Effective: July 1, 2008 |
|
22.20ar3 - MinnesotaCare Premium Amounts (Archive) |
Archived: June 1, 2009 |
The MinnesotaCare Premium Table (DHS-4139) approximates a household’s monthly premium amount based on the number of people covered in the household and the household’s gross monthly income.
l MMIS calculates the official MinnesotaCare premium amounts.
l The MinnesotaCare maximum premium amounts are on the last page of the DHS-4139.
The maximum premium amounts are used when calculating employer-subsidized insurance (ESI) for people who receive cash benefits from their employer to purchase insurance. See Determining ESI – Cash Benefits for more information on how to use the maximum premium amount in the calculation.
The MinnesotaCare maximum premium amounts, based on household size, are:
Effective Dates |
Household Size |
||
One |
Two |
Three or More |
|
July 1, 2008 - June 30, 2009 |
$392 |
$784 |
$1176 |
July 1, 2007 - June 30, 2008 |
$350 |
$700 |
$1050 |
July 1, 2006 - June 30, 2007 |
$325 |
$650 |
$975 |
July 1, 2005 - June 30, 2006 |
$313 |
$626 |
$939 |