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“In some areas, premium rates are so low that the premium assistance tops out below 400 percent of FPL.” Explain please.
Premium tax credits are calculated based on an individual’s “fair share” of premium. “Fair share” increases with income, and ranges from 3.5% of income at 139% of FPL to 9.5% of income at 400% of FPL.
Individuals will pay their “fair share” of premium, or the total premium, whichever is less.
There may be a more recent answer to this question. Contact Claremont for an update.