07-003434PL
Department Of Financial Services vs.
Victoria Nolen Colon
Status: Closed
Recommended Order on Wednesday, April 30, 2008.
Recommended Order on Wednesday, April 30, 2008.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8DEPARTMENT OF FINANCIAL )
12SERVICES, )
14)
15Petitioner, )
17)
18vs. ) Case No. 07-3434PL
23)
24VICTORIA NOLEN COLON, )
28)
29Respondent. )
31________________________________)
32RECOMMENDED ORDER
34Robert E. Meale, Administrative Law Judge of the Division
43of Administrative Hearings, conducted the final hearing in West
52Palm Beach, Florida, on November 30, 2007, and January 28, 2008.
63The hearing on November 30, 2007, was by videoconference with
73the Administrative Law Judge participating from Tallahassee.
80The hearing on January 28, 2008, was in West Palm Beach.
91APPEARANCES
92For Petitioner: William Gautier Kitchen
97Department of Financial Services
101Division of Legal Services
105200 East Gaines Street
109Tallahassee, Florida 32399-0333
112For Respondent: Jed Berman
116Infantino and Berman
119Post Office Drawer 30
123Winter Park, Florida 32790
127STATEMENT OF THE ISSUE
131The issue is whether Respondent is guilty of an unfair or
142deceptive trade practice by selling ancillary insurance products
150to customers without adequate disclosure, in violation of
158Sections 626.9541(1)(z) and 626.621(6), Florida Statutes.
164PRELIMINARY STATEMENT
166By Administrative Complaint dated April 27, 2007,
173Petitioner alleged that Respondent, as a licensed general lines
182agent, was employed by Econo Insurance Agency in Deerfield
191Beach.
192At the start of the hearing, Petitioner announced that it
202was dropping all allegations concerning delays in issuing
210refunds to customers because Respondent lacked the authority to
219sign the checks. The remaining allegations are set forth below.
229Count I of the Administrative Complaint alleges that, on
238July 27, 2004, Denise Parker visited the Econo Insurance Agency
248to renew her automobile insurance. Respondent allegedly sold
256Ms. Parker an accidental medical supplement with National Safe
265Drivers without informing her that she was purchasing such
274coverage or that such coverage was not required under Florida
284law. Count I alleges that Ms. Parker did not want an accidental
296medical supplement and would not have purchased such coverage,
305if it had been offered to her.
312Count I alleges that Respondent thus willfully used her
321license to circumvent requirements or prohibitions contained in
329the Insurance Code, in violation of Section 626.611(4), Florida
338Statutes; demonstrated a lack of fitness or trustworthiness to
347engage in the business of insurance, in violation of Section
357626.611(7), Florida Statutes; engaged in fraudulent or dishonest
365practices in the conduct of business, in violation of Section
375626.611(9), Florida Statutes; willfully failed to comply with
383any proper order or rule of the department or willfully violated
394any provision of the Insurance Code, in violation of Section
404626.611(13), Florida Statutes; violated any provision of the
412Insurance Code or other law applicable to the business of
422insurance in the course of dealing under the license, in
432violation of Section 626.621(2), Florida Statutes; violated any
440lawful order of the department, in violation of Section
449626.621(3), Florida Statutes; in conducting business under the
457license, engaged in unfair methods of competition or in unfair
467or deceptive acts or practices or otherwise showed herself to be
478a source of injury or loss to the public or detrimental to the
491public interest, in violation of Section 626.621(6), Florida
499Statutes; represented to the applicant that a specific ancillary
508coverage or product is required by law in conjunction with the
519purchase of insurance when such coverage or product is not
529required, in violation of Section 626.9541(1)(z)1. Florida
536Statutes; represented to the applicant that a specific ancillary
545coverage or product is included in the policy without an
555additional charge when such charge is required, in violation of
565Section 626.9541(1)(z)2. Florida Statutes; and charged the
572applicant for a specific ancillary coverage or product, in
581addition to the cost of the insurance coverage applied for,
591without the informed consent of the applicant, in violation of
601Section 626.9541(1)(z)3. Florida Statutes.
605Count II of the Administrative Complaint alleges that, on
614August 21, 2004, Luery Moreno visited the Econo Insurance Agency
624to purchase automobile insurance. Respondent allegedly sold
631Ms. Moreno an accidental medical supplement without informing
639her that she was purchasing such coverage or that such coverage
650was not required under Florida law. Count II alleges that
660Ms. Moreno did not want an accidental medical supplement and
670would not have purchased such coverage, if it had been offered
681to her. Count II alleges that Respondent thus violated the same
692provisions as cited in Count I.
698Count III of the Administrative Complaint alleges that, on
707July 30, 2004, Megan McCartin visited the Econo Insurance Agency
717to renew her automobile insurance. Respondent allegedly sold
725Ms. McCartin an accidental medical supplement without informing
733her that she was purchasing such coverage or that such coverage
744was not required under Florida law. Count III alleges that
754Ms. McCartin did not want an accidental medical supplement and
764would not have purchased such coverage, if it had been offered
775to her. Count III alleges that Respondent thus violated the
785same provisions as cited in Count I.
792Count IV of the Administrative Complaint alleges that, on
801October 26, 2004, Ashley McCartin visited the Econo Insurance
810Agency to renew her automobile insurance. Respondent allegedly
818sold Ms. McCartin an accidental medical supplement without
826informing her that she was purchasing such coverage or that such
837coverage was not required under Florida law. Count IV alleges
847that Ms. McCartin did not want an accidental medical supplement
857and would not have purchased such coverage, if it had been
868offered to her. Count IV alleges that Respondent thus violated
878the same provisions as cited in Count I.
886Count V of the Administrative Complaint alleges that, on
895November 19, 2004, Alta Thayer visited the Econo Insurance
904Agency to purchase automobile insurance for her 1990 Lincoln
913Continental. Respondent allegedly sold Ms. Thayer a motor club
922membership plan without informing her that she was purchasing
931such a plan or that such a plan was not required under Florida
944law. Count V alleges that Ms. Thayer did not want a motor club
957membership plan and would not have purchased such a plan, if it
969had been offered to her. Count V alleges that Respondent thus
980violated the same provisions as cited in Count I.
989Respondent denied the allegations and requested a formal
997hearing.
998At the hearing, Petitioner called five witnesses, and
1006Respondent called one witness. Both parties' exhibits, which
1014were all admitted, are identified in the transcript.
1022The court reporter filed the transcript on February 15,
10312008. The parties filed proposed recommended orders by
1039March 17, 2008.
1042FINDINGS OF FACT
10451. At all material times, Respondent has been a licensed
1055general lines agent, holding license number A192887. She has
1064been licensed for 15 years and has not been disciplined.
10742. From January 2000 to July 2007, Respondent was employed
1084by Econo Insurance Agency in Deerfield Beach. She was employed
1094to sell insurance and otherwise serve customers. Econo
1102Insurance Agency paid Respondent a salary, but she earned
1111commissions from the sales of ancillary products. This case
1120involves the sale of two products ancillary to personal injury
1130protection (PIP) coverage: an accidental medical supplement
1137(also known as an accidental medical protection plan) to pay the
1148$1000 deductible under the PIP policy commonly sold by the
1158agency and a motor club membership plan to pay for towing and a
1171rental car.
11733. On July 27, 2004, Denise Parker visited Econo Insurance
1183Agency to renew her PIP coverage. She had obtained her
1193insurance from Econo Insurance Agency for 17 years. Ms. Parker
1203initially testified that she did not meet with Respondent, but
1213instead met with another woman, Crystal Fowler. Ms. Parker
1222testified unequivocally that she dealt with Respondent on other
1231occasions, but did not on July 27 and that Ms. Parker did not
1244purchase insurance from Respondent "that year." At the hearing,
1253Ms. Parker looked at Respondent and stated that she was not the
1265woman with whom she had dealt on the day in question.
12764. After a short break, Ms. Parker testified that
1285Respondent, not Ms. Fowler, sold her the product in question, an
1296accidental medical supplement. The confusion may be
1303attributable to the fact that Ms. Parker made two visits to the
1315agency. The first was on July 27 to arrange for the renewal of
1328her PIP coverage, and the second was on August 2, 2004, to pay
1341for and obtain her policy. However, the testimony of Ms. Parker
1352precludes assigning responsibility to Respondent, rather than
1359Ms. Fowler, for any acts or omissions that may have taken place
1371during the July 27 and August 2 office visits. Although
1381documentation, described below, bears Respondent's signature,
1387this fact does not preclude a division of responsibilities
1396between Respondent and Ms. Fowler, who may nonetheless have
1405presented the coverage options to Ms. Parker.
14125. On July 27, Ms. Parker signed a number of documents at
1424the agency. One of the documents is an application to purchase
1435an accidental medical protection plan for up to $1000 in
1445benefits for a premium of $110. According to the application,
1455this coverage is administered by National Insurance
1462Underwriters, Inc., in Deerfield Beach and, according to the
1471policy, the coverage is underwritten by "certain Underwriters at
1480Lloyd's, London (not incorporated)." (The telephone number for
1488claims is the same as the telephone number shown in the motor
1500club membership plan, described below, administered by "National
1508Safe Drivers" or "Nation Safe Drivers," so Petitioner and
1517Respondent have tended to refer to National Safe Drivers as the
1528obligor, or its agent, under both ancillary products.)
15366. The application clearly discloses the optional nature
1544of the accidental medical supplement coverage. Immediately
1551above Ms. Parker's signature is a statement: "The purchase of
1561this plan is optional and is not required with your auto
1572insurance policy." Beside Ms. Parker's signature and bearing
1580the same date is the signature of Respondent, attesting that
1590three other carriers denied this coverage.
15967. The premium finance agreement and disclosure statement,
1604which is a single form signed by Ms. Parker on July 27, 2004,
1617shows a premium for PIP coverage and a $110 premium to Nations
1629Safe Drivers for accidental medical supplement coverage. The
1637renewal premium notice discloses, immediately above Ms. Parker's
1645signature, which is dated July 27, that she has elected the
1656$1000 deductible on her PIP coverage.
16628. On August 21, 2004, Luery Moreno visited the Econo
1672Insurance Agency to purchase automobile insurance. She met with
1681Respondent and agreed to purchase the insurance from her. On
1691this day, Ms. Moreno purchased an accidental medical supplement,
1700even though she testified that Respondent never mentioned the
1709accidental medical supplement that she purchased, or that this
1718coverage was not required under Florida law.
17259. Initially, Ms. Moreno stated that this was her first
1735visit to the Econo Insurance Agency, but, on cross-examination,
1744she admitted that her recollection of the events of August 21
1755was not "clear." Upon the presentation of coverage that she had
1766purchased in June 2003 from Econo Insurance Agency, Ms. Moreno
1776recalled that she had purchased automobile insurance from the
1785same agency in June 2003, that she had purchased the accidental
1796medical supplement at that time, and that she might have asked
1807Respondent for the same coverages when she visited the office in
1818August 2004. In fact, Ms. Moreno had submitted a claim under
1829the motor club membership plan that she had purchased in June
18402003.
184110. As in June 2003, Ms. Moreno completed an application
1851on August 21, 2004, for accidental medical supplement coverage.
1860The applications both state, above her signature: "The purchase
1869of this plan is optional and is not required with your auto
1881insurance policy." The premium finance agreement and disclosure
1889statement show the separate premiums for the PIP and accidental
1899medical supplement coverages and is signed by Ms. Moreno.
1908Because Ms. Moreno secured coverage with the Florida Automobile
1917Joint Underwriting Association (JUA), she obtained a summary of
1926coverages and premium, which clearly reveals that she was
1935purchasing PIP (as well as property damage), medical payments,
1944and towing and car rental reimbursement, although the summary of
1954coverages and premium form fails to itemize premiums for each
1964product, instead showing a gross premium for all coverages.
1973Although Ms. Moreno disputed her signature on one or more of the
1985documents, the evidence failed to establish that she did not
1995sign all of the relevant documents.
200111. On July 30, 2004, Megan McCartin visited Econo
2010Insurance Agency to obtain PIP coverage. She met with
2019Respondent and agreed to purchase insurance from her.
2027Ms. McCartin selected Econo because her family had purchased
2036insurance from this agency in the past. Initially, Ms. McCartin
2046testified that this was the first time that she had obtained
2057insurance, so she brought her mother with her to help with the
2069transaction. When presented with documents showing that she had
2078purchased insurance from Econo Insurance Agency in July 2003,
2087Ms. McCartin recalled that the July 2004 visit was for the
2098renewal of the coverage that she had purchased the prior year.
210912. Most of Ms. McCartin's testimony on direct concerned
2118the transaction in which her mother helped her, which was
2128probably the July 2003 transaction. The documentation from the
2137July 2003 transaction discloses that Ms. McCartin had purchased
2146the accidental medical supplement coverage and towing and car
2155rental reimbursement for the prior year. On July 30, 2004,
2165Ms. McCartin renewed these coverages for the year in question.
2175Both years, Ms. McCartin signed the applications for the
2184accidental medical supplement with the same disclosure noted
2192above. The premium finance agreement and disclosure statement
2200shows the separate premiums for the PIP and accidental medical
2210supplement coverages and the signature of Ms. McCartin. Because
2219Ms. McCartin was purchasing insurance from the JUA, she also
2229received a summary of coverages of premium, which clearly
2238discloses the existence of medical payments and towing and car
2248rental, in addition to PIP.
225313. On October 26, 2004, Ashley McCartin, Megan's sister,
2262visited the Econo Insurance Agency to renew her automobile
2271insurance. She met with Respondent and agreed to purchase
2280insurance from her. Ms. Ashley McCartin testified that she had
2290purchased automobile insurance previously from the agency and
2298wanted only the minimum coverage required by law. Ms. Ashley
2308McCartin recalls speaking with Respondent for nearly an hour and
2318listening to Respondent's description of the towing package, but
2327testified that Respondent said nothing about an accidental
2335medical supplement or accidental medical protection plan.
234214. Ms. Ashley McCartin testified that Respondent told her
2351that, with this insurance, she obtained towing coverage, which
2360Ms. McCartin thought would be useful because her car was
2370unreliable. At all times, though, Ms. McCartin intended to
2379purchase only what the law required due to her strained
2389financial circumstances.
239115. The documentation discloses that Ms. Ashley McCartin
2399purchased a motor club membership plan in 2003 and 2004 and that
2411she signed an application for an accidental medical supplement
2420with the same disclaimer as contained in the applications
2429described above. She also signed a JUA summary of coverages and
2440premium, which shows, as separate items, PIP, medical payments,
2449and towing and car rental. Likewise, Ms. McCartin signed a
2459premium finance agreement and disclosure statement, which shows
2467separate premiums for the PIP and accidental medical supplement
2476coverages. The PIP coverage cost her $1450, and the accidental
2486medical supplement cost her $110.
249116. On November 19, 2004, Alta Thayer visited Econo
2500Insurance Agency to purchase automobile insurance. She met with
2509Respondent and agreed to purchase insurance from her. Now 74
2519years old, Ms. Thayer admitted that she did not recall
2529purchasing insurance in 2004, but seemed to recall generally a
2539transaction with Respondent, subject to the limitations noted
2547below.
254817. Ms. Thayer drove to the agency in a 2002 Hyundai,
2559which was insured through the Marlin Insurance Agency, but she
2569wanted to insure another car, a Lincoln Continental. While
2578testifying, Ms. Thayer displayed irritation with many aspects of
2587her transaction with Respondent. Ms. Thayer testified that
2595other insurance agents all took photographs of the insured
2604vehicle and checked the odometer, but Respondent did not try--it
2614is unclear whether, when Respondent declined to photograph the
2623car, Ms. Thayer had already informed her that the vehicle to be
2635insured was not parked outside the office. At first, Ms. Thayer
2646testified that Respondent had been "nasty" from the start, but
2656then changed her testimony to say that Respondent became
2665irritable when, the next day, Ms. Thayer returned in connection
2675with some tag work. Ms. Thayer testified that the insurer
2685canceled her insurance on the day after she had obtained it, on
2697the ground that she had another car, presumably the Hyundai,
2707insured with another company. While Ms. Thayer sat and waited
2717to be taken care of, she complained that the receptionist and
2728Respondent chatted. When Ms. Thayer complained, she claimed
2736that Respondent told her to file a complaint, "you old bag."
274718. Ms. Thayer testified that she and Respondent never
2756discussed a motor club membership plan, nor did she need one.
2767Perhaps again confusing the two cars, Ms. Thayer "explained"
2776that the Hyundai was only two years old and had come with a
2789five-year roadside assistance program. When reminded that she
2797was insuring the Lincoln, Ms. Thayer testified that it had never
2808given her problems.
281119. On November 19, 2004, Ms. Thayer signed an automobile
2821service contract for a motor club membership plan for a "1990"
2832Lincoln Continental. The contract calls for the payment of a
2842$50 fee in return for towing and emergency road service and car
2854rental reimbursement. Unlike the application for the accidental
2862medical supplement, the application for the motor club
2870membership plan includes no disclaimer that this plan is
2879optional and not required with the PIP coverage. On the same
2890date, Ms. Thayer also signed a summary of coverages and premium,
2901which shows separate PIP and towing and car rental coverages.
291120. Four of these five transactions fail to present cases
2921of liability without regard to the testimony of Respondent.
2930Ms. Moreno's recollection of her transaction is impossible to
2939separate from her recollection of the prior year's transaction.
2948Ms. Moreno's admission that she may have asked merely for the
2959same coverage from the prior year undermines the remainder of
2969her testimony. Ms. Parker's recollection of her transaction is
2978flawed by her misidentification of Respondent and the resulting
2987possibility that Ms. Fowler, not Respondent, is guilty of the
2997acts and omissions of which Ms. Parker complains. Ms. Megan
3007McCartin's recollection of her transaction is impossible to
3015separate from her recollection of the prior year's transaction.
3024As is the case with Ms. Moreno's transaction, Ms. Megan
3034McCartin's transaction renewed the same accidental medical
3041supplement coverage that she had obtained the prior year with
3051the same documentation, so it is more difficult, on this ground
3062as well, to find Respondent guilty of any concealment or
3072misrepresentation as to the accidental medical supplement.
307921. Ms. Thayer displayed serious credibility problems--of
3086confusion, not prevarication. Ms. Thayer's testimony was
3093confused at several points, as in her "explanation" that her new
3104Hyundai did not require towing coverage when she was insuring a
311514-year-old Lincoln. Repeatedly, Ms. Thayer referred to her
3123Lincoln as a 1980 model, then a 1990 model, then a 1980 model,
3136even after inquiry by the Administrative Law Judge intended to
3146draw her attention to the issue and resolve it.
315522. Ms. Thayer was visibly angry at Respondent at the
3165hearing and was decidedly adversarial as a witness. Perhaps her
3175anger stemmed from the immediate cancelation and the agency's
3184mishandling of her transaction, as her application revealed, on
3193its face, that she owned another vehicle for which she was not
3205seeking insurance. But Ms. Thayer seemed to be looking for
3215things with which to fault Respondent, such as her failure to
3226get up out of her chair and walk outside to photograph and
3238inspect the car that Ms. Thayer had driven to the agency, even
3250though this was not the car to be insured. Still working four
3262days each week in the fitting room at Marshall's department
3272store, Ms. Thayer proved an energetic, though not always
3281responsive, witness, whose eagerness to bolster her own
3289credibility extended to the assertion, late in her testimony,
3298that she had a top secret clearance from the Korean War. After
3310observing Respondent's demeanor during testimony and at hearing
3318and comparing it to the demeanor of Ms. Thayer, it is highly
3330unlikely that Respondent called Ms. Thayer an "old bag"--a fact
3341that raises grave problems with the reliability of the rest of
3352Ms. Thayer's testimony.
335523. The transaction with Ms. Ashley McCartin presents the
3364only case of sliding undisclosed coverages carrying extra
3372premiums by Respondent. Seeming to bear no grudge against
3381Respondent, Ms. Ashley McCartin testified frankly that she told
3390Respondent that she wanted the minimum coverage, and Respondent
3399said nothing about an accidental medical supplement or
3407accidental medical protection plan. However, Ms. McCartin
3414clearly signed forms asking for this coverage and acknowledging
3423the fact that it was not included in her PIP premium.
343424. Respondent testified that she sold 100-150 policies
3442per month and was responsible for the tag and title work
3453associated with these sales. A typical customer never asked
3462just for PIP, but asked instead for minimum coverage.
3471Respondent would take 10-15 minutes per transaction to explain
3480bodily injury and underinsured motorist coverages and the
3488consequences of not purchasing these items, which also offered
3497Respondent commission income.
350025. Respondent offered accidental medical supplement and
3507the motor club membership plan to most of her customers.
3517Respondent testified that she told her customers that these
3526ancillary products were "included" with their coverages. She
3534recalled that one of the McCartins was "delighted" upon hearing
3544that such coverage was "included," clearly suggesting that
3552Respondent's "explanation" implied that the ancillary coverage
3559was at no additional expense, or at least that the customer so
3571inferred.
357226. There is some discrepancy between the versions of
3581Ms. Ashley McCartin and Respondent. Ms. McCartin testified that
3590Respondent never mentioned the accidental medical supplement,
3597and Respondent testified that she always assured the customer
3606that the ancillary coverage was "included" in the primary
3615coverage. However, Ms. McCartin's testimony reveals little
3622knowledge of insurance products and is consistent with her
"3631understanding" that the medical coverage of $1000 was just part
3641of PIP. Such a misunderstanding would be facilitated by
3650Respondent's misleading assurance--repeated more than once at
3657the hearing--that the accidental medical supplement is
"3664included" with the PIP.
366827. Respondent's testimony that she assured her customers
3676that ancillary products were "included" with the PIP coverage
3685does not override the deficiencies noted above as to the other
3696four customers. Ms. Parker essentially cannot say who said what
3706to her, so, even if Respondent were misleading her customers at
3717the time as to the relationship between ancillary products and
3727PIP, nothing establishes that she did so with Ms. Parker.
3737Ms. Moreno may well have told Respondent to give her the same
3749coverage as she had the prior year, during which she had filed a
3762claim under the motor club membership plan, so Respondent would
3772never have had the need to "explain" to Ms. Moreno the
3783relationship of the ancillary products to the PIP product.
379228. Ms. Thayer is the only customer who did not purchase
3803both ancillary products, which suggests either discernment on
3811her part or restraint on the part of Respondent--but, either
3821way, Ms. Thayer may have obtained what she wanted. She is also
3833the only customer for whom the alleged ancillary product is the
3844motor club membership plan, which might reasonably have
3852represented an attractive purchase to Ms. Thayer given the age
3862of her Lincoln.
386529. Ms. Megan McCartin presents the closest case among the
3875four remaining customers, but her inability to differentiate
3883between the 2003 and 2004 transactions precludes a finding of
3893sliding by the requisite standard of proof.
3900CONCLUSIONS OF LAW
390330. The Division of Administrative Hearings has
3910Fla. Stat. (2007).
391331. Section 626.611, Florida Statutes, provides:
3919The department shall deny an application
3925for, suspend, revoke, or refuse to renew or
3933continue the license or appointment of any
3940applicant, agent, title agency, adjuster,
3945customer representative, service
3948representative, or managing general agent,
3953and it shall suspend or revoke the
3960eligibility to hold a license or appointment
3967of any such person, if it finds that as to
3977the applicant, licensee, or appointee any
3983one or more of the following applicable
3990grounds exist:
3992* * *
3995(4) If the license or appointment is
4002willfully used, or to be used, to circumvent
4010any of the requirements or prohibitions of
4017this code.
4019* * *
4022(7) Demonstrated lack of fitness or
4028trustworthiness to engage in the business of
4035insurance.
4036* * *
4039(9) Fraudulent or dishonest practices in
4045the conduct of business under the license or
4053appointment.
4054* * *
4057(13) Willful failure to comply with, or
4064willful violation of, any proper order or
4071rule of the department or willful violation
4078of any provision of this code.
4084* * *
408732. Section 626.621, Florida Statutes, provides:
4093The department may, in its discretion, deny
4100an application for, suspend, revoke, or
4106refuse to renew or continue the license or
4114appointment of any applicant, agent,
4119adjuster, customer representative, service
4123representative, or managing general agent,
4128and it may suspend or revoke the eligibility
4136to hold a license or appointment of any such
4145person, if it finds that as to the
4153applicant, licensee, or appointee any one or
4160more of the following applicable grounds
4166exist under circumstances for which such
4172denial, suspension, revocation, or refusal
4177is not mandatory under s. 626.611:
4183* * *
4186(2) Violation of any provision of this code
4194or of any other law applicable to the
4202business of insurance in the course of
4209dealing under the license or appointment.
4215(3) Violation of any lawful order or rule
4223of the department, commission, or office.
4229* * *
4232(6) In the conduct of business under the
4240license or appointment, engaging in unfair
4246methods of competition or in unfair or
4253deceptive acts or practices, as prohibited
4259under part IX of this chapter, or having
4267otherwise shown himself or herself to be a
4275source of injury or loss to the public.
428333. Section 626.9541(1)(z), Florida Statutes, provides:
4289The following are defined as unfair methods
4296of competition and unfair or deceptive acts
4303or practices:
4305* * *
4308(z) Sliding. --Sliding is the act or
4315practice of:
43171. Representing to the applicant that a
4324specific ancillary coverage or product is
4330required by law in conjunction with the
4337purchase of insurance when such coverage or
4344product is not required;
43482. Representing to the applicant that a
4355specific ancillary coverage or product is
4361included in the policy applied for without
4368an additional charge when such charge is
4375required; or
43773. Charging an applicant for a specific
4384ancillary coverage or product, in addition
4390to the cost of the insurance coverage
4397applied for, without the informed consent of
4404the applicant.
440634. Petitioner must prove the material allegations by
4414clear and convincing evidence. Department of Banking and
4422Finance v. Osborne Stern and Company, Inc. , 670 So. 2d 932 (Fla.
44341996) and Ferris v. Turlington , 510 So. 2d 292 (Fla. 1987).
444535. In Mack v. Department of Financial Services , 914 So.
44552d 986, 989 (Fla. 1st DCA 2005), sliding violated Sections
4465and (12), Florida Statutes. In Thomas v. Department of
4474Insurance and Treasurer , 559 So. 2d 419, 421 (Fla. 2d DCA), rev.
4486denied , 570 So. 2d 1307 (1990), sliding violated Sections
4495626.611(5), (7), and (9) and 626.621(6), Florida Statutes.
450336. The efficacy of the documentation in this case is
4513partly addressed by Thomas , supra . In that case, the agency had
4525each customer sign, among multiple other forms, an "election of
4535accidental death and/or motor club towing coverage." Evidently,
4543the only language in the Thomas form that indicated that the
4554coverage was optional was in the use of "election" in the title.
4566In the present case, each application clearly discloses that the
4576accidental medical supplement is optional, although the motor
4584club membership plan application contains no such disclaimer.
4592The summary of coverages and premium forms, which are present in
4603all but the Parker transaction, show the PIP as distinct from
4614both ancillary coverages, but fail to state separate premiums
4623for each product, instead showing a single total at the bottom
4634of each form.
463737. Although the present documentation better discloses
4644the optional nature of the ancillary product, at least as to the
4656accidental medical supplement, it does not provide Respondent an
4665absolute defense against professional liability. As the Thomas
4673court warned, the principle that one is bound by what one signs-
4685applicable to relationships between an insured and an insurer--
4694does not insulate an insurance agent from the disciplinary
4703consequences of his wrongful acts and omissions with a customer.
4713Thomas , 559 So. 2d at 421.
471938. This case is unusual in two respects. First, the
4729complaints of all but Ms. Ashley McCartin fail without regard to
4740the testimony of Respondent. Second, the complaint of
4748Ms. Ashley McCartin is not a case of the testimony of a customer
4761against the testimony of the insurance agent and the force of
4772the exculpatory agency documents. In the case of Ms. Ashley
4782McCartin, it is the testimony of the customer and that of the
4794insurance agent opposed to the exculpatory agency documents. On
4803these facts, Petitioner has proved sliding in this transaction.
481239. The specific definitional statutes at issue are
4820Section 626.9541(1)(z)2. and 3., Florida Statutes. The statute
4828best defining the wrongful acts and omissions is Section
4837626.621(6), Florida Statutes, which references Section 626.9541.
4844It is the violation of these statutes that provides the ground
4855for discipline.
485740. Florida Administrative Code Rule 69B-231.100 provides
4864for a suspension of six months for a violation of Section
4875626.9541(1)(z), Florida Statutes. Florida Administrative Code
4881Rule 69B-231.160 recognizes aggravating and mitigating factors.
4888Relevant mitigating factors are the degree of actual and
4897potential injury to the victim, which is only $110 and a small
4909fraction of the actual cost of the required coverage (as
4919distinguished from the situation in Thomas ) and the lack of
4930previous discipline over 15 years. The only aggravating factor
4939is that Respondent earned a commission on the ancillary products
4949and only salary on the primary products. These factors suggest
4959that an appropriate penalty would be a 30-day suspension.
4968RECOMMENDATION
4969It is
4971RECOMMENDED that the Department of Financial Services enter
4979a final order finding Respondent guilty of one count of
4989violating Sectios 626.9541(1)(z)2. and 3., Florida Statutes,
4996and, thus, Section 626.621(6), Florida Statutes, and imposing a
5005thirty-day suspension.
5007DONE AND ENTERED this 30th day of April, 2008, in
5017Tallahassee, Leon County, Florida.
5021___________________________________
5022ROBERT E. MEALE
5025Administrative Law Judge
5028Division of Administrative Hearings
5032The DeSoto Building
50351230 Apalachee Parkway
5038Tallahassee, Florida 32399-3060
5041(850) 488-9675 SUNCOM 278-9675
5045Fax Filing (850) 921-6847
5049www.doah.state.fl.us
5050Filed with the Clerk of the
5056Division of Administrative Hearings
5060this 30th day of April, 2008.
5066COPIES FURNISHED:
5068Honorable Alex Sink
5071Chief Financial Officer
5074Department of Financial Services
5078The Capitol, Plaza Level 11
5083Tallahassee, Florida 32399-0300
5086Daniel Sumner, General Counsel
5090Department of Financial Services
5094The Capitol, Plaza Level 11
5099Tallahassee, Florida 32399-0307
5102William Gautier Kitchen, Esquire
5106Department of Financial Services
5110Division of Legal Services
5114200 East Gaines Street
5118Tallahassee, Florida 32399-0333
5121Jed Berman, Esquire
5124Infantino and Berman
5127Post Drawer 30
5130Winter Park, Florida 32790
5134NOTICE OF RIGHT TO SUBMIT EXCEPTIONS
5140All parties have the right to submit written exceptions within
515015 days from the date of this Recommended Order. Any exceptions
5161to this Recommended Order should be filed with the agency that
5172will issue the Final Order in this case.
- Date
- Proceedings
- PDF:
- Date: 04/30/2008
- Proceedings: Recommended Order (hearing held November 30, 2007, and January 28, 2008). CASE CLOSED.
- PDF:
- Date: 04/30/2008
- Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
- PDF:
- Date: 03/17/2008
- Proceedings: Letter to Judge Meale from J. Berman regarding the hearing transcript filed.
- Date: 02/15/2008
- Proceedings: Transcript filed.
- Date: 01/28/2008
- Proceedings: CASE STATUS: Hearing Held.
- PDF:
- Date: 12/19/2007
- Proceedings: Notice of Hearing (hearing set for January 28, 2008; 9:00 a.m.; West Palm Beach, FL).
- Date: 12/12/2007
- Proceedings: Transcript filed.
- Date: 11/30/2007
- Proceedings: CASE STATUS: Hearing Partially Held; continued to date not certain.
- Date: 11/29/2007
- Proceedings: Exhibits (not available for viewing) filed.
- PDF:
- Date: 11/28/2007
- Proceedings: Respondent`s exhibits (pre-filed exhibits not available for viewing) filed.
- PDF:
- Date: 10/12/2007
- Proceedings: Order Granting Continuance and Re-scheduling Hearing by Video Teleconference (hearing set for November 30, 2007; 9:30 a.m.; West Palm Beach and Tallahassee, FL).
- PDF:
- Date: 09/05/2007
- Proceedings: Order Granting Continuance and Re-scheduling Hearing by Video Teleconference (hearing set for October 17, 2007; 9:00 a.m.; West Palm Beach and Tallahassee, FL).
Case Information
- Judge:
- ROBERT E. MEALE
- Date Filed:
- 07/25/2007
- Date Assignment:
- 11/26/2007
- Last Docket Entry:
- 07/31/2008
- Location:
- West Palm Beach, Florida
- District:
- Southern
- Agency:
- ADOPTED IN PART OR MODIFIED
- Suffix:
- PL
Counsels
-
Jed Berman, Esquire
Address of Record -
William Gautier Kitchen, Esquire
Address of Record