Corporate Amendment Change Types - Filing Fee Matrix

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

7 Files its documents or upon approval/disapproval of the 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.

8 Whichever is greater Yes $10 Or retaliatory, 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.

10 Department of Financial Services PO Box 6100 Tallahassee, Florida 32314-6100 Section , Florida Statutes. 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.