2008 COVERED LIVES/ASSESSMENTS/SURCHARGES

REGION COUNTIES 2008 INDIVIDUAL COVERED LIVES ANNUAL ASSESSMENT 2008 FAMILY COVERED LIVES ANNUAL ASSESSMENT 2008 ALTERNATIVE PER UNIT OF PYMT SURCHARGE ∗
New York City Bronx
Kings
New York
Queens
Richmond
$149.85 $494.50 27.28%
Long Island Nassau
Suffolk
$ 45.12 $148.89 13.89%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 24.52 $ 80.92 9.31%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 28.00 $ 92.39 8.42%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 5.18 $ 17.10 2.25%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 36.76 $121.31 9.57%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$ 69.16 $228.22 18.62%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 26.54 $ 87.58 6.78%

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