Calculate Past Income and Expenses/Deductions

Use this form to help you calculate the amount of your past income and expenses or deductions. This amount can be entered in your Financial Assistance application to help get a better idea of your projected MAGI for the coverage year. Only enter information below for past jobs, self-employments, other income, or expenses/deductions you have for the coverage year for which you are applying. Do not include any income or expenses/deductions that are ongoing or that you are currently counting.