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MinnesotaCare
3.3.1 Household Composition and Family Size (Archive)
Overview
Household composition means the people included in an applicant's or enrollee’s household. Household composition determines the family size. Household composition and family size are factors used to determine financial eligibility.
Household composition and family size are determined for each person separately. Household composition and family size may be different for each person on an application or in a household.
Tax Filing Status
Applicants and enrollees do not need to file a federal income tax return or be claimed as tax dependents to be eligible for MinnesotaCare. Additionally, married couples do not need to file a joint federal income tax return to be eligible.
The household composition policy for tax filers, tax dependents and non-filers are outlined below. Whose income counts in determining financial eligibility is based on the household composition.
Household Composition and Family Size for Tax Filers and Joint Tax Filers
The household composition for a person who expects to file taxes and who does not expect to be claimed as a tax dependent by someone else includes:
All of the people expected to be on the taxpayer’s federal income tax return including:
Tax filer
Joint tax filer
Tax dependents
The taxpayer’s spouse, if living with the taxpayer and not filing jointly
A person’s household composition may include a deceased person. Deceased people who are expected to be included on the federal income tax return continue to count in the household composition for the remainder of the tax year. A person’s household composition cannot include a deceased person beyond the tax year in which the person died.
The family size for a person who expects to file taxes and who does not expect to be claimed as a tax dependent by someone else includes:
All of the people in the person’s household composition
MinnesotaCare household composition and family size do not include unborn children.
People who expect to file taxes and expect to be claimed as a tax dependent by someone one else follow the policy for people who expect to be claimed as a dependent.
Household Composition and Family Size for Tax Dependents
The household composition for a person who expects to be claimed as a tax dependent is based on the household composition of the tax filer who expects to claim them as a tax dependent. This is true even if the person also expects to file their own tax return.
The household composition of a tax dependent includes:
The tax dependent
Tax filer
Joint tax filer
All other tax dependents
The taxpayer’s spouse, if living with the taxpayer and not filing jointly
If the tax dependent is married, the spouse, if they live together
A person’s household composition may include a deceased person. Deceased people who are expected to be included on the federal income tax return continue to count in household composition for the remainder of the tax year. A person’s household composition cannot include a deceased person beyond the tax year in which the person died.
MinnesotaCare household composition and family size do not include unborn children.
The family size for a person who expects to be claimed as a tax dependent by someone else is the sum of:
All of the people in the person’s household composition
Whose Income Counts for Tax Filers and Tax Dependents?
The household income of a tax filer, joint tax filer or tax dependent consists of the person’s own income and the income of everyone in his or her household composition, unless specifically excluded.
Exclusions
The income of a child (regardless of age) who:
is included in the household of his or her biological, natural, adopted or step parent, and
is not expected to be required to file a tax return for the taxable year that MinnesotaCare is being determined.
The income of a tax dependent who:
is not the spouse or child of the tax filer or joint tax filer, and
is not expected to be required to file a tax return for the taxable year that MinnesotaCare is being determined
Income that is not taxable (for example, non-taxable social security benefits) is not considered when determining if the individual is expected to be required to file a federal tax return. However, if they are expected to be required to file a federal tax return, both taxable and non-taxable Social Security benefits are counted. See the MA-FCA Income Methodology policy for more information.
Household Composition and Family Size for Non Tax Filers and Non Tax Dependents
Non-filers are people who do not expect to file taxes and do not expect to be claimed as a tax dependent. The following people living with the person are included in their household composition:
The person
The person’s spouse
The person’s biological, natural, adopted and step children younger than age 19
If the person is under age 19, the following are also included:
Biological, natural, adopted and step parents
Biological, natural, adopted and step siblings, under age 19
MinnesotaCare household composition and family size do not include unborn children.
The family size for a person who expects to be claimed as a tax dependent by someone else is the sum of:
All of the people in the person’s household composition
Whose Income Counts for Non Tax Filers and Non Tax Dependents?
The household income of non-filers and non-tax dependents consists of the person’s own income and the income of everyone in his or her household composition, unless specifically excluded.
Exclusions
The income of a child (regardless of age) who:
is included in the household of his or her biological, natural, adopted or step parent, and
is not expected to be required to file a tax return for the taxable year that MinnesotaCare is being determined.
Income that is not taxable (for example, non-taxable social security benefits) is not considered when determining if the individual is expected to be required to file a federal tax return. However, if they are expected to be required to file a federal tax return, both taxable and non-taxable Social Security benefits are counted. See the MA-FCA Income Methodology policy for more information.
Legal Citations
Code of Federal Regulations, title 26, section 1.36B-1(d)
Code of Federal Regulations, title 42, section 600.5
Minnesota Statutes, section 256L.01, subdivision 3a