| Policy or plan ending date in month of: | File return no later than: | Applicable rate: | 
|---|---|---|
| January 2020 | July 31, 2021 | $2.54 | 
| February 2020 | July 31, 2021 | $2.54 | 
| March 2020 | July 31, 2021 | $2.54 | 
| April 2020 | July 31, 2021 | $2.54 | 
| May 2020 | July 31, 2021 | $2.54 | 
| June 2020 | July 31, 2021 | $2.54 | 
| July 2020 | July 31, 2021 | $2.54 | 
| August 2020 | July 31, 2021 | $2.54 | 
| September 2020 | July 31, 2021 | $2.54 | 
| October 2020 | July 31, 2021 | $2.66 | 
| November 2020 | July 31, 2021 | $2.66 | 
| December 2020 | July 31, 2021 | $2.66 | 
| January 2021 | July 31, 2022 | $2.66 | 
| February 2021 | July 31, 2022 | $2.66 | 
| March 2021 | July 31, 2021 | $2.66 | 
| April 2021 | July 31, 2022 | $2.66 | 
| May 2021 | July 31, 2022 | $2.66 | 
| June 2021 | July 31, 2022 | $2.66 | 
| July 2021 | July 31, 2022 | $2.66 | 
| August 2021 | July 31, 2022 | $2.66 | 
| September 2021 | July 31, 2022 | $2.66 | 
| October 2021 | July 31, 2022 | $2.79 | 
| November 2021 | July 31, 2022 | $2.79 | 
| December 2021 | July 31, 2022 | $2.79 |