ($5,744/month)