| 
 Effective: December 1, 2006  | 
|
| 
 22.05.15ar1 - 120% FPG (Archive)  | 
 Archived: July 1, 2007  | 
120% FPG is the maximum income allowed for these programs:
l Service Limited Medicare Beneficiary (SLMB).
The effective dates for the figures in this chart are July 1, 2006 through June 30, 2007.
| 
 120% FPG Income Standards  | 
|||
| 
 Household Size  | 
 Monthly Standard  | 
 6-Month Standard  | 
 Annual Standard  | 
| 
 1  | 
 980  | 
 5,880  | 
 11,760  | 
| 
 2  | 
 1,,320  | 
 7,920  | 
 15,840  | 
| 
 3  | 
 1,660  | 
 9,960  | 
 19,920  | 
| 
 4  | 
 2,000  | 
 12,000  | 
 24,000  | 
| 
 5  | 
 2,340  | 
 14,040  | 
 28,080  | 
| 
 6  | 
 2,680  | 
 16,080  | 
 32,160  | 
| 
 7  | 
 3,020  | 
 18,120  | 
 36,240  | 
| 
 8  | 
 3,360  | 
 20,160  | 
 40,320  | 
| 
 9  | 
 3,700  | 
 22,200  | 
 44,400  | 
| 
 10  | 
 4,040  | 
 24,240  | 
 48,480  | 
| 
 Addnl  | 
 320  | 
 1,920  | 
 3,840  |