Attachment I
MAGI Eligibility Groups and Income Levels
Category
Pregnant Women
Infants
Child 1-5
Child 6-18
Child 6-18
Parents/Caretaker Relatives
19 & 20 year olds living
w/parents
S/CC & 19 & 20 yr olds living
alone
S/CC & 19 & 20 yr olds living
alone
Family Planning Benefit
Program
LIF Levels
2014 Level
≤ 223% FPL
Household
Size
Limit
≤ 223% FPL
1
$965
≤ 154% FPL
2
$1,255
≤ 110% FPL
3
$1,477
> 110% ≤ 154% FPL
4
$1,730
≤ 138% FPL
5
$1,991
≤ 155% FPL
6
$2,200
≤ 100% FPL
7
$2,417
> 100% ≤ 138% FPL
8
$2,674
≤ 223% FPL
9
$2,853
10
$3,032
NOTE: The FPLs include the 5% disregard where applicable.