2027 Marketplace Household Income Estimate

2027 Marketplace Household Income Estimate

Please complete this form using your best estimate of your household's income for 2027. Marketplace financial assistance is based on the income you expect to receive during the year you are requesting coverage, not necessarily your income from the prior year.
Who should be included?
In most cases, your Marketplace household includes you, your spouse if you are married, and anyone you expect to claim as a dependent on your federal tax return — even if they do not need health insurance.

Please include income for you and your spouse. Income from a tax dependent generally needs to be included only if the dependent is required to file a federal income tax return.
What is your name?

First NameLast Name
What is your email?
example@example.com
What is your phone number?
Please enter a valid phone number.Format: (000) 000-0000.
What is your expected 2027 Tax Filing status?
Will you claim any tax dependents for 2027?

2027 Income Projection

Rows	Household Member	Income Type	Estimated Gross Monthly Income	Estimated Gross Annual Income
1
2
3
4
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Do you expect to have any income adjustments or deductions in 2027, such as HSA contributions, deductible IRA contributions, or student loan interest?
Your Marketplace financial assistance is based in part on the household and income information reported on your application. If you receive an Advance Premium Tax Credit (APTC), the amount will be reconciled when you file your federal income tax return.

If your income or household circumstances change during the year, please contact our office so we can help you determine whether your Marketplace application should be updated.

Laughlin Insurance can assist with estimating income for purposes of your Marketplace application but does not provide tax or legal advice. Please consult a qualified tax professional regarding questions about your individual tax situation.
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