Internal Revenue Service United States Department of the Treasury
Level Basic Advanced Military International

Affordable Care Act

Calculating the Premium Tax Credit

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Question 3 of 3

Karen is single and has no dependents. She enrolled in a qualified health plan with a premium of $4,000. The premium for her applicable SLCSP is $5,200. Karen's 2014 household income is $34,470. Her FPL is 300% and applicable figure is .0905.

Her premium tax credit is:

Click here to see the Poverty Guideline Tables. Click here to see the Applicable Percentage Table.

$3,275
$5,200
$1,925
$2,888


4012 ACA Tab chart
Click here to see the Applicable Percentage Table

4012 ACA Tab chart

Click here to see the Applicable Percentage Table