Subsidy Year:
Please enter ALL employees (including owners, partners, and the spouses of owners
or partners) if they have a normal work week of 30 or more hours at the business,
whether or not they will be insured. An owner is anyone with at least a 20% ownership
interest in the business. Independent contractors with a normal
work week of 30 or more hours at the business should be
listed if they are eligible
for the employer’s health benefit. Do not include temporary, seasonal, or substitute
employees.
Wage notice. For purposes of calculating the subsidy the minimum countable
wage for an employee is listed below.
10/1/2009 to 9/30/2010 = $11,310
Note: Special instructions regarding owners, partners, and their
spouses entered in the table. For each owner, partner, or spouse who is
entered above as a full-time employee, enter either $60,000 or the person’s
Adjusted Gross Income (AGI), whichever is lower, as their annual wage. Under
"Wage Period" only ANNUAL can be selected.
- If the person is single, use the AGI from the most recent individual federal
income tax return.
- If the person is married and files a separate return, use the AGI from the most
recent individual federal income tax return.
- If the person is married and files a joint return, use 50% of the AGI on the
couple’s most recent joint federal income tax return.
Company:
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