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[null,{"$f":"CONCATENATE(\"Manual MAGI Worksheet Effective  \",Administration!C125)","v":"Manual MAGI Worksheet Effective  04/01/2022"}]
[null,"Client Information",null,null,null,null,null,null,null,null,"Version 2.1"]
[]
[null,"How to use",null,null,null,null,null,null,null,"Updates: ","Updated for adding Expansion"]
[null,"1.  Clear out existing input prior to screening a new person",null,null,null,null,null,null,null,null," "]
[null,"2.  Enter values in the gray cells in sections A, B and C",null,null,null,null,null,null,null,null," "]
[null,null,null,null,null,null,null,null,null,null," "]
[null,"Section A - Applicant Information",null,null,{"$f":"IF(COUNTIF(E10:L10,\"Incomplete\")>0,\"This section contains missing information\",\"\")","v":""}]
[null,null,null,null,"Person 1","Person 2","Person 3","Person 4","Person 5","Person 6","Person 7","Person 8"]
[null,null,null,null,{"$f":"IF(OR(COUNTA(E11:E12)=0,COUNTA(E11:E12)=2),\"\",\"Incomplete\")","v":""},"","","","","","",""]
[null,"Member Name"]
[null,"Member Coverable Group: See Reminder Below "]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(COUNTA(M11:M12)=0,COUNTA(M11:M12)=2),\"\",\"Incomplete\")","v":""},{"$f":"IF(OR(COUNTA(N11:N12)=0,COUNTA(N11:N12)=2),\"\",\"Incomplete\")","v":""}]
[null,"Reminder: In order to be eligible as a caretaker relative or parent, there must be a related dependent child in the household. See MS 5701 for definition. "]
[null,"Section B - MAGI Household Information",null,null,{"$f":"IF(COUNTIF(E17:L17,\"Incomplete\")>0,\"This section contains missing information\",\"\")","v":""}]
[null,null,null,null,{"$f":"+IF(E11=\"\",\"\",E11)","v":""},"","","","","","","","",""]
[null,null,null,null,{"$f":"IF(OR(COUNTA(E18:E24) <= 2,COUNTA(E18:E24)=7),\"\",\"Incomplete\")","v":""},"","","","","","",""]
[null,"Is this individual expected to be required to file taxes, OR is the childs income count?"]
[null,"Does this individual expect to be claimed as a tax dependent by anyone? "]
[null,"Does this individual expect to be claimed as a tax dependent by anyone other than a spouse or biological, adopted or step parent?"]
[null,"Is this individual under 19 and living with both parents but only claimed by one of them?  "]
[null,"Is this individual under 19, living with a custodial caretaker relative or parent and claimed only by a non custodial parent."]
[null,"If pregnant, write in the number of babies she is carrying.  (Write 0 if none)",null,null,0,0,0,0,0,0,0,0]
[null,"What is this person's individual income? Do not include pre-tax payroll deductions, child support, payments to native americans or educational grants and awards. Do include taxable Social Security, foreign income, and tax exempt interest. Do not deduct the Standard Disregard yet.  ",null,null,0,0,0,0,0,0,0,0]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(COUNTA(M18:M24) <= 2,COUNTA(M18:M24)=7),\"\",\"Incomplete\")","v":""},{"$f":"IF(OR(COUNTA(N18:N24) <= 2,COUNTA(N18:N24)=7),\"\",\"Incomplete\")","v":""}]
[null,"Reminder: the 5% disregard will be automatically applied only to those individuals who are over income."]
[null,"Section C - Relationship Information",null,null,{"$f":"IF(COUNTIF(K31:K89,\"Incomplete\")>0,\"This section contains missing information\",\"\")","v":""}]
[]
[]
[null,"Once you have completed Sections A and B, please click refresh to show the relationships you need to complete",null,null,"CHILD UNDER 19:  Natural, Step or Adopted","Tax Dependent","PARENT: Natural, Step or Adoptive. Child must be under 19 years of age.","Spouse","SIBLING: Natural, adopted, half or step AND BOTH UNDER 19 and living with.","No MAGI Relationship"]
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[null,{"$f":"IF(Calculations!BC5=TRUE,Calculations!BA5 & \" is \" & Calculations!BB5 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC6=TRUE,Calculations!BA6 & \" is \" & Calculations!BB6 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
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[null,{"$f":"IF(Calculations!BC10=TRUE,Calculations!BA10 & \" is \" & Calculations!BB10 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
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[null,{"$f":"IF(Calculations!BC12=TRUE,Calculations!BA12 & \" is \" & Calculations!BB12 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC13=TRUE,Calculations!BA13 & \" is \" & Calculations!BB13 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC14=TRUE,Calculations!BA14 & \" is \" & Calculations!BB14 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC15=TRUE,Calculations!BA15 & \" is \" & Calculations!BB15 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(COUNTA($E$11:$L$11)>3,\"Show\",\"\")","v":""},null,null,{"$f":"E30","v":"CHILD UNDER 19:  Natural, Step or Adopted"},"Tax Dependent","PARENT: Natural, Step or Adoptive. Child must be under 19 years of age.","Spouse","SIBLING: Natural, adopted, half or step AND BOTH UNDER 19 and living with.","No MAGI Relationship"]
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[null,{"$f":"IF(Calculations!BC18=TRUE,Calculations!BA18 & \" is \" & Calculations!BB18 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC19=TRUE,Calculations!BA19 & \" is \" & Calculations!BB19 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC20=TRUE,Calculations!BA20 & \" is \" & Calculations!BB20 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC21=TRUE,Calculations!BA21 & \" is \" & Calculations!BB21 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC22=TRUE,Calculations!BA22 & \" is \" & Calculations!BB22 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC23=TRUE,Calculations!BA23 & \" is \" & Calculations!BB23 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC24=TRUE,Calculations!BA24 & \" is \" & Calculations!BB24 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC25=TRUE,Calculations!BA25 & \" is \" & Calculations!BB25 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC26=TRUE,Calculations!BA26 & \" is \" & Calculations!BB26 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC27=TRUE,Calculations!BA27 & \" is \" & Calculations!BB27 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC28=TRUE,Calculations!BA28 & \" is \" & Calculations!BB28 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC29=TRUE,Calculations!BA29 & \" is \" & Calculations!BB29 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(COUNTA($E$11:$L$11)>4,\"Show\",\"\")","v":""},null,null,{"$f":"E45","v":"CHILD UNDER 19:  Natural, Step or Adopted"},"Tax Dependent","PARENT: Natural, Step or Adoptive. Child must be under 19 years of age.","Spouse","SIBLING: Natural, adopted, half or step AND BOTH UNDER 19 and living with.","No MAGI Relationship"]
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[null,{"$f":"IF(Calculations!BC31=TRUE,Calculations!BA31 & \" is \" & Calculations!BB31 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC32=TRUE,Calculations!BA32 & \" is \" & Calculations!BB32 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC33=TRUE,Calculations!BA33 & \" is \" & Calculations!BB33 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC34=TRUE,Calculations!BA34 & \" is \" & Calculations!BB34 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC35=TRUE,Calculations!BA35 & \" is \" & Calculations!BB35 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC36=TRUE,Calculations!BA36 & \" is \" & Calculations!BB36 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC37=TRUE,Calculations!BA37 & \" is \" & Calculations!BB37 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC38=TRUE,Calculations!BA38 & \" is \" & Calculations!BB38 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC39=TRUE,Calculations!BA39 & \" is \" & Calculations!BB39 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
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[null,{"$f":"IF(Calculations!BC42=TRUE,Calculations!BA42 & \" is \" & Calculations!BB42 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(Calculations!BC43=TRUE,Calculations!BA43 & \" is \" & Calculations!BB43 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
[null,{"$f":"IF(COUNTA($E$11:$L$11)>6,\"Show\",\"\")","v":""},null,null,{"$f":"E60","v":"CHILD UNDER 19:  Natural, Step or Adopted"},"Tax Dependent","PARENT: Natural, Step or Adoptive. Child must be under 19 years of age.","Spouse","SIBLING: Natural, adopted, half or step AND BOTH UNDER 19 and living with.","No MAGI Relationship"]
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[null,{"$f":"IF(Calculations!BC52=TRUE,Calculations!BA52 & \" is \" & Calculations!BB52 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
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[null,{"$f":"IF(Calculations!BC55=TRUE,Calculations!BA55 & \" is \" & Calculations!BB55 & \"'s\",\"\")","v":""},null,null,null,null,null,null,null,null,""]
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[]
[null,{"$f":"IF(Calculations!BC58=TRUE,Calculations!BA58 & \" is \" & Calculations!BB58 & \"'s\",\"\")","v":""}]

{"sheet":"Results","index":1,"n_rows":39,"n_cols":19,"rows_kept":39,"cut":false,"hidden":false,"merged":[]}
[]
[null,"Results"]
[]
[null,null,"Summary"]
[]
[null,null,"Coverable Group",{"$f":"+IF(Calculations!B36=\"\",\"\",Calculations!B36)","v":"MAGI HH Size"},{"$f":"O31","v":"Pass/Fail or No Coverage"},null,null,null,null,null,null,null,null,null,null,{"$f":"S31","v":"Unused"}]
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[null,{"$f":"+IF(Calculations!A44=\"\",\"\",Calculations!A44)","v":""},{"$f":"+IF(B14=\"\",\"\",+'Client Info'!L12)","v":""},{"$f":"+IF(Calculations!B44=\"\",\"\",Calculations!B44)","v":""},"",null,null,null,null,null,null,null,null,null,null,""]
[]
[]
[null,null,"Household Composition Details"]
[null,null,null,null,null,null,null,"Household Members"]
[null,null,{"$f":"C6","v":"Coverable Group"},"MAGI HH Size",{"$f":"+IF(Calculations!C36=\"\",\"\",Calculations!C36)","v":""},{"$f":"+IF(Calculations!D36=\"\",\"\",Calculations!D36)","v":""},{"$f":"+IF(Calculations!E36=\"\",\"\",Calculations!E36)","v":""},{"$f":"+IF(Calculations!F36=\"\",\"\",Calculations!F36)","v":""},{"$f":"+IF(Calculations!G36=\"\",\"\",Calculations!G36)","v":""},{"$f":"+IF(Calculations!H36=\"\",\"\",Calculations!H36)","v":""},{"$f":"+IF(Calculations!I36=\"\",\"\",Calculations!I36)","v":""},{"$f":"+IF(Calculations!J36=\"\",\"\",Calculations!J36)","v":""}]
[null,{"$f":"B7","v":""},"","",{"$f":"+IF(ISERROR(Calculations!C37),\"\",Calculations!C37)","v":""},{"$f":"+IF(ISERROR(Calculations!D37),\"\",Calculations!D37)","v":""},{"$f":"+IF(ISERROR(Calculations!E37),\"\",Calculations!E37)","v":""},{"$f":"+IF(ISERROR(Calculations!F37),\"\",Calculations!F37)","v":""},{"$f":"+IF(ISERROR(Calculations!G37),\"\",Calculations!G37)","v":""},{"$f":"+IF(ISERROR(Calculations!H37),\"\",Calculations!H37)","v":""},{"$f":"+IF(ISERROR(Calculations!I37),\"\",Calculations!I37)","v":""},{"$f":"+IF(ISERROR(Calculations!J37),\"\",Calculations!J37)","v":""}]
[null,"","","",{"$f":"+IF(ISERROR(Calculations!C38),\"\",Calculations!C38)","v":""},{"$f":"+IF(ISERROR(Calculations!D38),\"\",Calculations!D38)","v":""},{"$f":"+IF(ISERROR(Calculations!E38),\"\",Calculations!E38)","v":""},{"$f":"+IF(ISERROR(Calculations!F38),\"\",Calculations!F38)","v":""},{"$f":"+IF(ISERROR(Calculations!G38),\"\",Calculations!G38)","v":""},{"$f":"+IF(ISERROR(Calculations!H38),\"\",Calculations!H38)","v":""},{"$f":"+IF(ISERROR(Calculations!I38),\"\",Calculations!I38)","v":""},{"$f":"+IF(ISERROR(Calculations!J38),\"\",Calculations!J38)","v":""}]
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["Members",null,{"$f":"+IF('Client Info'!E11=\"\",\"\",'Client Info'!E11)","v":""},{"$f":"+IF('Client Info'!F11=\"\",\"\",'Client Info'!F11)","v":""},{"$f":"+IF('Client Info'!G11=\"\",\"\",'Client Info'!G11)","v":""},{"$f":"+IF('Client Info'!H11=\"\",\"\",'Client Info'!H11)","v":""},{"$f":"+IF('Client Info'!I11=\"\",\"\",'Client Info'!I11)","v":""},{"$f":"+IF('Client Info'!J11=\"\",\"\",'Client Info'!J11)","v":""},{"$f":"+IF('Client Info'!K11=\"\",\"\",'Client Info'!K11)","v":""},{"$f":"+IF('Client Info'!L11=\"\",\"\",'Client Info'!L11)","v":""},{"$f":"+IF('Client Info'!M11=\"\",\"\",'Client Info'!M11)","v":""},{"$f":"+IF('Client Info'!N11=\"\",\"\",'Client Info'!N11)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"+C36","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$G$5","v":""},false]
["Does this individual expect to file taxes?",null,{"$f":"IF('Client Info'!E18=\"\",\"\",+'Client Info'!E18)","v":""},{"$f":"IF('Client Info'!F18=\"\",\"\",+'Client Info'!F18)","v":""},{"$f":"IF('Client Info'!G18=\"\",\"\",+'Client Info'!G18)","v":""},{"$f":"IF('Client Info'!H18=\"\",\"\",+'Client Info'!H18)","v":""},{"$f":"IF('Client Info'!I18=\"\",\"\",+'Client Info'!I18)","v":""},{"$f":"IF('Client Info'!J18=\"\",\"\",+'Client Info'!J18)","v":""},{"$f":"IF('Client Info'!K18=\"\",\"\",+'Client Info'!K18)","v":""},{"$f":"IF('Client Info'!L18=\"\",\"\",+'Client Info'!L18)","v":""},{"$f":"IF('Client Info'!M18=\"\",\"\",+'Client Info'!M18)","v":""},{"$f":"IF('Client Info'!N18=\"\",\"\",+'Client Info'!N18)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$H$5","v":""},false]
["Does this individual expect to be claimed as a tax dependent by anyone? ",null,{"$f":"IF('Client Info'!E19=\"\",\"\",+'Client Info'!E19)","v":""},{"$f":"IF('Client Info'!F19=\"\",\"\",+'Client Info'!F19)","v":""},{"$f":"IF('Client Info'!G19=\"\",\"\",+'Client Info'!G19)","v":""},{"$f":"IF('Client Info'!H19=\"\",\"\",+'Client Info'!H19)","v":""},{"$f":"IF('Client Info'!I19=\"\",\"\",+'Client Info'!I19)","v":""},{"$f":"IF('Client Info'!J19=\"\",\"\",+'Client Info'!J19)","v":""},{"$f":"IF('Client Info'!K19=\"\",\"\",+'Client Info'!K19)","v":""},{"$f":"IF('Client Info'!L19=\"\",\"\",+'Client Info'!L19)","v":""},{"$f":"IF('Client Info'!M19=\"\",\"\",+'Client Info'!M19)","v":""},{"$f":"IF('Client Info'!N19=\"\",\"\",+'Client Info'!N19)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$I$5","v":""},false]
["Does this individual expect to be claimed as a tax dependent by anyone other than a spouse or biological, adopted or step parent?",null,{"$f":"IF('Client Info'!E20=\"\",\"\",+'Client Info'!E20)","v":""},{"$f":"IF('Client Info'!F20=\"\",\"\",+'Client Info'!F20)","v":""},{"$f":"IF('Client Info'!G20=\"\",\"\",+'Client Info'!G20)","v":""},{"$f":"IF('Client Info'!H20=\"\",\"\",+'Client Info'!H20)","v":""},{"$f":"IF('Client Info'!I20=\"\",\"\",+'Client Info'!I20)","v":""},{"$f":"IF('Client Info'!J20=\"\",\"\",+'Client Info'!J20)","v":""},{"$f":"IF('Client Info'!K20=\"\",\"\",+'Client Info'!K20)","v":""},{"$f":"IF('Client Info'!L20=\"\",\"\",+'Client Info'!L20)","v":""},{"$f":"IF('Client Info'!M20=\"\",\"\",+'Client Info'!M20)","v":""},{"$f":"IF('Client Info'!N20=\"\",\"\",+'Client Info'!N20)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$J$5","v":""},false]
["Is this individual under 19 and living with both parents but only claimed by one of them?  ",null,{"$f":"IF('Client Info'!E21=\"\",\"\",+'Client Info'!E21)","v":""},{"$f":"IF('Client Info'!F21=\"\",\"\",+'Client Info'!F21)","v":""},{"$f":"IF('Client Info'!G21=\"\",\"\",+'Client Info'!G21)","v":""},{"$f":"IF('Client Info'!H21=\"\",\"\",+'Client Info'!H21)","v":""},{"$f":"IF('Client Info'!I21=\"\",\"\",+'Client Info'!I21)","v":""},{"$f":"IF('Client Info'!J21=\"\",\"\",+'Client Info'!J21)","v":""},{"$f":"IF('Client Info'!K21=\"\",\"\",+'Client Info'!K21)","v":""},{"$f":"IF('Client Info'!L21=\"\",\"\",+'Client Info'!L21)","v":""},{"$f":"IF('Client Info'!M21=\"\",\"\",+'Client Info'!M21)","v":""},{"$f":"IF('Client Info'!N21=\"\",\"\",+'Client Info'!N21)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$D$5","v":""},{"$f":"$C$5","v":""},{"$f":"AND(BA9<>\"\",BB9<>\"\")","v":false}]
["Is this individual under 19 and claimed only by a non custodial parent.",null,{"$f":"IF('Client Info'!E22=\"\",\"\",+'Client Info'!E22)","v":""},{"$f":"IF('Client Info'!F22=\"\",\"\",+'Client Info'!F22)","v":""},{"$f":"IF('Client Info'!G22=\"\",\"\",+'Client Info'!G22)","v":""},{"$f":"IF('Client Info'!H22=\"\",\"\",+'Client Info'!H22)","v":""},{"$f":"IF('Client Info'!I22=\"\",\"\",+'Client Info'!I22)","v":""},{"$f":"IF('Client Info'!J22=\"\",\"\",+'Client Info'!J22)","v":""},{"$f":"IF('Client Info'!K22=\"\",\"\",+'Client Info'!K22)","v":""},{"$f":"IF('Client Info'!L22=\"\",\"\",+'Client Info'!L22)","v":""},{"$f":"IF('Client Info'!M22=\"\",\"\",+'Client Info'!M22)","v":""},{"$f":"IF('Client Info'!N22=\"\",\"\",+'Client Info'!N22)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$E$5","v":""},false]
["If pregnant, write in the number of fetuses she is carrying.  ",null,{"$f":"IF('Client Info'!E23=\"\",\"\",+'Client Info'!E23)","v":0},{"$f":"IF('Client Info'!F23=\"\",\"\",+'Client Info'!F23)","v":0},{"$f":"IF('Client Info'!G23=\"\",\"\",+'Client Info'!G23)","v":0},{"$f":"IF('Client Info'!H23=\"\",\"\",+'Client Info'!H23)","v":0},{"$f":"IF('Client Info'!I23=\"\",\"\",+'Client Info'!I23)","v":0},{"$f":"IF('Client Info'!J23=\"\",\"\",+'Client Info'!J23)","v":0},{"$f":"IF('Client Info'!K23=\"\",\"\",+'Client Info'!K23)","v":0},{"$f":"IF('Client Info'!L23=\"\",\"\",+'Client Info'!L23)","v":0},{"$f":"IF('Client Info'!M23=\"\",\"\",+'Client Info'!M23)","v":""},{"$f":"IF('Client Info'!N23=\"\",\"\",+'Client Info'!N23)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$F$5","v":""},false]
["What is this person's Monthly Modified Adjusted Gross Income?  Do not deduct the 5% deduction yet.  ",null,{"$f":"IF('Client Info'!E24=\"\",\"\",+'Client Info'!E24)","v":0},{"$f":"IF('Client Info'!F24=\"\",\"\",+'Client Info'!F24)","v":0},{"$f":"IF('Client Info'!G24=\"\",\"\",+'Client Info'!G24)","v":0},{"$f":"IF('Client Info'!H24=\"\",\"\",+'Client Info'!H24)","v":0},{"$f":"IF('Client Info'!I24=\"\",\"\",+'Client Info'!I24)","v":0},{"$f":"IF('Client Info'!J24=\"\",\"\",+'Client Info'!J24)","v":0},{"$f":"IF('Client Info'!K24=\"\",\"\",+'Client Info'!K24)","v":0},{"$f":"IF('Client Info'!L24=\"\",\"\",+'Client Info'!L24)","v":0},{"$f":"IF('Client Info'!M24=\"\",\"\",+'Client Info'!M24)","v":""},{"$f":"IF('Client Info'!N24=\"\",\"\",+'Client Info'!N24)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$G$5","v":""},false]
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["The individual's MAGI household consists of :",null,{"$f":"+IF(C5=\"\",\"\",IF(L106=TRUE,$W$106,IF(AND(L107=TRUE,L105=TRUE),$W$106,IF(L109=TRUE,$W$105,IF(AND(L108=TRUE,L105=TRUE),$W$106,IF(AND(L107=TRUE,L105=FALSE),$W$107,IF(AND(L108=TRUE,L105=FALSE),$W$107,ERROR)))))))","v":""},{"$f":"+IF(D5=\"\",\"\",IF(M106=TRUE,$W$106,IF(AND(M107=TRUE,M105=TRUE),$W$106,IF(M109=TRUE,$W$105,IF(AND(M108=TRUE,M105=TRUE),$W$106,IF(AND(M107=TRUE,M105=FALSE),$W$107,IF(AND(M108=TRUE,M105=FALSE),$W$107,ERROR)))))))","v":""},{"$f":"+IF(E5=\"\",\"\",IF(N106=TRUE,$W$106,IF(AND(N107=TRUE,N105=TRUE),$W$106,IF(N109=TRUE,$W$105,IF(AND(N108=TRUE,N105=TRUE),$W$106,IF(AND(N107=TRUE,N105=FALSE),$W$107,IF(AND(N108=TRUE,N105=FALSE),$W$107,ERROR)))))))","v":""},{"$f":"+IF(F5=\"\",\"\",IF(O106=TRUE,$W$106,IF(AND(O107=TRUE,O105=TRUE),$W$106,IF(O109=TRUE,$W$105,IF(AND(O108=TRUE,O105=TRUE),$W$106,IF(AND(O107=TRUE,O105=FALSE),$W$107,IF(AND(O108=TRUE,O105=FALSE),$W$107,ERROR)))))))","v":""},{"$f":"+IF(G5=\"\",\"\",IF(P106=TRUE,$W$106,IF(AND(P107=TRUE,P105=TRUE),$W$106,IF(P109=TRUE,$W$105,IF(AND(P108=TRUE,P105=TRUE),$W$106,IF(AND(P107=TRUE,P105=FALSE),$W$107,IF(AND(P108=TRUE,P105=FALSE),$W$107,ERROR)))))))","v":""},"","","","","",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$F$5","v":""},{"$f":"$C$5","v":""},false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Is this person themselves?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$D$5","v":""},false]
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["Household Composition",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"+$A$45","v":""},"","","","","","","","","","",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"$I$5","v":""},false]
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[null,"Coverable Groups",null,"Yes / No",null,null,null,null,null,null,null,"Error"]
[null,"Parents & Caretakers",null,"y"]
[null,"Children (1-18)",null,"n"]
[null,"Pregnant Women"]
[null,"Childless Adults (19-20)"]
[]
[]
[]
[]
[]
[]
[null,null,1,2,3,4,5,6,7,8]
[null,"FPL's 100%",1255,1255,1691,2563,2999,3435,3870,4306,436,null,null,null,"Disregards"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MAGI HH Size","Disregard Amount"]
[null,"Groups",null,"Parent or Caretaker Relative",1.24,1.59,1.77,2,2.0299999999999998,"Unused",null,null,null,null,1,67]
[null,"FPL%",null,"Inc Std",1.24,1.59,1.77,2,2.0299999999999998,1,null,null,null,null,2,90]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,114]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,137]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,160]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,184]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,207]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,230]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,254]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,10,278]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,24]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,{"$f":"IF(COUNTA(E10:L10)>4,\"\",\" \")","v":" "}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"FPL"]
[null,null,"Parent / Caretaker / Under 21","Pregnant Women","Child 0-18 w / Insurance","Child 0-18 w/o Insurance","Unused","MEDICAID Expansion","Unused","Unused"]
[null,null,"Inc Std",2,1.77,2.0299999999999998,1,1.33,0,0,null,null,1]
[null,1,1574,2832,2507,2875,1416,1884,0,0,null,null,1416,null,"Only make changes to the values/figures highlighted in green area - not pink!!!"]
[null,2,2454,3815,3377,3873,1908,2537,0,0,null,null,1908]
[null,3,2936,4799,4247,4871,2400,3191,0,0,null,null,2400]
[null,4,3437,5782,5117,5869,2891,3845,0,0,null,null,2891]
[null,5,3972,6765,5988,6867,3383,4499,0,0,null,null,3383]
[null,6,4505,7749,6858,7865,3875,5153,0,0,null,null,3875]
[null,7,5038,8732,7728,8863,4366,5807,0,0,null,null,4366]
[null,8,5571,9715,8598,9861,4858,6461,0,0,null,null,4858]
[null,null,534,984,871,999,492,654,null,null,null,null,492]
[]
[null,null,1,2,3,4,5,6,7,8]
[null,{"$f":"C56","v":"Parent / Caretaker / Under 21"},{"$f":"C58","v":1574},{"$f":"C59","v":2454},{"$f":"C60","v":2936},{"$f":"C61","v":3437},{"$f":"C62","v":3972},{"$f":"C63","v":4505},{"$f":"C64","v":5038},{"$f":"C65","v":5571},{"$f":"C66","v":534}]
[null,{"$f":"D56","v":"Pregnant Women"},{"$f":"D58","v":2832},{"$f":"D59","v":3815},{"$f":"D60","v":4799},{"$f":"D61","v":5782},{"$f":"D62","v":6765},{"$f":"D63","v":7749},{"$f":"D64","v":8732},{"$f":"D65","v":9715},{"$f":"D66","v":984}]
[null,{"$f":"E56","v":"Child 0-18 w / Insurance"},{"$f":"E58","v":2507},{"$f":"E59","v":3377},{"$f":"E60","v":4247},{"$f":"E61","v":5117},{"$f":"E62","v":5988},{"$f":"E63","v":6858},{"$f":"E64","v":7728},{"$f":"E65","v":8598},{"$f":"E66","v":871}]
[null,{"$f":"F56","v":"Child 0-18 w/o Insurance"},{"$f":"F58","v":2875},{"$f":"F59","v":3873},{"$f":"F60","v":4871},{"$f":"F61","v":5869},{"$f":"F62","v":6867},{"$f":"F63","v":7865},{"$f":"F64","v":8863},{"$f":"F65","v":9861},{"$f":"F66","v":999}]
[null,{"$f":"G56","v":"Unused"},{"$f":"G58","v":1416},{"$f":"G59","v":1908},{"$f":"G60","v":2400},{"$f":"G61","v":2891},{"$f":"G62","v":3383},{"$f":"G63","v":3875},{"$f":"G64","v":4366},{"$f":"G65","v":4858},{"$f":"G66","v":492}]
[null,{"$f":"H56","v":"MEDICAID Expansion"},{"$f":"H58","v":1884},{"$f":"H59","v":2537},{"$f":"H60","v":3191},{"$f":"H61","v":3845},{"$f":"H62","v":4499},{"$f":"H63","v":5153},{"$f":"H64","v":5807},{"$f":"H65","v":6461},{"$f":"H66","v":654}]
[null,{"$f":"I56","v":"Unused"},{"$f":"I58","v":0},{"$f":"I59","v":0},{"$f":"I60","v":0},{"$f":"I61","v":0},{"$f":"I62","v":0},{"$f":"I63","v":0},{"$f":"I64","v":0},{"$f":"I65","v":0},{"$f":"I66","v":0}]
[null,{"$f":"J56","v":"Unused"},{"$f":"J58","v":0},{"$f":"J59","v":0},{"$f":"J60","v":0},{"$f":"J61","v":0},{"$f":"J62","v":0},{"$f":"J63","v":0},{"$f":"J64","v":0},{"$f":"J65","v":0},{"$f":"J66","v":0}]
[]
[null,null,null,null,null,null,"Childless Adult No MAGI Coverage"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Revision Date","04/01/2022"]