Speak with a Covered California certified agent! Call (888) 413-3164 or Shop Online Now

Shop and Compare

California Health Insurance Plans and Rates

It's easy. Just enter your zip code.

Covered California Q&A

Covered California and Obamacare related questions from consumers, employers and agents are answered by Phil Daigle with the best information available at the time. Archived entries may no longer be accurate as the Covered California and Obamacare knowledge-base is evolving quickly. TO REQUEST A PERSONAL RESPONSE INCLUDE EMAIL ADDRESS.

Income Under 400% FPL But No Subsidy?

By on | 1 Comment

Question: I plug-in earnings of $45,000 for the year. Age 46, in Los Angeles county region 16 (zip 90036). Covered California calculator says I am not eligible for a subsidy. The note says: “For your income, age, and location, the cost of health insurance is below the “fair share” amount called for under the Affordable Care Act. This means you will pay less for coverage than people living in areas with higher insurance costs or people who have higher costs due to their age.” Do you know what “fair share” is and if indeed this “fair share” also affects my subsidy eligibility?

Answer: The ACA considers your “fair share” to be anything less than 9.5% of your income. This converts to $356/mo. for an income of $45,000. The premiums for a Silver Level plan in the scenario you provided are below $356/mo., so even though your income is less than 400% FPL, there is no subsidy available because the premiums are low enough for your fair share.

1 Comment

Thanks for the excellent answer Covered California could not.

Leave a comment

Do You Have California Health Insurance Questions?

Ask An Expert

View Previous Questions
Call Us at (888) 413-3164

© 2021 California Health Benefit Advisers, LLC
Home / About / Start Shopping / Ask a Question

“Covered California,” “California Health Benefit Exchange”, and the Covered California Logo are registered trademarks or service marks of Covered California, in the United States. This web site is owned and maintained by California Health Benefit Advisers, LLC, which is solely responsible for its content.