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Analysis of Exchange Subsidies and Enrollee Payments in 2016: Senate Finance Committee Chairman's Mark as Needed [i] (October 2009)

handle is hein.congrec/cbo9357 and id is 1 raw text is: Analysis of Exchange Subsidies and Enrollee Payments in 2016
Senate Finance Committee Chairman's Mark as Amended
Estimates for Second-Lowest-Cost Silver Plan

Single Policy
Family Policy

Actuarial Value
70%
70%

Average Premium
$5,000
$14,700

Avg. Cost Sharing
$1,700
$5,100

Single Person

Premium Cap
as a Share of
Income / a,b

Enrollee
Middle of Premium for
Income      Low-Cost
Range / c,d Silver Plan

Premium
Subsidy
(share of
premium)

Average
Cost-
Sharing
Subsidy

Average
Net Cost
Sharing

I                                                                I-                                                                                                                                                                                                                                                I

2.1% - 4.8%
4.8% - 7.5%
7.5% - 10.1%
10.1% - 12.8%
12.8%
12.8%
n.a.

$
$
$
$
$
$
$

14,700 $
20,600 $
26,500 $
32,400 $
38,300 $
44,200 $
50,100 $

500
1,300
2,300
3,700
4,900
5,000
5,000

90%
74%
54%
26%
2%
0%
0%

$
$
$
$
$
$
$

1,200 $
700 $
- $
- $
- $
- $
- $

500
1,000
1,700
1,700
1,700
1,700
1,700

Enrollee Premium +
Avg. Cost Sharing
Percent of
Dollars   Income

$
$
$
$
$
$
$

1,000
2,300
4,000
5,400
6,600
6,700
6,700

7%
11%
15%
17%
17%
15%
13%

Family of Four

Premium Cap
as a Share of
Income / a,b

Enrollee
Middle of Premium for
Income      Low-Cost
Range / c,d Silver Plan

Premium
Subsidy
(share of
premium)

Average
Cost-
Sharing
Subsidy

Average
Net Cost
Sharing

I                                                       I-                                                                                                                                                                                                                 I

2.1% - 4.8%
4.8% - 7.5%
7.5% -10.1%
10.1% - 12.8%
12.8%
12.8%
n.a.

$
$
$
$
$
$
$

30,000 $
42,000 $
54,000 $
66,000 $
78,000 $
90,100 $
102,100 $

1,000
2,600
4,800
7,600
10,000
11,500
14,700

93%
82%
67%
48%
32%
22%
0%

$
$
$
$
$
$
$

3,600 $
1,900 $
-$
- $
- $
- $
- $

1,500
3,200
5,100
5,100
5,100
5,100
5,100

Enrollee Premium +
Avg. Cost Sharing
Percent of
Dollars   Income

$
$
$
$
$
$
$

2,500
5,800
9,900
12,700
15,100
16,600
19,800

8%
14%
18%
19%
19%
18%
19%

Source: Congressional Budget Office and the Staff of the Joint Committee on Taxation.
NOTES: All dollar figures have been rounded to the nearest $100; n.a. = not applicable; FPL = federal poverty level.
a) In 2013, the income caps would range from 2% to 12%; in subsequent years those caps would be indexed.
b) In 2016, people would be exempt from the mandate penalty if they had to pay more than 8.5 percent of their income for insurance.
c) In 2016, the FPL is projected to equal about $11,800 for a single person and about $24,000 for a family of four.
d) Under the proposal, subsidies would generally be based on income data from enrollees' tax returns.

10/9/2009

Income
Relative to
the FPL

100-150%
150-200%
200-250%
250-300%
300-350%
350-400%
400-450%

Income
Relative to
the FPL

100-150%
150-200%
200-250%
250-300%
300-350%
350-400%
400-450%

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