Her excess premium was $5,608 from $701/month (SLCSP $857/month). She didn't have her 1095-A until late, so I didn't see what was going on; and she used a different tax preparer last year when she signed up at the marketplace, so I didn't know she received PTC until her form arrived. She didn't have a HDHP, so didn't qualify for an HSA. An IRA wouldn't get her down to 400%. Most of her income was from a $43,612 IRA distribution. Also, escrow interest, state refund, pension loan/distribution upon leaving employment, and unemployment benefits. AGI $59,820. 400% poverty $45,960. The sad part is she worked for a financial services firm that advises clients on investments, insurance, etc. If I were writing a $5,608 check right now, I'm not sure I'd have $857 left to pay my premium, this month or for the next few months. I can see why people let their insurance lapse. I think people got false hope. How much will you earn in 2014? Well, she earned only $8,500, but she had income of nearly $60,000 because if she hadn't taken those withdrawals, she would've lost her house and car.