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Calculate 2019 Premiums for the Second Lowest Cost Silver Plan (SLCSP)
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Only up to 3 dependents age 20 and under are calculated in the SLCSP monthly premium, even if you have more than 3 depends age 20 and under in your tax household.
Add Dependents Under Age 20 and Under
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Add 2
Add 3
Add Dependents Over Age 21 and Over
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Add 2
Add 3
Add 4
Add 5
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Tax Household Member
For example, if your coverge began March 1, 2019, enter the age of each person as of March 1, 2019. Round up if any household member had a birthday in that month.
Member's Age on Coverage Start Date
Primary Subscriber
Spouse
Dependent Age 20 and Under
Dependent Age 20 and Under
Dependent Age 20 and Under
Dependent Age 20 and Under
Dependent Age 20 and Under
Dependent Age 20 and Under
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Dependent Age 21 and Over
Monthly Premium for the Second Lowest Cost Silver Plan (SLCSP)
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