Find the number of household members and the dollar figure that is next to it.
Is the employee's family gross yearly income above or below this figure? Your figure should include anyone who contributes their income to the family.
If gross annual household income is above, check "above". If it is below, check "below".
1. Income is determined by computing the total income of all family members for the last three (3) months and then multiplying that number by four (4), including persons temporarily away from the family/house. Note: Income is not limited to salaries, wages, and tips. All other forms of income as specified by the Internal Revenue Service should be included (e.g. payments received from social security, pensions, annuities, dividends, taxable interest income, tax exempt interest income, IRA distributions, etc.)