2013 COVERED LIVES/ASSESSMENTS/SURCHARGES

REGION COUNTIES 2013
INDIVIDUAL
COVERED LIVES
ANNUAL ASSESSMENT
2013
FAMILY
COVERED LIVES
ANNUAL ASSESSMENT
2013
ALTERNATIVE
PER UNIT OF
PYMT SURCHARGE ∗
New York City Bronx
Kings
New York
Queens
Richmond
$196.49 $648.41 27.28%
Long Island Nassau
Suffolk
$ 59.14 $195.15 13.89%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 33.67 $111.12 9.31%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 38.42 $126.78 8.42%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis
Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 8.33 $ 27.49 2.25%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 52.88 $174.50 9.57%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$100.68 $332.24 18.62%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 37.84 $124.86 6.78%

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