The Individual Mandate: Noteworthy Numbers

For 2013:

The tax filing threshold is $10,000 if filing single and $20,000 if married and filing jointly.

Federal Poverty Level (FPL) in the 48 contiguous states is $11,490 for a single household and $45,960 for household of four.  It is $14,350/29,440 in Alaska and $13,230/27,090 in Hawaii.

The subsidy is based on the following table (a sliding scale applies in a linear manner, rounded to the nearest one-hundredth of one percent between the minimum and maximum percentage):

Household income as a percent of FPL

Applicable Percentage

Minimum percent

Maximum percent

Up to 133 percent

               2.0

2.0

133 – 150 percent

               3.0

4.0

150 – 200 percent

               4.0

6.3

200 – 250 percent

               6.3

8.05

250 – 300 percent

               8.05

9.5

300 – 400 percent

               9.5

9.5

The applicable percentage multiplied by the person’s household income determines his required share of premiums for the second least expensive silver plan in the marketplace/exchange.

Household income generally includes the income of all individuals in the tax household (e.g., the income of employed children is considered unless the child files his/her own tax return).

The maximum amount an individual who received too large a subsidy would repay is $300 if filing single and $600 if filing other than single if household income is less than 200 percent of FPL; $750/$1,500 if income is 200 percent up to 300 percent of FPL; and $1,250/$2,500 if income is 300 – 400  percent of FPL.

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