2017 COVERED LIVES/ASSESSMENTS/SURCHARGES

REGION COUNTIES 2017
INDIVIDUAL
COVERED LIVES
ANNUAL ASSESSMENT
2017
FAMILY
COVERED LIVES
ANNUAL ASSESSMENT
2017
ALTERNATIVE
PER UNIT OF
PYMT SURCHARGE ∗
New York City Bronx
Kings
New York
Queens
Richmond
$185.33 $611.58 27.28%
Long Island Nassau
Suffolk
$63.17 $208.46 13.89%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$36.48 $120.38 9.31%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$40.91 $135.00 8.42%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis
Madison
Oneida
Oswego
Otsego
St. Lawrence
$9.08 $29.96 2.25%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$57.27 $188.98 9.57%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$107.76 $355.61 18.62%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$38.57 $127.28 6.78%

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