2026 COVERED LIVES/ASSESSMENTS/SURCHARGES

REGION COUNTIES 2026
INDIVIDUAL
COVERED LIVES
ANNUAL ASSESSMENT
2026
FAMILY
COVERED LIVES
ANNUAL ASSESSMENT
2026
ALTERNATIVE
PER UNIT OF
PYMT SURCHARGE *
New York City Bronx
Kings
New York
Queens
Richmond
$180.46 $559.44 27.28%
Long Island Nassau
Suffolk
$68.30 $211.72 13.89%
Northern Metro Columbia
Delaware
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
$39.02 $120.96 9.31%
Northeastern Albany
Clinton
Essex
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
$46.65 $144.60 8.42%
Utica/Watertown Chenango
Franklin
Hamilton
Herkimer
Jefferson
Lewis
Madison
Oneida
Oswego
Otsego
St.
Lawrence
$10.23 $31.72 2.25%
Central Broome
Cayuga
Chemung
Cortland
Onondaga
Schuyler
Steuben
Tioga
Tompkins
$66.53 $206.23 9.57%
Rochester Livingston
Monroe
Ontario
Seneca
Wayne
Yates
$121.95 $378.04 18.62%
Western Allegany
Cattaraugus
Chautauqua
Erie
Genesee
Niagara
Orleans
Wyoming
$44.61 $138.29 6.78%