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Important Notices
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Premium Assistance Program: 
 
The Low Income Premium Program (LIPP) is designed to help persons with limited incomes to remain on Pool coverage by offering a reduced premium.

INCOME ALONE DOES NOT DETERMINE POOL ELIGIBILITY

To qualify for the LIPP you must:

  • Be currently enrolled in the Pool or, if submitting an initial application, meet all eligibility requirements; and
     

  • Certify that only you or someone in your family will be paying your monthly premium (no other third party may pay your premiums); and
     

  • Meet the income guidelines; and
     

  • Submit a LIPP Supplemental Application annually, along with required proof of household income.

To determine if you meet the income guidelines:

  • Total the income of all related adult household members, as reported on the previous year’s Federal Income Tax Form (Line 4 of Form 1040EZ, Line 15 of Form 1040A or Line 22 of Form 1040)
     

  • Total the number of related household members of all ages
     

  • Find your household size and the corresponding income limits on the table below:

2009 Qualifying Income Limits

Household Size

75% Premium Reduction
Income Limit

50% Premium Reduction
Income Limit

25% New / 45%Existing
Income Limit

1

$21,552

$32,382

$43,212

2

$28,994

$43,564

$58,134

3

$36,437

$54,747

$73,057

4

$43,880

$65,930

$87,980

5

$51,322

$77,112

$102,902

6

$58,765

$88,295

$117,825

7

$66,207

$99,477

$132,747

8

$73,650

$110,660

$147,670

NOTE for Low Income Premium Program Participants: 

Beginning July 2009, recertification for the Low Income Premium Program (LIPP) will coincide with your birthday. Previously, all Pool policyholders were recertified on July 1 every year.

If you are currently enrolled in LIPP, and think you still qualify (see income ranges on back), you MUST submit a new Low Income Premium Program Supplemental Application by the 15th day of your birthday month. The effective date will be the first of the following month. For example: If your birthday is in June, the application must be received by June 15th for a July 1 effective date. If no application is received, your rate will increase to the full rate on the first of the month following your birthday month, which will coincide with your age rate increase. You will receive notification of this process 60 days prior to the effective date.

Policyholders in the 45% “transitional” premium reduction category will receive a 40% reduction effective July 1, 2009 through December 2009, unless the recertification indicates otherwise. Individuals in this income range will have their premium reduced in 5% increments, each six month renewal period, until the 25% premium reduction amount is met.

 
 
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