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Addendum A

Financial Assistance Annual Income Guidelines
Effective Date: 1-15-2020
Percent of Guidelines 100% 150% 175% 200% 225%  
% of Reduction if Less than Guideline Household 100% 100% 80% 75% 72%  
Size of Household 1  $12,760  $19,140  $22,330  $25,520  $28,710  
  2  $17,240  $25,860  $30,170  $34,480  $38,790  
  3  $21,720  $32,580  $38,010  $43,440  $48,870  
  4  $26,200  $39,300  $45,850  $52,400  $58,950  
  5  $30,680  $46,020  $53,690  $61,360  $69,030  
  6  $35,160  $52,740  $61,530  $70,320  $79,110  
  7  $39,640  $59,460  $69,370  $79,280  $89,190  
  8  $44,120  $66,180  $77,210  $88,240  $99,270  
$4,480 for each additional person