2012 Vermont Statutes
Title 33 Human Services
Chapter 19 MEDICAL ASSISTANCE
§ 1984 Individual contributions

§ 1984. Individual contributions

(a) The agency shall provide assistance to individuals eligible under this subchapter to purchase Catamount Health. For the lowest cost plan, the amount of the assistance shall be the difference between the premium for the lowest cost Catamount Health plan and the individual's contribution as defined in subsections (b) and (c) of this section. For plans other than the lowest cost plan, the assistance shall be the difference between the premium for the lowest cost Catamount Health plan and the individual's contribution as set out in subsections (b) and (c) of this section.

(b) The agency of administration or designee shall establish individual and family contribution amounts for Catamount Health under this subchapter based on the individual contributions established in subsection (c) of this section and shall index the contributions annually to the overall growth in spending per enrollee in Catamount Health as established in 8 V.S.A. § 4080f; provided, however, that the contribution amount shall not be less than the contribution amount for the previous year. The agency shall establish family contributions by income bracket based on the individual contribution amounts and the average family size.

(c)(1) For the lowest cost plan, an individual's base contribution shall be:

(A) Income less than or equal to 175 percent of FPL: $60.00 per month.

(B) Income greater than 175 percent and less than or equal to 200 percent of FPL: $60.00 per month.

(C) Income greater than 200 percent and less than or equal to 225 percent of FPL: $110.00 per month.

(D) Income greater than 225 percent and less than or equal to 250 percent of FPL: $135.00 per month.

(E) Income greater than 250 percent and less than or equal to 275 percent of FPL: $160.00 per month.

(F) Income greater than 275 percent and less than or equal to 300 percent of FPL: $185.00 per month.

(G) Income greater than 300 percent of FPL: the actual cost of Catamount Health.

(2) For plans other than the lowest cost Catamount Health plan, an individual's base contribution shall be the sum of:

(A) the applicable contribution as set out in subdivision (1) of this subsection; and

(B) the difference between the premium for the lowest cost plan and the premium for the plan in which the individual is enrolled. (Added 2005, No. 191 (Adj. Sess.), § 16; amended 2007, No. 71, § 3; 2007, No. 192 (Adj. Sess.), § 6.016; 2009, No. 61, § 21; 2009, No. 156 (Adj. Sess.), §§ E.309.7, E.309.8; 2011, No. 63, § E.307.1.)