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Home / FAQ / On my Form 1095-A, how do I know my “Monthly Premium Amount of Second Lowest Cost Silver Plan”?

On my Form 1095-A, how do I know my “Monthly Premium Amount of Second Lowest Cost Silver Plan”?

The Second Lowest Cost Silver Plan is the premium for the second least expensive silver plan available to you and your covered household members based on their ages and home addresses.

Also known as your benchmark cost, this number is used to estimate how expensive it is for you to purchase health coverage and is provided in Part III, Column B of your Form 1095-A.

If your coverage household changed during the year or anyone covered under your policy moved and you did not report it to Maryland Health Connection, the amount of the Second Lowest Cost Silver Plan provided in your 1095-A may be incorrect. Use the tables below and examples to recalculate your SLCSP, or use our worksheet (PDF).

Worksheet for the Second Lowest Cost Silver Plan (PDF)

Using Tables 1 and 2, determine the individual monthly benchmark cost for each person covered under your policy and included on your 2017 taxes. For each person, you will need to know his or her age as of his or her coverage start date (listed in Part II, Column D of the 1095-A) and his or her place of residence.

Add the individual benchmark costs together for each covered individual to get the monthly benchmark for your tax family.

Table 1: Regions for Benchmark Costs

Residents of Allegany County, Caroline County, Cecil County, Dorchester County, Garrett
County, Kent County, Queen Anne’s County, St. Mary’s County, Somerset County, Talbot
County, Washington County, Wicomico County, and Worcester County should refer to Table
One.

Residents of Calvert County, Charles County, and Frederick County who live in the following
zip codes should also refer to Table One:

  • 20611
  • 20615
  • 20625
  • 20629
  • 20632
  • 20657
  • 20661
  • 20662
  • 20664
  • 20676
  • 20682
  • 20685
  • 20688
  • 20693
  • 21727
  • 21773
  • 21778
  • 21780
  • 21788
  • 21798

Table 2: Monthly Benchmark Costs by Age and Region

Residents of Anne Arundel County, Baltimore City, Baltimore County, Carroll County, Harford
County, Howard County, Montgomery County, and Prince George’s County should refer to
Table Two.

Residents of Calvert County, Charles County, and Frederick County who live in the following
zip codes should also refer to Table Two:

  • 20601
  • 20602
  • 20603
  • 20604
  • 20610
  • 20612
  • 20616
  • 20617
  • 20637
  • 20639
  • 20640
  • 20643
  • 20645
  • 20646
  • 20658
  • 20675
  • 20677
  • 20678
  • 20689
  • 20695
  • 20714
  • 20732
  • 20736
  • 20754
  • 21701
  • 21702
  • 21703
  • 21704
  • 21705
  • 21709
  • 21710
  • 21714
  • 21716
  • 21717
  • 21718
  • 21754
  • 21755
  • 21758
  • 21759
  • 21762
  • 21769
  • 21770
  • 21771
  • 21772
  • 21774
  • 21775
  • 21777
  • 21790
  • 21792
  • 21793

table 2