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.


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Summary: The proposed rule prohibiting viatical settlement providers from transacting with affiliated brokers is invalid under Section 120.52(8)(b) and (c), Florida Statutes.

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 NFP’s ownership interest in both

787companies.

78811. ILS-Florida was formed on September 8, 2008,

796“specifically 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-Florida’s 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

1486“viatical 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 broker’s 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 broker’s 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

1877broker’s recommendation to accept the bid would not constitute a

1887violation of the broker’s 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

2070“substantially 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

2518‘substantially 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 Ass’n 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 Ass’n , 794 So. 2d

3632at 705-06 (Browning, J., concurring) (explaining that the

3640agency’s 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

3839broker’s 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. Ass’n 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 broker’s 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

4714“viatical 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 rule’s 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.

Select the PDF icon to view the document.
PDF
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.
PDF:
Date: 03/30/2009
Proceedings: DOAH Final Order
PDF:
Date: 03/30/2009
Proceedings: Final Order (hearing held February 19, 2009). CASE CLOSED.
PDF:
Date: 03/23/2009
Proceedings: Response to Petitioners` Motion to Reopen Case filed.
PDF:
Date: 03/23/2009
Proceedings: Petitioners` Motion to Reopen Case filed.
PDF:
Date: 03/16/2009
Proceedings: Petitioner`s Proposed Final Order filed.
PDF:
Date: 03/16/2009
Proceedings: Respondent`s Proposed Final Order filed.
Date: 03/05/2009
Proceedings: Transcript of Proceedings filed.
Date: 02/19/2009
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 02/18/2009
Proceedings: Notice of Filing Deposition (of E. Kitzman) filed.
PDF:
Date: 02/18/2009
Proceedings: Deposition of Eleanor Kitzman filed.
PDF:
Date: 02/17/2009
Proceedings: Telephonic Deposition of David Matthew Janecek filed.
PDF:
Date: 02/17/2009
Proceedings: Notice of Filing Deposition filed.
PDF:
Date: 02/17/2009
Proceedings: Joint Pre-hearing Stipulation filed.
PDF:
Date: 02/12/2009
Proceedings: Petitioners` Notice fo Taking Telephonic Deposition of David Matthew Janecek for use at Trial filed.
PDF:
Date: 02/10/2009
Proceedings: Amended Notice of Taking Deposition 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: 02/09/2009
Proceedings: Notice of Taking Deposition, M. Janecek filed.
PDF:
Date: 02/09/2009
Proceedings: Notice of Taking Deposition, S. Barton filed.
PDF:
Date: 02/09/2009
Proceedings: Notice of Taking Deposition, E. Kitzman 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: 01/29/2009
Proceedings: Petitioners` First Request for Production to Respondents filed.
PDF:
Date: 01/29/2009
Proceedings: Notice of Appearance (of S. Herskovitz) filed.
PDF:
Date: 01/27/2009
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 01/27/2009
Proceedings: Notice of Hearing (hearing set for February 19, 2009; 10:00 a.m.; Tallahassee, FL).
PDF:
Date: 01/26/2009
Proceedings: Order of Assignment.
PDF:
Date: 01/26/2009
Proceedings: Rule Challenge transmittal letter to Liz Cloud from Claudia Llado copying Scott Boyd and the Agency General Counsel.
PDF:
Date: 01/23/2009
Proceedings: Petition to Determine the Invalidity of a Proposed Rule filed.

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

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Related Florida Statute(s) (10):

Related Florida Rule(s) (2):