03-004850PL
Department Of Financial Services vs.
Howard Irvin Vogel
Status: Closed
Recommended Order on Tuesday, July 20, 2004.
Recommended Order on Tuesday, July 20, 2004.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8DEPARTMENT OF FINANCIAL )
12SERVICES, )
14)
15Petitioner, )
17)
18vs. ) Case No. 03 - 4850PL
25)
26HOWARD IRVIN VOGEL, )
30)
31Respondent. )
33______________________________)
34RECOMMENDED ORDER
36Robert E. Meale, Administrative Law Judge of the Division
45of Administrative Hearings, conducted the final hearing in West
54Palm Beach, Florida, on March 31 and April 1, 2004.
64APPEARANCES
65For Petitioner: Gregg S. Marr
70David J. Busch
73Division of Legal Services
77Department of Financial Services
81612 Larson Building
84200 East Gaines Street
88Tallahassee, Florida 32399 - 0333
93For Resp ondent: Orrin R. Beilly
99Law Office of Orrin R. Beilly
105Citizens Building, Suite 705
109105 South Narcissus Avenue
113West Palm Beach, Florida 33401
118STATEMENT OF THE ISSUES
122The issue is whether Respondent is guilty of transacting
131insurance business in violation of Sections 626.611 and 626.621,
140Florida Statutes, and, if so, what penalty should be imposed.
150PRELIMINARY STATEMENT
152By Administrative Complaint dated December 15, 2003,
159Petitioner alleged that, at all material times, Respondent was a
169licensed general lines insurance agent, holding license number
177A274461, and served as a corporate officer of L.N.V., Inc.,
187d/b/a Federal Insurance.
190Count I of the Administrative Compla int alleges that, on
200October 12, 1999, a Federal Insurance employee, Michael Smith,
209who is a licensed insurance agent, sold a workers' compensation
219policy to Nicholas Polyviou, d/b/a Polyviou Corporation. Count
227I alleges that, on January 27, 2000, Mr. Pol yviou paid Mr. Smith
240$300 for processing four Notices of Election to be Exempt, which
251Mr. Polyviou had already completed. However, the four forms
260allegedly were never submitted to the Division of Workers'
269Compensation.
270Count II alleges that, on August 21 , 2000, Michael Smith
280sold a workers' compensation policy and general liability policy
289to David Wagner. Count II alleges that Mr. Wagner paid
299Mr. Smith $1498 for these policies, but only $1004.99 was
309submitted to the insurers as premium payment. Count II alleges
319that Mr. Wagner provided a Notice of Election to be Exempt,
330which he had already completed, but the form was never submitted
341to the Division of Workers' Compensation.
347Count III alleges that, on October 24, 2000, Michael Smith
357sold a workers' comp ensation policy to Christopher York. Count
367III alleges that Mr. York paid Mr. Smith $446 for the policy,
379but only $281 was submitted to the insurer as premium payment.
390Count III alleges that Mr. York provided a Notice of Election to
402be Exempt, which he h ad already completed, but the form was
414never submitted to the Division of Workers' Compensation.
422Count IV alleges that, on August 28, 2000, Michael Smith
432sold a tenant dweller's policy to Evelyn Grenyer, who provided
442Mr. Smith with specific instructions a bout her mailing address.
452Count IV alleges that Ms. Grenyer paid Mr. Smith $242.17 for the
464policy, but only $202.64 was submitted to the insurer as premium
475payment. Count IV alleges that, on May 20, 2001, Ms. Grenyer
486suffered a loss at the insured proper ty, and she later
497discovered that her policy had been canceled on October 18,
5072000. Count IV alleges that the insurer had issued Federal
517Insurance a refund on November 14, 2000, and Federal Insurance
527issued a refund check to Ms. Grenyer on May 10, 2001, b ut only
541after she had inquired about her policy.
548Each of the above - described counts alleges that Petitioner
558is authorized to suspend or revoke Respondent's license for the
568violation of Section 624.11(1), Florida Statutes, which
575prohibits the transaction o f insurance without complying with
584the Insurance Code; Section 626.611(4), Florida Statutes, which
592prohibits the willful use of a license or appointment to
602circumvent any of the requirements of the Insurance Code;
611Section 626.611(5), Florida Statutes, whic h prohibits the
619willful misrepresentation of any insurance policy or willful
627deception regarding such policy, either in person or by way of
638advertising or other dissemination of information; Section
645626.611(7), Florida Statutes, which prohibits the demonst rated
653lack of fitness or trustworthiness to engage in the business of
664insurance; Section 626.611(8), Florida Statutes, which prohibits
671the demonstrated lack of reasonably adequate knowledge and
679technical competence to engage in the transactions authorized by
688the license or appointment; Section 626.611(9), Florida
695Statutes, which prohibits fraudulent or dishonest practices in
703the conduct of business under the license or appointment;
712Section 626.611(10), Florida Statutes, which prohibits the
719misappropriation, conversion, or unlawful withholding of money
726belonging to insurers, insureds, beneficiaries, or others
733received in the conduct of business under the license or
743appointment; Section 626.611(13), Florida Statutes, which
749prohibits the willful failure to comp ly with, or willful
759violation of, any proper order or rule of Petitioner or willful
770violation of any provision of the Insurance Code; Section
779626.621(2), Florida Statutes, which prohibits the violation of
787any provision of the Insurance Code or other insura nce law in
799the course of dealing under the license or appointment; and
809Section 626.621(3), Florida Statutes, which prohibits the
816violation of any lawful order or rule of Petitioner.
825Each of the above - described counts also alleges that,
835pursuant to Secti on 626.734, Florida Statutes, a general lines
845agent who is an officer, director, or shareholder of an
855incorporated general lines insurance agency is personally liable
863for any wrongful acts, misconduct, or violations of the
872Insurance Code by such licensee o r any person under his direct
884supervision and control while acting on behalf of the
893corporation, provided that the officer, director, or shareholder
901personally committed or knew or should have known of the act and
913facts constituting a violation of the Insu rance Code.
922Count V alleges that the business address on record for
932Respondent is JEMS Services, 4207 Lake Avenue, West Palm Beach,
942even though the actual business address has been, for a period
953in excess of 60 days, 3564 South Military Trail, Lake Worth.
964Count V alleges that Respondent's failure to notify Petitioner
973in writing, within 60 days after a change in business address,
984violates Sections 624.11(1), 626.611(13), 626.621(2), and
990626.621(3), Florida Statutes, which are mentioned above.
997By Motion to Amended Administrative Complaint filed January
100530, 2004, Petitioner requested leave to add Count VI. The
1015Administrative Law Judge granted leave to amend the
1023Administrative Complaint. Count VI alleges that, on September
103116, 2002, Respondent notified Peti tioner of a change of his
1042business address to JEMS Services, 4207 Lake Avenue, West Palm
1052Beach. Count VI alleges that Respondent never used this address
1062as a place of business, and he filed this address without the
1074knowledge or consent of the individual w hose business is located
1085at the address. Count VI alleges that Respondent thus violated
1095Sections 624.11(1), 626.611(7), 626.611(8), 626.611(13),
1100626.621(2), and 626.621(3), Florida Statutes, which are
1107mentioned above.
1109By Motion to Amend Amended Administr ative Complaint filed
1118February 13, 2004, Petitioner requested leave to add Count VII
1128and add the allegation, common to all counts, that Respondent
1138was a corporate director, as well as a corporate officer. The
1149Administrative Law Judge granted leave to amen d the Amended
1159Administrative Complaint. Count VII alleges that, based on the
1168notices filed with Petitioner by Federal Insurance, Juan C.
1177Montoya served as the designated primary agent from January 27,
11871998, until September 27, 2002. However, Count VII al leges that
1198Juan C. Montoya's employment with Federal Insurance terminated
1206in early 1998. Count VII alleges that Respondent thus violated
1216Sections 624.11(1), 626.611(7), 626.611(8), 626.611(13),
1221626.621(2), and 626.621(3), Florida Statutes, which are
1228menti oned above.
1231At the hearing, Petitioner presented no evidence as to
1240Count III, so it is stricken.
1246At the hearing, Petitioner called ten witnesses and offered
1255into evidence 17 exhibits: Petitioner Exhibits 1 - 14 and 16 - 18.
1268Respondent called two witnesses and offered into evidence four
1277exhibits: Respondent Exhibits 1 - 4. All exhibits were admitted.
1287The court reporter filed the transcript on May 3, 2004.
1297The parties filed their proposed recommended orders on June 14,
13072004.
1308FINDINGS OF FACT
13111. Respondent is licensed as a general lines insurance
1320agent, holding license number A274461. He has been so licensed
1330for over 20 years. The record discloses no previous discipline.
13402. Respondent bought L.N.V., Inc., d/b/a Federal Insurance
1348(Federal Insurance), when he f irst became licensed in Florida.
1358Respondent has retained ownership control of Federal Insurance
1366since its purchase, except for a one - year period starting in
1378June 2002, when Federal Insurance sold its assets to an
1388unrelated party. However, after the party defaulted on its
1397purchase obligations, Federal Insurance recovered the assets.
14043. Prior to June 2002, Respondent was, at all material
1414times, the sole shareholder, the president, and a director of
1424Federal Insurance. The acts and omissions alleged in Counts I,
1434II, IV, and VII took place during this time period.
14444. After June 2003, Respondent's formal roles with Federal
1453Insurance became less clear, although he continued to run the
1463daily operations of the business and control the corporation.
1472At minimum, tho ugh, Respondent was the Agency Owner from May 20,
14842003, through November 7, 2003, and November 25, 2003, through
1494December 29, 2003, according to the Agency Location Report,
1503which is part of Petitioner Exhibit 2. The acts and omissions
1514alleged in Counts V and VI took place, at least in part, during
1527these time periods. Without doubt, regardless of his formal
1536roles after June 2003, Respondent personally committed the acts
1545and omissions that are the subject of Counts V and VI.
15565. Michael Smith is a licensed pr operty and casualty
1566insurance agent. He is also licensed to sell life and health
1577insurance. He has held insurance licenses since 1983.
1585Mr. Smith has been employed by Federal Insurance twice: from
1595the late 1980s to the mid - 1990s and 1999 - 2001.
16076. At all material times, Nicholas Polyviou, d/b/a
1615Polyviou Corporation, was a self - employed manufacturer of office
1625furniture. Mr. Polyviou did his insurance business at Federal
1634Insurance where he dealt with Michael Smith.
16417. On October 13, 1999, Mr. Polyviou visi ted Michael Smith
1652at Federal Insurance to purchase workers' compensation and
1660liability insurance. Mr. Polyviou completed an application for
1668workers' compensation insurance and delivered four Notices of
1676Election to be Exempt, which had already been filled out and
1687signed by Mr. Polyviou and the other three employees who were
1698the subjects of the notices. The notices represented elections
1707by qualified persons not to be covered by workers' compensation.
17178. To process the Notices of Election to Be Exempt and
1728fil e them with the Division of Workers' Compensation, Federal
1738Insurance charged Mr. Polyviou $75 per form, for a total of
1749$300. The $75 fee per form consisted of a $50 fee charged by
1762the Division of Workers' Compensation to file the notices and a
1773$25 fee cha rged by Federal Insurance to process the notices and
1785send them to the Division of Workers' Compensation.
17939. However, Federal Insurance never sent these notices to
1802the Division of Workers' Compensation. Eventually, following an
1810audit, Mr. Polyviou was asses sed about $20,000 in unpaid
1821workers' compensation premiums for these four individuals.
1828Mr. Polyviou's injury was considerably less than $20,000 because
1838the other three employees were ineligible to elect out of
1848coverage in the first place.
185310. At all material times, David Wagner was self - employed
1864in landscape maintenance. On August 21, 2000, Mr. Wagner
1873visited Mr. Smith at Federal Insurance to purchase workers'
1882compensation insurance. Mr. Wagner completed an application for
1890workers' compensation insurance and delivered a Notice of
1898Election to be Exempt, which had already been filled out and
1909signed by Mr. Wagner. Respondent notarized the Notice of
1918Election to be Exempt.
192211. To process the Notice of Election to Be Exempt and
1933file them with the Division of Workers' Compensation, Federal
1942Insurance charged Mr. Wagner $75. The $75 fee consisted of a
1953$50 fee charged by the Division of Workers' Compensation to file
1964the notice and a $25 fee charged by Federal Insurance to file
1976the notice.
197812. However, Federal Insurance never filed the notice with
1987the Division of Workers' Compensation. Eventually, an audit
1995uncovered the absence of a filed notice, but the workers'
2005compensation insurer and Petitioner were able to give effect to
2015the notice, as of the date that it should have been filed, so
2028that Mr. Wagner was not subject to any fines, fees, or
2039penalties.
204013. Mr. Smith and other Federal Insurance employees
2048described the office procedures at the time of the Polyviou and
2059Wagner transactions. After completing the applications and
2066notices and collecting the customers' checks, Mr. Smith
2074typically placed the documents and checks in a basket where
2084employees not performing other tasks would process the notices
2093and payments, prepare checks for deposit, prepare money orders,
2102and mail completed p ackages to the Division of Workers'
2112Compensation. Because the Division of Workers' Compensation
2119required the payment of filing fees by money order, not
2129corporate check, Federal Insurance would not know if the
2138Division of Workers' Compensation had received a package.
214614. On August 28, 2000 -- one week after the Wagner
2157transaction -- Evelyn Grenyer visited Mr. Smith at Federal
2166Insurance to purchase renter's insurance. She informed Mr.
2174Smith that all correspondence had to be mailed to a post office
2186box, not her stre et address. Mr. Smith agreed to do so.
219815. Ms. Grenyer paid Federal Insurance a premium of
2207$242.17. Over the next several days, Mr. Smith called
2216Ms. Grenyer with questions about her residence, but he
2225consistently assured her that she had insurance.
223216. In May 2001, Ms. Grenyer's home was robbed of property
2243worth $2000. When she called Federal Insurance, she learned
2252that she had not been insured because they had been unable to
2264find her residence. Someone at Federal Insurance explained that
2273they had sent mail t o her residence, rather than, as instructed,
2285her post office box, and the mail had been returned.
229517. Mr. Smith testified that Federal Insurance submitted
2303the premium of $202.64 to the renter's insurance company. He
2313thought that the difference may have been a charge to inspect
2324the house. When the insurer required additional information,
2332Federal Insurance attempted to contact Ms. Grenyer through her
2341street address, rather than, as instructed, by her post office
2351box. When she did not respond, the insurer cance led coverage,
2362as of October 18, 2000, and refunded $149.53 of the premium to
2374Federal Insurance, by check dated November 14, 2000.
238218. Federal Insurance deposited the check to its account.
2391Only after Ms. Grenyer contacted Federal Insurance about the
2400loss did i t issue a check, in the same amount and dated May 10,
24152001, to Ms. Grenyer. Obviously, no one at Federal Insurance
2425visited the residence or tried calling Ms. Grenyer, whose phone
2435number had not changed for five years and was in the records of
2448Federal Insu rance.
245119. Ms. Grenyer never recovered any insurance proceeds for
2460the $2000 loss that she suffered.
246620. From 1995 - 1998, Federal Insurance employed Juan C.
2476Montoya as an insurance agent. On January 22, 1998, Federal
2486Insurance designated Mr. Montoya as the primar y agent of Federal
2497Insurance. In May 1998, Mr. Montoya's employment with Federal
2506Insurance terminated.
250821. Federal Insurance failed to designate a new primary
2517agent until July 9, 2001. For nearly three years, Federal
2527Insurance operated without a designated p rimary agent.
253522. A few months after selling the insurance business,
2544Respondent filed a notice with Petitioner, on September 25,
25532002, identifying JEMS Services, 4207 Lake Avenue, West Palm
2562Beach, as his new principal business address. When filing the
2572notice, Respondent knew that he did not intend to transact
2582insurance business at the JEMS Services address.
258923. In fact, Respondent used the JEMS Services address
2598without the consent of the insurance agent conducting insurance
2607business at that address. JEMS Services is an insurance agency
2617owned by Janet Travieso - Otero, a friend of Respondent and his
2629wife. Ms. Travieso - Otero never gave Respondent permission to
2639use her address as his principal business address. Respondent
2648has never been employed by JEMS Services, nor has he ever
2659transacted business from this address, which has never been the
2669principal business address of Respondent or any insurance
2677business that he has owned or operated.
268424. Respondent accused Msavieso - Otero of lying when
2693she testified that she had ne ver told Respondent that he could
2705use her business as his principal place of business. To the
2716contrary, Respondent is lying, and, even if he were not lying,
2727Respondent intentionally provided Petitioner an incorrect
2733business address.
273525. With Mr. Montoya and Ms. Travieso - Otero, Respondent
2745has used friends and business associates, without their
2753knowledge, to satisfy regulatory requirements. At all times
2761during which Mr. Montoya was designated as the primary agent,
2771including while he was employed by Federal In surance, Respondent
2781was the primary agent because Respondent, not Mr. Montoya, was
2791responsible for the supervision of the insurance agents and
2800their hiring and firing. The common thread in both situations
2810is that Respondent, not someone on his behalf, has intentionally
2820filed false information with Petitioner.
282526. Petitioner's expert witness, Wilford Ghioto, testified
2832about Respondent's obligations. Mr. Ghioto, who has
2839considerable relevant experience in the retail property - and -
2849casualty insurance business, d escribed the procedures that his
2858office followed when processing and filing Notices of Election
2867to be Exempt from workers' compensation insurance coverage. In
2876particular, the insurance agent, but not the supervising agent,
2885was responsible to ensure that t he completed package was mailed
2896to the proper location, and the supervising agent, if aware of
2907any problems with an insurance agent, opened all of the
2917insurance agent's mail to discover any problems. The
2925supervising agent also ensured that the office rout inely ran
2935account receivable reports to find any money due an insured.
2945CONCLUSIONS OF LAW
294827. The Division of Administrative Hearings has
2955jurisdiction over the subject matter. §§ 120.569 and 120.57(1),
2964Fla. Stats. (2004).
296728. Section 624.11(1) provides:
2971No per son shall transact insurance in this
2979state, or relative to a subject of insurance
2987resident, located, or to be performed in
2994this state, without complying with the
3000applicable provisions of this code.
300529. Section 626.611, Florida Statutes, provides in
3012relevant part:
3014The department or office shall deny an
3021application for, suspend, revoke, or refuse
3027to renew or continue the license or
3034appointment of any applicant, agent, title
3040agency, adjuster, customer representative,
3044service representative, or managing general
3049agent, and it shall suspend or revoke the
3057eligibility to hold a license or appointment
3064of any such person, if it finds that as to
3074the applicant, licensee, or appointee any one
3081or more of the following applicable grounds
3088exist:
3089(4) If the license or appo intment is
3097willfully used, or to be used, to circumvent
3105any of the requirements or prohibitions of
3112this code.
3114(5) Willful misrepresentation of any
3119insurance policy or annuity contract or
3125willful deception with regard to any such
3132policy or contract, done either in person or
3140by any form of dissemination of information
3147or advertising.
3149(7) Demonstrated lack of fitness or
3155trustworthiness to engage in the business of
3162insurance.
3163(8) Demonstrated lack of reasonably adequate
3169knowledge and technical competen ce to engage
3176in the transactions authorized by the license
3183or appointment.
3185(9) Fraudulent or dishonest practices in the
3192conduct of business under the license or
3199appointment.
3200(10) Misappropriation, conversion, or
3204unlawful withholding of moneys belongi ng to
3211insurers or insureds or beneficiaries or to
3218others and received in conduct of business
3225under the license or appointment.
3230(13) Willful failure to comply with, or
3237willful violation of, any proper order or
3244rule of the department, commission, or offic e
3252or willful violation of any provision of this
3260code.
326130. Section 626.621, Florida Statutes, provides in
3268relevant part:
3270The department or office may, in its
3277discretion, deny an application for, suspend,
3283revoke, or refuse to renew or continue the
3291license or a ppointment of any applicant,
3298agent, adjuster, customer representative,
3302service representative, or managing general
3307agent, and it may suspend or revoke the
3315eligibility to hold a license or appointment
3322of any such person, if it finds that as to
3332the applicant , licensee, or appointee any one
3339or more of the following applicable grounds
3346exist under circumstances for which such
3352denial, suspension, revocation, or refusal is
3358not mandatory under s. 626.611:
3363(2) Violation of any provision of this code
3371or of any oth er law applicable to the
3380business of insurance in the course of
3387dealing under the license or appointment.
3393(3) Violation of any lawful order or rule of
3402the department, commission, or office.
340731. Section 626.551, Florida Statutes, provides:
3413Every licensee shall notify the department
3419or office in writing within 60 days after a
3428change of name, residence address, principal
3434business street address, or mailing address.
3440Any licensed agent who has moved his or her
3449residence from this state shall have his or
3457her l icense and all appointments immediately
3464terminated by the department or office.
3470Failure to notify the department or office
3477within the required time period shall result
3484in a fine not to exceed $250 for the first
3494offense and, for subsequent offenses, a fine
3501of not less than $500 or suspension or
3509revocation of the license pursuant to
3515s. 626.611 or s. 626.621.
352032. Section 626.592, Florida Statutes, provides in
3527relevant part:
3529(1) Each person operating an insurance
3535agency and each location of a multiple
3542location a gency shall designate a primary
3549agent for each insurance agency location and
3556shall file the name of the person so
3564designated, and the address of the insurance
3571agency location where he or she is primary
3579agent, with the department, on a form
3586approved by the department. The designation
3592of the primary agent may be changed at the
3601option of the agency, and any change shall be
3610effective upon notification to the
3615department. Notice of change must be sent to
3623the department within 30 days after such
3630change.
3631(2) F or the purpose of this section, a
"3640primary agent" is the licensed agent who is
3648responsible for the hiring and supervision of
3655all individuals within an insurance agency
3661location whether such individuals deal with
3667the public in the solicitation or negotiatio n
3675of insurance contracts or in the collection
3682or accounting of moneys from the general
3689public. An agent may be designated as
3696primary agent for only one insurance agency
3703location.
370433. Section 626.734 provides:
3708Any general lines insurance agent who is an
3716offi cer, director, or stockholder of an
3723incorporated general lines insurance agency
3728shall remain personally and fully liable and
3735accountable for any wrongful acts,
3740misconduct, or violations of any provisions
3746of this code committed by such licensee or
3754by any pe rson under his or her direct
3763supervision and control while acting on
3769behalf of the corporation. Nothing in this
3776section shall be construed to render any
3783person criminally liable or subject to any
3790disciplinary proceedings for any act unless
3796such person per sonally committed or knew or
3804should have known of such act and of the
3813facts constituting a violation of this
3819chapter.
382034. Petitioner must prove the material allegations by
3828clear and convincing evidence. Department of Banking and
3836Finance v. Osborne Stern an d Company, Inc. , 670 So. 2d 932 (Fla.
38491996) and Ferris v. Turlington , 510 So. 2d 292 (Fla. 1987).
386035. In Ganter v. Department of Insurance , 620 So. 2d 202
3871(Fla. 1st DCA 1993), the court affirmed a final order of the
3883Florida Department of Insurance suspending f or six months the
3893license of an insurance agent. As is true in the present case,
3905the court determined that the applicable statute required proof
3914that the agent knew or reasonably should have known of the
3925misconduct of his employee, an unlicensed salespers on.
393336. In Ganter , the agent was the president and director of
3944the company and the immediate supervisor of the salesperson, who
3954had misrepresented the coverage of policies to four customers,
3963so that they had unknowingly purchased auto service contracts.
3972How ever, the agent worked at a distant office four days a week,
3985during which time the agent left the salesperson in charge of
3996the office. The hearing officer noted that, as argued by
4006Petitioner, "a simple review of business written and a follow - up
4018of client files by [the agent] would have disclosed [the
4028salesperson's] improprieties . . .. There is no indication that
4038at any time during the period in issue, did [the agent] make
4050even the slightest effort to properly oversee his employees."
4059620 So. 2d at 204.
406437. F ocusing on the lack of supervision and the practice
4075of allowing an unlicensed employee to use the agent's general
4085lines insurance license, the majority and concurring opinions
4093concluded that the agent knew or reasonably should have known of
4104the wrongful ac ts of the unlicensed salesperson. The majority
4114and dissenting opinions pointed out the lack of evidence of the
4125appropriate minimum standards of conduct, which are typically
4133necessary, in the form of testimony from an expert witness or a
4145rule, to establish the basis of what the agent should reasonably
4156have known. The absence of such evidence in Ganter was
4166excusable because the agent had left an unlicensed employee to
4176operate an insurance office four days a week.
418438. The dissenting opinion raised another import ant point.
4193The majority and concurring opinions had agreed that the
4202Department of Insurance was required to prove that the agent
4212knew or reasonably should have known of the violations, thus
4222rejecting the Department's theory of strict liability. Agreeing
4230with the rejection of strict liability, the dissenting opinion
4239noted that the majority and concurring opinions actually
4247embraced the Department's strict liability theory by failing to
4256require allegations as to how the agent, not the salesperson,
4266had violat ed the Insurance Code or how the agent reasonably
4277should have known of the salesperson's wrongful acts.
428539. Under all of the opinions in Ganter , Petitioner has
4295adequately pleaded Counts I, II, and IV of the Second Amended
4306Administrative Complaint by predica ting Respondent's liability
4313on two grounds. First, the Second Amended Administrative
4321Complaint alleges that the acts or omissions of Mr. Smith or
4332Federal Insurance violated various provisions of the Insurance
4340Code, and Respondent knew or reasonably should have known of
4350these violations. Second, the Second Amended Administrative
4357Complaint alleges that Respondent has demonstrated a lack of
4366reasonably adequate knowledge and technical competence to engage
4374in the transactions authorized by the license or appoi ntment, in
4385violation of Section 626.611(8), Florida Statutes. These
4392allegations describe Respondent's personal acts or omissions,
4399not the acts or omissions of Mr. Smith or other Federal
4410Insurance employees.
441240. On the other hand, the expert evidence offered b y
4423Petitioner failed to prove that Respondent reasonably should
4431have known of the violations or was himself unknowledgeable or
4441incompetent. In effect, the expert witness testified that
4449Respondent was not required to check all of Mr. Smith's work
4460before it went out, or that Respondent, absent any indication of
4471trouble with Mr. Smith's work, had to open all of Mr. Smith's
4483business mail. The record does not establish that Mr. Smith was
4494incompetent, or, if he were, that Respondent was aware that
4504Mr. Smith was incompetent. The expert witness's testimony about
4513checking accounts receivable does not identify the problem in
4522the Grenyer transaction where Federal Insurance thought itself
4530unable to contact Ms. Grenyer, even if it knew that it owed her
4543money.
454441. In sum, the expert testimony did not establish by
4554clear and convincing evidence exactly what Respondent reasonably
4562should have done to prevent the mistakes that occurred in the
4573Polyviou, Wagner, and Grenyer transactions. Although the
4580proximity of the mishandling of the Wagner and Grenyer
4589transactions is suspicious, the record fails to demonstrate that
4598Respondent has negligently discharged his responsibilities as to
4606these three transactions or that he has engaged in any practices
4617as obviously negligent or even as reckless as those of the
4628Ganter agent who left his office, and license, in the hands of
4640an unlicensed salesperson four days a week. Thus, Petitioner
4649has failed to prove Counts I, II, and IV.
465842. Counts V, VI, and VII of the Second Amended
4668Administrative Compl aint raise different issues as to
4676Respondent's personal liability. Rather than isolating on
4683several mistakes that require careful analysis in the context of
4693a busy retail insurance agency, the allegations of Counts V, VI,
4704and VII address simple acts requi red of a licensee to assure
4716adequate administration of his license by Petitioner.
472343. Count V alleges that Respondent had the duty to inform
4734Petitioner of changes in his principal business address and that
4744Respondent failed to perform this duty. Respondent ne ver
4753conducted insurance business at the JEMS Services address. He
4762conducted insurance business at the South Military Trail address
4771from June to December, 2003, while his last filing with
4781Petitioner showed the JEMS Services address. In his proposed
4790recomm ended order, Respondent concedes, as he must, that he
4800personally failed to perform this duty.
480644. Count VI alleges that Respondent filed a change - of -
4818address form to change his business address to the JEMS Services
4829address, even though he never used this addr ess and filed it
4841without the knowledge of the person using this address. In his
4852proposed recommended order and at the hearing, Respondent
4860contended that he had the consent of Msavieso - Otero,
4870effectively conceding that he had not delegated the duty of
4880arranging his use of this address and notifying Petitioner. The
4890record amply demonstrates that Respondent personally undertook
4897responsibility for notifying Petitioner of this purported change
4905of address, Respondent personally and intentionally filed an
4913in correct address with Petitioner.
491845. Count VII alleges that Federal Insurance designated
4926Mr. Montoya as the primary agent and failed to file a new
4938notice, designating a new primary agent, for three years after
4948Mr. Montoya left the employment of Federal Insuran ce. Section
4958626.592(1), Florida Statutes, requires the "person operating an
4966insurance agency" to designate a primary agent. Respondent
4974personally failed to perform this duty from early 1998, when
4984Mr. Montoya left Federal Insurance, through July 2001.
499246. Flo rida Administrative Code Rule 69B - 231.040(1)(a)
5001provides:
5002The Department is authorized to find that
5009multiple grounds exist under Sections
5014626.611 and 626.621, F.S., for disciplinary
5020action against the licensee based upon a
5027single count in an administrative complaint
5033based upon a single act of misconduct by a
5042licensee. However, for the purpose of this
5049rule chapter, only the violation specifying
5055the highest stated penalty will be
5061considered for that count. The highest
5067stated penalty thus established for eac h
5074count is referred to as the penalty per
5082count.
508347. Florida Administrative Code Rule 69B - 231.080(13)
5091provides for a suspension of six months for a violation of
5102Section 626.611(13), Florida Statutes.
510648. Petitioner has proved that Respondent has personally
5114twic e violated Section 626.551, Florida Statutes. The first
5123violation was when Respondent informed Petitioner of the JEMS
5132Services address, even though he was not conducting business
5141from that address. The second violation was when, several
5150months later, Res pondent began conducting business at South
5159Military Trail and failed to update his address in the first 60
5171days. Petitioner has proved that Respondent has personally
5179violated Section 626.592(1), Florida Statutes, by failing to
5187designate a primary agent. Petitioner has proved that the
5196violations were willful, not accidental, so Petitioner has
5204proved violations of Section 626.611(13), Florida Statutes.
521149. For the address violations, Section 626.551, Florida
5219Statutes, provides for a fine of not more than $250 f or the
5232first offense and, for a second offense, a fine of at least
5244$500, suspension, or revocation. For the designated primary
5252agent violation, Florida Administrative Code Rule
525869B - 231.080(13) provides for a suspension of six months.
526850. In its proposed recom mended order, Petitioner has
5277proposed to fine Respondent $250 for the first address violation
5287and $1000 for the second address violation. These are
5296appropriate penalties. Petitioner also proposed a 24 - month
5305suspension, two years' probation, and continuin g education, but
5314these are for the designated primary agent violation, which
5323Petitioner has proved, and the other counts, which Petitioner
5332has not proved.
5335The designated primary agent violation should result in a six -
5346month suspension, as suggested by the r ule.
5354RECOMMENDATION
5355It is
5357RECOMMENDED that the Department of Financial Services enter
5365a final order dismissing Counts I - IV, finding Respondent guilty
5376of Counts V - VII, imposing an administrative fine of $1250, and
5388suspending Respondent's license for six m onths.
5395DONE AND ENTERED this 20th day of July, 2004, in
5405Tallahassee, Leon County, Florida.
5409___________________________________
5410ROBERT E. MEALE
5413Administrative Law Judge
5416Division of Administrative Hearings
5420The DeSoto Building
54231230 Apalachee Parkway
5426Tallahassee, Florida 32399 - 3060
5431(8 50) 488 - 9675 SUNCOM 278 - 9675
5440Fax Filing (850) 921 - 6847
5446www.doah.state.fl.us
5447Filed with the Clerk of the
5453Division of Administrative Hearings
5457this 20th day of July, 2004.
5463COPIES FURNISHED:
5465Gregg S. Marr
5468David J. Busch
5471Division of Legal Services
5475Department of Financial Services
5479612 Larson Building
5482200 East Gaines Street
5486Tallahassee, Florida 32399 - 0333
5491Orrin R. Beilly
5494La w Office of Orrin R. Beilly
5501Citizens Building, Suite 705
5505105 South Narcissus Avenue
5509West Palm Beach, Florida 33401
5514Honorable Tom Gallagher
5517Chief Financial Officer
5520Department of Financial Services
5524The Capital, Plaza Level 11
5529Tallahassee, Florida 32399 - 03 00
5535Pete Dunbar, General Counsel
5539Department of Financial Services
5543The Capital, Plaza Level 11
5548Tallahassee, Florida 32399 - 0300
5553NOTICE OF RIGHT TO SUBMIT EXCEPTIONS
5559All parties have the right to submit written exceptions within
556915 days from the date of this recommended order. Any exceptions
5580to this recommended order must be filed with the agency that
5591will issue the final order in this case.
- Date
- Proceedings
- PDF:
- Date: 07/20/2004
- Proceedings: Recommended Order (hearing held March 31 and April 1, 2004). CASE CLOSED.
- PDF:
- Date: 05/27/2004
- Proceedings: Order Granting Motion for Extension of Time to File Proposed Recommended Orders.
- PDF:
- Date: 05/25/2004
- Proceedings: Petitioner`s Unopposed Motion to Extend Time to file Proposed Recommended Order (filed via facsimile).
- Date: 05/03/2004
- Proceedings: Transcript (Volume II) filed.
- Date: 04/22/2004
- Proceedings: Transcript filed.
- Date: 03/31/2004
- Proceedings: CASE STATUS: Hearing Held.
- PDF:
- Date: 03/22/2004
- Proceedings: Subpoena ad Testificandum (4), (J. Montoya, N. Polyviou, M. Smith, and E. Grenyer) filed.
- PDF:
- Date: 03/19/2004
- Proceedings: Petitioner`s Notice of Method of Recording Testimony at Final Hearing filed.
- PDF:
- Date: 03/16/2004
- Proceedings: Amended Notice of Hearing (hearing set for March 31 and April 1, 2004; 9:30 a.m.; West Palm Beach, FL; amended as to days of hearing).
- PDF:
- Date: 03/16/2004
- Proceedings: Order Granting Motion to Expand Time for Final Hearing (hearing now includes April 1, 2004).
- PDF:
- Date: 02/24/2004
- Proceedings: Petitioner`s Response to Respondent`s Second Request for Production filed.
- PDF:
- Date: 02/17/2004
- Proceedings: Notice of Taking Depositions (C. York, N. Polyviou, D. Wagner, and C. McGuire) filed.
- PDF:
- Date: 02/13/2004
- Proceedings: Motion to Amend Amended Administrative Complaint filed by Petitioner.
- PDF:
- Date: 02/10/2004
- Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for March 31, 2004; 9:30 a.m.; West Palm Beach, FL).
- PDF:
- Date: 01/07/2004
- Proceedings: Petitioner`s Response to Respondent`s First Request for Production filed.
- PDF:
- Date: 01/07/2004
- Proceedings: Request to Produce to Department of Insurance filed by Respondent.
- PDF:
- Date: 01/07/2004
- Proceedings: Notice of Hearing (hearing set for February 25, 2004; 9:30 a.m.; West Palm Beach, FL).
Case Information
- Judge:
- ROBERT E. MEALE
- Date Filed:
- 12/24/2003
- Date Assignment:
- 03/25/2004
- Last Docket Entry:
- 09/10/2004
- Location:
- West Palm Beach, Florida
- District:
- Southern
- Agency:
- ADOPTED IN TOTO
- Suffix:
- PL
Counsels
-
Orrin R. Beilly, Esquire
Address of Record -
Greg S. Marr, Esquire
Address of Record