PM 15-06-01-g
Income Counting Examples
Example 1: Omar applies for himself, his wife, Leila, their 8 year old daughter Jade and Leila's 20 year old nephew Tony. Omar and Leila expect to file jointly and plan to claim Jade and Tony as dependents.
| Person/Income |
Tax Filer or Relationship Rule? |
Whose Income to Count? |
Total Countable Income |
EDG Size |
Income Standard |
Income Eligible? |
| Omar - Earned Income $1250/month |
Tax filer |
Omar, Leila |
$ 2,498
(1,250 + 1,248) |
4 |
 $3,450
(FamilyCare, 138%) |
pass |
| Leila - Unemployment $1248/month |
Tax filer |
Omar, Leila |
2,498
(1,250 + 1,248) |
4 |
3,450
(FamilyCare, 138%) |
pass |
| Jade - none |
Tax filer |
Omar, Leila |
2,498
(1,250 + 1,248) |
4 |
7,950
(All Kids Assist, 318%) |
pass |
| Tony - SSA $450/month (not expected to be required to file) |
Relationship |
Tony |
450 |
1 |
1,677
(ACA Adult, 138%) |
pass |
Results: Tax filer status is used for Omar, Leila and Jade, so their EDGs include the taxpayers and all their dependents. Since Tony is a dependent who is not expected to be required to file, his income is not counted in the EDGs that include the taxpayers.
Tony is a dependent who is not being claimed by a parent or spouse, so relationship rules apply for him. He is in a separate EDG from the taxpayer, so his income is counted in his own EDG.
Example 2: Katla applies for herself, her spouse Joe, Katla's 18 year old Sam and their 15 year old adopted daughter Vera. Katla and Joe file jointly and claim both children as dependents. Sam is attending college out-of-state. He meets 'living with' requirements per PM 03-05-05 and Illinois residency requirements per PM 03-02-01. Sam is employed part-time.
| Person/Income |
Tax filer or Relationship Rule? |
Whose Income to Count? |
Total Countable Income |
EDG Size |
Income Standard |
Income Eligible? |
| Katla - Earned Income $2,500/month |
Tax filer |
Katla, Joe |
$5,000
(2,500 + 2,500) |
4 |
$3,450
(FamilyCare, 138%) |
fail |
| Joe - Earned Income $2,500/month |
Tax filer |
Katla, Joe |
$5,000
(2,500 + 2,500) |
4 |
3,450
(FamilyCare, 138%) |
fail |
|
Sam - Earned Income $200/month
(not expected to be required to file)
|
Tax filer |
Katla, Joe |
$5,000
(2,500 + 2,500) |
4 |
7,950
(All Kids Assist, 318%) |
pass |
| Vera - none |
Tax filer |
Katla, Joe |
$5,000
(2,500 + 2,500) |
4 |
7,950
(All Kids Assist, 318%) |
pass |
Results: Tax filer status is used for Katla, Joe, Sam and Vera, so their EDGs include the taxpayers and all their dependents. Since Sam is not expected to be required to file, and is a child of another person in his EDG, his income is not counted in the EDG of any person who is included in his EDG.
Example 3: Jerry, a 20 year old college student who is an Illinois resident applies for himself. He has earned income of $200 per month and does not expect to be required to file. His parents, Jim and Dora, live in another state, file taxes jointly and claim Jerry as their dependent. They also claim their 5 year old niece, Flora. They receive child support for Flora of $300 per month.
| Person/Income |
Tax filer or Relationship Rule? |
Whose Income to Count? |
Total Countable Income |
EDG Size |
Income Standard |
Income Eligible? |
Jerry - Earned Income $200
(not expected to be required to file) |
Tax filer |
Jim, Dora |
$ 4,000 |
4 |
$3,450
(ACA Adult, 138%) |
fail |
| Jim - SSA $1,000/month |
N/A - not an applicant |
N/A |
N/A |
N/A |
N/A |
N/A |
| Dora - Earned Income $3,000/month |
N/A - not an applicant |
N/A |
N/A |
N/A |
N/A |
N/A |
| Flora - Child Support $300/month |
N/A - not an applicant |
N/A |
N/A |
N/A |
N/A |
N/A |
Results: Since Jerry is a dependent who does not meet any of the exceptions in Step 2, tax filer rules apply. His EDG includes the taxpayers and all their dependents. Since Jerry is not expected to be required to file, and he is the child of another person in his EDG (Jim and Dora), his income is not counted.
Example 4: Aman applies for his wife, Helen, and their 2 year old daughter Isabel. Helen is an eligible non-citizen and Isabel is a U.S. citizen. Aman has earned income of $2,000 per month, Helen receives $500 a month in unemployment benefits, and the couple will file a joint tax return claiming Isabel as their dependent. Helen is pregnant, expecting one child.
| Person/Income |
Tax filer or Relationship Rule? |
Whose Income to Count? |
Total Countable Income |
EDG Size |
Income Standard |
Income Eligible? |
| Aman - Earned Income $2,000/month |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
| Helen - Unearned Income $500/month |
Tax filer |
Aman, Helen |
$2 ,500
($2,000 + $500) |
4 |
$5,325
(Moms & Babies, 209%) |
pass |
| Isabel - none |
Tax filer |
Aman, Helen |
2,500
($2,000 + $500) |
4 |
7,950
(All Kids Assist, 318%) |
pass |
Results: Aman is not requesting medical coverage however, he is included in the EDGs of the other household members.
Family Health Spenddown
When the pregnant woman asks for medical backdating:
Example 5: A pregnant woman applies for benefits on 12/04/02 and asks for medical backdating for September, October, and November. She is income ineligible for September but income eligible for October. Approve Moms & Babies starting 10/02 and Family Health Spenddown for September.
Example 6: A pregnant woman applies for benefits on 12/05/02 and asks for medical backdating for September, October, and November. She is income ineligible for the backdate months but is income eligible for December. Approve Moms & Babies starting 12/02 and Family Health Spenddown for September through November.
When the pregnant woman is not asking for medical backdating:
Approve the application month as Family Health Spenddown for a client approved for Moms & Babies for the month after the application month.
Example 7: A pregnant woman applies for benefits 12/03/02. The applicant is income ineligible for Moms & Babies for 12/02, but is income eligible for 01/03. Approve Moms & Babies starting 01/01/03. Family Health Spenddown for 12/02.
