09-000385RP
Institutional Life Services (Florida), Llc, And David Matthew Janecek vs.
Financial Service Commission And Office Of Insurance Regulation
Status: Closed
DOAH Final Order on Monday, March 30, 2009.
DOAH Final Order on Monday, March 30, 2009.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8INSTITUTIONAL LIFE SERVICES )
12(FLORIDA), LLC, AND DAVID )
17MATTHEW JANECEK, )
20)
21Petitioners, )
23)
24vs. ) Case No. 09-0385RP
29)
30FINANCIAL SERVICE COMMISSION )
34AND OFFICE OF INSURANCE )
39REGULATION, )
41)
42Respondents. )
44)
45FINAL ORDER
47A duly-noticed final hearing was held in this case by
57Administrative Law Judge T. Kent Wetherell, II, on February 19,
672009, in Tallahassee, Florida.
71APPEARANCES
72For Petitioners: Brian A. Newman, Esquire
78Steven M. Malono, Esquire
82Pennington, Moore, Wilkinson,
85Bell & Dunbar, P.A.
89215 South Monroe Street, Second Floor
95Post Office Box 10095
99Tallahassee, Florida 32302-2095
102For Respondents: S. Marc Herskovitz, Esquire
108Office of Insurance Regulation
112612 Larson Building
115Tallahassee, Florida 32399-4206
118STATEMENT OF THE ISSUE
122The issue is whether Proposed Rule 69O-204.040 is an invalid exercise of delegated legislative authority.
137PRELIMINARY STATEMENT
139On January 23, 2009, Petitioners filed a Petition to
148Determine the Invalidity of a Proposed Rule with the Division of
159Administrative Hearings (DOAH). The petition alleged that
166invalid exercise of delegated legislative authority. The case
174was initially assigned to Administrative Law Judge Suzanne F.
183Hood, but it was subsequently transferred to the undersigned.
192The final hearing was scheduled for and held on
201February 19, 2009, in compliance with the expedited timeframes
210in Section 120.56, Florida Statutes. 1 / At the hearing,
220Petitioners presented the testimony of Eleanor Kitzman, Stancil
228Barton, Jr., and Robert Prentiss, and the deposition testimony
237of Matthew Janecek, and Respondents presented the testimony of
246Mr. Prentiss and the deposition testimony of Mr. Prentiss and
256Ms. Kitzman. Exhibits P-1 through P-8, R2 through R6, and R9
267through R11, were received into evidence. 2 / Official recognition
277was taken of the Viatical Settlement Act codified in Part X of
289Chapter 626, Florida Statutes.
293The Transcript of the final hearing was filed with DOAH on
304March 5, 2009. The parties were given ten days from that date
316to file proposed final orders (PFOs). The PFOs were timely
326filed and have been given due consideration.
333On March 23, 2009, Petitioners filed a Motion to Reopen
343Case. Respondents filed a response to the motion on that same
354date. The response states that Respondents oppose reopening the
363case, but that they have no objection to the undersigned taking
374judicial recognition or otherwise acknowledging the licensing
381status of Petitioner, Institutional Life Services (Florida) LLC
389. . . as a viatical settlement provider. The request to reopen
401the case is denied, but based upon the documents attached to
412Petitioners motion, official recognition is taken of the fact
421that on March 20, 2009, the Office of Insurance Regulation (OIR)
432approved the application for licensure filed by Institutional
440ILS-Florida is now a licensed viatical settlement provider, No.
44909-800257957.
450FINDINGS OF FACT
4531. The Viatical Settlement Act codified in Part X of
463Chapter 626, Florida Statutes, is one of several statutes that
473provide for the regulation of viatical settlements in Florida.
4822. A viatical settlement is the sale of a life insurance
493policy by its owner on the secondary market. 3 / The parties
505involved in the transaction are the viator, the viatical
514settlement broker, the viatical settlement provider, and the
522investor who purchases the policy.
5273. The viator is the owner of the policy being sold. The
539viator is typically, but not always, the insured under the
549policy.
5504. The viatical settlement broker is the person who
559solicits bids and negotiates the sale of the policy on behalf of
571the viator. In order to perform the services of a viatical
582settlement broker in Florida, a person must be a licensed life
593insurance agent, self-appoint him/herself with the Department of
601Financial Services (DFS), and pay the applicable fees to DFS.
6115. The viatical settlement provider is the intermediary
619between the viatical settlement broker and the investor who
628purchases the policy. The viatical settlement provider presents
636the policy to potential investors; conveys the investors bids
645to the viatical settlement broker; and, after a bid is accepted
656by the viator, performs the administrative functions necessary
664to complete the transaction.
6686. Viatical settlement providers are licensed and
675regulated by OIR. Viatical settlement brokers are licensed and
684regulated by DFS, not OIR.
6897. Petitioner ILS-Florida is a Delaware limited liability
697company owned by NFP Life Services, LLC (45.5 percent), Genworth
707Institutional Life Services, Inc. (45.5 percent), and GS Re
716Holdings, Inc. (nine percent).
7208. NFP Life Services, LLC, is a wholly-owned subsidiary of
730National Financial Partners Corporation (NFP).
7359. NFP Brokerage Agency is also a wholly-owned subsidiary
744of NFP. NFP Brokerage Agency employs licensed viatical
752settlement brokers in a number of states, including Florida.
76110. The viatical settlement brokers working for NFP
769Brokerage Agency are considered to be affiliated brokers of
778ILS-Florida by virtue of NFPs ownership interest in both
787companies.
78811. ILS-Florida was formed on September 8, 2008,
796specifically for the purpose of doing business as a viatical
806settlement provider . . . in the State of Florida.
81612. On or about October 29, 2008, ILS-Florida submitted to
826OIR an application for licensure as a viatical settlement
835provider. The application was still pending as of the date of
846the final hearing, but on March 20, 2009, OIR approved the
857application, and ILS-Florida is now a licensed viatical
865settlement provider, No. 09-800257957.
86913. ILS-Floridas parent companies have another subsidiary
876as a viatical settlement provider in a number of states.
88614. ILS-Florida intends to use a similar business plan in
896Florida that its sister company uses in the states where it is
908licensed. The business plan contemplates using only brokers
916working for NFP Brokerage Agency for at least the first year of
928operation, although it is possible that ILS-Florida may use both
938affiliated and non-affiliated brokers from the outset.
94515. ILS-Florida wants to be able to use brokers working
955for NFP Brokerage Agency because it considers them to be
965higher standard of compliance than is generally seen . . . in
977the industry. Also, because NFP Brokerage Agency already has a
987number of brokers involved in the viatical settlement business
996in Florida, its brokers represent a significant source of
1005potential business for ILS-Florida.
100916. The proposed rule will more likely than not preclude
1019ILS-Florida from using affiliated brokers working for NFP
1027Brokerage Agency because NFP has significant ownership interests
1035in both companies.
103817. Petitioner David Matthew Janecek is a resident of
1047Texas. He works for a brokerage in Texas that is owned by NFP
1060Brokerage Agency.
106218. Mr. Janecek is licensed in Florida as a non-resident
1072life insurance agent. His license, No. P161957, was issued on
1082September 9, 2008.
108519. Mr. Janecek is not, and never has been, a licensed
1096viatical settlement broker in any state. He has not self-
1106appointed himself as a viatical settlement broker with DFS, and
1116he has no present intention of acting as a viatical settlement
1127broker in Florida. 4 /
113220. Respondent Financial Services Commission (Commission)
1138is the agency head responsible for the promulgation of the
1148proposed rule. The Commission, which is comprised of the
1157Governor and Cabinet, was created within DFS, but it is not
1168subject to the control of DFS and it is effectively a separate
1180agency from DFS.
118321. Respondent OIR is an office under the Commission. OIR
1193developed the proposed rule and will be responsible for
1202implementing the rule.
120522. Respondents published the proposed rule in the Florida
1214Administrative Weekly ( FAW ) on September 26, 2008. A notice of
1226change to the proposed rule was published in the FAW on
1237December 24, 2008.
124023. The parties stipulated that Respondents met all
1248applicable rulemaking publication and notice requirements, and
1255that the petition challenging the proposed rule was timely
1264filed.
126524. The proposed rule is titled Prohibited Practices and
1274Conflicts of Interest, and states:
1280With respect to any viatical settlement
1286contract or insurance policy, no viatical
1292settlement provider knowingly may enter into
1298a viatical settlement contract with a
1304viator, if, in connection with such viatical
1311settlement contract, anything of value will
1317be paid to a viatical settlement broker that
1325is controlling, controlled by, or under
1331common control with such viatical settlement
1337provider, financing entity or related
1342provider trust that is involved in such
1349viatical settlement contract.
135225. The specific authority listed in the FAW notice for
1362the proposed rule is Section 626.9925, Florida Statutes.
137026. That statute authorizes the Commission to:
1377adopt rules to administer this act ,
1383including rules establishing standards for
1388evaluating advertising by licensees; rules
1393providing for the collection of data, for
1400disclosures to viators, for the reporting of
1407life expectancies, and for the registration
1413of life expectancy providers; and rules
1419defining terms used in this act and
1426prescribing recordkeeping requirements
1429relating to executed viatical settlement
1434contracts. (Emphasis supplied).
143727. The only language in the statute that Respondents are
1447relying on as authorization for the proposed rule is the
1457underlined language.
145928. The FAW notice states that the law implemented by
1469the proposed rule is Sections 626.9911(9), 626.9916(1), and
1477626.9916(5), Florida Statutes.
148029. Section 626.9911(9), Florida Statutes, defines
1486viatical settlement broker for purposes of the Viatical
1494Settlement Act.
149630. The definition includes the following language, which
1504is also contained in Section 626.9916(5), Florida Statutes:
1512Notwithstanding the manner in which the
1518viatical settlement broker is compensated, a
1524viatical settlement broker is deemed to
1530represent only the viator and owes a
1537fiduciary duty to the viator to act
1544according to the viator's instructions and
1550in the best interest of the viator.
155731. Section 626.9916(1), Florida Statutes, prohibits any
1564person other than a licensed life agent from performing the
1574functions of a viatical settlement broker.
158032. The text of the proposed rule was derived almost
1590verbatim from Section 12.B. of the Viatical Settlements Model
1599Act developed by the National Association of Insurance
1607Commissioners (NAIC).
160933. The model acts developed by NAIC are intended to be
1620used by state legislatures in drafting statutes. NAIC also
1629develops model regulations that are intended to be used by
1639state regulatory agencies in drafting rules to implement the
1648statutes.
164934. The proposed rule prohibits a viatical settlement
1657provider from entering into a viatical settlement contract
1665involving a viatical settlement broker over which the provider
1674has direct or indirect control.
167935. The determination as to whether the viatical
1687settlement provider has control over a viatical settlement
1695broker will be made on a case-by-case basis applying the
1705definition of control contained in Proposed Rule 69O-
1713204.020(1).
171436. According to OIR, the proposed rule is intended to
1724protect the viator by preventing the viatical settlement
1732provider from using its control over the viatical settlement
1741broker to induce or encourage the broker to breach his or her
1753fiduciary duty to the viator.
175837. It is undisputed that Florida law does not currently
1768prohibit the practice prescribed by the proposed rule so long as
1779the broker satisfies his or her fiduciary duty to the viator.
179038. The proposed rule will prohibit transactions between
1798affiliated viatical settlement providers and brokers,
1804irrespective of whether the brokers fiduciary duty to the
1813viator has been breached. For example, if a broker recommends
1823that a viator accept a bid for the policy from an affiliated
1835provider that was not the highest bid, such action would
1845constitute both a breach of the brokers fiduciary duty and a
1856violation of the proposed rule; however, if the bid from the
1867affiliated broker was the highest bid for the policy, the
1877brokers recommendation to accept the bid would not constitute a
1887violation of the brokers fiduciary duty, but it would violate
1897the proposed rule.
190039. During the rulemaking process, OIR staff considered
1908adding language to the proposed rule that would have allowed
1918affiliated providers and brokers to enter into viatical
1926settlement contracts so long as certain disclosure requirements
1934and other safeguards were met. The record does not reflect why
1945this language was not included in the proposed rule published in
1956the FAW , although it can be inferred from the e-mails received
1967into evidence on this issue that OIR and/or the Commission did
1978not feel compelled to add the language suggested by staff.
1988CONCLUSIONS OF LAW
199140. DOAH has jurisdiction over the parties to and subject
2001matter of this proceeding pursuant to Section 120.56(2), Florida
2010Statutes.
201141. Petitioners have the burden to prove their standing to
2021challenge the proposed rule. See Dept. of Health & Rehab.
2031Servs. v. Alice P. , 367 So. 2d 1045, 1052 (Fla. 1st DCA 1979)
2044(The burden is . . . upon the challenger, when standing is
2056resisted, to prove standing.).
206042. To have standing, Petitioners must prove that they are
2070substantially affected by the proposed rule, meaning that the
2079application of the rule will result in a real and sufficient
2090immediate injury in fact to Petitioners and that the interest
2100affected is within the zone of interest to be protected or
2111regulated by the proposed rule and the statute being
2120implemented. See § 120.56(1)(a), Fla. Stat.; Board of Medicine
2129v. Fla. Academy of Cosmetic Surgery, Inc. , 808 So. 2d 243, 250
2141(Fla. 1st DCA 2002).
214543. ILS-Florida has standing because it will be directly
2154regulated by the proposed rule. See Fla. League of Cities, Inc.
2165v. Dept. of Environmental Reg. , 603 So. 2d 1363, 1367 (Fla. 1st
2177DCA 1992) (It is not necessary for the League to elaborate how
2189each member would be personally affected by the proposed rule,
2199because a substantial portion of the League's members will be
2209regulated by the rule.) (emphasis in original); Coalition of
2218Mental Health Professions v. Dept. of Professional Reg. , 546 So.
22282d 27, 28 (Fla. 1st DCA 1989) (The fact that appellant's
2239members will be regulated by the proposed rules is alone
2249sufficient to establish that their substantial interests will be
2258affected and there is no need for further factual elaboration of
2269how each member will be personally affected.). Also, the more
2279persuasive evidence establishes that ILS-Florida will be
2286substantially affected by the proposed rule in that the likely
2296effect of the rule will be to preclude ILS-Florida from using
2307affiliated brokers working for NFP Brokerage Agency, which,
2315among other things, will deny ILS-Florida access to a
2324potentially significant source of business in Florida.
233144. The fact that ILS-Florida was at the time of the final
2343hearing a license applicant, rather than a licensed viatical
2352settlement provider does not undermine its standing. See , e.g. ,
2361Jacoby v. Bd. of Medicine , 917 So. 2d 358, 360 (Fla. 1st DCA
23742005) (potential future license applicant has standing to
2382challenge agency rule that will affect his ability to work in
2393Florida); Professional Firefighters of Fla., Inc. v. Dept. of
2402Health & Rehab. Servs. , 396 So. 2d 1194, 1195 (Fla. 1st DCA
24141981) (The APA permits prospective challenges to agency
2422rulemaking and does not require that an affected party comply
2432with the rule at his peril in order to obtain standing to
2444challenge the rule.).
244745. Likewise, the fact that Mr. Janecek is not a licensed
2458viatical settlement provider (or an applicant for such a
2467license) does not necessarily preclude him from having standing
2476to challenge the proposed rule because the rule also affects the
2487interests of viatical settlement brokers by limiting the
2495providers with whom they can transact business. See Board of
2505Medicine , 808 So. 2d at 251 (A challenger to a rule may be
2518substantially affected by a rule, and thus, have standing to
2528challenge it, even where the rule or promulgating statute does
2538not regulate the challenger's profession per se.); Ward v. Bd.
2548of Trustees of the Internal Improvement Trust Fund , 651 So. 2d
25591236, 1237 (Fla. 4th DCA 1995) (engineer had standing to
2569challenge a proposed environmental permitting rule that did not
2578directly regulate him but that would encroach on his engineering
2588practice).
258946. The fact that Mr. Janecek is a licensed life agent is
2601not enough to give him standing. A life agent may only perform
2613the functions of a viatical settlement broker by appointing
2622himself or herself as such and by paying the applicable fees.
2633See § 626.9916(2), Fla. Stat. Mr. Janecek has done neither of
2644these things, and, therefore, the determination as to his
2653standing turns on his intentions concerning licensure as a
2662viatical settlement broker.
266547. On this issue, the more persuasive evidence
2673establishes that Mr. Janecek does not have any present intention
2683to act as a viatical settlement broker in Florida. As a result,
2695the impact of the proposed rule on Mr. Janecek is speculative,
2706rather than immediate, and he, therefore, lacks standing to
2715challenge the proposed rule. See generally Dept. of Offender
2724Rehab. v. Jerry , 353 So. 2d 1230 (Fla. 1st DCA 1978); Alice P. ,
2737supra .
273948. On the merits, Petitioners have the burden of going
2749forward with respect to their objections to the proposed rule,
2759but Respondents have the ultimate burden to prove by a
2769preponderance of the evidence that the proposed rule is not an
2780invalid exercise of delegated legislative authority as to the
2789objections raised. See § 120.56(2)(a), Fla. Stat.; Southwest
2797Fla. Water Mgmt Dist. v. Charlotte County , 774 So. 2d 903, 908
2809(Fla. 2d DCA 2001); St. Johns River Water Mgmt. Dist. v.
2820Consolidated-Tomoka Land Co. , 717 So. 2d 72, 76-77 (Fla. 1st DCA
28311998), superseded on other grounds by Ch. 99-379, Laws of Fla.
284249. The proposed rule is not presumed to be valid or
2853invalid. See § 120.56(2)(c), Fla. Stat.
285950. Petitioners contend that the proposed rule is an
2868invalid exercise of delegated legislative authority under
2875paragraphs (b), (c), (d), (e), and (f) 5 / of Section 120.52(8),
2887Florida Statutes. The undersigned agrees that the proposed rule
2896is invalid under paragraphs (b) and (c), as discussed below.
290651. A proposed rule is invalid under Section 120.52(8)(b),
2915Florida Statutes, if the agency exceeded its grant of
2924rulemaking authority.
292652. Rulemaking authority is the statutory language that
2934explicitly authorizes or requires an agency to adopt, develop,
2943establish, or otherwise create the proposed rule. See
2951§ 120.52(17), Fla. Stat. The purported rulemaking authority for
2960the proposed rule must be listed in the rulemaking notice
2970published in the FAW . See §§ 120.52(8)(b), 120.54(3)(a)1., Fla.
2980Stat.
298153. Section 120.52(8)(b), Florida Statutes, pertains to
2988the adequacy of the grant of rulemaking authority. See
2997Consolidated-Tomoka , 717 So. 2d at 81. In essence, it prohibits
3007an agency from adopting rules on a subject that the Legislature
3018has not given the agency specific statutory authority to
3027regulate.
302854. Statutory language granting rulemaking authority is to
3036be construed to extend no further than implementing or
3045interpreting the specific powers and duties conferred by the
3054enabling statute, and an agency may only adopt rules that
3064implement or interpret the specific powers and duties granted by
3074the enabling statute. See §§ 120.52(8), 120.536(1), Fla. Stat.
3083An agency does not have the authority to implement statutory
3093provisions setting forth general legislative intent or policy.
3101Id.
310255. As stated in Southwest Florida Water Management
3110District v. Save the Manatee Club, Inc. , 773 So. 2d 594 (Fla.
31221st DCA 2000):
3125the authority for an administrative rule is
3132not a matter of degree. The question is
3140whether the statute contains a specific
3146grant of legislative authority for the rule,
3153not whether the grant of authority is
3160specific enough . Either the enabling
3166statute authorizes the rule at issue or it
3174does not. [T]his question is one that must
3182be determined on a case-by-case basis.
3188Id. at 599 (emphasis in original).
319456. Similarly, in Board of Trustees of the Internal
3203Improvement Trust Fund v. Day Cruise Association, Inc. , 794 So.
32132d 696 (Fla. 1st DCA 2001), the court explained that:
3223agencies have rulemaking authority only
3228where the Legislature has enacted a specific
3235statute, and authorized the agency to
3241implement it, and then only if the rule
3249implements or interprets specific powers or
3255duties, as opposed to improvising in an area
3263that can be said to fall only generally
3271within some class of powers or duties the
3279Legislature has conferred on the agency .
3286Id. at 700 (emphasis supplied).
329157. The general authority provided to the Commission in
3300Section 626.9925, Florida Statutes, to adopt rules to
3308administer [the Viatical Settlement Act] is insufficient to
3316meet the requirements of Sections 120.52(8)(b) and 120.536(1),
3324Florida Statutes. See Dept. of Highway Safety & Motor Vehicles
3334v. JM Autos, Inc. , 977 So. 2d 733, 734 (Fla. 1st DCA 2008)
3347(affirming final order invalidating an agency rule based upon
3356similarly non-specific statutory language). Accord Life Ins.
3363Settlement Assn v. Office of Ins. Regulation , Case No. 08-
3373is a grant of rulemaking authority within the meaning of
3383Subsection 120.52(8)(b), the Commission's authority to adopt
3390such rules is limited to implementing the particular disclosure
3399requirements contained elsewhere in the Act.).
340558. Nothing else in Section 626.9925, Florida Statutes --
3414including the authority to adopt rules . . . defining terms
3425used in [the Viatical Settlement Act] -- specifically
3433authorizes Respondents to adopt rules governing the relationship
3441between viatical settlement providers and brokers. Therefore,
3448the proposed rule exceeds the grant of rulemaking authority in
3458Section 626.9925, Florida Statutes.
346259. On this point, it is noteworthy that the model act
3473from which the language of the proposed rule was derived
3483contained specific authority to adopt rules governing the
3491relationship and responsibilities of both insurers and viatical
3499settlement providers, viatical settlement brokers and viatical
3506settlement investment agents during the viatication of a life
3515insurance policy or certificate. See Exhibit R-11, at page
3524697-38, § 17.E. The Viatical Settlement Act codified in Part X
3535of Chapter 626, Florida Statutes, does not contain this language
3545or anything similar to it.
355060. The proposed rule also exceeds Respondents rulemaking
3558authority because it seeks to prohibit practices that are
3567currently allowed by Florida law, which is something that only
3577the Legislature can do in the first instance. See B.H. v.
3588State , 645 So. 2d 987 (Fla. 1994) (separation of powers doctrine
3599prohibits the delegation of authority to an agency to say what
3610the law is because such fundamental policy decisions must be
3620made by the Legislature). And cf. Day Cruise Assn , 794 So. 2d
3632at 705-06 (Browning, J., concurring) (explaining that the
3640agencys authority to regulate certain activities did not
3648include the authority to prohibit otherwise lawful activities).
365661. A rule is invalid under Section 120.52(8)(c), Florida
3665Statutes, if it enlarges, modifies, or contravenes the specific
3674provision of law implemented.
367862. The law implemented is the language of the enabling
3688statute being carried out or interpreted by an agency through
3698rulemaking. See § 120.52(9), Fla. Stat. The law purportedly
3707being implemented by the proposed rule must be listed in the
3718rulemaking notice published in the FAW . See §§ 120.52(8)(c),
3728120.54(3)(a)1., Fla. Stat.
373163. Section 120.52(8)(c), Florida Statutes, relates to
3738the limitations imposed by the grant of rulemaking authority.
3747See Consolidated-Tomoka , 717 So. 2d at 81. In essence, it
3757prohibits an agency from adopting rules that go beyond --
3767the statute being implemented.
377164. The statutes purportedly being implemented by the
3779proposed rule impose a fiduciary duty on viatical settlement
3788brokers ; the statutes do not impose any requirements or
3797restrictions on viatical settlement providers . See §§
3805626.9911(9), 626.9916(5), Fla. Stat. The proposed rule modifies
3813and enlarges these statutes by prohibiting viatical settlement
3821providers from engaging in viatical settlement transactions with
3829certain brokers, even if the transaction would not violate the
3839brokers fiduciary duty.
384265. A proposed rule is invalid under Section 120.52(8)(d),
3851Florida Statutes, if it is vague, fails to establish adequate
3861standards for agency decisions, or vests unbridled discretion in
3870the agency.
387266. A rule is vague if it requires performance of an act
3884in terms that are so vague that men of common intelligence must
3896guess at its meaning." Southwest Fla. Water Management Dist. ,
3905774 So. 2d at 915. See also Cole Vision Corp. v. Dept. of
3918Business & Professional Reg. , 688 So. 2d 404 (Fla. 1st DCA
39291997).
393067. The proposed rule is not vague. The operative terms -
3941- controlling, controlled by, or under common control -- are
3951sufficiently clear and provide adequate guidance to those
3959regulated by the rule as to the type of transactions that are
3971prohibited. Indeed, the term control is specifically defined
3979in Proposed Rule 69O-204.020(1).
398368. The proposed rule does not fail to establish adequate
3993standards for agency decisions or vest unbridled discretion in
4002the agency. The determination as to whether a viatical
4011settlement broker is controlled by or under common control with
4021the viatical settlement provider is necessarily a fact-based
4029determination, and the definition of control in Proposed Rule
403869O-204.020(1) provides sufficient standards for that
4044determination to be made and reviewed. Cf. Environmental Trust
4053v. Dept. of Environmental Protection , 714 So. 2d 493, 498 (Fla.
40641st DCA 1998) (recognizing that rules cannot possibly address
4073every possible factual situation and that the application of a
4083rule to a particular set of facts is a matter best left to the
4097adjudication process under Section 120.57, Florida Statutes).
410469. A rule is invalid under Section 120.52(8)(e), Florida
4113Statutes, if it is arbitrary or capricious.
412070. A rule is arbitrary if it is not supported by logic
4132or the necessary facts; a rule is capricious if it is adopted
4144Fla. Stat. See also Board of Medicine , 808 So. 2d at 255; Board
4157of Clinical Laboratory Personnel v. Fla. Assn of Blood Banks ,
4167721 So. 2d 317, 318 (Fla. 1st DCA 1998); Agrico Chemical Co. v.
4180Dept. of Environmental Reg. , 365 So. 2d 759, 763 (Fla. 1st DCA
41921979).
419371. The proposed rule is not arbitrary or capricious
4202simply because it has the effect of prohibiting transactions
4211between affiliated providers and brokers in circumstances where
4219the broker has satisfied his or her fiduciary duty to the
4230viator. Section 120.52(8) (e) , Florida Statutes, does not
4238preclude an agency from over-regulating to address a real or
4248perceived problem that the agency has authority to address
4257through rulemaking. Rather, it is Section 120.52(8) (f) , Florida
4266Statutes, that effectively precludes an agency from imposing
4274more extensive and more costly regulatory restrictions than are
4283necessary to accomplish its objectives.
428872. Thus, the mere fact that the proposed rule will
4298preclude transactions that would not constitute a breach of the
4308viatical settlement brokers fiduciary duty does not make the
4317rule irrational or illogical. Indeed, it is not at all
4327unreasonable for Respondents to be concerned that a viatical
4336settlement broker who is directly or indirectly subject to the
4346control of the provider might have a greater possibility of
4356being influenced to breach his or her fiduciary duty to the
4367viator. The increased possibility that a broker might breach
4376his or her fiduciary duty based upon the affiliation with the
4387provider is what the proposed rule was intended to prohibit, and
4398is a legitimate and sufficient rationale to prohibit all
4407transactions between affiliated brokers and providers.
441373. Therefore, the proposed rule is not invalid under
4422Section 120.52(8)(e), Florida Statutes.
442674. A rule is invalid under Section 120.52(8)(f), Florida
4435Statutes, if it imposes regulatory costs on the regulated
4444person, county, or city which could be reduced by the adoption
4455of less costly alternatives that substantially accomplish the
4463statutory objectives.
446575. A rule cannot be declared invalid under Section
4474120.52(8)(f), Florida Statutes, unless a good faith written
4482proposal for a lower cost regulatory alternative to the proposed
4492rule is submitted to the agency in accordance with Section
4502120.541(1)(a), Florida Statutes. See § 120.541(1)(c), Fla.
4509Stat.
451076. There is no evidence that Petitioners or anyone else
4520submitted such a proposal to Respondents, and as a result, the
4531proposed rule cannot be declared invalid under Section
4539120.52(8)(f), Florida Statutes.
4542ORDER
4543Based upon the foregoing Findings of Fact and Conclusions
4552of Law, it is
4556ORDERED that Proposed Rule 690-204.040 is an invalid
4564exercise of delegated legislative authority.
4569DONE AND ORDERED this 30th day of March, 2009, in
4579Tallahassee, Leon County, Florida.
4583S
4584T. KENT WETHERELL, II
4588Administrative Law Judge
4591Division of Administrative Hearings
4595The DeSoto Building
45981230 Apalachee Parkway
4601Tallahassee, Florida 32399-3060
4604(850) 488-9675
4606Fax Filing (850) 921-6847
4610www.doah.state.fl.us
4611Filed with the Clerk of the
4617Division of Administrative Hearings
4621this 30th day of March, 2009.
4627ENDNOTES
46281 / All statutory references are to the 2008 version of the
4640Florida Statutes.
46422 / Exhibit R5, Mr. Prentiss deposition, was received subject to
4653Respondents designating those portions of the deposition that
4661are not duplicative of Mr. Prentiss testimony at the final
4671hearing. See Transcript, at 142-46; § 120.569(2)(g), Fla. Stat.
4680No designation was filed by Respondents, and neither party cited
4690to Mr. Prentiss deposition in their PFO. Therefore, Exhibit R5
4700has not been considered.
47043 / Technically, in the viatical settlement industry, the term
4714viatical settlement refers to the sale of a life insurance
4724policy insuring a person who is expected to live less than two
4736years after the sale, whereas the term life settlement refers
4746to the sale of a life insurance policy insuring a person who is
4759expected to live more than two years after the sale. This
4770distinction is not reflected in the Viatical Settlement Act; the
4780definition of viatical settlement contract in Section
4787626.9911(10), Florida Statutes, broadly encompasses both types
4794of transactions.
47964 / See Exhibit P-7, at 15, 16. Mr. Janecek testified that his
4809plans could change, but that testimony was equivocal and not
4819persuasive. For example, when asked by his attorney whether his
4829intent to act as a viatical settlement broker in Florida would
4841. . . change if ILS-Florida was licensed in Florida as a
4853viatical settlement provider, he testified only that it could
4862at that time. Id. at 22 (emphasis supplied).
48705 / The petition did not allege that the proposed rule was
4882invalid under Section 120.52(8)(f), Florida Statutes, but that
4890paragraph was referenced by Petitioners in the Joint Pre-hearing
4899Stipulation and at the final hearing. Petitioners did not
4908mention Section 120.52(8)(f), Florida Statutes, in their PFO
4916and, therefore, are deemed to have abandoned this issue to the
4927extent it may have been tried by consent. Nevertheless, in an
4938abundance of caution, the proposed rules validity under Section
4947120.52(8)(f), Florida Statutes, is addressed in this Final
4955Order.
4956COPIES FURNISHED :
4959Brian A. Newman, Esquire
4963Pennington, Moore, Wilkinson,
4966Bell & Dunbar, P.A.
4970215 South Monroe Street, Second Floor
4976Post Office Box 10095
4980Tallahassee, Florida 32302-2095
4983Steven H. Parton, General Counsel
4988Office of Insurance Regulation
4992Financial Services Commission
4995200 East Gaines Street
4999Tallahassee, Florida 32399-4206
5002S. Marc Herskovitz, Esquire
5006Office of Insurance Regulation
5010Legal Services Office
5013200 East Gaines Street
5017Tallahassee, Florida 32399-0333
5020Kevin M. McCarty, Commissioner
5024Office of Insurance Regulation
5028200 East Gaines Street
5032Tallahassee, Florida 32399-0305
5035Honorable Alex Sink
5038Chief Financial Officer
5041Department of Financial Services
5045The Capitol, Plaza Level 11
5050Tallahassee, Florida 32399-0300
5053Benjamin Diamond, General Counsel
5057Department of Financial Services
5061The Capitol, Plaza Level 11
5066Tallahassee, Florida 32399-0300
5069F. Scott Boyd, Esquire
5073Executive Director and General Counsel
5078Joint Administrative Procedure Committee
5082120 Holland Building
5085Tallahassee, Florida 32399-1300
5088Liz Cloud, Program Administrator
5092Administrative Code
5094Department of State
5097R.A. Gray Building, Suite 101
5102Tallahassee, Florida 32399
5105NOTICE OF RIGHT TO JUDICIAL REVIEW
5111A party who is adversely affected by this Final Order is
5122entitled to judicial review pursuant to Section 120.68, Florida
5131Statutes. Review proceedings are governed by the Florida Rules
5140of Appellate Procedure. Such proceedings are commenced by
5148filing one copy of a Notice of Appeal with the agency clerk of
5161the Division of Administrative Hearings and a second copy,
5170accompanied by filing fees prescribed by law, with the District
5180Court of Appeal, First District, or with the District Court of
5191Appeal in the appellate district where the party resides. The
5201Notice of Appeal must be filed within 30 days of rendition of
5213the order to be reviewed.
- Date
- Proceedings
- PDF:
- Date: 10/06/2009
- Proceedings: Transmittal letter from Claudia Llado forwarding a one-volume Transcript, along with Petitioner's Exhibits numbered P-1 through P-8, Respondent's Exhibits numbered R-2 through R-6, and R-9 through R-11, Depositions of Eleanor Kitzman and David Matthew Janecek, and Official Recognition of Florida's Viatical Settlement Act to the agency.
- Date: 03/05/2009
- Proceedings: Transcript of Proceedings filed.
- Date: 02/19/2009
- Proceedings: CASE STATUS: Hearing Held.
- PDF:
- Date: 02/12/2009
- Proceedings: Petitioners` Notice fo Taking Telephonic Deposition of David Matthew Janecek for use at Trial filed.
- PDF:
- Date: 02/09/2009
- Proceedings: Petitioners` Notice of Serving Responses to Respondents` Amended First Set of Interrogatories and Amended First Request for Production of Documents filed.
- PDF:
- Date: 02/09/2009
- Proceedings: Petitioners` Notice of Taking Deposition of Agency Representative filed.
- PDF:
- Date: 02/03/2009
- Proceedings: Amended Notice of Service of Respondents` First Set of Interrogatories to Petitioners filed.
- PDF:
- Date: 01/29/2009
- Proceedings: Petitioners` Notice of Service of First Interrogatories to Respondents filed.
- PDF:
- Date: 01/27/2009
- Proceedings: Notice of Hearing (hearing set for February 19, 2009; 10:00 a.m.; Tallahassee, FL).
Case Information
- Judge:
- T. KENT WETHERELL, II
- Date Filed:
- 01/23/2009
- Date Assignment:
- 02/18/2009
- Last Docket Entry:
- 10/06/2009
- Location:
- Tallahassee, Florida
- District:
- Northern
- Agency:
- Office of Insurance Regulation
- Suffix:
- RP
Counsels
-
S. Marc Herskovitz, Esquire
Address of Record -
Brian A. Newman, Esquire
Address of Record -
Steven H. Parton, General Counsel
Address of Record -
Brian A Newman, Esquire
Address of Record
Related Florida Statute(s) (10):
Related Florida Rule(s) (2):
- 69O-204.020
- 69O-204.040