03-004850PL Department Of Financial Services vs. Howard Irvin Vogel
 Status: Closed
Recommended Order on Tuesday, July 20, 2004.


View Dockets  
Summary: Recommended Respondent pay a $1,250 fine for two address violations and receive a six-month suspension for failure to designate a primary insurance agent.

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.

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Date
Proceedings
PDF:
Date: 09/10/2004
Proceedings: Final Order filed.
PDF:
Date: 09/09/2004
Proceedings: Agency Final Order
PDF:
Date: 07/20/2004
Proceedings: Recommended Order
PDF:
Date: 07/20/2004
Proceedings: Recommended Order (hearing held March 31 and April 1, 2004). CASE CLOSED.
PDF:
Date: 06/14/2004
Proceedings: Petitioner`s Proposed Recommended Order filed.
PDF:
Date: 06/14/2004
Proceedings: Respondent`s Recommended Order (filed via facsimile).
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: 03/29/2004
Proceedings: Subpoena ad Testificandum (C. York) filed.
PDF:
Date: 03/29/2004
Proceedings: Original Return of Service filed.
PDF:
Date: 03/29/2004
Proceedings: Respondent`s Pre-hearing Statement (filed via facsimile).
PDF:
Date: 03/29/2004
Proceedings: Notice of Taking Deposition (J. Travesio) filed via facsimile.
PDF:
Date: 03/22/2004
Proceedings: Subpoena ad Testificandum (4), (J. Montoya, N. Polyviou, M. Smith, and E. Grenyer) filed.
PDF:
Date: 03/22/2004
Proceedings: Original Return of Service (4) filed.
PDF:
Date: 03/19/2004
Proceedings: Petitioner`s Pre-hearing Statement filed.
PDF:
Date: 03/19/2004
Proceedings: Petitioner`s Notice of Method of Recording Testimony at Final Hearing filed.
PDF:
Date: 03/19/2004
Proceedings: Petitioner`s Notice of Providing Exhibits to Respondent filed.
PDF:
Date: 03/18/2004
Proceedings: Subpoena ad Testificandum (W. Ghioto) filed via facsimile.
PDF:
Date: 03/18/2004
Proceedings: Subpoena ad Testificandum (R. McKay) filed.
PDF:
Date: 03/18/2004
Proceedings: Original Return of Service filed.
PDF:
Date: 03/18/2004
Proceedings: Subpoena ad Testificandum (J. Otero) filed.
PDF:
Date: 03/18/2004
Proceedings: Return of Service 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: 03/15/2004
Proceedings: Motion to Expand Time for Final Hearing filed by Petitioner.
PDF:
Date: 03/15/2004
Proceedings: Answer to Second Amended Administrative Complaint filed.
PDF:
Date: 03/02/2004
Proceedings: Order Granting Motion to Amend.
PDF:
Date: 02/24/2004
Proceedings: Petitioner`s Response to Respondent`s Second Request for Production filed.
PDF:
Date: 02/23/2004
Proceedings: Respondent`s Second Request to Produce filed.
PDF:
Date: 02/23/2004
Proceedings: Request to Produce at Deposition filed by Respondent.
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: 02/09/2004
Proceedings: Order Granting Motion to Amend Administrative Complaint.
PDF:
Date: 02/06/2004
Proceedings: Motion to Continue filed by Respondent.
PDF:
Date: 01/30/2004
Proceedings: Notice of Taking Deposition (2), (N. Maffeo and A. Vogel) filed.
PDF:
Date: 01/30/2004
Proceedings: Motion to Amend Administrative Complaint filed by Petitioner.
PDF:
Date: 01/26/2004
Proceedings: Notice of Appearance (filed by D. Busch, Esquire).
PDF:
Date: 01/14/2004
Proceedings: Notice of Taking Deposition Duces Tecum (H. Vogel) filed.
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: Order of Pre-hearing Instructions.
PDF:
Date: 01/07/2004
Proceedings: Notice of Hearing (hearing set for February 25, 2004; 9:30 a.m.; West Palm Beach, FL).
PDF:
Date: 12/31/2003
Proceedings: Joint Response to Initial Order filed.
PDF:
Date: 12/24/2003
Proceedings: Administrative Complaint filed.
PDF:
Date: 12/24/2003
Proceedings: Answer to Administrative Complaint and Request for Formal Hearing filed.
PDF:
Date: 12/24/2003
Proceedings: Agency referral filed.
PDF:
Date: 12/24/2003
Proceedings: Initial Order.

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

Related Florida Statute(s) (7):