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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.

Does Household Size or Covered Members Determine the Subsidy?

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Question: When applying for coverage, do you claim the number of dependents on your tax return or by the number of family members that need health coverage? We are a family of four, but one dependent son is covered by a university scholarship that offered health insurance.

Answer: For the purposes of determining your eligibility for premium assistance, your household size is considered to be four persons. Your son who is away in college has “minimum essential coverage” through his school, so the three other household members get a larger subsidy based on a four-person household.

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