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Effective: December 1, 2006 |
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22.20ar1 - MinnesotaCare Premium Amounts (Archive) |
Archived: July 1, 2007 |
The MinnesotaCare Premium Tables - July 1, 2006-June 30, 2007 (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 this form.
The maximum premiums 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 are:
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Effective Dates |
Household Size of 1 |
Household Size of 2 |
Household Size of 3 or more |
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07/01/2006 |
$325 |
$650 |
$975 |
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07/01/2005 |
$313 |
$626 |
$939 |