Plans
Guidelines
2013 Federal Poverty Guidelines
| Size of Family Unit | FPG | 135% |
|---|---|---|
| 1 | $11,490 | $15,512 |
| 2 | $15,510 | $20,939 |
| 3 | $19,530 | $26,366 |
| 4 | $23,550 | $31,793 |
| 5 | $27,570 | $37,220 |
| 6 | $31,590 | $42,647 |
| 7 | $35,610 | $48,074 |
| 8 | $39,630 | $53,501 |
| For each additional person, add | $4,020 | $5,427 |
Documentation
Acceptable documentation of income eligibility includes:
- The prior year's state, federal, or tribal tax return
- Current income statement from employer or paycheck stubs
- Social Security statement of benefits
- Veterans Administration statement of benefits
- Retirement/pension statement of benefits
- Unemployment/Workmen's Compensation statement of benefits, federal or tribal notice letter of participation in General Assistance
- Divorce decree, child support, or other official document.
If you provide documentation that does not cover a full year, you must submit 3 consecutive months of the same document issued within the previous 12 months.
