A health maintenance organization subject to this chapter shall pay to the State Insurance Department Trust Fund as special revenues the following fees:
(1) For filing and reviewing all documents necessary for issuance of an original certificate of authority, one thousand dollars ($1,000);
(2) For issuance of the original certificate of authority, two hundred dollars ($200);
(3) For annual renewal of the certificate of authority, one hundred dollars ($100);
(4) For filing an annual statement, fifty dollars ($50.00); and
(5) For filing amendments to documents required under § 23-76-107, one hundred dollars ($100).