2002 GME SURCHARGES / ASSESSMENTS

REGION COUNTIES 2002 INDIVIDUAL COVERED LIVES ANNUAL ASSESSMENT 2003 FAMILY COVERED LIVES ANNUAL ASSESSMENT 2002 ALTERNATIVE PER UNIT OF PYMT SURCHARGE*
New York City Bronx
Kings
New York
Queens
Richmond
$ 99.65 $328.85 24.94%
Long Island Nassau
Suffolk
$ 33.51 $110.59 12.69%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 19.27 $ 63.59 8.51%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 21.53 $ 71.06 7.70%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 4.24 $ 13.99 2.05%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 27.23 $ 89.85 8.74%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$ 53.37 $176.14 17.02%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 18.73 $ 61.82 6.19%

∗ This would be in addition to the surcharges reflected in Attachment 4.