2011 COVERED LIVES/ASSESSMENTS/SURCHARGES

REGION COUNTIES 2011 INDIVIDUAL COVERED LIVES ANNUAL ASSESSMENT 2011 FAMILY COVERED LIVES ANNUAL ASSESSMENT 2011 ALTERNATIVE PER UNIT OF PYMT SURCHARGE ∗
New York City Bronx
Kings
New York
Queens
Richmond
$184.37 $608.42 27.28%
Long Island Nassau
Suffolk
$ 54.79 $180.79 13.89%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 32.02 $105.65 9.31%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 35.82 $118.22 8.42%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 7.68 $ 25.35 2.25%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 49.97 $164.90 9.57%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$ 93.45 $308.40 18.62%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 34.90 $115.17 6.78%

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