2022 COVERED LIVES/ASSESSMENTS/SURCHARGES
2022 Covered Lives/Assessments/Surcharges
| REGION | COUNTIES | 2022 INDIVIDUAL COVERED LIVES ANNUAL ASSESSMENT |
2022 FAMILY COVERED LIVES ANNUAL ASSESSMENT |
2022 ALTERNATIVE PER UNIT OF PYMT SURCHARGE ∗ |
|---|---|---|---|---|
| New York City | Bronx | $173.67 | $573.12 | 27.28% |
| Kings | ||||
| New York | ||||
| Queens | ||||
| Richmond | ||||
| Long Island | Nassau | $61.92 | $204.33 | 13.89% |
| Suffolk | ||||
| Northern Metro | Columbia | $36.70 | $121.10 | 9.31% |
| Delaware | ||||
| Dutchess | ||||
| Orange | ||||
| Putnam | ||||
| Rockland | ||||
| Sullivan | ||||
| Ulster | ||||
| Westchester | ||||
| Northeastern | Albany | $42.52 | $140.30 | 8.42% |
| Clinton | ||||
| Essex | ||||
| Fulton | ||||
| Greene | ||||
| Montgomery | ||||
| Rensselaer | ||||
| Saratoga | ||||
| Schenectady | ||||
| Schoharie | ||||
| Warren | ||||
| Washington | ||||
| Utica/Watertown | Chenango | $9.60 | $31.69 | 2.25% |
| Franklin | ||||
| Hamilton | ||||
| Herkimer | ||||
| Jefferson | ||||
| Lewis | ||||
| Madison | ||||
| Oneida | ||||
| Oswego | ||||
| Otsego | ||||
| St. Lawrence | ||||
| Central | Broome | $62.16 | $205.12 | 9.57% |
| Cayuga | ||||
| Chemung | ||||
| Cortland | ||||
| Onondaga | ||||
| Schuyler | ||||
| Steuben | ||||
| Tioga | ||||
| Tompkins | ||||
| Rochester | Livingston | $114.04 | $376.33 | 18.62% |
| Monroe | ||||
| Ontario | ||||
| Seneca | ||||
| Wayne | ||||
| Yates | ||||
| Western | Allegany | $41.57 | $137.17 | 6.78% |
| Cattaraugus | ||||
| Chautauqua | ||||
| Erie | ||||
| Genesee | ||||
| Niagara | ||||
| Orleans | ||||
| Wyoming |
∗ This would be in addition to the surcharges reflected in Patient Services Surcharges (Attachment 4).
2022 Additional Monthly CLA Rates (April 2022 - December 2022)
| REGION | COUNTIES | 2022 ADDITIONAL MONTHLY CLA RATE FOR APRIL-DECEMBER 2022 INDIVIDUAL |
2022 ADDITIONAL MONTHLY CLA RATE FOR APRIL-DECEMBER 2022 FAMILY |
|---|---|---|---|
| New York City | Bronx | $0.55 | $1.83 |
| Kings | |||
| New York | |||
| Queens | |||
| Richmond | |||
| Long Island | Nassau | $0.20 | $0.65 |
| Suffolk | |||
| Northern Metro | Columbia | $0.11 | $0.38 |
| Delaware | |||
| Dutchess | |||
| Orange | |||
| Putnam | |||
| Rockland | |||
| Sullivan | |||
| Ulster | |||
| Westchester | |||
| Northeastern | Albany | $0.13 | $0.44 |
| Clinton | |||
| Essex | |||
| Fulton | |||
| Greene | |||
| Montgomery | |||
| Rensselaer | |||
| Saratoga | |||
| Schenectady | |||
| Schoharie | |||
| Warren | |||
| Washington | |||
| Utica/Watertown | Chenango | $0.03 | $0.10 |
| Franklin | |||
| Hamilton | |||
| Herkimer | |||
| Jefferson | |||
| Lewis | |||
| Madison | |||
| Oneida | |||
| Oswego | |||
| Otsego | |||
| St. Lawrence | |||
| Central | Broome | $0.19 | $0.62 |
| Cayuga | |||
| Chemung | |||
| Cortland | |||
| Onondaga | |||
| Schuyler | |||
| Steuben | |||
| Tioga | |||
| Tompkins | |||
| Rochester | Livingston | $0.35 | $1.16 |
| Monroe | |||
| Ontario | |||
| Seneca | |||
| Wayne | |||
| Yates | |||
| Western | Allegany | $0.13 | $0.42 |
| Cattaraugus | |||
| Chautauqua | |||
| Erie | |||
| Genesee | |||
| Niagara | |||
| Orleans | |||
| Wyoming |
∗ This would be in addition to the surcharges reflected in Patient Services Surcharges (Attachment 4).
