Instructions For Form 8941 - Credit For Small Employer Health Insurance Premiums - 2016 Page 11

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Craighead
5,683
15,011
Stone
5,683
15,011
Santa Clara
7,125
18,858
Crawford
5,152
15,139
Union
5,816
15,416
Santa Cruz
6,260
14,770
Crittenden
5,683
15,011
Van Buren
5,525
14,527
Shasta
6,161
15,330
Cross
5,683
15,011
Washington
4,573
13,288
Sierra
6,161
15,330
Dallas
5,710
14,595
White
5,525
14,527
Siskiyou
6,161
15,330
Desha
5,710
14,595
Woodruff
5,683
15,011
Solano
6,899
15,884
Drew
5,710
14,595
Yell
5,525
14,527
Sonoma
6,899
15,884
Faulkner
5,525
14,527
Stanislaus
6,977
14,929
California
Franklin
5,152
15,139
Sutter
6,161
15,330
Fulton
5,683
15,011
Tehama
6,161
15,330
Employee-
Dependent,
County
Only
Family, etc.
Garland
5,127
13,995
Trinity
6,161
15,330
Alameda
6,810
17,385
Grant
5,525
14,527
Tulare
6,977
14,929
Alpine
6,161
15,330
Greene
5,683
15,011
Tuolumne
6,161
15,330
Amador
6,161
15,330
Hempstead
5,816
15,416
Ventura
5,970
15,430
Butte
6,161
15,330
Hot Spring
5,127
13,995
Yolo
5,930
15,943
Calaveras
6,161
15,330
Howard
5,816
15,416
Yuba
6,161
15,330
Colusa
6,161
15,330
Independence
5,683
15,011
Colorado
Contra Costa
7,046
17,619
Izard
5,683
15,011
Del Norte
6,161
15,330
Jackson
5,683
15,011
Employee-
Dependent,
El Dorado
5,930
15,943
County
Only
Family, etc.
Jefferson
5,710
14,595
Fresno
6,269
17,056
Adams
6,416
18,805
Johnson
5,152
15,139
Glenn
6,161
15,330
Alamosa
7,088
14,801
Lafayette
5,816
15,416
Humboldt
6,161
15,330
Arapahoe
6,416
18,805
Lawrence
5,683
15,011
Imperial
5,644
14,675
Archuleta
7,176
15,918
Lee
5,710
14,595
Inyo
5,644
14,675
Baca
7,088
14,801
Lincoln
5,710
14,595
Kern
6,568
15,775
Bent
7,088
14,801
Little River
5,816
15,416
Kings
6,269
17,056
Boulder
5,578
17,092
Logan
5,152
15,139
Lake
6,161
15,330
Broomfield
6,416
18,805
Lonoke
5,525
14,527
Lassen
6,161
15,330
Chaffee
7,088
14,801
Madison
4,573
13,288
Los Angeles
6,233
16,516
Cheyenne
7,088
14,801
Marion
4,573
13,288
Madera
6,269
17,056
Clear Creek
6,416
18,805
Miller
5,816
15,416
Marin
6,899
15,884
Conejos
7,088
14,801
Mississippi
5,683
15,011
Mariposa
6,977
14,929
Costilla
7,088
14,801
Monroe
5,710
14,595
Mendocino
6,161
15,330
Crowley
7,088
14,801
Montgomery
5,127
13,995
Merced
6,977
14,929
Custer
7,088
14,801
Nevada
5,816
15,416
Modoc
6,161
15,330
Delta
7,176
15,918
Newton
4,573
13,288
Mono
5,644
14,675
Denver
6,416
18,805
Ouachita
5,816
15,416
Monterey
6,260
14,770
Dolores
7,176
15,918
Perry
5,525
14,527
Napa
6,899
15,884
Douglas
6,416
18,805
Phillips
5,710
14,595
Nevada
6,161
15,330
Eagle
7,378
18,967
Pike
5,127
13,995
Orange
6,346
17,261
El Paso
6,109
16,336
Poinsett
5,683
15,011
Placer
5,930
15,943
Elbert
6,416
18,805
Polk
5,152
15,139
Plumas
6,161
15,330
Fremont
7,088
14,801
Pope
5,525
14,527
Riverside
5,704
14,548
Garfield
7,378
18,967
Prairie
5,525
14,527
Sacramento
5,930
15,943
Gilpin
6,416
18,805
Pulaski
5,525
14,527
San Benito
6,260
14,770
Grand
7,176
15,918
Randolph
5,683
15,011
San Bernardino
5,704
14,548
Gunnison
7,176
15,918
Saline
5,525
14,527
San Diego
6,045
15,354
Hinsdale
7,176
15,918
Scott
5,152
15,139
San Francisco
6,636
20,243
Huerfano
7,088
14,801
Searcy
4,573
13,288
San Joaquin
6,977
14,929
Jackson
7,176
15,918
Sebastian
5,152
15,139
San Luis Obispo
5,970
15,430
Jefferson
6,416
18,805
Sevier
5,816
15,416
San Mateo
8,031
20,736
Kiowa
7,088
14,801
Sharp
5,683
15,011
Santa Barbara
5,970
15,430
Kit Carson
7,088
14,801
St. Francis
5,683
15,011
2017 Average Premium Tables
-11-

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