- You are homeless, or more than 30 days behind in rent or mortgage
payments, or have received a current eviction or foreclosure notice.
............................
- You have a shut-off notice from your utility company (gas,
electric, oil, water, or telephone), or one of your utilities has
been shut off, or one or more of your utility companies is refusing
to deliver services because you cannot pay.
............................
- You have a large increase in expenses in the past six months due
to domestic violence.
............................
- You have a large increase in expenses in the past six months due
to death of your spouse, family member, or partner with primary
responsibility for child care.
............................
- You have a large increase in expenses in the past six months due
to the sudden responsibility for providing full care for an aging
parent or other family member, including a major long illness of
your child that requires a working parent to hire a full-time person
to care for your child.
............................
- You have a large increase in expenses in the past six months due
to a fire, flood, natural disaster, or other unexpected natural or
human-caused event causing large damage to you or, your home, or
your property or personal possessions.
............................
- You have had non-cosmetic medical and/or dental out-of-pocket
expenses (not including premium payments) totaling more than 7.5% of
your household’s adjusted gross income that were not subject to
payment by a third party.
............................
- You can establish that the expense of purchasing health insurance
that meets minimum credible coverage would have caused you to
experience serious deprivation of food, shelter, clothing or other
necessities.
............................
- Your family size is so large that reliance on TABLE 1 to estimate
what monthly premium you can afford would result in significant
inequity.
See the document here.
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