FILING FEES – PRIMARY AND EXPANSION …

1 FILING FEES PRIMARY AND EXPANSION APPLICATIONS. The following table shows the fees charged by each state for FILING either a PRIMARY or EXPANSION Uniform Application. Please note that, due to retaliatory statutes, the ultimate amount of fees you pay in any state may be more than the amount indicated below. = This information has been updated by the state department of Insurance State FILING Fees Payee Instructions AL $1,005 or retaliatory, whichever is greater, due upon Alabama DOI Mail $1,750 check with application. approval. Box 303351 Richard L.

2 Ford $1,750 nonrefundable application examination fee due Montgomery, AL 36130 (334) 241-4151. at FILING . AK $2,250 or retaliatory, whichever is greater. Division of Insurance Mail check with application. State of Alaska 550 West 7th Avenue, Suite 1560. Anchorage, AK 99501-3567. AZ PRIMARY Application: Arizona Department of Insurance $ Application fee Arizona Department of Insurance Financial Affairs Division $ per individual for fingerprint card processing Arizona Department of Insurance 100 N. 15th Ave., Suite 102. fee Phoenix, AZ 85007-2624.

3 EXPANSION Application: $ Application Fee Arizona Department of Insurance Articles of Incorporation $ FILING Fee Arizona Corporation Commission AR $1,000 or retaliatory, whichever is greater Arkansas DOI Kimberly S. Johnson Finance Division Insurance Examiner 1200 West Third (501) 371-2680. Little Rock, AR 72201-1904 CA PRIMARY App: EXPANSION App: Insurance Commissioner State of CA. $4,233 $4,233 Corp. Affairs Bureau 45 Fremont Street, 24th Floor San Francisco, CA 94105. CO $500 nonrefundable processing fee Payable to: Mail checks with application.

4 Colorado Division of Insurance 2018 National Association of Insurance Commissioners 1 06/25/2018. State FILING Fees Payee Instructions CT $220 for FILING all documents prerequisite to the Treasurer State of Connecticut Fee should NOT be included with the issuance of a license. application. An invoice will be sent to the Health Care Centers $1,350 applicant for appropriate FILING fee. ( PRIMARY Apps only). DE $1,000 (or retaliatory, whichever is greater) for FILING Make checks payable to: All UCAA PRIMARY and EXPANSION applications application for initial Certificate of Authority, must be filed in hard copy form with fees and including all documents submitted as part of such Delaware Department of Insurance submitted to the Department.

5 Application. 841 Silver Lake Boulevard Dover, DE 19904 $150 (or retaliatory, whichever is greater) issuance fee content/uploads/sites/15/2017/07/schedfe et for the Certificate of Authority, if application is approved. $750 Fraud Fund Fee if applicable. DC $500 Make checks payable to: Denise Parker District of Columbia Treasurer Insurance Licensing Specialist (202)442-7815. Mail Fees To: c/o DC Treasurer, Box 92180 Mail Correspondence To: Washington, DC 20092 Department of Insurance and Securities Regulation 1050 First Street, NE, Suite 801.

6 Washington, DC 20002. FL PRIMARY * & EXPANSION App: Make checks payable and mail directly to: Applicants are required to include the $1,500 FILING Fee Department of Financial Services following codes on each check: $1,000 Company License Tax. Box 6100. Tallahassee, Florida 32314-6100 PRIMARY & EXPANSION App: PRIMARY App: $1,500 FILING Fee Codes: B/T-C, TY/CL- $25 Permit FILING Fee 10/06, F/T-F. $1,000 Company License Tax Codes: B/T-C, *If a redomestication and company is already licensed TY/CL-10/30, F/T-L. in Florida and license tax is current, $1,500 FILING fee PRIMARY App: only.

7 $25 Permit FILING Fee Codes: B/T-C, TY/CL-10/08, F/T-F. GA $600 or retaliatory fee, whichever is greater Georgia DOI Application fee should accompany application. Suite 604, West Tower 2 MLK, Jr. Drive Atlanta, GA 30334. 2018 National Association of Insurance Commissioners 2 06/25/2018. State FILING Fees Payee Instructions HI Effective May 28, 2015 Make check payable to: Contacts: Initial Application Fee $900 Department of Commerce and Consumer (due at time of application) Affairs. Sally D. Bautista, Insurance Examiner Certification and Agency Exam.

8 Section C/A Issuance Fee $600 (808) 586-7414. Service Fee for current year $600 Fax#: (808) 586-3873. (due before issuance of C/A) Andrew Chow, Insurance Examiner Phone: (808) 586-8150. Fax: (808) 586-3873. ID Surplus less than $10M: $1,000 Idaho Department of Insurance Surplus greater than $10M, but less than $100M: 700 West State Street 3rd Floor $2,500 Box 83720. Surplus greater than $100M: $4,500 Boise, ID 83720-0043. IL FILING all documents for EXPANSION Illinois Department of Insurance Mail check with application. Application/Admission $5,000 320 West Washington FILING all documents for PRIMARY Application/IL Springfield, IL 62767.

9 Domestic $2,000. IN See Schedule of Fees at Indiana DOI Mail check with application. 311 W. Washington, Suite 300. Indianapolis, IN 46204-2787. IA Application FILING Fee: Larger of $50 or retaliatory Iowa Insurance Division amount Two Ruan Center Certificate of Authority Issuing Fee: Larger of $50 or 601 Locust, 4th Floor retaliatory amount Des Moines, IA 50309-3738. Desk Audit Fee in Accordance w/ : Larger of $2,000 or retaliatory amount KS Larger of $500 or retaliatory amount, nonrefundable Checks are made payable to the Mail check with application.

10 Fee due at the time of application submission. Kansas Insurance Department. Annual Statement FILING Fee $100 If the larger admission fee is $500, additional Certificate of Authority Fee $10 fees will be required only if the Certificate of Due prior to the issuance of COA Authority is approved. If the larger admission fee is the retaliatory amount, no additional fees will be required. 2018 National Association of Insurance Commissioners 3 06/25/2018. State FILING Fees Payee Instructions KY Domestic Companies Checks are made payable to Charter Documents $100 Kentucky State Treasurer and forwarded with Original Certificate of Authority $500 the application.