Parent Co-Payment Schedule is used to determine the parent's co-payment once the family is determined to be eligible and is being enrolled in an

early education and care program.

Step 2: Use This Form to Determine Parent Co-Paymen

  1. Find the column with the family's size written at the top.
  2. Read down the column until you come to thecorrectincome
  3. Then read directly across to the right until you are underthe “DailyFee” column.
This will show you the parent co-paypertaining to that family size and income
 
 

GROSS MONTHLY INCOME

PARENT CO-PAYMENT

Family
of

Two

Family
of Three

Family
of

Four

Family
of

Five

Family
of

Six

Family
of

Seven

Family
of

Eight

Family
of

Nine

Family
of

Ten

Family
of

Eleven

Family
of

Twelve

Daily
Fee
(Full-Time)
Weekly Fee
(Full-Time)
Daily
Fee
(Part-Time)
Weekly
Fee
(Part-Time)
FEE
LEVEL

0-971

0-1180

0-1421

0-1663

0-1905

0-2146

0-2387

0-2630

0-2871

0-3113

0-3355

$                -

$                -

$                -

$                 -

1

972-1095

1181-1260

1422-1499

1664-1739

1906-1980

2147-2205

2388-2450

2631-2675

2872-2925

3114-3165

3356-3425

$           2.00

$         10.00

$           1.00

$           5.00

2

1096-1219

1261-1340

1500-1575

1740-1825

1981-2080

2206-2315

2451-2575

2676-2775

2926-3025

3166-3275

3426-3550

$           3.00

$         15.00

$           1.50

$           7.50

3

1220-1380

1341-1420

1576-1675

1826-1900

2081-2180

2316-2550

2576-2700

2776-2825

3026-3125

3276-3325

3551-3650

$           4.50

$         22.50

$           2.25

$         11.25

4

1381-1457

1421-1529

1676-1799

1901-2087

2181-2380

2551-2675

2701-2800

2826-2940

3126-3225

3326-3375

3651-3750

$           5.50

$         27.50

$           2.75

$         13.75

5

1458-1540

1530-1675

1800-1900

2088-2150

2381-2500

2676-2800

2801-2900

2941-3050

3226-3325

3376-3475

3751-3850

$           6.50

$         32.50

$           3.25

$         16.25

6

1541-1634

1676-1760

1901-2000

2151-2260

2501-2650

2801-2900

2901-3000

3051-3125

3326-3425

3476-3575

3851-3950

$           7.50

$         37.50

$           3.75

$         18.75

7

1635-1725

1761-1850

2001-2175

2261-2435

2651-2800

2901-3000

3001-3100

3126-3242

3426-3525

3576-3675

3951-4050

$           8.00

$         40.00

$           4.00

$         20.00

8

1726-1843

1851-1931

2176-2250

2436-2550

2801-3000

3001-3100

3101-3200

3243-3340

3526-3625

3676-3775

4051-4150

$           8.50

$         42.50

$           4.25

$         21.25

9

1844-1986

1932-2414

2251-2874

2551-3333

3001-3793

3101-3879

3201-3966

3341-4052

3626-4138

3776-4224

4151-4310

$           9.00

$         45.00

$           4.50

$         22.50

10

1987-2186

2415-2476

2875-3130

3334-3550

3794-3900

3880-4030

3967-4100

4053-4125

4139-4210

4225-4300

4311-4400

$         12.50

$         62.50

$           6.25

$         31.25

11

2187-2286

2477-2676

3131-3340

3551-3800

3901-4000

4031-4132

4101-4199

4126-4249

4211-4325

4301-4400

4401-4500

$         15.00

$         75.00

$           7.50

$         37.50

12

2287-2429

2677-2876

3341-3550

3801-4100

4001-4199

4133-4350

4200-4499

4250-4599

4326-4650

4401-4725

4501-4825

$         16.50

$         82.50

$           8.25

$         41.25

13

2430-2573

2877-3076

3551-3760

4101-4363

4200-4500

4351-4700

4500-4799

4600-4899

4651-4950

4726-5025

4826-5125

$         17.50

$         87.50

$           8.75

$         43.75

14

2574-2717

3077-3277

3761-3970

4364-4607

4501-4966

4701-4998

4800-5099

4900-5149

4951-5200

5026-5275

5126-5350

$         19.00

$         95.00

$           9.50

$         47.50

15

2718-2860

3278-3477

3971-4180

4608-4851

4967-5444

4999-5549

5100-5650

5150-5699

5201-5750

5276-5825

5351-5900

$         20.50

$       102.50

$         10.25

$         51.25

16

2861-3004

3478-3677

4181-4490

4852-5095

5445-5939

5550-6074

5651-6209

5700-6344

5751-6400

5826-6475

5901-6550

$         22.00

$       110.00

$         11.00

$         55.00

17

3005-3132

3678-3869

4491-4606

5096-5342

5940-6079

6075-6217

6210-6355

6345-6494

6401-6550

6476-6625

6551-6700

$         23.00

$       115.00

$         11.50

$         57.50

18

3133-3322

3870-4104

4607-4885

5343-5667

6080-6433

6218-6595

6356-6743

6495-6887

6551-7034

6626-7181

6701-7327

$         24.00

$       120.00

$         12.00

$         60.00

19

3323-3410

4105-4210

4886-5012

5668-5812

6434-6615

6596-6765

6744-6915

6888-7066

7035-7150

7182-7300

7328-7450

$         25.00

$       125.00

$         12.50

$         62.50

20

3411-3549

4211-4380

5013-5214

5813-6047

6616-6883

6766-7039

6916-7195

7067-7350

7151-7500

7301-7650

7451-7800

$         26.00

$       130.00

$         13.00

$         65.00

21

3550-3685

4381-4551

5215-5418

6048-6285

6884-7153

7040-7314

7196-7477

7351-7639

7501-7700

7651-7775

7801-7925

$         27.00

$       135.00

$         13.50

$         67.50

22

3686-3908

4552-4828

5419-5747

6286-6666

7154-7586

7315-7758

7478-7932

7640-8103

7701-8275

7776-8448

7926-8620

$         28.00

$       140.00

$         14.00

$         70.00

23

3909-4885

4829-6035

5748-7184

6667-8333

7587-9483

7759-9698

7933-9915

8104-10129

8276-10344

8449-10560

8621-10775

$         29.00

$       145.00

$         14.50

$         72.50

24

4886-5150

6036-6325

7185-7550

8334-8750

9484-9950

9699-10300

9916-10400

10130-10650

10345-10856

10561-11080

10776-11300

$         32.00

$       160.00

$         16.00

$         80.00

25

5151-5400

6326-6625

7551-7900

8751-9200

9951-10400

10301-10750

10401-10900

10651-11150

10857-11365

11081-11600

11301-11840

$         35.00

$       175.00

$         17.50

$         87.50

26

5401-5650

6626-6925

7901-8250

9201-9550

10401-10950

10751-11150

10901-11400

11151-11650

11366-11875

11601-12125

11841-12370

$         38.00

$       190.00

$         19.00

$         95.00

27

5651-5849

6925-7225

8251-8601

9551-9978

10951-11353

11151-11611

11401-11869

11651-12126

11876-12387

12126-12645

12371-12903

$         41.00

$       205.00

$         20.50

$       102.50

28

     *To calculate monthly income from weekly income statements, multiply the weekly income by 4.33
     *To calculate monthly income from bi-weekly income statements, multiply the bi-weekly income by 2.17
       Last revised: 9/25/14, effective 10/1/1

 

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Hope and opportunity.

 

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Boys & Girls Clubs are a safe place to learn and grow – all while having fun. It is the place where great futures are started each and every day.

In every community, boys and girls are left to find their own recreation and companionship in the streets. An increasing number of children are at home with no adult care or supervision. Young people need to know that someone cares about them.

Boys & Girls Clubs offer that and more. Club programs and services promote and enhance the development of boys and girls by instilling a sense of competence, usefulness, belonging and influence.

 

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of Greater Holyoke, Inc.
70 Nick Cosmos Way
Holyoke, MA 01040
P.O. Box 6256
P: (413) 534-7366
F: (413) 534-7369
W: www.hbgc.org

 

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