Premiums and Enrollment Fees for Children
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
As of January 2026
| Location | Premiums or Enrollment Fees Required for Children's Coverage | Frequency of Payments | Income Level at Which Premiums Start (as % FPL) | Maximum Payment for One Child | Premiums are Family- or Child-Based | Family Maximum | Pre-Payment of First Month's Premium in Advance of Enrollment |
|---|---|---|---|---|---|---|---|
| United States | Yes: 18 <br> Suspended: 2 | Annual enrollment fee: 2 Quarterly premium: 1 Monthly premium: 15 | Family-based: 6 <br> Per child: 12 | Yes: 9 | Yes: 9 | ||
| Alabama | Yes | Annual enrollment fee | 1.41 | 104 | Per child | Yes | - |
| Alaska | - | - | - | - | - | - | N/A |
| Arizona | Temporarily or indefinitely suspended | - | - | - | - | - | - |
| Arkansas | - | - | - | - | - | - | N/A |
| California | - | - | - | - | - | - | N/A |
| Colorado | - | - | - | - | - | - | N/A |
| Connecticut | Yes | Monthly | 2.49 | 30 | Per child | Yes | Yes |
| Delaware | - | - | - | - | - | - | N/A |
| District of Columbia | - | - | - | - | - | - | N/A |
| Florida | Yes | Monthly | 1.33 | 20 | Family-based | N/A | Yes |
| Georgia | Yes | Monthly | 1.39 | 72 | Per child | Yes | Yes |
| Hawaii | - | - | - | - | - | - | N/A |
| Idaho | Yes | Monthly | 1.33 | 15 | Per child | N/A | - |
| Illinois | - | - | - | - | - | - | N/A |
| Indiana | Yes | Monthly | 1.58 | 70 | Per child | Yes | Yes |
| Iowa | Yes | Monthly | 1.82 | 20 | Per child | Yes | Yes |
| Kansas | Yes | Monthly | 1.67 | 50 | Family-based | N/A | - |
| Kentucky | - | - | - | - | - | - | N/A |
| Louisiana | Yes | Monthly | 2.12 | 50 | Family-based | N/A | Yes |
| Maine | - | - | - | - | - | - | N/A |
| Maryland | - | - | - | - | - | - | N/A |
| Massachusetts | Yes | Monthly | 1.5 | 31 | Per child | Yes | - |
| Michigan | - | - | - | - | - | - | N/A |
| Minnesota | - | - | - | - | - | - | N/A |
| Mississippi | - | - | - | - | - | - | N/A |
| Missouri | Yes | Monthly | 1.5 | 198 | Family-based | N/A | Yes |
| Montana | - | - | - | - | - | - | N/A |
| Nebraska | - | - | - | - | - | - | N/A |
| Nevada | Yes | Quarterly | 1.33 | 80 | Family-based | N/A | - |
| New Hampshire | - | - | - | - | - | - | N/A |
| New Jersey | - | - | - | - | - | - | N/A |
| New Mexico | - | - | - | - | - | - | N/A |
| New York | Yes | Monthly | 2.22 | 60 | Per child | Yes | Yes |
| North Carolina | - | - | - | - | - | - | N/A |
| North Dakota | - | - | - | - | - | - | N/A |
| Ohio | - | - | - | - | - | - | N/A |
| Oklahoma | - | - | - | - | - | - | N/A |
| Oregon | - | - | - | - | - | - | N/A |
| Pennsylvania | Yes | Monthly | 2.08 | 104 | Per child | N/A | Yes |
| Rhode Island | - | - | - | - | - | - | N/A |
| South Carolina | - | - | - | - | - | - | N/A |
| South Dakota | - | - | - | - | - | - | N/A |
| Tennessee | - | - | - | - | - | - | N/A |
| Texas | Yes | Annual enrollment fee | Above 151% | 50 | Family-based | N/A | - |
| Utah | - | - | - | - | - | - | N/A |
| Vermont | Temporarily or indefinitely suspended | - | - | - | - | - | - |
| Virginia | - | - | - | - | - | - | N/A |
| Washington | Yes | Monthly | 2.1 | 30 | Per child | Yes | - |
| West Virginia | Yes | Monthly | 2.11 | 35 | Per child | Yes | - |
| Wisconsin | Yes | Monthly | 2.01 | 98 | Per child | N/A | - |
| Wyoming | - | - | - | - | - | - | N/A |