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The Exchange sustainability is tied to three funding sources established in statute: (1) the existing 2 percent tax on health insurance premiums sold through Washington Healthplanfinder; (2) reimbursement for activities performed on behalf of Washington Apple Health (the state's Medicaid program), and; (3) an agreed upon carrier assessment. The ...
An eligible individual or household purchasing insurance through a health exchange can receive the PTC if the cost of a "silver" insurance plan, defined by the ACA as a plan whose premiums cover 70% of the insured's health care costs, would exceed a set percentage of their income; under the original text of the ACA, this income percentage ...
ACA mandated that health insurance exchanges be provided for each state. The exchanges are regulated, largely online marketplaces, administered by either federal or state governments, where individuals, families and small businesses can purchase private insurance plans. [58] [59] [60] Exchanges first offered insurance for 2014. Some exchanges ...
The subsidies for insurance premiums are given to individuals who buy a plan from an exchange and have a household income between 133% and 400% of the poverty line. [38] [44] [45] [46] Section 1401(36B) of PPACA explains that each subsidy will be provided as an advanceable, refundable tax credit [47] and gives a formula for its calculation: [48]
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The Washington DOR says the maximum tax credit amount for an individual is $300, with a $300 increase for each qualifying child — up to a maximum of $1,200 for a family of three or more children.
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