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Wisconsin Department of Health and Family Services |
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Wisconsin Department of Health and Family Services |
MAPP Premiums - Income exceeds 150% of the FPL
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MAPP PREMIUM SCHEDULE |
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Sum of Adjusted Countable Unearned and Adjusted Earned Income |
The premium is: |
Sum of Adjusted Countable Unearned and Adjusted Earned Income |
The premium is: | ||
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From |
To |
PREMIUM |
From |
To |
PREMIUM |
|
$0 |
$25.00 |
$0.00 |
500.01 |
525.00 |
500.00 |
|
25.01 |
50.00 |
25.00 |
550.01 |
575.00 |
550.00 |
|
50.01 |
75.00 |
50.00 |
575.01 |
600.00 |
575.00 |
|
75.01 |
100.00 |
75.00 |
600.01 |
625.00 |
600.00 |
|
100.01 |
125.00 |
100.00 |
625.01 |
650.00 |
625.00 |
|
125.01 |
150.00 |
125.00 |
650.01 |
675.00 |
650.00 |
|
150.01 |
175.00 |
150.00 |
675.01 |
700.00 |
675.00 |
|
175.01 |
200.00 |
175.00 |
700.01 |
725.00 |
700.00 |
|
200.01 |
225.00 |
200.00 |
725.01 |
750.00 |
725.00 |
|
225.01 |
250.00 |
225.00 |
750.01 |
775.00 |
750.00 |
|
250.01 |
275.00 |
250.00 |
775.01 |
800.00 |
775.00 |
|
275.01 |
300.00 |
275.00 |
800.01 |
825.00 |
800.00 |
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300.01 |
325.00 |
300.00 |
825.01 |
850.00 |
825.00 |
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325.01 |
350.00 |
325.00 |
850.01 |
875.00 |
850.00 |
|
350.01 |
375.00 |
350.00 |
875.01 |
900.00 |
875.00 |
|
375.01 |
400.00 |
375.00 |
900.01 |
925.00 |
900.00 |
|
400.01 |
425.00 |
400.00 |
925.01 |
950.00 |
925.00 |
|
425.01 |
450.00 |
425.00 |
950.01 |
975.00 |
950.00 |
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450.01 |
475.00 |
450.00 |
975.01 |
1000.00 |
975.00 |
|
475.01 |
500.00 |
475.00 |
1000.01 |
1025.00 |
1000.00 |
If the subtotal from the MAPP Premium Calculation Worksheet is more than $1,025 a month, the premium is equal to the exact whole dollar amount of the subtotal.
This page last updated in Release Number: 02-01
Release Date: 01/01/02
Effective Date: 01/01/02
