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. Dependents Under Age 20 and Under

For example, if your coverge began March 1, 2020, enter the age of each person as of March 1, 2020. Round up if any household member had a birthday in that month. Member's Age on Coverage Start Date