2001 GME SURCHARGES / ASSESSMENTS

REGION COUNTIES 2001 INDIVIDUAL COVERED LIVES ANNUAL ASSESSMENT 2001 FAMILY COVERED LIVES ANNUAL ASSESSMENT 2001 ALTERNATIVE PER UNIT OF PYMT SURCHARGE*
New York City Bronx
Kings
New York
Queens
Richmond
$104.54 $344.99 24.94%
Long Island Nassau
Suffolk
$ 34.18 $112.78 12.69%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$ 19.81 $ 65.36 8.51%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$ 22.90 $ 75.56 7.70%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis Madison
Oneida
Oswego
Otsego
St. Lawrence
$ 4.39 $ 14.48 2.05%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$ 27.87 $ 91.96 8.74%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$ 50.78 $167.58 17.02%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$ 18.37 $ 60.61 6.19%

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