| (A) For each contract or policy, including Certification
Form for Prototype Forms Figure Number 45, its certificate, approved
or exempted application, and all approved or exempted riders filed
as part of the entire policy or contract, a fee of $100 is required.
(B) For a filing of applications filed separately from
the policy or contract to which it will be attached, a fee of $100
is required.
(C) For a filing of riders filed separately from the
policy or contract to which it will be attached, a fee of $100 is
required.
(D) For a filing of rates filed separately from the
policy(ies) or contract(s) to which it is applicable, that require
approval by the department as specified in §3.1(9) of this title
(relating to Scope), a fee of $100 is required.
(E) For a filing of alternate face pages with constitution
and bylaws, articles of incorporation, or trust agreements, a fee
of $100 is required.
(F) For a filing of insert pages filed subsequent to
the original approval of a policy, a fee of $100 is required.
(G) For filings which normally would be considered
exempt, but which, due to certain reasons specified in Subchapter
Z of this chapter (relating to Exemption from Review and Approval
of Certain Life, Accident, Health, and Annuity Forms and Expedition
of Review) are required to be submitted to the department for approval,
a fee of $100 is required.
(H) For filing a resubmission of a previously disapproved
form, a fee of $50 is required.
(I) For each refiling of a previously withdrawn form,
a fee of $50 is required.
(J) For a filing of matrix provisions, due to the ability
to create multiple contracts or policies from matrix provisions, a
fee of $50 per form with a maximum fee of $500 is required.
(2) The appropriate filing fee for a filing exempt
under Subchapter Z of this chapter is set forth in subparagraphs (A)
- (H) of this paragraph, as follows:
(A) For each exempt policy or contract filed simultaneously
with its certificate, application, and exempt riders which are filed
as part of the entire policy or contract, a fee of $50 is required.
(B) For a filing of exempt applications filed separately
from the exempt policy or contract to which it will be attached, a
fee of $50 is required.
(C) For a filing of exempt riders filed separately
from the exempt policy or contract to which it will be attached, a
fee of $50 is required.
(D) For a filing of rates filed separately from the
exempt policy or contract to which it is applicable, and which is
not subject to approval by the department as specified in §3.1(11)(A)
of this title, a fee of $50 is required.
(E) For a filing of outlines of coverage filed separately
from the exempt policy or contract to which it is applicable, and
which is not subject to approval by the department as specified in §3.1(11)(A)
of this title, a fee of $50 is required.
(F) For a filing of alternate face pages filed subsequent
to the original approval of a policy for use with multiple employer
trusteed arrangements as defined in Insurance Code §1131.053
and §1251.053, a fee of $50 is required.
(G) For a filing of exempt insert pages filed separately
from the exempt policy or contract to which it is applicable, a fee
of $50 is required.
(H) For a filing of exempt matrix provisions to be
used with only exempt products, a fee of $50 per form with a maximum
fee of $500 is required.
(3) The appropriate filing fees for filings other than
those specified in paragraphs (1) and (2) of this subsection are set
forth in subparagraphs (A) - (C) of this paragraph, as follows:
(A) For a filing of outlines of coverage filed separately
from the policy or contract to which it is applicable, and which is
subject to review by the department, a fee of $50 is required.
(B) For a filing of PPO disclosures filed separately
from the policy or contract to which it is applicable, and which is
subject to review by the department, a fee of $50 is required.
(C) For a filing of Accident and Health or Life rates
filed separately from the policy or contract to which it is applicable,
and which is subject to review by the department, a fee of $50 is
required.
(4) Filings as described in §3.1(11)(B) of this
title require no filing fee.
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