2019 COVERED LIVES/ASSESSMENTS/SURCHARGES

REGION COUNTIES 2019
INDIVIDUAL
COVERED LIVES
ANNUAL ASSESSMENT
2019
FAMILY
COVERED LIVES
ANNUAL ASSESSMENT
2019
ALTERNATIVE
PER UNIT OF
PYMT SURCHARGE ∗
New York City Bronx
Kings
New York
Queens
Richmond
$173.55 $572.70 27.28%
Long Island Nassau
Suffolk
$60.60 $199.99 13.89%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$35.00 $115.49 9.31%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$40.37 $133.22 8.42%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis
Madison
Oneida
Oswego
Otsego
St. Lawrence
$8.75 $28.86 2.25%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$57.08 $188.37 9.57%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$106.91 $352.81 18.62%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$38.85 $128.21 6.78%

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