1997 & 1998 GME SURCHARGES / ASSESSMENTS

REVISED OCTOBER 2004

REGION COUNTIES 1997 & 1998 INDIVIDUAL COVERED LIVES ANNUAL ASSESSMENT 1997 & 1998 FAMILY COVERED LIVES ANNUAL ASSESSMENT 1997 & 1998 ALTERNATIVE PER UNIT OF PYMT SURCHARGE*
New York City Bronx
Kings
New York
Queens
Richmond
$116.75 $385.29 25.09%
Long Island Nassau
Suffolk
$ 33.81 $111.58 11.96%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 21.18 $ 69.91 9.05%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 23.03 $ 75.99 8.18%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 4.69 $ 15.48 2.36%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 27.01 $ 89.14 8.11%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$ 51.87 $171.18 15.82%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 18.37 $ 60.63 6.08%

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