Health Insurance – May Application Date

Note: see below for new income guidelines!

On Monday, May 14, 2012 Kaiser Permanente will be accepting applications from eligible C4 Atlanta members in the Kaiser Permanente Bridge Program. Enrollment slots are limited.

Where: Academy Theatre
Time: Register for an application time HERE

Enrollment Guidelines
Individuals will be required to attend an “orientation” session BEFORE applying. There is NO cost for this session. The orientation will be offered twice on May 14, 2012 at Academy Theatre. This session is mandatory. You will not be allowed to apply without attending the orientation session.

Bridge Program Monthly Premiums*
$27.00 – Single Subscriber
$49.00 – Subscriber & Child(ren)
$55.00 – Subscriber & Spouse
$82.00 – Subscriber, Spouse & Child(ren)

*Premiums are subject to change.

Income Guidelines (max income): 

Bridge Program Income Guidelines

Family Size

Monthly Gross Income

Annual Gross Income

1

$2,793

$33,510

2

$3,783

$45,390

3

$4,773

$57,270

4

$5,763

$69,150

5

$6,753

$81,030

6

$7,743

$92,910

7

$8,733

$104,790

8

$9,723

$116,670

 For each additional person, add

$11,880

Family Size includes Self, Spouse and Dependents.

Leave a Reply

Your email address will not be published. Required fields are marked *