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Imputed Income Table
Effective July 1, 2008

Insureds with Non-IRS dependents age 19 to 26 and insureds with a same-sex spouse are subject to federal taxes on the value of your health plan’s full cost individual premium.  This is known as imputed income to the insured. The amount of tax you will pay on the imputed income will depend on your total taxable income, including the imputed income. 

 
Health Plan
Fair Market Value (Individual Monthly Premium)
Fallon Community Health Plan Direct Care
$394.51
Fallon Community Health Plan Select Care
$468.17
Harvard Pilgrim Independence Plan
$509.72
Health New England
$423.88
Navigator by Tufts Health Plan
$482.61
NHP Care (Neighborhood Health Plan)
$418.60
UniCare State Indemnity Plan/Basic with or without CIC
$713.16
UniCare State Indemnity Plan/Community Choice
$407.88
UniCare State Indemnity Plan/PLUS
$517.91
GIC Dental/Vision Indemnity Plan
$33.61
GIC Dental/Vision PPO Plan
$23.92

 

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