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The Affordable Care Act (LO 7.4) Susan and Stan Collins live in Iowa, are married and have
two children ages 6 and 10 . In 2021, Susan's income is $43,120 and Stan's is $12,000 and both
are self-employed. They also have $500 in interest income from tax exempt bonds. The Collins
enrolled in health insurance for all of 2021 through their state exchange and elected to have the
credit paid in advance. The 2021 Form 1095-A that the Collins received from the exchange lists
the following information: The Federal Poverty Line for a family of four is $26,200. Table for
Repayment of the Credit Amount Click here to access the 2021 Applicable Figure Table to use
for this problem. Calculate the excess advance premium tax credit and the repayment amount for
2021. Round any division to two decimal places before converting to a percent. Excess advance
premium tax credit $X Repayment amount

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