Schedule 5

FIFTH SCHEDULERegulations 7(3) and 13(2)(a)(i)Value of ‘A’ in regulation 13(2) for relevant year 2017, 2018 or 2019Average monthly income of dual status eligible member in relevant yearAge of dual status eligible member on 31 December of relevant yearAttained 35 years of age but below 45 years of age (if the member is not a specified member), or below 45 years of age (if the member is a specified member)Attained 45 years of age but below 55 years of ageAttained 55 years of age but below 60 years of ageAttained 60 years of age1.Not more than $700 The difference between 1393/7800 times the member’s average monthly income and 1/78 of a dollar, or 107/12 dollars, whichever is more1/4 times the member’s average monthly income, or 25/2 dollars, whichever is moreThe difference between 2137/7800 times the member’s average monthly income and 3/26 of a dollar, or 163/12 dollars, whichever is moreThe sum of 58/195 times the member’s average monthly income and 5/39 of a dollar, or $15, whichever is more2.More than $700 but not more than $1,000$125The sum of 1/36 times the member’s average monthly income and 1400/9 dollarsThe sum of 1/6 times the member’s average monthly income and $75The difference between 11/36 times the member’s average monthly income and 50/9 dollars3.More than $1,000 but not more than $1,200$125550/3 dollars725/3 dollars$3004.More than $1,200 but not more than $2,000The difference between 5/32 times the member’s average monthly income and 625/2 dollarsThe difference between 11/48 times the member’s average monthly income and 1375/3 dollarsThe difference between 29/96 times the member’s average monthly income and 3625/6 dollarsThe difference between 3/8 times the member’s average monthly income and $750