[35 Pa.B. 3491]

[Continued from previous Web Page]

§ 3041.175. Eligibility agency responsibilities regarding appeal.

   (a)  If the parent or caretaker is unable to prepare a written appeal, the eligibility agency shall assist the parent or caretaker in preparing a written appeal. The parent or caretaker shall sign the appeal request.

   (b)  When the eligibility agency receives an appeal that is timely postmarked or delivered, the eligibility agency shall date-stamp the appeal, the envelope and the attachments with the date of receipt and retain copies of all original appeal information.

   (c)  The eligibility agency shall keep a copy and forward the original appeal along with the postmarked envelope to the Department's Bureau of Hearings and Appeals no later than 3 working days following the date the appeal is received by the eligibility agency.

   (d)  The eligibility agency may not take the proposed adverse action until 10 calendar days following the date the written notice is postmarked or hand-delivered to the parent or caretaker and then only if the parent or caretaker has not filed an appeal. Subsidy may be continued at the prior level only if the parent or caretaker meets the requirements in § 3041.173 (relating to subsidy continuation during the appeal process).

   (e)  The eligibility agency may take the proposed adverse action before 10 calendar days following the date a provider closes for financial difficulties or loss of certification or registration or if funding is not available to continue subsidized care to the child.

§ 3041.176. Hearing procedures.

   (a)  Chapter 275 (relating to appeal and fair hearing and administrative disqualification hearings) applies to hearings that are held under this chapter, except as specifically superseded by this chapter.

   (b)  An appeal postmarked or received after 30 calendar days from the date the written notice is postmarked or hand-delivered to the parent or caretaker will be dismissed as untimely without a hearing, unless one of the provisions allowing for appeals after 30 calendar days applies as specified in § 275.3(b)(2) and (3) (relating to time limitations on right to appeal).

   (c)  The hearing may be conducted by a telephone conference call with the parties to the appeal, including the parent or caretaker, the authorized representative of the parent or caretaker, the eligibility agency, the Department and the hearing officer.

   (d)  The parent or caretaker has the right to request a face-to-face hearing instead of a telephone hearing. Face-to-face hearings will be held in locations specified by the Department.

   (e)  If a parent or caretaker does not withdraw an appeal, the eligibility agency or the Department, if appropriate, will take part in the scheduled hearing to justify the action to which the parent or caretaker objects.

   (f)  If the eligibility agency or the Department fails to appear at the hearing and the parent or caretaker appears, the parent's or caretaker's appeal will be sustained.

   (g)  If the parent or caretaker fails to appear for the hearing, regardless of whether the eligibility agency or the Department appears, the appeal is considered abandoned and the decision of the eligibility agency or the Department will be sustained.

   (h)  The Department will notify the eligibility agency and the parent or caretaker, in writing, when disposition of the appeal is made.

   (i)  The eligibility agency shall implement the final administrative action within the time limit ordered by the Department or on the first day child care is needed in the week following receipt of the final administrative action order.

OVERPAYMENT AND DISQUALIFICATION

§ 3041.181. Overpayment.

   The parent or caretaker may not be required to repay an overpayment except for an overpayment resulting from one of the following:

   (1)  Fraud.

   (2)  Failure to comply with this chapter.

   (3)  Subsidy continuation pending an appeal when the parent or caretaker did not win the appeal.

§ 3041.182. Eligibility agency responsibilities regarding overpayment.

   (a)  The eligibility agency shall inform a parent or caretaker who files an appeal and requests subsidy continuation pending appeal, that if the hearing decision is in favor of the eligibility agency or the Department, the parent or caretaker shall reimburse the amount of the overpayment unless the hearing officer determines a hardship.

   (b)  The eligibility agency shall pursue possible overpayments in active and closed cases, including those that were voluntarily closed.

   (c)  The following are the responsibilities of the eligibility agency when exploring possible overpayments:

   (1)  Determination of whether the overpayment is the result of one of the conditions specified in § 3041.181 (relating to overpayment).

   (2)  Written assurance that the methods of exploring overpayments are appropriate to the particular situation and to the different eligibility factors.

   (3)  Assurance that the methods of exploring overpayments do not infringe on the civil liberties of individuals or interfere with the due process of law.

   (4)  Investigation of a credible complaint that a parent or caretaker is erroneously receiving subsidized child care.

   (5)  Identification and documentation of the causes of the overpayment.

   (6)  Computation of the amount of the overpayment.

   (7)  Referral of suspected fraud cases to the Office of Inspector General.

   (8)  Submission of an overpayment notice to the parent or caretaker as specified in § 3041.167 (relating to notice of overpayment).

§ 3041.183. Delaying recoupment.

   Recoupment shall be delayed until after a hearing decision, if the family files an appeal of the overpayment decision no later than 10 calendar days after the date the written notice is postmarked or hand-delivered to the parent or caretaker by the eligibility agency.

§ 3041.184. Notifying the Department.

   The eligibility agency shall notify the Department when recoupment stops before the overpayment is fully recouped.

§ 3041.185. Repayment.

   The parent or caretaker shall repay the eligibility agency or Department the full amount of the overpayment.

§ 3041.186. Collection.

   (a)  The eligibility agency shall collect the total amount of the overpayment from a family whose child continues to receive subsidized child care when the eligibility agency identifies an overpayment.

   (b)  If the Department, eligibility agency or other entity identifies an overpayment subject to repayment as specified in § 3041.181 (relating to overpayment) related to a family whose child continues to receive subsidized child care, the eligibility agency shall:

   (1)  Notify the parent or caretaker by a letter that a repayment is required, the amount of the repayment and the following repayment options:

   (i)  A one-time payment of the full amount owed.

   (ii)  A one-time partial payment and an increase in the co-payment to be paid until repayment is complete.

   (iii)  An increase in the co-payment until the repayment is complete.

   (2)  Automatically implement an increase to the co-payment until the repayment is complete when the parent or caretaker does not select an option as specified in paragraph (1) no later than 10 calendar days following the date of the letter.

   (3)  Notify the parent or caretaker by a second letter of failure to choose a repayment option as specified in paragraph (1), the amount of the increased co-payment and the number of weeks the increased co-payment will continue.

§ 3041.187. Co-payment increase.

   (a)  A co-payment increase for the purpose of collecting an overpayment may not exceed an amount greater than 5% of the family's gross monthly income. If the parent or caretaker indicates to the eligibility agency that an increase to 5% would cause hardship to the family, the family and the eligibility agency may agree to a lesser amount.

   (b)  A parent or caretaker may choose to increase the co-payment beyond the amount specified in subsection (a) to repay an overpayment in a shorter period of time.

   (c)  The eligibility agency shall issue a written notice of adverse action as specified in §§ 3041.161 and 3041.165 (relating to general notification requirements; and notice of adverse action) before implementation of an increase in the co-payment.

§ 3041.188. Collection for a family whose child is no longer in care.

   (a)  The eligibility agency shall collect the total amount of the overpayment from a family whose child is no longer receiving subsidized child care if the eligibility agency identifies an overpayment.

   (b)  If the Department, eligibility agency or other entity identifies an overpayment for a family whose child is no longer receiving subsidized child care, the eligibility agency shall:

   (1)  Notify the Department of the subsidy termination date, the amount of the overpayment recouped and the amount outstanding. The Department will notify the parent or caretaker by letter of the overpayment, the amount of the outstanding overpayment and that repayment is required in either a single payment or under a payment plan agreeable to the parent or caretaker and the eligibility agency. The letter must state that the parent or caretaker has 10 calendar days to respond to the Department indicating agreement or disagreement and indicating the choice of a repayment method.

   (2)  Send a second letter that repeats the information contained in the letter specified in paragraph (1) when the Department notifies the eligibility agency that the parent or caretaker failed to respond. The second letter must also request a response from the parent or caretaker no later than 10 calendar days following the date of the letter.

   (c)  The Department may institute civil legal proceedings when the parent or caretaker fails to respond to the second letter.

§ 3041.189. Disqualification.

   (a)  The parent or caretaker is disqualified from participating in the subsidized child care program if one of the following applies:

   (1)  A Federal or State court finds the parent or caretaker guilty of fraud in applying for or receiving subsidized child care.

   (2)  A hearing officer determines that the parent or caretaker committed fraud pursuant to the procedures and standards in Chapter 275 (relating to appeal and fair hearing and administrative disqualification hearings).

   (3)  The parent or caretaker signs a disqualification consent agreement as part of a court's deferred adjudication process.

   (b)  Upon disqualification under subsection (a), a parent or caretaker and eligible children in the parent's or caretaker's family shall be prohibited from participation in the subsidized child care program:

   (1)  For 6 months from the date of the first conviction, hearing decision or determination.

   (2)  For 12 months from the second conviction, hearing decision or determination.

   (3)  Permanently from the date of the third conviction, hearing decision or determination.

   (c)  A parent or caretaker may not be granted a hearing on a court conviction or administrative disqualification hearing decision that led to the disqualification.

APPENDIX A

INCOME TO BE INCLUDED, DEDUCTED AND EXCLUDED IN DETERMINING GROSS MONTHLY INCOME

PART I. INCOME INCLUSIONS.

   Income from the following sources is included when determining total gross monthly income:

   A.  Money, wages or salary earned by a parent or caretaker before deductions for taxes, Social Security, savings bonds, pensions, union dues, health insurance and similar purposes, for work performed as an employee. This includes commissions, tips, piece-rate payments and cash bonuses. Income earned by an unemancipated minor is not included.

   B.  Armed forces pay which includes base pay plus cash, but does not include housing subsistence, allowances or the value of rent-free quarters.

   C.  Voluntary and court-ordered support received for any person in the family.

   D.  Net income from nonresident and real property, defined as gross receipts minus the expenses for continuing the income, such as depreciation charges, business taxes (not personal income taxes), interest on mortgages, repairs and similar expenses.

   E.  Social Security benefits, Supplemental Security Income, survivors' benefits and permanent disability insurance payments made by the Social Security Administration before deductions of health insurance premiums.

   F.  Railroad retirement, disability or survivors' benefit payments made by the United States Government under the Railroad Retirement Act, before deductions of health insurance premiums.

   G.  State blind pension payments made by the Department.

   H.  Public assistance or welfare benefits or retirement benefits.

   I.  Private pensions and annuities, including retirement benefits paid to a retired person or his survivors by a former employer or a union, either directly or through an insurance company.

   J.  Government employee pensions paid by Federal, State, county or other governmental agencies to former employees, including members of the armed forces, or their survivors.

   K.  Unemployment compensation received from government unemployment insurance agencies or private companies during periods of unemployment and strike benefits received from union funds.

   L.  Workers' compensation received from private or public insurance companies.

   M.  Veterans' payments, defined as money paid periodically by the Veterans Administration (VA) to disabled members of the armed forces or to the survivors or dependents of deceased or disabled veterans, subsistence allowances paid to the survivors of deceased veterans and subsistence allowances paid to veterans for education and on-the-job training, as well as so-called ''refunds'' paid to ex-service persons as GI insurance premiums. For the disabled veteran in the Vocational Rehabilitation Program, the subsistence allowance and the veteran's disability allowance are counted as income.

   N.  Capital gains, profit from S-corporations and dividends, including dividends from stocks, bonds, mutual funds or from membership in an association.

   O.  Interest on savings and bonds.

   P.  Income from estates and trust funds.

   Q.  Net income from royalties.

   R.  Lump sum cash of more than $100: inheritances, life insurance benefits; personal injury and other damage awards and settlements; retroactive benefits such as Retirement, Survivor's or Disability Insurance and delayed Unemployment, divorce settlements, gifts or Worker's Compensation.

   S.  Lump sum cash lottery winnings or cash prizes of more than $100.

   T.  Profit from self-employment; total gross receipts minus costs of doing business. The costs of doing business include:

   (1)  Costs of maintaining a place of business such as rent, utilities, insurance on the business and its property and property taxes. Note: If a business is operated in a home, the costs of maintaining a place of business are only those costs identified for the part of the home used exclusively for the business.

   (2)  Interest on the purchase of income-producing equipment and property.

   (3)  Employee labor costs, such as wage, salaries, taxes, benefits, Unemployment Compensation or Worker's Compensation.

   (4)  Cost of goods sold, supplies and materials.

   (5)  Advertising costs.

   (6)  Accounting and legal fees.

   (7)  Professional licensing fees and union dues, if necessary to practice a profession or trade.

   (8)  Transportation costs necessary to produce income.

   (9)  Depreciation.

   (10)  Other deductions allowed by the Internal Revenue Service (IRS).

   U.  Net income from room rent or room and board: Gross income received minus $10 per month for each room rented. Divide the remainder by 2. That number is the income inclusion.

CONVERSION TABLE

   Convert weekly, biweekly, semi-monthly and other pay periods to gross monthly amounts using the following Conversion Table:

Frequency of income	Conversion method
Daily	Multiply the daily income by the number of workdays in a week, then multiply by 4.3.
Weekly	Multiply by 4.3.
Biweekly (every 2 weeks)	Divide by 2, then multiply by 4.3.
Semimonthly (twice a month)	Multiply by 2 for monthly gross income.
Monthly	Use the figure given.
Quarterly	Divide by 3.
Annually	Divide by 12.
Lump sum income	Divide by 12.

PART II. INCOME DEDUCTIONS.

   The following are deducted when determining adjusted monthly income:

   A.  Voluntary or court-ordered support paid by the parent or caretaker or a family member to a present or former spouse not residing in the same household.

   B.  Voluntary or court-ordered child support paid by the parent or caretaker or family member to a person not residing in the same household.

   C.  A medical expense not reimbursed through medical insurance that exceeds 10% of the family gross monthly income. The medical expense must have been incurred within the 90-day period prior to the date the parent or caretaker notifies the eligibility agency of that expense and there must be an expectation that the expense will continue to be incurred for the 6 months following the outset of the expense. Medical expenses are based on the monthly expenses or monthly payment plan, or both. Medical expenses include bills for doctors, hospital costs, dental services, health care premiums, institutional care, medications, prosthetic devices, durable medical equipment or mental health services.

   D.  The stepparent deduction as shown in the Stepparent Deduction Chart in Appendix C.

PART III. INCOME EXCLUSIONS.

   Income from the following sources is excluded in determining gross monthly income:

   A.  Employment earnings of an individual who is an unemancipated minor.

   B.  Tax refunds, including earned income tax credits.

   C.  Withdrawals of bank, credit union or brokerage deposits.

   D.  Money borrowed.

   E.  Nonrecurring money (in amounts under $100 per person per year) given as a gift, from any source.

   F.  The value of benefits under the Food Stamp Act of 1977 (7 U.S.C.A. §§ 2011--2036).

   G.  The value of foods donated from the United States Department of Agriculture.

   H.  The value of supplemental foods assistance under the Child Nutrition Act of 1966 (42 U.S.C.A. §§ 1771--1791) and the special food service programs for children under that act.

   I.  Loans and grants, such as scholarships, obtained and used for conditions that preclude their use for living costs.

   J.  Any grant or loan to an undergraduate student for educational purposes, made or insured under any program administered under the Higher Education Act of 1965 (20 U.S.C.A. §§ 1001--1145-q).

   K.  Any payment received under the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C.A. §§ 4601--4655).

   L.  Any home produce used for household consumption.

   M.  Any payment made on behalf of an individual for household expenses, such as rent, food and utilities.

   N.  Payments to Volunteers in Service to America under the Domestic Volunteer Service Act of 1973 (42 U.S.C.A. §§ 4951--5085), which include Americorps income.

   O.  Earnings received by any youth under the Workforce Investment Act of 1998, as amended; Pub. L. 105--220, Aug. 7, 1998, 112 Stat. 939. (29 U.S.C. 2801 et seq.).

   P.  Any foster care payments by a foster care placement agency, including payments to permanent legal custodians.

   Q.  Stipends derived from the Foster Grandparent Programs under sections 211 and 212 of the Domestic Violence Service Act of 1973 (42 U.S.C.A. §§ 5011 and 5012).

   R.  Low Income Home Energy Assistance Program (LIHEAP) benefits and cash in-kind energy assistance provided by private agencies and utility companies.

   S.  Any adoption assistance payments by a county children and youth agency.

   T.  Income received from Federal student aid or participation in a Federal work-study program.

   U.  Payments made by the Veterans Administration to children of Vietnam veterans under The Benefits for Children of Vietnam Veterans Act (38 U.S.C. § 1823c).

APPENDIX B

CO-PAYMENT CHART FAMILY CO-PAYMENT SCALE (BASED ON THE 2005
FPIGs
 

Weekly	Family Size:	1	Family Size:	2	Family Size:	3
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$7,570	Less than:	$10,830	Less than:	$12,090
$10.00	$7,570.01	$9,570	$10,830.01	$12,830	$12,090.01	$14,090
$15.00	$9,570.01	$11,570	$12,830.01	$14,830	$14,090.01	$16,090
$20.00	$11,570.01	$13,570	$14,830.01	$16,830	$16,090.01	$18,090
$25.00	$13,570.01	$15,570	$16,830.01	$18,830	$18,090.01	$20,090
$30.00	$15,570.01	$17,570	$18,830.01	$20,830	$20,090.01	$22,090
$35.00	$17,570.01	$19,570	$20,830.01	$22,830	$22,090.01	$24,090
$40.00	$19,570.01	$21,570	$22,830.01	$24,830	$24,090.01	$26,090
$45.00	$21,570.01	$22,490	$24,830.01	$26,830	$26,090.01	$28,090
$50.00			$26,830.01	$28,830	$28,090.01	$30,090
$55.00			$28,830.01	$30,151	$30,090.01	$32,090
$60.00					$32,090.01	$34,090
$65.00					$34,090.01	$36,090
$70.00					$36,090.01	$37,812
	200% FPIG	$19,140	200% FPIG	$25,660	200% FPIG	$32,180
Weekly	Family Size:	4	Family Size:	5	Family Size:	6
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$13,350	Less than:	$14,610	Less than:	$15,870
$10.00	$13,350.01	$15,350	$14,610.01	$16,610	$15,870.01	$17,870
$15.00	$15,350.01	$17,350	$16,610.01	$18,610	$17,870.01	$19,870
$20.00	$17,350.01	$19,350	$18,610.01	$20,610	$19,870.01	$21,870
$25.00	$19,350.01	$21,350	$20,610.01	$22,610	$21,870.01	$23,870
$30.00	$21,350.01	$23,350	$22,610.01	$24,610	$23,870.01	$25,870
$35.00	$23,350.01	$25,350	$24,610.01	$26,610	$25,870.01	$27,870
$40.00	$25,350.01	$27,350	$26,610.01	$28,610	$27,870.01	$29,870
$45.00	$27,350.01	$29,350	$28,610.01	$30,610	$29,870.01	$31,870
$50.00	$29,350.01	$31,350	$30,610.01	$32,610	$31,870.01	$33,870
$55.00	$31,350.01	$33,350	$32,610.01	$34,610	$33,870.01	$35,870
$60.00	$33,350.01	$35,350	$34,610.01	$36,610	$35,870.01	$37,870
$65.00	$35,350.01	$37,350	$36,610.01	$38,610	$37,870.01	$39,870
$70.00	$37,350.01	$39,350	$38,610.01	$40,610	$39,870.01	$41,870
$75.00	$39,350.01	$41,350	$40,610.01	$42,610	$41,870.01	$43,870
$80.00	$41,350.01	$43,350	$42,610.01	$44,610	$43,870.01	$45,870
$85.00	$43,350.01	$45,350	$44,610.01	$46,610	$45,870.01	$47,870
$90.00	$45,350.01	$45,473	$46,610.01	$48,610	$47,870.01	$49,870
$95.00			$48,610.01	$50,610	$49,870.01	$51,870
$100.00			$50,610.01	$52,610	$51,870.01	$53,870
$105.00			$52,610.01	$53,134	$53,870.01	$55,870
$110.00					$55,870.01	$57,870
$115.00					$57,870.01	$59,870
$120.00					$59,870.01	$60,795
	200% FPIG	$38,700	200% FPIG	$45,220	200% FPIG	$51,740
Weekly	Family Size:	7	Family Size:	8	Family Size:	9
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$17,130	Less than:	$18,390	Less than:	$19,650
$10.00	$17,130.01	$19,130	$18,390.01	$20,390	$19,650.01	$21,650
$15.00	$19,130.01	$21,130	$20,390.01	$22,390	$21,650.01	$23,650
$20.00	$21,130.01	$23,130	$22,390.01	$24,390	$23,650.01	$25,650
$25.00	$23,130.01	$25,130	$24,390.01	$26,390	$25,650.01	$27,650
$30.00	$25,130.01	$27,130	$26,390.01	$28,390	$27,650.01	$29,650
$35.00	$27,130.01	$29,130	$28,390.01	$30,390	$29,650.01	$31,650
$40.00	$29,130.01	$31,130	$30,390.01	$32,390	$31,650.01	$33,650
$45.00	$31,130.01	$33,130	$32,390.01	$34,390	$33,650.01	$35,650
$50.00	$33,130.01	$35,130	$34,390.01	$36,390	$35,650.01	$37,650
$55.00	$35,130.01	$37,130	$36,390.01	$38,390	$37,650.01	$39,650
$60.00	$37,130.01	$39,130	$38,390.01	$40,390	$39,650.01	$41,650
$65.00	$39,130.01	$41,130	$40,390.01	$42,390	$41,650.01	$43,650
$70.00	$41,130.01	$43,130	$42,390.01	$44,390	$43,650.01	$45,650
$75.00	$43,130.01	$45,130	$44,390.01	$46,390	$45,650.01	$47,650
$80.00	$45,130.01	$47,130	$46,390.01	$48,390	$47,650.01	$49,650
$85.00	$47,130.01	$49,130	$48,390.01	$50,390	$49,650.01	$51,650
$90.00	$49,130.01	$51,130	$50,390.01	$52,390	$51,650.01	$53,650
$95.00	$51,130.01	$53,130	$52,390.01	$54,390	$53,650.01	$55,650
$100.00	$53,130.01	$55,130	$54,390.01	$56,390	$55,650.01	$57,650
$105.00	$55,130.01	$57,130	$56,390.01	$58,390	$57,650.01	$59,650
$110.00	$57,130.01	$59,130	$58,390.01	$60,390	$59,650.01	$61,650
$115.00	$59,130.01	$61,130	$60,390.01	$62,390	$61,650.01	$63,650
$120.00	$61,130.01	$63,130	$62,390.01	$64,390	$63,650.01	$65,650
$125.00	$63,130.01	$65,130	$64,390.01	$66,390	$65,650.01	$67,650
$130.00	$65,130.01	$67,130	$66,390.01	$68,390	$67,650.01	$69,650
$135.00	$67,130.01	$68,456	$68,390.01	$70,390	$69,650.01	$71,650
$140.00			$70,390.01	$72,390	$71,650.01	$73,650
$145.00			$72,390.01	$74,390	$73,650.01	$75,650
$150.00			$74,390.01	$76,117	$75,650.01	$77,650
$155.00					$77,650.01	$79,650
$160.00					$79,650.01	$81,650
$165.00					$81,650.01	$83,650
$170.00					$83,650.01	$83,778
	200% FPIG	$58,260	200% FPIG	$64,780	200% FPIG	$71,300
Weekly	Family Size:	10	Family Size:	11	Family Size:	12
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$20,910	Less than:	$22,170	Less than:	$23,430
$10.00	$20,910.01	$22,910	$22,170.01	$24,170	$23,430.01	$25,430
$15.00	$22,910.01	$24,910	$24,170.01	$26,170	$25,430.01	$27,430
$20.00	$24,910.01	$26,910	$26,170.01	$28,170	$27,430.01	$29,430
$25.00	$26,910.01	$28,910	$28,170.01	$30,170	$29,430.01	$31,430
$30.00	$28,910.01	$30,910	$30,170.01	$32,170	$31,430.01	$33,430
$35.00	$30,910.01	$32,910	$32,170.01	$34,170	$33,430.01	$35,430
$40.00	$32,910.01	$34,910	$34,170.01	$36,170	$35,430.01	$37,430
$45.00	$34,910.01	$36,910	$36,170.01	$38,170	$37,430.01	$39,430
$50.00	$36,910.01	$38,910	$38,170.01	$40,170	$39,430.01	$41,430
$55.00	$38,910.01	$40,910	$40,170.01	$42,170	$41,430.01	$43,430
$60.00	$40,910.01	$42,910	$42,170.01	$44,170	$43,430.01	$45,430
$65.00	$42,910.01	$44,910	$44,170.01	$46,170	$45,430.01	$47,430
$70.00	$44,910.01	$46,910	$46,170.01	$48,170	$47,430.01	$49,430
$75.00	$46,910.01	$48,910	$48,170.01	$50,170	$49,430.01	$51,430
$80.00	$48,910.01	$50,910	$50,170.01	$52,170	$51,430.01	$53,430
$85.00	$50,910.01	$52,910	$52,170.01	$54,170	$53,430.01	$55,430
$90.00	$52,910.01	$54,910	$54,170.01	$56,170	$55,430.01	$57,430
$95.00	$54,910.01	$56,910	$56,170.01	$58,170	$57,430.01	$59,430
$100.00	$56,910.01	$58,910	$58,170.01	$60,170	$59,430.01	$61,430
$105.00	$58,910.01	$60,910	$60,170.01	$62,170	$61,430.01	$63,430
$110.00	$60,910.01	$62,910	$62,170.01	$64,170	$63,430.01	$65,430
$115.00	$62,910.01	$64,910	$64,170.01	$66,170	$65,430.01	$67,430
$120.00	$64,910.01	$66,910	$66,170.01	$68,170	$67,430.01	$69,430
$125.00	$66,910.01	$68,910	$68,170.01	$70,170	$69,430.01	$71,430
$130.00	$68,910.01	$70,910	$70,170.01	$72,170	$71,430.01	$73,430
$135.00	$70,910.01	$72,910	$72,170.01	$74,170	$73,430.01	$75,430
$140.00	$72,910.01	$74,910	$74,170.01	$76,170	$75,430.01	$77,430
$145.00	$74,910.01	$76,910	$76,170.01	$78,170	$77,430.01	$79,430
$150.00	$76,910.01	$78,910	$78,170.01	$80,170	$79,430.01	$81,430
$155.00	$78,910.01	$80,910	$80,170.01	$82,170	$81,430.01	$83,430
$160.00	$80,910.01	$82,910	$82,170.01	$84,170	$83,430.01	$85,430
$165.00	$82,910.01	$84,910	$84,170.01	$86,170	$85,430.01	$87,430
$170.00	$84,910.01	$86,910	$86,170.01	$88,170	$87,430.01	$89,430
$175.00	$86,910.01	$88,910	$88,170.01	$90,170	$89,430.01	$91,430
$180.00	$88,910.01	$90,910	$90,170.01	$92,170	$91,430.01	$93,430
$185.00	$90,910.01	$91,439	$92,170.01	$94,170	$93,430.01	$95,430
$190.00			$94,170.01	$96,170	$95,430.01	$97,430
$195.00			$96,170.01	$98,170	$97,430.01	$99,430
$200.00			$98,170.01	$99,100	$99,430.01	$101,430
$205.00					$101,430.01	$103,430
$210.00					$103,430.01	$105,430
$215.00					$105,430.01	$106,761
	200% FPIG	$77,820	200% FPIG	$84,340	200% FPIG	$90,860
Weekly	Family Size:	13	Family Size:	14	Family Size:	15
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$24,690	Less than:	$25,950	Less than:	$27,210
$10.00	$24,690.01	$26,690	$25,950.01	$27,950	$27,210.01	$29,210
$15.00	$26,690.01	$28,690	$27,950.01	$29,950	$29,210.01	$31,210
$20.00	$28,690.01	$30,690	$29,950.01	$31,950	$31,210.01	$33,210
$25.00	$30,690.01	$32,690	$31,950.01	$33,950	$33,210.01	$35,210
$30.00	$32,690.01	$34,690	$33,950.01	$35,950	$35,210.01	$37,210
$35.00	$34,690.01	$36,690	$35,950.01	$37,950	$37,210.01	$39,210
$40.00	$36,690.01	$38,690	$37,950.01	$39,950	$39,210.01	$41,210
$45.00	$38,690.01	$40,690	$39,950.01	$41,950	$41,210.01	$43,210
$50.00	$40,690.01	$42,690	$41,950.01	$43,950	$43,210.01	$45,210
$55.00	$42,690.01	$44,690	$43,950.01	$45,950	$45,210.01	$47,210
$60.00	$44,690.01	$46,690	$45,950.01	$47,950	$47,210.01	$49,210
$65.00	$46,690.01	$48,690	$47,950.01	$49,950	$49,210.01	$51,210
$70.00	$48,690.01	$50,690	$49,950.01	$51,950	$51,210.01	$53,210
$75.00	$50,690.01	$52,690	$51,950.01	$53,950	$53,210.01	$55,210
$80.00	$52,690.01	$54,690	$53,950.01	$55,950	$55,210.01	$57,210
$85.00	$54,690.01	$56,690	$55,950.01	$57,950	$57,210.01	$59,210
$90.00	$56,690.01	$58,690	$57,950.01	$59,950	$59,210.01	$61,210
$95.00	$58,690.01	$60,690	$59,950.01	$61,950	$61,210.01	$63,210
$100.00	$60,690.01	$62,690	$61,950.01	$63,950	$63,210.01	$65,210
$105.00	$62,690.01	$64,690	$63,950.01	$65,950	$65,210.01	$67,210
$110.00	$64,690.01	$66,690	$65,950.01	$67,950	$67,210.01	$69,210
$115.00	$66,690.01	$68,690	$67,950.01	$69,950	$69,210.01	$71,210
$120.00	$68,690.01	$70,690	$69,950.01	$71,950	$71,210.01	$73,210
$125.00	$70,690.01	$72,690	$71,950.01	$73,950	$73,210.01	$75,210
$130.00	$72,690.01	$74,690	$73,950.01	$75,950	$75,210.01	$77,210
$135.00	$74,690.01	$76,690	$75,950.01	$77,950	$77,210.01	$79,210
$140.00	$76,690.01	$78,690	$77,950.01	$79,950	$79,210.01	$81,210
$145.00	$78,690.01	$80,690	$79,950.01	$81,950	$81,210.01	$83,210
$150.00	$80,690.01	$82,690	$81,950.01	$83,950	$83,210.01	$85,210
$155.00	$82,690.01	$84,690	$83,950.01	$85,950	$85,210.01	$87,210
$160.00	$84,690.01	$86,690	$85,950.01	$87,950	$87,210.01	$89,210
$165.00	$86,690.01	$88,690	$87,950.01	$89,950	$89,210.01	$91,210
$170.00	$88,690.01	$90,690	$89,950.01	$91,950	$91,210.01	$93,210
$175.00	$90,690.01	$92,690	$91,950.01	$93,950	$93,210.01	$95,210
$180.00	$92,690.01	$94,690	$93,950.01	$95,950	$95,210.01	$97,210
$185.00	$94,690.01	$96,690	$95,950.01	$97,950	$97,210.01	$99,210
$190.00	$96,690.01	$98,690	$97,950.01	$99,950	$99,210.01	$101,210
$195.00	$98,690.01	$100,690	$99,950.01	$101,950	$101,210.01	$103,210
$200.00	$100,690.01	$102,690	$101,950.01	$103,950	$103,210.01	$105,210
$205.00	$102,690.01	$104,690	$103,950.01	$105,950	$105,210.01	$107,210
$210.00	$104,690.01	$106,690	$105,950.01	$107,950	$107,210.01	$109,210
$215.00	$106,690.01	$108,690	$107,950.01	$109,950	$109,210.01	$111,210
$220.00	$108,690.01	$110,690	$109,950.01	$111,950	$111,210.01	$113,210
$225.00	$110,690.01	$112,690	$111,950.01	$113,950	$113,210.01	$115,210
$230.00	$112,690.01	$114,422	$113,950.01	$115,950	$115,210.01	$117,210
$235.00			$115,950.01	$117,950	$117,210.01	$119,210
$240.00			$117,950.01	$119,950	$119,210.01	$121,210
$245.00			$119,950.01	$121,950	$121,210.01	$123,210
$250.00			$121,950.01	$122,083	$123,210.01	$125,210
$255.00					$125,210.01	$127,210
$260.00					$127,210.01	$129,210
$265.00					$129,210.01	$129,744
	200% FPIG	$97,380	200% FPIG	$103,900	200% FPIG	$110,420
Weekly	Family Size:	16	Family Size:	17	Family Size:	18
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$30,470	Less than:	$31,730	Less than:	$32,990
$10.00	$30,470.01	$32,470	$31,730.01	$33,730	$32,990.01	$34,990
$15.00	$32,470.01	$34,470	$33,730.01	$35,730	$34,990.01	$36,990
$20.00	$34,470.01	$36,470	$35,730.01	$37,730	$36,990.01	$38,990
$25.00	$36,470.01	$38,470	$37,730.01	$39,730	$38,990.01	$40,990
$30.00	$38,470.01	$40,470	$39,730.01	$41,730	$40,990.01	$42,990
$35.00	$40,470.01	$42,470	$41,730.01	$43,730	$42,990.01	$44,990
$40.00	$42,470.01	$44,470	$43,730.01	$45,730	$44,990.01	$46,990
$45.00	$44,470.01	$46,470	$45,730.01	$47,730	$46,990.01	$48,990
$50.00	$46,470.01	$48,470	$47,730.01	$49,730	$48,990.01	$50,990
$55.00	$48,470.01	$50,470	$49,730.01	$51,730	$50,990.01	$52,990
$60.00	$50,470.01	$52,470	$51,730.01	$53,730	$52,990.01	$54,990
$65.00	$52,470.01	$54,470	$53,730.01	$55,730	$54,990.01	$56,990
$70.00	$54,470.01	$56,470	$55,730.01	$57,730	$56,990.01	$58,990
$75.00	$56,470.01	$58,470	$57,730.01	$59,730	$58,990.01	$60,990
$80.00	$58,470.01	$60,470	$59,730.01	$61,730	$60,990.01	$62,990
$85.00	$60,470.01	$62,470	$61,730.01	$63,730	$62,990.01	$64,990
$90.00	$62,470.01	$64,470	$63,730.01	$65,730	$64,990.01	$66,990
$95.00	$64,470.01	$66,470	$65,730.01	$67,730	$66,990.01	$68,990
$100.00	$66,470.01	$68,470	$67,730.01	$69,730	$68,990.01	$70,990
$105.00	$68,470.01	$70,470	$69,730.01	$71,730	$70,990.01	$72,990
$110.00	$70,470.01	$72,470	$71,730.01	$73,730	$72,990.01	$74,990
$115.00	$72,470.01	$74,470	$73,730.01	$75,730	$74,990.01	$76,990
$120.00	$74,470.01	$76,470	$75,730.01	$77,730	$76,990.01	$78,990
$125.00	$76,470.01	$78,470	$77,730.01	$79,730	$78,990.01	$80,990
$130.00	$78,470.01	$80,470	$79,730.01	$81,730	$80,990.01	$82,990
$135.00	$80,470.01	$82,470	$81,730.01	$83,730	$82,990.01	$84,990
$140.00	$82,470.01	$84,470	$83,730.01	$85,730	$84,990.01	$86,990
$145.00	$84,470.01	$86,470	$85,730.01	$87,730	$86,990.01	$88,990
$150.00	$86,470.01	$88,470	$87,730.01	$89,730	$88,990.01	$90,990
$155.00	$88,470.01	$90,470	$89,730.01	$91,730	$90,990.01	$92,990
$160.00	$90,470.01	$92,470	$91,730.01	$93,730	$92,990.01	$94,990
$165.00	$92,470.01	$94,470	$93,730.01	$95,730	$94,990.01	$96,990
$170.00	$94,470.01	$96,470	$95,730.01	$97,730	$96,990.01	$98,990
$175.00	$96,470.01	$98,470	$97,730.01	$99,730	$98,990.01	$100,990
$180.00	$98,470.01	$100,470	$99,730.01	$101,730	$100,990.01	$102,990
$185.00	$100,470.01	$102,470	$101,730.01	$103,730	$102,990.01	$104,990
$190.00	$102,470.01	$104,470	$103,730.01	$105,730	$104,990.01	$106,990
$195.00	$104,470.01	$106,470	$105,730.01	$107,730	$106,990.01	$108,990
$200.00	$106,470.01	$108,470	$107,730.01	$109,730	$108,990.01	$110,990
$205.00	$108,470.01	$110,470	$109,730.01	$111,730	$110,990.01	$112,990
$210.00	$110,470.01	$112,470	$111,730.01	$113,730	$112,990.01	$114,990
$215.00	$112,470.01	$114,470	$113,730.01	$115,730	$114,990.01	$116,990
$220.00	$114,470.01	$116,470	$115,730.01	$117,730	$116,990.01	$118,990
$225.00	$116,470.01	$118,470	$117,730.01	$119,730	$118,990.01	$120,990
$230.00	$118,470.01	$120,470	$119,730.01	$121,730	$120,990.01	$122,990
$235.00	$120,470.01	$122,470	$121,730.01	$123,730	$122,990.01	$124,990
$240.00	$122,470.01	$124,470	$123,730.01	$125,730	$124,990.01	$126,990
$245.00	$124,470.01	$126,470	$125,730.01	$127,730	$126,990.01	$128,990
$250.00	$126,470.01	$128,470	$127,730.01	$129,730	$128,990.01	$130,990
$255.00	$128,470.01	$130,470	$129,730.01	$131,730	$130,990.01	$132,990
$260.00	$130,470.01	$132,470	$131,730.01	$133,730	$132,990.01	$134,990
$265.00	$132,470.01	$134,470	$133,730.01	$135,730	$134,990.01	$136,990
$270.00	$134,470.01	$136,470	$135,730.01	$137,730	$136,990.01	$138,990
$275.00	$136,470.01	$137,405	$137,730.01	$139,730	$138,990.01	$140,990
$280.00			$139,730.01	$141,730	$140,990.01	$142,990
$285.00			$141,730.01	$143,730	$142,990.01	$144,990
$290.00			$143,730.01	$145,066	$144,990.01	$146,990
$295.00					$146,990.01	$148,990
$300.00					$148,990.01	$150,990
$305.00					$150,990.01	$152,727
	200% FPIG	$116,940	200% FPIG	$123,460	200% FPIG	$129,980
Weekly	Family Size:	19	Family Size:	20	Family Size:	21
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$34,250	Less than:	$35,510	Less than:	$36,770
$10.00	$34,250.01	$36,250	$35,510.01	$37,510	$36,770.01	$38,770
$15.00	$36,250.01	$38,250	$37,510.01	$39,510	$38,770.01	$40,770
$20.00	$38,250.01	$40,250	$39,510.01	$41,510	$40,770.01	$42,770
$25.00	$40,250.01	$42,250	$41,510.01	$43,510	$42,770.01	$44,770
$30.00	$42,250.01	$44,250	$43,510.01	$45,510	$44,770.01	$46,770
$35.00	$44,250.01	$46,250	$45,510.01	$47,510	$46,770.01	$48,770
$40.00	$46,250.01	$48,250	$47,510.01	$49,510	$48,770.01	$50,770
$45.00	$48,250.01	$50,250	$49,510.01	$51,510	$50,770.01	$52,770
$50.00	$50,250.01	$52,250	$51,510.01	$53,510	$52,770.01	$54,770
$55.00	$52,250.01	$54,250	$53,510.01	$55,510	$54,770.01	$56,770
$60.00	$54,250.01	$56,250	$55,510.01	$57,510	$56,770.01	$58,770
$65.00	$56,250.01	$58,250	$57,510.01	$59,510	$58,770.01	$60,770
$70.00	$58,250.01	$60,250	$59,510.01	$61,510	$60,770.01	$62,770
$75.00	$60,250.01	$62,250	$61,510.01	$63,510	$62,770.01	$64,770
$80.00	$62,250.01	$64,250	$63,510.01	$65,510	$64,770.01	$66,770
$85.00	$64,250.01	$66,250	$65,510.01	$67,510	$66,770.01	$68,770
$90.00	$66,250.01	$68,250	$67,510.01	$69,510	$68,770.01	$70,770
$95.00	$68,250.01	$70,250	$69,510.01	$71,510	$70,770.01	$72,770
$100.00	$70,250.01	$72,250	$71,510.01	$73,510	$72,770.01	$74,770
$105.00	$72,250.01	$74,250	$73,510.01	$75,510	$74,770.01	$76,770
$110.00	$74,250.01	$76,250	$75,510.01	$77,510	$76,770.01	$78,770
$115.00	$76,250.01	$78,250	$77,510.01	$79,510	$78,770.01	$80,770
$120.00	$78,250.01	$80,250	$79,510.01	$81,510	$80,770.01	$82,770
$125.00	$80,250.01	$82,250	$81,510.01	$83,510	$82,770.01	$84,770
$130.00	$82,250.01	$84,250	$83,510.01	$85,510	$84,770.01	$86,770
$135.00	$84,250.01	$86,250	$85,510.01	$87,510	$86,770.01	$88,770
$140.00	$86,250.01	$88,250	$87,510.01	$89,510	$88,770.01	$90,770
$145.00	$88,250.01	$90,250	$89,510.01	$91,510	$90,770.01	$92,770
$150.00	$90,250.01	$92,250	$91,510.01	$93,510	$92,770.01	$94,770
$155.00	$92,250.01	$94,250	$93,510.01	$95,510	$94,770.01	$96,770
$160.00	$94,250.01	$96,250	$95,510.01	$97,510	$96,770.01	$98,770
$165.00	$96,250.01	$98,250	$97,510.01	$99,510	$98,770.01	$100,770
$170.00	$98,250.01	$100,250	$99,510.01	$101,510	$100,770.01	$102,770
$175.00	$100,250.01	$102,250	$101,510.01	$103,510	$102,770.01	$104,770
$180.00	$102,250.01	$104,250	$103,510.01	$105,510	$104,770.01	$106,770
$185.00	$104,250.01	$106,250	$105,510.01	$107,510	$106,770.01	$108,770
$190.00	$106,250.01	$108,250	$107,510.01	$109,510	$108,770.01	$110,770
$195.00	$108,250.01	$110,250	$109,510.01	$111,510	$110,770.01	$112,770
$200.00	$110,250.01	$112,250	$111,510.01	$113,510	$112,770.01	$114,770
$205.00	$112,250.01	$114,250	$113,510.01	$115,510	$114,770.01	$116,770
$210.00	$114,250.01	$116,250	$115,510.01	$117,510	$116,770.01	$118,770
$215.00	$116,250.01	$118,250	$117,510.01	$119,510	$118,770.01	$120,770
$220.00	$118,250.01	$120,250	$119,510.01	$121,510	$120,770.01	$122,770
$225.00	$120,250.01	$122,250	$121,510.01	$123,510	$122,770.01	$124,770
$230.00	$122,250.01	$124,250	$123,510.01	$125,510	$124,770.01	$126,770
$235.00	$124,250.01	$126,250	$125,510.01	$127,510	$126,770.01	$128,770
$240.00	$126,250.01	$128,250	$127,510.01	$129,510	$128,770.01	$130,770
$245.00	$128,250.01	$130,250	$129,510.01	$131,510	$130,770.01	$132,770
$250.00	$130,250.01	$132,250	$131,510.01	$133,510	$132,770.01	$134,770
$255.00	$132,250.01	$134,250	$133,510.01	$135,510	$134,770.01	$136,770
$260.00	$134,250.01	$136,250	$135,510.01	$137,510	$136,770.01	$138,770
$265.00	$136,250.01	$138,250	$137,510.01	$139,510	$138,770.01	$140,770
$270.00	$138,250.01	$140,250	$139,510.01	$141,510	$140,770.01	$142,770
$275.00	$140,250.01	$142,250	$141,510.01	$143,510	$142,770.01	$144,770
$280.00	$142,250.01	$144,250	$143,510.01	$145,510	$144,770.01	$146,770
$285.00	$144,250.01	$146,250	$145,510.01	$147,510	$146,770.01	$148,770
$290.00	$146,250.01	$148,250	$147,510.01	$149,510	$148,770.01	$150,770
$295.00	$148,250.01	$150,250	$149,510.01	$151,510	$150,770.01	$152,770
$300.00	$150,250.01	$152,250	$151,510.01	$153,510	$152,770.01	$154,770
$305.00	$152,250.01	$154,250	$153,510.01	$155,510	$154,770.01	$156,770
$310.00	$154,250.01	$156,250	$155,510.01	$157,510	$156,770.01	$158,770
$315.00	$156,250.01	$158,250	$157,510.01	$159,510	$158,770.01	$160,770
$320.00	$158,250.01	$160,250	$159,510.01	$161,510	$160,770.01	$162,770
$325.00	$160,250.01	$160,388	$161,510.01	$163,510	$162,770.01	$164,770
$330.00			$163,510.01	$165,510	$164,770.01	$166,770
$335.00			$165,510.01	$167,510	$166,770.01	$168,770
$340.00			$167,510.01	$168,049	$168,770.01	$170,770
$345.00					$170,770.01	$172,770
$350.00					$172,770.01	$174,770
$355.00					$174,770.01	$175,710
	200% FPIG	$136,500	200% FPIG	$143,020	200% FPIG	$149,540

 

APPENDIX C

STEPPARENT DEDUCTION CHART
 

County of residence	Family composition/size
	2	3	4	5	6	Each additional person
Adams, Allegheny, Berks, Blair, Bradford, Butler, Centre, Columbia, Crawford, Cumberland, Dauphin, Delaware, Erie, Lackawanna, Lebanon, Lehigh, Luzerne, Lycoming, Monroe, Montour, Northampton, Philadelphia, Sullivan, Susquehanna, Union, Warren, Wayne, Westmoreland, Wyoming and York	$461	$587	$724	$859	$976	$121
Armstrong, Bedford, Cambria, Clarion, Clearfield, Fayette, Forest, Fulton, Greene, Huntingdon, Jefferson, Juniata, Northumberland, Schuylkill and Somerset	$406	$532	$662	$791	$894	$121
Beaver, Cameron, Carbon, Clinton, Elk, Franklin, Indiana, Lawrence, McKean, Mercer, Mifflin, Perry, Potter, Snyder, Tioga, Venango and Washington	$444	$573	$698	$829	$943	$121
Bucks, Chester, Lancaster, Montgomery and Pike	$481	$614	$749	$885	$1001	$121

[Pa.B. Doc. No. 05-1206. Filed for public inspection June 17, 2005, 9:00 a.m.]

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