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Company License Fees

59A-6-1, 59A-5-23, 59A-5-3, 59A-58-5, 59A-35-9 & 13.19.4
License TypeAmount Due
Filing application for Certificate of Authority.$1000
Annual Continuation of Certificate of Authority, per kind of insurance$200
Reinstatement of Certificate of Authority$150
Amendment to Certificate of Authority$200
Charter Documents – filing amendment to any charter document$10
Surplus Line Insurers
License TypeAmount Due
Surplus Lines Insurer – filing application for qualification as eligible surplus lines insurer$1000
Viatical Settlement Provider License
License TypeAmount Due
Filing application for original license$1000
Biennial continuation of license$400
Advisory Organizations License
License TypeAmount Due
Filing application for license$100
Annual Continuation of License$100
Non-Profit Health Care Plans
License TypeAmount Due
Certificate of Authority Application$1000
Annual Continuation of Certificate of Authority, per kind of insurance$200
Reinstatement of Certificate of Authority$150
Amendment to Certificate of Authority$200
Charter Documents – filing amendment to any charter document$10
Pre-Paid Dental Plans
License TypeAmount Due
Certificate of Authority Application$1000
Annual Continuation of Certificate of Authority, per kind of insurance$200
Reinstatement of Certificate of Authority$150
Amendment to Certificate of Authority$200
Charter Documents – filing amendment to any charter document$10
Premium Finance Company
License TypeAmount Due
Application for original license$100
Annual renewal of license$100
Motor Clubs
License TypeAmount Due
Application for original Certificate of Authority$200
Annual Continuation of Certificate of Authority$100
Reinstatement of Certificate of Authority$150
Amendment to Certificate of Authority$200
Charter Documents – filing amendment to any charter document$10
Health Maintenance Organizations
License TypeAmount Due
Certificate of Authority Application$1000
Annual Continuation of Certificate of Authority$200
Reinstatement of Certificate of Authority$150
Amendment to Certificate of Authority$200
Charter Documents – filing amendment to any charter document$10
Purchasing Groups and Foreign Risk Retention Groups
License TypeAmount Due
Original registration$500
Annual Continuation of Registration$200
Amendment to Certificate of Registration$200
MEWA
License TypeAmount Due
Original registration$1000
Annual Continuation of Registration$200
Amendment to Certificate of Registration$200
Service Contract Provider
License TypeAmount Due
Original Registration$500
Annual Continuation of Registration$500
Amendment to Certificate of Registration$200
Miscellaneous Fees
License TypeAmount Due
Duplicate of Certificate of Authority$200
Certified Copy of Certificate of Authority$10
Certificate of Compliance$10
Certificate of Deposit$10
Dishonored checks$25
Sale of Security$100

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