If you have any questions prior to filing, please contact 512-676-6676 or email LifeHealth@tdi.texas.gov
Related forms may be submitted in a single filing; such as, a policy with riders, endorsements, amendments and applications. $100 per rider, application, endorsement, or amendments filed separately from policy ($50 if form is exempt); Matrix $50 for each form number with a maximum fee of $500. Multiple policy forms may not be submitted in a single filing.
For example, in the SERFF Filing Fee tab:
- Fee Calculation Explanation: Filing one policy, three related riders and application = $100
- Fee Calculation Explanation: Filing an exempt filing = $50
- Fee Calculation Explanation: Filing a long-term care rate increase = $100
- Fee Calculation Explanation: Filing an advertisement = $0
| Form Filing | Fee |
|---|---|
| Review and Approval | $100.00 |
| Exempt from Review | $ 50.00 |
| Resubmission of a Previously Disapproved or Withdrawn Form | $ 50.00 |
| Substitution | No Fee |
| Outline of Coverage, Insert Pages and Disclosure Forms | $ 50.00 |
| Matrix forms | $ 50.00 for each form number filed with a maximum of fee of $500.00 |
| HMO | $100.00 |
| LAH/HMO Informational Filings | $ 50.00 |
| Credit | $100.00 |
| Life Settlement | $100.00 |
| Report Filings (no forms) | No Fee |
| Advertising - All Lines of Insurance | No Fee |
| Rate Filing | Fee |
| Medicare | $100.00 |
| Long Term Care | $100.00 |
| Credit | $100.00 |
| All Other Rate Filings | $ 50.00 |