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Addendum A

Financial Assistance Annual Income Guidelines
Effective Date: 4-1-2019
Percent of Guidelines 100% 150% 175% 200% 225%  
% of Reduction if Less than Guideline Household 100% 100% 80% 75% 72%  
Size of Household 1  $12,490  $18,735  $21,858  $24,980  $28,103  
  2  $16,910  $25,365  $29,593  $33,820  $38,048  
  3  $21,330  $31,995  $37,328  $42,660  $47,993  
  4  $25,750  $38,625  $45,063  $51,500  $57,938  
  5  $30,170  $45,255  $52,798  $60,340  $67,883  
  6  $34,590  $51,885  $60,533  $69,180  $77,828  
  7  $39,010  $58,515  $68,268  $78,020  $87,773  
  8  $43,430  $65,145  $76,003  $86,860  $97,718  
$4,420 for each additional person