Corporate Amendment Change Types - Filing Fee …

1 2018 National Association of Insurance Commissioners 1 09/13/2018 Corporate Amendment Change Types - Filing Fee Matrix Corporate Amendment Change Types - Filing Fees Required at time of submission (Yes, No or No Fee/ Required to File) Updates to the state-specific information will be noted with a next to the state name. Retaliatory State (must submit greater amount with application) State Adding LOBs Deleting LOBs Name Change Redomesti-cation Change of Statutory Home Office Address Change of Address/ Contact Notification Merger of Two or More Foreign Insurers Change of Control of Foreign Insurer Amended Bylaws Amended Articles of Incorp.

2 Statement of Withdrawal Requirements Citation of Statute or Regulation AL Yes $500 No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File Yes $25 Yes $25 No fee/ Req'd to file 27-4-2 AK Yes $100 for new CofA Yes $100 for new CofA Yes $100 for new CofA Yes $100 for new CofA No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File Yes $100 Yes $100 No Fee/ Req'd to File Fees for (a-d) are required for the replacement of the COA, not for the Filing .

3 If submitted fees are insufficient or the application is received electronically, the fee is requested by phone or e-mail during processing. When not filed with COA amendments, i.) and j.) are invoiced if payment is not received with Filing . 3 AAC Insurer fees, Sec. Required notice, and others. AZ Yes $195 CofA Yes $195 CofA Yes $195 CofA Yes $195 CofA No fee/ Req'd to file No fee/ Req'd to file No fee/ Req'd to file No fee/ Req'd to file Yes $30 Yes *$175 No fee/ Req'd to file Amended Certificate of Authority fee - $ ($ if Filing amended bylaws).

4 Make check payable to the Arizona Department of Insurance. *Articles for name Change /redomestications - $ Make payment to and file with the Arizona Corporation Commission. Articles for other Types of changes- $ Make payment to and file with the Arizona Corporation Commission. ARS 20-167 2018 National Association of Insurance Commissioners 2 09/13/2018 State Adding LOBs Deleting LOBs Name Change Redomesti-cation Change of Statutory Home Office Address Change of Address/ Contact Notification Merger of Two or More Foreign Insurers Change of Control of Foreign Insurer Amended Bylaws Amended Articles of Incorp.

5 Statement of Withdrawal Requirements Citation of Statute or Regulation AR Yes $500 Yes $500 Yes $500 Yes $500 Yes $500 No fee/ Req'd to File *No Fee/ Req'd to File No fee/ Req'd to File Yes $50 Yes $100 No * Filing of Form E (pre-acquisition) re: merger/acquisition $100 CA Yes $136 Yes $136 per class Yes $136 Yes $136 ^ No No fee/ Req'd to File Yes $6,350 No fee/ Req'd to File Yes, $72 unless Otherwise Specified Yes $72, unless Otherwise Specified Yes $1,410 1E.

6 Does not accept the UCAA Change of City 1G Does not Accept the UCAA Merger form. ^ To and From CA = $136 + $6,350 (a-d) - 705 (g) (j)-714 CO No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File No Fee/ Req'd to File CT Yes $200 Yes $200 Yes $200 Yes $200 No Fee/ Req'd to File No Fee/ Req'd to File Yes $30 No Fee/ Req'd to File Yes $30 Yes $30 No Fee/ Req'd to File Fees are invoiced by Department after the Company files its documents or upon approval/disapproval of the

7 License application. Will accept payment of Filing fee for foreign expansion applications if the state of domicile has a non-refundable application fee in place. Connecticut General Statute 38a-11 DE *Yes $150 Or retaliatory, whichever is greater *Yes $150Or retaliatory, whichever is greater Yes $160 or **$170 Or retaliatory, whichever is greater Yes $160 or **$170 Or retaliatory, whichever is greater Yes $150 or **$160 or **$170 Or retaliatory, whichever is greater * No fee/ Req'd to file Or retaliatory, whichever is greater No fee/ Req'd to file Or retaliatory, whichever is greater No fee/ Req'd to file Or retaliatory, whichever is greater Yes $10 Or retaliatory.

8 Whichever is greater Yes $10Or retaliatory, whichever is greater No fee/ Req'd to file Or retaliatory, whichever is greater (*) $150 fee is required if new COA is issued. (**) If Articles are amended. (**) If Bylaws are amended. All Fees subject to Retaliatory Provision. 18 Del. C. Section 701(1) a, b &e and (14) DC No fee/ Req'd to File No fee/ Req'd to File No fee/ Req'd to File No fee/ Req'd to File No fee/ Req'd to file No fee/ Req'd to file No fee/ Req'd to file No fee/ Req'd to file No fee/ Req'd to file $500 payable to District of Columbia Treasurer c/o DC Treasurer PO Box 92180 Washington, DC 20092 N/A FL Yes Yes Yes No Notification to NAIC Required, no Fee.

9 Refer to State Specific Information for instructions. Notification to NAIC Required, no Fee. Refer to State Specific Information for instructions No fee/ Req'd to file No fee/ Req'd to file Foreign Insurer, no fee/ No Filing Domestic insurer, yes fee/Req'd to file Foreign Insurer, no fee/ No Filing Domestic insurer, yes fee/Req'd to file No fee/ Req'd to file $ Filing Fee for each Amendment indicating a fee (Codes: TY/CL-11/41, F/T-W) Make checks payable to: Department of Financial Services PO Box 6100 Tallahassee, Florida 32314-6100 Section , Florida Statutes.

10 2018 National Association of Insurance Commissioners 3 09/13/2018 State Adding LOBs Deleting LOBs Name Change Redomesti-cation Change of Statutory Home Office Address Change of Address/ Contact Notification Merger of Two or More Foreign Insurers Change of Control of Foreign Insurer Amended Bylaws Amended Articles of Incorp. Statement of Withdrawal Requirements Citation of Statute or Regulation GA Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes OCGA 33-8-1, the Commissioner is authorized to assess and collect in advance, and persons so assessed shall pay in advance to the Commissioner, fees and charges under this title.