F Arizona State Retirement System with Health Insurance Supplement Examples

 

Programs	Manual Section
All programs	MA606TT

 

Examples

1) The health insurance premium supplement is the same amount as the premium paid.

A pay stub from Arizona State Retirement System (ASRS) shows:

• $950 gross monthly income;

• $100 of the gross amount is for a health insurance premium supplement; AND

• $100 is deducted for a health insurance premium.

 

$950 (Gross income) - $100 (health insurance premium supplement) = $850.00 countable income.

NOTE     For ALTCS, a share of cost deduction would not be allowed for the health insurance because ASRS is paying the entire premium for the customer.

 

2) The health insurance premium supplement is less than the total premium paid.

A pay stub from Arizona State Retirement System (ASRS) shows:

• $1200 gross monthly income;

• $100 of the gross amount is for a health insurance premium supplement; AND

• $300 is deducted for a health insurance premium.

 

$1200 (Gross income) - $100 (health insurance supplement) = $1100.00 countable income.

NOTE     For ALTCS, only $200 would be allowed as a share of cost deduction because it is the amount the customer actually pays for the premium.

 

3) The health insurance premium supplement is more than the total premium paid.

A pay stub from Arizona State Retirement System (ASRS) shows:

• $800 gross monthly income;

• $100 of the gross amount is for a health insurance premium supplement; AND

• $80 is deducted for a health insurance premium.

 

$100 (health insurance supplement)-$80 (health insurance premium) = $20 countable from the health insurance supplement. Only an amount up to the premium paid may be deducted from the total income.

$800 (Gross income) + $20 (The amount of the supplement that exceeds the total premium paid) = $820 countable income.

NOTE     For ALTCS, a share of cost deduction would not be allowed for the health insurance because ASRS is paying the entire premium for the customer.