| Insurance Coverage Desired | Fee |
| $ 0.01 to $ 50.00 | $1.30 |
| $50.01 to $100.00 | $2.20 |
| $100.01 to $200.00 | $3.20 |
| $200.01 to $300.00 | $4.20 |
| $300.01 to $400.00 | $5.20 |
| $401.00 to $500.00 | $6.20 |
| $501.00 to $600.00 | $7.20 |
| $601.00 to $700.00 | $8.20 |
| $701.00 to $800.00 | $9.20 |
| $801.00 to $900.00 | $10.20 |
| $901.00 to $1,000.00 | $11.20 |
| $1,000.01 to $5,000.00 | $11.20 plus $1.00 per $100 or fraction thereof over $1,000 in desired coverage |