Forms Library

Forms Library2018-10-10T22:22:48+00:00

Low Income Subsidy (LIS)

LIS takes 3 weeks to get approved. It will help lower your client’s prescription costs and also open up the possibility of year round enrollment.

Full: If your income is below 135% of the FPL ($16,281 if you are single or $21,924 for married couples) Rev. 2-25-2017

Partial: If your income is below 135% of the FPL ($18,090 if you are single or $24,360 for married couples) Rev. 2-25-2017