A-1. For filing application for authority to self-insure under Title 39-A, section 403, subsection 16, including all documents submitted as part of the application $500;

B. Authorization and each annual $300; and

continuation

C. Filing yearly report of self-insurer $100.

If a self-insurer terminates the plan or otherwise does not continue to self-insure, the fee applicable to filing of yearly reports must apply to that period in which the making of these reports is mandated.

17. Rules, rates and forms filings. Rate filings, rating rules filings, insurance policy, forms, riders, endorsements and certificate filings may not exceed $20.

18. Third-party administrators. Third-party administrators license fees are may not exceed:

A. Original issuance fee $100; and

B. Annual renewal fee $100.

19. Purchasing group registrations. Purchasing group registration fees are may not exceed:

A. Original issuance fee $100; and

B. Annual renewal fee $100.

20. Preferred provider arrangement administrator. Preferred provider arrangement administrator fees are may not exceed:

A. Original registration

issuance fee $100; and

B. Annual renewal fee $100.

21. Reinsurance intermediary. Reinsurance intermediary issuance fees and renewal fees are may not exceed:

A. Original license issuance fee $50; and