2007 GME SURCHARGES / ASSESSMENTS

Effective 1/1/07 - 3/31/07

REGION COUNTIES 2007 INDIVIDUAL COVERED LIVES ANNUAL ASSESSMENT 2007 FAMILY COVERED LIVES ANNUAL ASSESSMENT 2007 ALTERNATIVE PER UNIT OF PYMT SURCHARGE ∗
New York City Bronx
Kings
New York
Queens
Richmond
$138.83 $458.14 27.28%
Long Island Nassau
Suffolk
$ 41.35 $136.45 13.89%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 24.15 $ 79.69 9.31%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 26.78 $ 88.37 8.42%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 5.81 $ 19.17 2.25%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 36.24 $119.61 9.57%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$ 66.27 $218.68 18.62%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 24.39 $ 80.47 6.78%

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