EPIC Fee Schedule
| SINGLE | |
|---|---|
| Annual Income | Annual Fee |
| Up to $ 6,000 | $ 8 |
| $ 6,001- $ 7,000 | 16 |
| $ 7,001- $ 8,000 | 22 |
| $ 8,001- $ 9,000 | 28 |
| $ 9,001- $10,000 | 36 |
| $10,001 - $11,000 | 40 |
| $11,001 - $12,000 | 46 |
| $12,001 - $13,000 | 54 |
| $13,001 - $14,000 | 60 |
| $14,001 - $15,000 | 80 |
| $15,001 - $16,000 | 110 |
| $16,001 - $17,000 | 140 |
| $17,001 - $18,000 | 170 |
| $18,001 - $19,000 | 200 |
| $19,001 - $20,000 | 230 |
| Over $20,000 | See Deductible Plan |
| MARRIED | |
|---|---|
| Joint Annual Income | Annual Fee (Each Person) |
| Up to $ 6,000 | $ 8 |
| $ 6,001- $ 7,000 | 12 |
| $ 7,001- $ 8,000 | 16 |
| $ 8,001- $ 9,000 | 20 |
| $ 9,001- $10,000 | 24 |
| $10,001 - $11,000 | 28 |
| $11,001 - $12,000 | 32 |
| $12,001 - $13,000 | 36 |
| $13,001 - $14,000 | 40 |
| $14,001 - $15,000 | 40 |
| $15,001 - $16,000 | 84 |
| $16,001 - $17,000 | 106 |
| $17,001 - $18,000 | 126 |
| $18,001 - $19,000 | 150 |
| $19,001 - $20,000 | 172 |
| $20,001 - $21,000 | 194 |
| $21,001 - $22,000 | 216 |
| $22,001 - $23,000 | 238 |
| $23,001 - $24,000 | 260 |
| $24,001 - $25,000 | 275 |
| $25,001 - $26,000 | 300 |
| Over $26,000 | See Deductible Plan |
For more information, call the free EPIC Help Line:
1-800-332-3742
Or write:
EPIC
P.O. Box 15018
Albany, NY
12212-5018