HomeMy WebLinkAboutappendix-c-guidelines-for-determining-family-size-v1.1.26Appendix C: Guidelines for Determining Family Size (January 2026)
APPENDIX C: GUIDELINES FOR DETERMINING FAMILY SIZE
FAMILY UNIT:
A family unit is comprised of:
1. A married couple with common birth, adoptive or stepchild/ren*
2. An unmarried couple with one common birth and stepchild/ren*
3. A single adult with birth or adoptive child/ren*
4. A single adult over 19 years old
5. Any child under age 19 living at home or away at a school and claimed as a
dependent,
6. A single adult with adoptive children,
7. A married couple with adoptive, or stepchildren, or
8. An unmarried couple with common birth children.
*All child/ren should be under age 19 living at home or away at a school and claimed as a
dependent
Note: If there is more than one family unit living in the household—parents of adults,
grandparents, uncles/aunts/cousins, etc.--each family will be considered a separate
Family Unit.
FAMILY INCOME:
Family income includes income from all family members including public funds (i.e., SSI,
Cal-Works, etc.) and cash income.
Table 1 provides scenarios for determining family unit and family income to help determine
HealthPAC eligibility.
IN DETERMINING HealthPAC ELIGIBILITY, ELIGIBILITY OF ANY MEMBER IN
THE FAMILY INTO OTHER HEALTH COVERAGE PROGRAMS, I.E., MEDI-
CAL, COVERED CALIFORNIA, ETC. NEEDS TO BE PURSUED PRIOR TO
ENROLLMENT INTO THE HealthPAC PROGRAM.
Appendix C: Guidelines for Determining Family Size (January 2026)
Table 1
SCENARIO FAMILY UNIT INCOME CONSIDERED
(Refer to HealthPAC Liability Schedule to
determine HealthPAC eligibility)
1. Single working male/female
One Total gross income
2. Married working couple w/no
children
Two Total gross income
3. Married working couple with
four children under age 19 living
in household.
Six Total gross income
4. Married couple whose elderly
parents live with them, but
parents have no income
Two separate family
units
• Married couple = 2
• Elderly parents = 2
• Married couple’s gross income.
• Elderly parents, aid in kind from adult
children
5. Married couple receiving
income for a foster child
Two (foster parents only)
Income of foster parents only.
(Foster care allocation is not considered
when determining gross monthly
income.)
6. Grandparents taking care of
grandchildren who are on
CalWORKs.
Two (grandparents only) Income of grandparents only.
(CalWORKs income for grandchildren is
not considered when determining gross
monthly income.)
7. Married couple, husband
receives SSI; wife needs health
care and only income is
husband’s SSI.
Two Husband’s income from SSI.
8. Unmarried couple with no
children; Male is working,
female is not working and needs
health care
One
• Female=1
Female needs to complete the
HealthPAC Statement of Income and
Residency
9. Unmarried couple with two (2)
common children and two (2)
children from other
marriages/relationships.
• Male works, female does not
work. Female receives child
support
• Male or female presents for
health care
Six Income from male
*Child support income only counts
towards specific child