42 CFR § 435.603 (f) 

Household
Definition (3) Rules for individuals who

neither file a tax return nor are claimed as a tax dependent.

In the case of individuals who do not expect to file a Federal tax return and do not expect to be claimed as a tax dependent for the taxable year in which an initial determination or renewal of eligibility is being made, or who are described in paragraph (f)(2)(i), (f)(2)(ii), or (f)(2)(iii) of this section,

(f) (3) The household consists of the individual and, if living with the individual

(i) The individual’s spouse;

(ii) The individual’s children under the age specified in paragraph (f)(3)(iv) [two lines down] of this section; and

(iii) In the case of individuals under the age specified in paragraph (f)(3)(iv) [next line] of this section, the individual’s parents and siblings under the age specified in paragraph (f)(3)(iv) of this section.

(iv) The age specified in this paragraph is either of the following, as elected by the agency in the State plan

(A) Age 19; or

(B) Age 19 or, in the case of full-time students, age 21.

Non Filer explained by

* George Town University

* George Town – Exceptions for who counts in the household

*   Western Poverty page 2.33 

*  Sorry, none of them seem to be in plain simple English.

Insure Me Kevin . com

We are not just Medi-Cal

We've developed the Medi-Cal portion of our website, as many of our Covered CA clients unfortunately end up here, if their income drops below 133% of FPL, Federal Poverty Level, see the income chart.

We do not get a nickel, for this site or for helping people enroll in Medi-Cal, nor answering complex questions.  When you have other questions or need coverage, take a look at   our other websites:

***Non Filer Exemption

Flow Chart Excerpt – Non Filer Rules

Flow Chart Excerpt - Non Filer Rules

Check out the Household Size Flow chart  below for a simpler way of looking at the 42 CFR 435.603 rules.

President Trump - Insurance is very complicated - He should have asked me

Check out the Household Size Flow chart 

below, or click on it to get a sharper image,  for a simpler way of looking at the 42 CFR 435.603 rules.
Household Size for Medi Cal qualification

Travel Policies

How many people are in the Household?
What is the definition?

The sample redetermination form  MC 216 states:

We may need some information about people in your household who live with you or are listed on your tax return, who do not have Medi-Cal and who do not want to apply for Medi-Cal.Sample MC 216

Please note that, Medi-Cal wants to cover everyone and may go beyond the law to gather information to do that.  There are also many other programs that Medi-Cal has that you might qualify for and no one would know unless they asked.  Such as:

MORE Social Services – In Addition to Medi-Cal

IHSS In Home Supportive Services

Too much Income for Medi-Cal?

health.compare.1.2.3.broker_300x250_04[1]

Guaranteed Issue - No Pre X Clause -
Quote & Subsidy Calculation for
Covered CA
No charge for our services 

Detailed VIDEO on how to use our quote engine  

Report Changes Promptly


Our webpage on reporting changes 

COVERED CA
VIDEO on Reporting Changes 

 

Report Changes as they happen # 5152

 

Report Changes as they happen

Changes should be reported within 30 days.

Here's instructions

If you've appointed us - instructions - as your broker, no extra charge, we can do it for you. 

 

Denial of benefits and possible criminal charges if you don't report changes in income!  

Covered CA Certified Agent - No extra charge for our help

Covered CA Certified Agent

No extra charge if you qualify for Covered CA Subsidies.
We don't get compensated to help you with Medi Cal.  Here's Medi-Cal's contact information.

Get a Covered CA Quote, including subsidy calculation

Video on why you should have an agent

Video I'm charles why have an agent

VIDEO  ---   Difference between Medi Cal & Covered CA

6 comments on “Not filing a return – nor claimed as a dependent f 3

  1. hello mr shore –

    i have been attempting to find an answer to my issues with covered ca customer service agents and medi-cal agents and im not getting straight answers.

    i saw you on youtube and would just like to kindly ask for a little help.

    My son 19 and works part time and goes to school. is projected annual income will be 6000 to 7000.

    he plans to file taxes on his own. being that he is not “required to file” but will anyways.

    will they go by his sole income or will the count my income as well.

    sorry for having to bother you sir. im just don’t have anywhere to turn to –

    thank you -chris c

Leave a Reply

Your email address will not be published.