LegalFix

Form 1

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(1) Admission fees: (A) Filing and reviewing all documents necessary for issuance of certificate of incorporation for domestic companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Issuance of an original certificate of incorporation for domestic companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(C) Reviewing all documents necessary for issuance of original certificate of authority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(D) Issuance of original certificate of authority for all companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(E) Issuance of original license for rate service organiza- tions and employer service assurance organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(F) Filing and reviewing all documents of a nonadmitted company seeking to be placed on the “approved” list for the writing of surplus lines insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(2) Annual renewal fees: (A) Filing an annual statement for all companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Renewal of a certificate of authority for all companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(C) Rate service organizations and employer service as- surance organizations, annual continuation of license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(3) Other miscellaneous fees: (A) Amendment to articles of incorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Reinstatement of certificate of authority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(C) Amending an existing certificate of authority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(4) Agent’s license for resident agents: (A) Property, casualty, surety agents: Original issuance of each license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Annual continuation of appointment, each insurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appointment of agent by insurer, each insurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Life and accident and health insurance agents: Appointment of agent by insurer, each insurer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Annual continuation of appointment, each insurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(C) Each vending machine licensed under § 23-64-221, each year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(5) Broker’s license for resident brokers: (A) Original license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Annual continuation of license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(6) Nonresident broker (corporate) license: (A) Original license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Annual continuation of license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(7) Nonresident broker license: $100.00 50.00 500.00 150.00 500.00 500.00 50.00 100.00 100.00 25.00 50.00 100.00 15.00 10.00 10.00 10.00 10.00 10.00 30.00 30.00 30.00 30.00 (A) Original license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Annual continuation of license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(8) Nonresident agent license fees: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

30.00 30.00 As established by rule of the commissioner (9) Temporary license: (A) As resident agent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) As resident broker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(10) Examination for agent or broker license: (A) Filing application for examination for agent or broker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Filing application for reexamination for agent or broker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(11) Surplus line broker license: (A) Original license, individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Original license, firms and corporations plus one (1) qualifying individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(C) Each additional individual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(D) Annual continuation of license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(12) Adjuster’s license, each year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(13) Consultants: (A) Original license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) Annual renewal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(14) Miscellaneous services: (A) For copies of documents and records on file in State Insurance Department, per page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(B) For each certificate of the commissioner other than certificates of authority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10.00 25.00 10.00 5.00 1,000.00 1,000.00 100.00 25.00 25.00 25.00 25.00 0.25 5.00

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