Important Message: Did you receive a red-striped envelope? Did you send in your Medicaid renewal? If there is any missing information, our Customer Service team may reach out to you by phone to complete the application. Keep your information up to date! Report any changes. We want to make sure we can stay in touch with you. Questions about Medicaid renewals? Visit dvha.vermont.gov/unwinding.

Tax Tables (Past Years)

2021 Tax Tables

Second Lowest-Cost Silver Plan (2021 Benchmark Plans)		Lowest-Cost Bronze Plan (For Affordability Exemption)
Coverage Level	Monthly Premium	Coverage Level	Monthly Premium
Single	$669.38	Single	$491.20
Couple	$1,338.76	Couple	$982.40
Parent and Child(ren)	$1,291.90	Parent and Child(ren)	$948.02
Family	$1,880.96	Family	$1,380.27

2020 Tax Tables

Second Lowest-Cost Silver Plan (2020 Benchmark Plans)		Lowest-Cost Bronze Plan (For Affordability Exemption)
Coverage Level	Monthly Premium	Coverage Level	Monthly Premium
Single	$661.70	Single	$475.86
Couple	$1,323.40	Couple	$951.73
Parent and Child(ren)	$1,277.08	Parent and Child(ren)	$918.42
Family	$1,859.38	Family	$1,337.18

2019 Tax Tables

Second Lowest-Cost Silver Plan (2019 Benchmark Plans)		Lowest-Cost Bronze Plan (For Affordability Exemption)
Coverage Level	Monthly Premium	Coverage Level	Monthly Premium
Single	$621.74	Single	$426.12
Couple	$1,243.48	Couple	$852.24
Parent and Child(ren)	$1,199.96	Parent and Child(ren)	$822.41
Family	$1,747.09	Family	$1,197.40

2018 Tax Tables

Second Lowest-Cost Silver Plan (2018 Benchmark Plans)		Lowest-Cost Bronze Plan (For Affordability Exemption)
Coverage Level	Monthly Premium	Coverage Level	Monthly Premium
Single	$505.48	Single	$422.02
Couple	$1,010.96	Couple	$844.03
Parent and Child(ren)	$975.58	Parent and Child(ren)	$814.49
Family	$1,420.40	Family	$1,185.86

2017 Tax Tables

Second Lowest-Cost Silver Plan (2017 Benchmark Plans)		Lowest-Cost Bronze Plan (For Affordability Exemption)
Coverage Level	Monthly Premium	Coverage Level	Monthly Premium
Single	$491.74	Single	$406.20
Couple	$983.48	Couple	$812.40
Parent and Child(ren)	$949.06	Parent and Child(ren)	$783.96
Family	$1,381.79	Family	$1,141.42

2016 Tax Tables

Second Lowest-Cost Silver Plan (2016 Benchmark Plans)		Lowest-Cost Bronze Plan (For Affordability Exemption)
Coverage Level	Monthly Premium	Coverage Level	Monthly Premium
Single	$468.05	Single	$380.71
Couple	$936.10	Couple	$761.42
Parent and Child(ren)	$903.34	Parent and Child(ren)	$734.77
Family	$1,315.22	Family	$1,069.80

2015 Tax Tables

Second Lowest-Cost Silver Plan (2015 Benchmark Plans)		Lowest-Cost Bronze Plan (For Affordability Exemption)
Coverage Level	Monthly Premium	Coverage Level	Monthly Premium
Single	$435.94	Single	$360.35
Couple	$871.88	Couple	$720.69
Parent and Child(ren)	$841.37	Parent and Child(ren)	$695.47
Family	$1,224.98	Family	$1,012.57

2014 Tax Tables

Second Lowest-Cost Silver Plan (2014 Benchmark Plans)		Lowest-Cost Bronze Plan (For Affordability Exemption)
Coverage Level	Monthly Premium	Coverage Level	Monthly Premium
Single	$412.83	Single	$336.13
Couple	$825.66	Couple	$672.26
Parent and Child(ren)	$796.76	Parent and Child(ren)	$648.73
Family	$1,160.05	Family	$944.53