| 522 |
Mine Union Benefits |
All Programs |
|
| 523 |
Other Union Benefits |
All Programs |
|
| 524 |
Private Pensions |
All Programs |
|
| 525 |
Hospital/Health Insurance |
All Programs |
|
| 526 |
Other Insurance |
All Programs |
Specify under REMARKS. |
| 531 |
Total declared income used by Healthy Start MPE provider. |
MPE |
Informational only. Not passed. |
| 533 |
Net Unearned Income from Roomers and Boarders |
AAB and CGA |
For SNAP, use Item 90 code 534. |
| 534 |
Net Income from Real Property |
All Programs |
|
| 535 |
Other Cash Income - trust funds,  annuities, etc. |
All Programs |
Specify under REMARKS. |
| 538 |
Gross Income of a Person Included in the MANG Income Standard but Not in the Case |
All Medical Programs |
Does not require an RIN.
Enter one of the following codes in the NO. column.
- E - If income is earned, or
- U - if income is from unemployment benefits
If the income is from a source other than earnings or unemployment, do not enter a code. If the person has earned income and unemployment, enter code E.
|
| 555 |
Income Diverted from Another Person in the Home |
All Programs Except SNAP |
|
| 603 |
Budgetable Unearned Income of an Excluded Responsible Relative |
TANF Cash and All Kids (except S/P/R) |
|
