2016 COVERED LIVES/ASSESSMENTS/SURCHARGES

REGION COUNTIES 2016
INDIVIDUAL
COVERED LIVES
ANNUAL ASSESSMENT
2016
FAMILY
COVERED LIVES
ANNUAL ASSESSMENT
2016
ALTERNATIVE
PER UNIT OF
PYMT SURCHARGE ∗
New York City Bronx
Kings
New York
Queens
Richmond
$202.82 $669.30 27.28%
Long Island Nassau
Suffolk
$ 67.43 $222.53 13.89%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 39.00 $128.68 9.31%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 42.89 $141.53 8.42%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis
Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 10.24 $ 33.81 2.25%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 60.47 $199.55 9.57%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$115.21 $380.20 18.62%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 41.39 $136.58 6.78%

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