Question: I'm going to start 2020 unemployed, so estimating income is tricky. I understand the premium assistance gets trued up at the end of the via taxes. What happens with CSR (silver 73 vs 87 vs 94) based on income changes. If I had short term income, would that move me to a different co-pay structure right away?

Answer: Cost Sharing Reductions (CSR) are not charged back at year end due to unplanned income changes. The CSR level at the start 2020 will not change unless you manually adjust your income in your Covered California account during the course of the year.