2000 GME SURCHARGES / ASSESSMENTS

REGION COUNTIES 2000 INDIVIDUAL COVERED LIVES ANNUAL ASSESSMENT 2000 FAMILY COVERED LIVES ANNUAL ASSESSMENT 2000 ALTERNATIVE PER UNIT OF PYMT SURCHARGE*
New York City Bronx
Kings
New York
Queens
Richmond
$110.86 $365.83 24.94%
Long Island Nassau
Suffolk
$ 35.57 $117.38 12.69%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 19.62 $ 64.74 8.51%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 23.34 $ 77.02 7.70%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 4.23 $ 13.95 2.05%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 29.68 $ 97.95 8.74%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$ 54.61 $180.22 17.02%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 20.20 $ 66.65 6.19%

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