Dependent Affordability Calculator "*" indicates required fields Household Income/Size Are you married?* SelectYesNo Number of tax-dependent children?* Please enter a number from 0 to 20. What is your household income?* Click here to find out how to determine total household income Spouse Coverage Questions Does your spouse work?* SelectYesNo Is your spouse offered health insurance through their employer?* SelectYesNo Is the coverage offered to your spouse by their employer considered to be "affordable"? (Meaning employee only cost is not more than 8.35% of your gross income.)* SelectYesNo Cost of Coverage What is the per-pay-period cost of Employee + Family coverage through your employer?* How often are you paid?* SelectWeeklyBi-WeeklyTwice Per MonthMonthly Marketplace Subsidy Eligibility This field is hidden when viewing the form Cost of Coverage Calculation This field is hidden when viewing the form Cost of Coverage Calculation - Final This field is hidden when viewing the form Spousal Value This field is hidden when viewing the form Dependent Value This field is hidden when viewing the form Spouse Eligibility This field is hidden when viewing the form Child(ren) Eligibility Spouse: N/A Not Eligible Likely Eligible Child(ren): N/A Not Eligible Likely Eligible Δ
