07-001808PL
Department Of Financial Services vs.
Laura J. King
Status: Closed
Recommended Order on Friday, February 8, 2008.
Recommended Order on Friday, February 8, 2008.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8DEPARTMENT OF FINANCIAL )
12SERVICES , )
14)
15Petitioner , )
17)
18vs. ) Case No. 07 - 1808PL
25)
26LAURA J. KING , )
30)
31Respondent . )
34)
35RECOMMENDED ORDER
37Pursuant to notice, this cause was heard by Lawrence P.
47Stevenson, a duly - designated Administrative Law Judge of the
57Division of Administrative Hearings, on August 14 and August 21,
672007, in New Port Richey, Florida.
73APPEARANCES
74For Petitioner: Greg S. Marr, Esqu ire
81Thomas A. David, Esquire
85Department of Financial Services
89Division of Legal Services
93200 East Gaines Street
97Tallahassee, Florida 32399 - 0333
102For Respondent: L. Micha el Billmeier, Jr., Esquire
110Galloway, Brennan & Billmeier
114240 East Fifth Avenue
118Tallahassee, Florida 32303
121Michael Rothschild, Esquire
124Law Offices of Larry S. Davis, P.A.
1311926 Harrison Street
134Hollywood, Florida 33020
137STATEMENT OF THE ISSUE
141The issue presented is whether Respondent is guilty of the
151allegations contained in the Administrative Complaint, and, if
159so, what disciplinary acti on should be imposed.
167PRELIMINARY STATEMENT
169On March 28, 2007, Petitioner, the Department of Financial
178Services (the "Department") issued a 14 - C ount Administrative
189Complaint against Respondent, Laura J. King, alleging that she
198had violated several provisi ons of the Florida Insurance Code 1 by
210selling ancillary products to her automobile insurance customers
218without the customers' informed consent, a practice referred to
227as "sliding," by selling a surplus lines insurance product
236without making a diligent effo rt to place the coverage with an
248insurer authorized to transact that type of insurance in this
258state, and by failing to notify the Department of a change of
270address as required by law. Respondent denied the allegations
279and requested a formal hearing. On April 20, 2007, the matter
290was referred to the Division of Administrative Hearings ("DOAH")
301for the assignment of an Administrative Law Judge and the
311conduct of a formal hearing. The matter was continued twice
321before commencing on August 14, 2007, and con cluding on
331August 21, 2007. By stipulation of the parties, the record was
342left open to provide the parties the opportunity to take the
353deposition of a witness who was unavailable for the hearing. On
364September 7, 2007, counsel for Petitioner filed a L ett er
375notifying this tribunal that the parties had agreed that the
385testimony of the witness was no longer required. By O rder ,
396dated September 11, 2007, the record in this proceeding was
406closed.
407On August 6, 2007, the parties filed a Pre - Hearing
418Stipulation i n which the Department dismissed Counts XI, XII,
428XIII, and XIV of the Administrative Complaint, which were the
438counts relating to the "diligent effort" requirement associated
446with placing surplus lines coverage. As to the remaining
455allegations, the Pre - He aring Stipulation contained the following
465Statement of Facts Admitted:
4691. Respondent is licensed by Petitioner as
476a life including variable annuity and
482health, life and health, and a general lines
490insurance agent, and has been issued license
497number A04696 2.
5002. Respondent was so licensed at all times
508relevant to the dates and occurrences
514referenced in the Administrative Complaint.
5193. The Department has jurisdiction over
525Respondent's insur ance licenses and
530appointments.
5314. At all times relevant to the dates and
540occurrences referenced in the Administrative
545Complaint, Respondent was employed or
550affiliated with Direct General Insurance
555Agency, Inc., a Tennessee corporation, doing
561business in Florida as Cash Register
567Insurance.
5685. On or about October 7, 2 005, Respondent
577sold James Gatlin a private passenger
583automobile insurance policy as evidenced by
589Joint Exhibit 2.
5926. On or about October 7, 2005, Respondent
600sold James Gatlin a travel protection plan
607as evidenced by Joint Exhibit 2.
6137. On or about Oct ober 7, 2005, Respondent
622sold James Gatlin an accident medical
628protection plan as evidenced by Joint
634Exhibit 2.
6368. On or about October 7, 2005, Respondent
644sold James Gatlin a term life insurance
651policy as evidenced by Joint Exhibit 2.
6589. On or about Au gust 17, 2006, Respondent
667sold Gabriella Jungling a private passenger
673automobile insurance policy as evidenced by
679Joint Exhibit 3.
68210. On or about August 17, 2006, Respondent
690sold Gabriella Jungling a vehicle protection
696plan as evidenced by Joint Exhibit 3.
70311. On or about August 17, 2006, Respondent
711sold Gabriella Jungling a term life
717insurance policy as evidenced by Joint
723Exhibit 3.
72512. On or about August 19, 2006, Respondent
733sold Bruce Hansen a private passenger
739automobile insurance policy as evide nced by
746Joint Exhibit 4.
74913. On or about August 19, 2006, Respondent
757sold Bruce Hansen a vehicle protection plan
764as evidenced by Joint Exhibit 4.
77014. On or about August 19, 2006, Respondent
778sold Bruce Hansen a term life insurance
785policy as evidenced by Joint Exhibit 4.
79215. On or about July 20, 2006, Respondent
800sold Sidney Dossantos a private passenger
806automobile insurance policy as evidenced by
812Joint Exhibit 5.
81516. On or about July 20, 2006, Respondent
823sold Sidney Dossantos a vehicle protection
829plan as evidenced by Joint Exhibit 5.
83617. On or about July 20, 2006, Respondent
844sold Sidney Dossantos a term life insurance
851policy as evidenced by Joint Exhibit 5.
85818. On or about August 9, 2006, Respondent
866changed her principal business street
871address fro m 6318 U.S. Highway 19, North,
879New Port Richey, [ 2 ] Florida, to 5116 U.S.
889Highway 19, North, New Port Richey, Florida,
896but did not, until on or about March 3,
9052007, notify Petitioner of this change in
912principal business street address.
91619. During the peri od covered by the
924Administrative Complaint, Respondent earned
928approximately thirty - four percent (34%) of
935her total compensation from Direct General
941Insurance Agency, Inc., from commissions on
947the sale of the accident medical protection
954plan, the travel pro tection plan, the
961vehicle protection plan, and the term life
968policy.
969During its case - in - chief at the final hearing, the
981Department presented the testimony of Carol Lee Burinskas, Susan
990Jordan, James Gatlin, Sidney Dossantos, Bruce Hansen, and
998Gabriella Jo hnson, nee Jungling. The Department also presented
1007the rebuttal testimony of Susan Jordan, Tracie Drake, Iraida
1016Holland, Miranda Clay, and Joan Levandowski. Respondent
1023testified on her own behalf and presented the live testimony of
1034Tim Arnold and the dep osition testimony of David Lane .
1045Joint Exhibits 1 through 7 and 12 were admitted by
1055stipulation of the parties. The Department's Exhibits 8, 9, and
106510 were also admitted into evidence. Respondent objected to the
1075introduction of Department Exhibits 8 and 9, and did not object
1086to Department Exhibit 10.
1090The four - volume T ranscript was filed at DOAH on
1101September 12, 2007. On September 13, 2007, the parties filed a
1112joint motion to extend the time for filing proposed recommended
1122orders until October 15, 2007. This motion was granted by an
1133O rder dated September 13, 2007. On October 10, 2007, the
1144parties filed a second joint motion seeking an extension of the
1155time for filing proposed recommended orde rs until October 22,
11652007. By O rder dated October 11, 2007, t he motion was granted.
1178The parties timely filed their P roposed R ecommended O rders in
1190compliance with the O rder of October 11, 2007.
1199FINDINGS OF FACT
1202Based on the evidence adduced at hearing, and the record as
1213a whole, the following findings of fact are ma de to supplement
1225and clarify the extensive factual stipulations set forth in the
1235parties' Statement of Facts Admitted 3 :
12421. Respondent works as the manager of a Cash Register
1252Insurance ("Cash Register") office in New Port Richey. Cash
1263Register is owned by Direct General Insurance Agency, Inc.
1272("Direct General").
12762. Respondent sells automobile insurance to individual
1283customers. During the relevant period, Respondent also sold
1291four ancillary products: a vehicle protection plan, an accident
1300medical protect ion plan, a travel protection plan, and a term
1311life insurance policy. 4 Respondent is paid a salary, and
1321receives no commission on the sale of automobile insurance.
1330Respondent does receive a ten percent commission on the sale of
1341ancillary products. Respo ndent received 34 percent of her
1350overall income from the sale of ancillary products during the
1360relevant time period.
13633. Respondent deals with at least 50 customers per day,
1373six days per week. She sells between seven and ten automobile
1384insurance policies per day, on average.
13904. Given her customer volume, Respondent cannot remember
1398each customer to whom she has sold insurance. Respondent
1407frankly testified that she had no specific recollection of
1416selling the policies to the individuals named in th e Stateme nt
1428of Facts Admitted.
14315. However, Respondent also testified that she sells
1439insurance according to a script, and that in light of this
1450unvarying practice she could state with confidence whether she
1459had or had not engaged in the specific sales techniques al leged
1471by the Department and its witnesses.
14776. Respondent testified at length as to her sales routine.
1487When talking to potential customers on the telephone, Respondent
1496must follow the script provided by Direct General. Respondent
1505testified that agents a re not required to follow the script when
1517customers come in to the office, but that she generally adheres
1528to the format provided by her employer. All of the sales at
1540issue in this proceeding were generated via in - person sales at
1552Respondent's Cash Register office.
15567. Respondent first obtains basic information from the
1564customer: name, address, date of birth, Social Security number,
1573whether there are persons over age 14 in the household and
1584whether those persons will drive the insured vehicle. She then
1594ask s the type of vehicle and the type of coverage the customer
1607wants to purchase.
16108. Respondent enters the information into her computer,
1618which generates a price quote. If the customer wants only basic
1629personal injury protection ("PIP") and property damage coverage,
1639Respondent informs the customer that the quoted price includes
1648PIP with an optional deductible of $1,000, a coverage limit of
1660$10,000, and property damage coverage of $10,000.
16699. The price quote includes a down payment and monthly
1679payments. The quoted amounts vary depending on whether the
1688customer chooses to make 10 or 12 payments. During her
1698presentation, Respondent mentions that the price quoted for the
1707monthly payments includes the ancillary products.
171310. Once the customer has agreed to t he price quote,
1724Respondent makes a computer inquiry to obtain the customer's
1733driving record. While waiting on these records, Respondent goes
1742over a "pen sale" document with the customer. The pen sale
1753document is a handwritten sheet that Respondent draws up in the
1764presence of the cus tomer to explain the policies.
177311. Respondent's pen sale sheets for Mr. Gatlin,
1781Ms. Johnson, Mr. Hansen, and Mr. Dossantos (hereinafter referred
1790to collectively as the "Complaining Customers") were admitted
1799into evidence. At the top of the page, under the heading
"1810Mandatory," Respondent outlined the PIP and property damage
1818coverages, with the customer's options regarding deductibles.
1825Lower on the page, under the heading "Optional," Respondent
1834outlined the details of the anci llary coverag es included in the
1846price quote.
184812. Respondent testified that she sits with the customer
1857and uses the pen sale sheet to explain the mandatory coverages
1868in detail. She explains that Florida law requires that she
1878offer bodily injury liability coverage , but that the customer
1887has the option to reject it, and she indicates the customer's
1898decision on the pen sale sheet. She explains the ancillary
1908policies, and indicates on the pen sale sheet which of these
1919policies the customer accepts and which o nes the customer
1929rejects. The customer is asked to sign the bottom of the sale
1941sheet.
194213. When shown the pen sale sheet for each Complaining
1952Customer, Respondent was able to state with confidence which
1961ancillary policies each of them has accepted or reje cted. None
1972of the Complaining Customers denied having been shown the pen
1982sale sheet, though none of them appeared to grasp its
1992significance. Each of the Complaining Customers conceded that
2000the signature at the bottom of his or her respective pen sale
2012she et was genuine.
201614. After Respondent obtains the customer's signature on
2024the pen sale sheet, and has received the customer's driving
2034records, she prints out the policy paperwork and goes over it
2045with the customers.
204815. The earliest of the Complaining Cus tomers was James
2058Gatlin (Counts I, II, and III of the Administrative Complaint),
2068who purchased insurance from Respondent on October 7, 2005. 5
2078Mr. Gatlin's signed pen sale sheet indicated that he accepted
2088the accident medical protection plan, the travel p rotection
2097plan, and the term life policy. It also indicated that he
2108rejected optional uninsured motorist, medical payment,
2114accidental death, and comprehensive and collision policies
2121offered by Respondent. Mr. Gatlin's policy paperwork was
2129admitted into evidence.
213216. After explaining the automobile policy, Respondent
2139explained the ancillary products that Mr. Gatlin had initially
2148accepted on the pen sale sheet. 6 Respondent first showed
2158Mr. Gatlin a spreadsheet titled, "Explanation of Policies,
2166Coverage s and Cost Breakdown (Including Non - Insurance
2175Products)." Under the subheading "Auto Policy Coverages," the
2183spreadsheet set forth the amount and type of coverage for each
2194of the two cars fo r which Mr. Gatlin was buying insurance, as
2207well as a premium esti mate for each vehicle. Under the
2218subheading "Optional Policies," the spreadsheet set forth the
2226following: "American Bankers Travel Protection Plan," "Lloyds
2233Accident Medical Protection Plan," and "Life Insurance." A
2241monthly premium amount was set forth next to each of the three
2253optional coverages.
225517. The subheading "Optional Policies," the list of the
2264optional policies, the premium amounts for each optional policy,
2273and the total estimated cost of all products are separately
2283circled by hand on the sprea dsheet. Respondent testified that
2293it is her practice to circle these items as she explains them to
2306the customer. Mr. Gatlin's initials appear above the list of
2316optional policies.
231818. Below the grids of the spreadsheet is the following
2328text (emphasis ad ded):
2332I, the undersigned, acknowledge that:
2337The above premiums are estimates and that
2344the actual premium charged to me will be
2352determined by the Insurance Company issuing
2358the policy. Further, I am responsible for
2365the amount of the premium charged at the
2373time the policy is issued.
2378I agree that if my down payment or full
2387payment check is returned by the bank for
2395any reason, coverage will be null and void
2403from the date of inception.
2408I acknowledge that I have been advised of
2416and understand the above coverag e(s), and
2423cost breakdowns, including non - insurance
2429products, if any, and further [sic] that I
2437have received a complete copy of this
2444product.
2445This document is only an explanation of
2452insurance coverage and other products, if
2458applicable it is not a contract. The
2466policy, if issued, will contain the terms
2473and conditions of coverage. The level of
2480coverage illustrated above is based on
2486preliminary information which I have
2491supplied. My eligibility for coverage is
2497subject to the acceptance of my application
2504in a ccordance with the Insurance Company's
2511underwriting requirements.
2513__________________ ___________
2515Customer Signature Date
251819. The signature line was signed by "James D. Gatlin" and
2529dated October 7, 2005. At the hearing, Mr. Gatli n conceded the
2541authenticity of his initials and signature on the spreadsheet.
255020. Respondent next explained the details of the accident
2559medical protection plan to Mr. Gatlin. She explained the
2568coverage options (individual, husband and wife, or family), and
2577the annual premium for each. On the application, Respondent
2586circled the "Individual Coverage Only" option. Mr. Gatlin
2594placed his initials in the space provided to indicate his choice
2605of coverage, and signed the application on the line provided.
261521. A second page, titled "Accident Medical Protection
2623Plan," detailed the coverage provided and the method of filing a
2634claim under the policy. The following text is provided at the
2645bottom of the page (emphasis added):
2651THE ACCIDENT MEDICAL PLAN IS A LIMITED
2658P OLICY. READ IT CAREFULLY.
2663I, the undersigned, understand and
2668acknowledge that:
2670The Accident Medical Plan does not provide
2677Liability Coverage insurance for bodily
2682injury or property damage, nor does it meet
2690any financial responsibility law. I am
2696electin g to purchase an optional coverage
2703that is not required by the State of
2711Florida. My agent has provided me with an
2719outline of coverage and a copy of this
2727acknowledgement.
2728If I decide to select another option, or
2736cancel this policy, I must notify the
2743compa ny or my agent in writing.
2750I agree that if my down payment or full
2759payment check is returned by the bank for
2767any reason, coverage will be null and void
2775from the date of inception.
2780_______________________ ______________
2782Insured's Signature D ate
2786I hereby REJECT this valuable coverage:
2792_______________________ _______________
2794Insured's Signature Date
279722. Mr. Gatlin signed and dated the form on the first line
2809provided, indicating his acceptance of the accident medical
2817protection plan.
281923. Respondent next explained the travel protection plan.
2827The two forms associated with this plan set forth the coverages
2838provided, the limits of those coverages, and the premium
2847associated with the plan. The first form was titled, "American
2857Bank ers Insurance Company Optional Travel Protection Plan."
2865After listing the coverages and their limits, the form read as
2876follows:
2877Purchasing the Optional Travel Protection
2882Plan is not a condition of purchasing your
2890automobile liability policy.
2893I hereby ack nowledge I am purchasing an
2901Optional Travel Protection Plan, and that I
2908have received a copy of this
2914acknowledgement.
2915_______________________ _____________
2917Insured Signature Date
2920I HEREBY REJECT THIS VALUABLE COVERAGE:
2926___________________
2927Insured Signature
2929___________________
2930Date
293124. Mr. Gatlin signed and dated the first line of the
2942form, indicating his acceptance of the policy. The seco nd form,
2953titled "Travel Protection Plan Florida Declarations," listed the
2962effective dates of the policy, the premium, the automobile
2971covered, repeated the coverages and their limitations, and gave
2980notice to the insured of his 30 - day right to examine the po licy
2995and return it for a full refund provided no loss has occurred.
3007Mr. Gatlin signed and dated the "Applicant's Signature" line.
301625. Respondent next went over the documents relating to
3025the term life policy that Mr. Gatlin accepted on the pen sale
3037sheet. The policy named Carol Burinskas, with whom Mr. Gatlin
3047lived, as the beneficiary on the $10,000 policy, and stated an
3059annual premium of $276.00. Mr. Gatlin initialed his "no"
3068answers to six standard insurability questions dealing with
3076recent medical his tory and exposure to HIV. Mr. Gatlin signed
3087and dated his acceptance of the policy on the signature line
3098provided.
309926. After completing her explanation of the various
3107policies and obtaining Mr. Gatlin's acceptance, Respondent next
3115explained the premium f inance agreement. On the first page of
3126the agreement, under the heading, "Itemization of Amounts
3134Financed," was stated the type of policy, the insurance company,
3144and the annual premium for each of the four policies accepted by
3156Mr. Gatlin, totaling $1,363. 00, plus $4.55 in documentary stamp
3167tax, less a down payment of $151.00, for a total amount financed
3179of $1,216.55. The page disclosed the finance charge ($139.99)
3189and the annual percentage rate of the loan (24.37%). Mr. Gatlin
3200opted to make 10 monthly pa yments of $135.65, and initialed the
3212bottom of the first sheet of the premium finance agreement, then
3223signed the second page to indicate his acceptance of the loan
3234terms.
323527. Finally, Respondent showed Mr. Gatlin a document
3243titled "Insurance Premium Finan cing Disclosure Form," which
3251redundantly set forth in a simplified form exactly what
3260Mr. Gatlin was purchasing and a breakdown of what each element
3271of his purchase contributed to the total cost of the loan. The
3283itemization read as follows:
3287Insurance you are REQUIRED by law to have:
3295Personal Injury Protection (PIP) $578
3300Property Damage Liability (PD) $314
3305Other insurance which you MAY be required by
3313law to have:
3316Bodily Injury (if an SR - 22 has been
3325issued) 7 $0
3328OPTIONAL insurance coverage:
3331B odily Injury (if an SR - 22 has NOT been
3342issued) $0
3344Medical Payments $0
3347Uninsured Motorist $0
3350Comprehensive $0
3352Collision $0
3354Accidental Death $0
3357Towing $0
3359Travel Protection Plan $60
3363Rental $0
3365Hospital Indemnity $110
3368Life Insurance $266
3371Life Policy Fee $10
3375SR - 22 Fee $0
3380Recoupment Fee, if applicable $0
3385Policy Fee, if applicable $25
3390TOTAL INSURANCE PREMIUMS $1,363
3395Document Stamp Tax, if applicable $4.55
3401Less Down Payment applied $151.00
3406AMOUNT FINANCED (loan ed to you) $1,216.55
3414I, James Gatlin, have read the above and
3422understand the coverages I am buying and how
3430much they cost.
3433________________________ _ _ ___________
3437Signature of Named Insured Date
344228. Mr. Gatlin signed and dated the Insurance Premium
3451Financing Disclosure Form on the spaces indicated.
345829. As noted above, Carol Burinskas lives with Mr. Gatlin
3468and was named as the beneficiary in the term life policy the
3480Respondent sold to Mr. Gatlin. Ms. Burinskas testified that she
3490went into R espondent's Cash Register office on Mr. Gatlin's
3500behalf a day or two before he completed the transaction.
3510Ms. Burinskas had obtained quotes from several agencies in the
3520course of doing the legwork for Mr. Gatlin's insurance purchase.
353030. Ms. Burinskas t estified that she told Respondent that
3540she was shopping for Mr. Gatlin, and was seeking quotes on the
3552bare minimum insurance, "just what we needed to get a tag for
3564the car." Based on information provided by Ms. Burinskas,
3573Respondent provided a price quote , which Ms. Bruinskas showed to
3583Mr. Gatlin at home that evening. Mr. Gatlin looked over the
3594quote and pronounced it acceptable. He told Ms. Burinskas that
3604he would stop in at the Cash Register office the next day and
3617complete the paperwork for the policy .
362431. Mr. Gatlin testified that he believed the Cash
3633Register quote offered the most reasonable price he had seen,
3643but he was unaware that Respondent's quote included the
3652ancillary policies discussed above. When he went into
3660Respondent's office, he reite rated to her that he wanted only
"3671the bare minimum insurance." Mr. Gatlin owned his vehicles
3680outright and saw no need to carry extra coverage on them.
369132. Mr. Gatlin testified that Respondent asked him if he
3701wanted life insurance, and he declined. Mr. G atlin already had
3712a $250,000 life insurance policy through his employer, Pasco
3722County, for which Mr. Gatlin's sister is the beneficiary. He
3732testified that if he had known he was purchasing a life
3743insurance policy from Respondent, he would have made his si ster
3754the beneficiary. As noted above, Ms. Burinskas is the stated
3764beneficiary of the term life policy Respondent sold to
3773Mr. Gatlin.
377533. Mr. Gatlin testified that Respondent "was speaking
3783very quickly and putting the papers in front of me just as fast
3796a s she was talking, so I was busy signing and dating." By the
3810end of the process, "there was a stack of papers, rather thick"
3822in front of Mr. Gatlin.
382734. Mr. Gatlin never heard Respondent say that some of the
3838items he was purchasing were optional. In fac t, he could not
3850remember much at all about the content of Respondent's
3859presentation. He remembered that Respondent talked while he
3867initialed and signed in the places where she pointed.
387635. On cross - examination, Mr. Gatlin conceded that
3885Respondent may hav e explained the ancillary policies, but so
3895fast that he could not understand. He even conceded that he had
3907allowed Respondent to talk him into buying the policies, though
3917he later amended his answer to assert that he had been
"3928bamboozled."
392936. Mr. Gatlin made no effort to slow down Respondent's
3939presentation, and he had no questions about anything Respondent
3948was saying. Mr. Gatlin stated that his only concern was how
3959much he was paying, and that he was satisfied with the price
3971quoted by Respondent at the time he bought the policies.
398137. Mr. Gatlin stated that it should have been obvious to
3992Respondent that he was not reading the documents he was signing.
4003H e trusted Respondent to treat him the right way, and not sell
4016him products without his knowledge.
402138 . Respondent denied that she ever rushes anyone through
4031the sales process, or has ever sold a customer a policy the
4043customer did not agree to purchase.
404939. Ms. Burinskas discovered the ancillary policies only
4057after reading a newspaper article about Direc t General and the
4068practice of sliding. She asked Mr. Gatlin if he had purchased
4079any policies mentioned in the article, and he said that he had
4091not, "as far as he knew." Ms. Burinskas pulled out the
4102insurance paperwork , and in short order was able to asce rtain
4113that Mr. Gatlin had purchased the ancillary products described
4122above.
412340. The next Complaining Customer was Gabriella Jungling,
4131now known by her married name of Johnson (Counts IV and V). On
4144August 17, 2006, Ms. Jungling and her future husband, Jer emy
4155Johnson, were at a Division of Highway Safety and Motor Vehicles
4166("DHSMV") office. Mr. Johnson was attempting to have his
4177suspended license reinstated, but was informed that he must
4186obtain the SR - 22 form before his license could be issued. A
4199DHSMV em ployee gave Ms. Jungling the names of several insurance
4210companies that could immediately write a policy. Ms. Jungling
4219noted that Respondent's Cash Register office was near the DHSMV
4229office. Ms. Jungling and Mr. Johnson drove to Respondent's
4238office.
423941. Ms. Jungling testified that she handled all the
4248transactions that occurred at Respondent's office. She and
4256Mr. Johnson intended to obtain "full coverage," whatever they
4265needed to fulfill the SR - 22 requirement and satisfy the bank
4277that financed Mr. Johns on's truck, which was the only vehicle on
4289the resulting policy. Ms. Jungling told Respondent that she
4298wanted full c overage for a financed truck.
430642. Respondent made her standard sales presentation to
4314Ms. Jungling. She gathered the basic information des cribed in
4324Finding of Fact 7 above, then gave Ms. Jungling a price quote
4336that included the amount of the down payment and monthly payment
4347amounts. Included in the price quote were the optional vehicle
4357protection plan and a term life insurance policy. Resp ondent
4367explained to Ms. Jungling that the optional vehicle protection
4376plan included $125 per day for hospitalization resulting from an
4386accident and $25 per day for a rental car if the insured car is
4400in an accident or is stolen. Ms. Jungling agreed to the price
4412quote.
441343. Respondent next went over a pen sale sheet with
4423Ms. Jungling. As noted in the general pen sale findings above,
4434Ms. Jungling did not deny having seen the pen sale sheet and
4446admitted that she signed it. The pen sale document was
4456differen t from that shown to Mr. Gatlin because Direct General
4467had ceased offering the travel protection plan and instead
4476offered the vehicle protection plan. See footnote 4, supra .
448644. The signed pen sale sheet indicated that Ms. Jungling
4496accepted the vehicle protection plan and the term life insurance
4506policy. It also indicated that she rejected optional uninsured
4515motorist, medical payment, accidental death, comprehensive and
4522collision policies.
452445. Respondent next printed the policy paperwork and
4532reviewed i t with Ms. Jungling. Ms. Jungling signed the vehicle
4543protection plan application on the signature line, directly
4551beneath the following language: "The purchase of this plan is
4561optional and is not required with your auto insurance policy. I
4572hereby request that the above coverages be placed in effect on
4583the date and for the term indicated." The application indicated
4593that Ms. Jungling was opting for a "family plan" 8 with a term of
4607one year.
460946. Ms. Jungling also signed a separate page titled,
"4618Optional Veh icle Protection Plan Summary & Acknowledgement."
4626This form listed the coverages and limitations provided under
4635the vehicle protection plan. Below this listing, in bold type,
4645was the statement, "Please Read Your Policy Carefully For A Full
4656Explanation of B enefits." Beneath the bold type was the
4666following language:
4668Purchasing the Vehicle Protection Plan is
4674not a condition of purchasing your
4680automobile policy.
4682I hereby acknowledge that my agent has fully
4690explained to me and I understand:
46961. the coverage provided under the Vehicle
4703Protection Plan;
47052. that the Vehicle Protection Plan is an
4713optional insurance product that is separate
4719from my automobile insurance policy;
47243. that purchasing this optional Vehicle
4730Protection Plan is not a condition of
4737purcha sing my automobile insurance policy;
47434. I have made an informed decision to
4751purchase the Vehicle Protection Plan, and
47575. I have received a copy of my signed
4766acknowledgement.
4767______________________ ________________
4769Insured Signature Date
4772I H EREBY REJECT THIS VALUABLE COVERAGE:
4779______________________ ________________
4781Insured Signature Date
478447. Ms. Jungling signed the first signature line,
4792indicating her acceptance of the policy.
479848. Respondent went over the documents relating to t he
4808term life policy that Ms. Jungling accepted on the pen sale
4819sheet. The policy named Mr. Johnson as the beneficiary on the
4830$10,000 policy, and stated an annual premium of $108.00.
4840Ms. Jungling initialed her "no" answers to the standard
4849insurability qu estions, and signed and dated her acceptance of
4859the policy on the signature line provided.
486649. Respondent showed Ms. Jungling an "Explanation of
4874Policies, Coverages and Cost Breakdown (Including Non - Insurance
4883Products)" spreadsheet identical in form to th at shown
4892Mr. Gatlin. The "Optional Policies" subheading listed the
4900optional policies, their premium amounts, and the total
4908estimated cost of all products. These optional items were
4917individually circled by Respondent and initialed by
4924Ms. Jungling. The spreadsheet contained language identical to
4932that set forth in Finding of Fact 18 above. Ms. Jungling signed
4944and dated the sheet in the spaces provided.
495250. Respondent presented the premium finance agreement to
4960Ms. Jungling in the same fashion described i n Finding of Fact 26
4973above. On the first page of the agreement, under the heading,
"4984Itemization of Amounts Financed," was stated the type of
4993policy, the insurance company, and the annual premium for each
5003of the three policies (auto, life, and vehicle prot ection)
5013accepted by Ms. Jungling, totaling $3,052.00, plus $9.80 in
5023documentary stamp tax, less a down payment of $295.00, for a
5034total amount financed of $2,766.80. The page disclosed the
5044finance charge ($308.35) and the annual percentage rate of the
5054loan (23.51%). Ms. Jungling opted to make 12 monthly payments
5064of $256.26, and initialed the bottom of the first sheet of the
5076premium finance agreement, then signed the second page to
5085indicate her acceptance of the loan terms.
509251. Finally, Respondent showed M s. Jungling the Insurance
5101Premium Financing Disclosure Form. The itemization for
5108Ms. Jungling's policies read as follows:
5114Insurance you are REQUIRED by law to have:
5122Personal Injury Protection (PIP) $491
5127Property Damage Liability (PD) $405
5132Other in surance which you MAY be required by
5141law to have:
5144Bodily Injury (if an SR - 22 has been
5153issued) [ 9 ] $0
5158OPTIONAL insurance coverage:
5161Bodily Injury (if an SR - 22 has NOT been
5171issued) $782
5173Medical Payment s $0
5177Uninsured Motorist $0
5180Comprehensive $131
5182Collision $830
5184Accidental Death $20
5187Towing $0
5189Rental $0
5191Life Insurance $98
5194Accident Medical Plan $0
5198Vehicle Protection Insurance $260
5202Life Policy Fee $10
5206SR - 22 Fee $0
5211Recoupment Fee, if applicable $0
5216Policy Fee, if applicab le $25
5222TOTAL INSURANCE PREMIUMS $3,052
5227Document Stamp Tax, if applicable $9.80
5233Less Down Payment applied $295.00
5238AMOUNT FINANCED (loaned to you) $2,766.80
5245I, Gabriella N. Jungling, have read the
5252above and understand the coverages I am
5259buying and how much they cost.
5265_______________________ _ __ ___________
5269Signature of Named Insured Date
527452. Ms. Jungling signed and dated the Insurance Premium
5283Financing Disclosure Form on the spaces indicated.
529053. Ms. Jungling t estified that she already has a life
5301insurance policy through her employer, Wells Fargo, and that she
5311told Respondent that she was not interested in buying more. She
5322admitted that the initials and signatures on the life insurance
5332policy were hers, but had no recollection of Respondent's
5341explanation of the policy. Ms. Jungling believed that she would
5351have recalled an explanation had one been given by Respondent,
5361and stated that she would have rejected the policy had
5371Respondent told her it would cost $108.0 0 over and above the
5383amount she was paying for auto insurance.
539054. However, Ms. Jungling conceded that Respondent did not
5399rush her through the signing process. Ms. Jungling was in a
5410hurry to purchase insurance and get back to her job. She
5421admitted that Respondent presented the paperwork page by page,
5430and that nothing prevented her from reading the paperwork.
5439Ms. Jungling had no problem with the price quoted by Respondent.
545055. The life insurance paperwork plainly states, in bold
5459lettering above Ms. Jun gling's signature, that the annual
5468premium for the policy is $108.00. The price of the policy is
5480also stated on the Explanation of Policies, Coverages and Cost
5490Breakdown page and on the Insurance Premium Financing Disclosure
5499Form, both of which were signe d by Ms. Jungling.
550956. Ms. Jungling also did not recall the explanation given
5519to her by Respondent of the vehicle protection plan paperwork.
5529She testified that she would have rejected the policy if
5539Respondent had told her that it was separate and apart f rom the
5552automobile insurance required by law. However, as noted above,
5561the Optional Vehicle Protection Plan Summary & Acknowledgement
5569page clearly stated that the vehicle protection plan was not a
5580condition of purchasing an automobile policy and was an op tional
5591product separate from the automobile insurance policy.
5598Ms. Jungling acknowled ged that she signed this page.
560757. Ms. Jungling testified that she did not really read
5617her insurance paperwork until she received a call from a
5627Department investigator, who asked if she had knowingly
5635purchased life insurance and the vehicle protection plan.
5643Ms. Jungling gave a statement to a Department investigator in
5653February 2007. On March 16, 2007, she went to Respondent's
5663office and signed the paperwork to cancel t he term life and
5675vehicle protection policies, for which she received a pro - rated
5686refund.
568758. The next Complaining Customer was Bruce Hansen
5695(Counts VI and VII). On August 19, 2006, Mr. Hansen entered
5706Respondent's Cash Register office to purchase insura nce.
5714Mr. Hansen testified that he has done business with Cash
5724Register for years, but this was the first time he had done
5736business with Respondent's office. Mr. Hansen stated that he
5745had never bought anything other than basic auto coverage from
5755Cash Reg ister, and had no intention of buying anything else when
5767he walked into Respondent's office.
577259. Mr. Hansen was purchasing new insurance, not renewing
5781an existing policy. In fact, his driver's license had been
5791suspended for lack of insurance coverage. M r. Hansen testified
5801that he told Respondent he wanted the most basic insurance that
5812would get his license reinstated. He owned his car outright,
5822and therefore was unconcerned about satisfying a financing
5830entity.
583160. Respondent made her standard presentat ion to
5839Mr. Hansen. She gathered the basic information described in
5848Finding of Fact 7 above, then gave Mr. Hansen a price quote that
5861included the amount of the down payment and monthly payment
5871amounts. Included in the price quote were the optional vehicl e
5882protection plan and a term life insurance policy. Mr. Hansen
5892agreed to the price quote.
589761. Respondent next went over a pen sale sheet with
5907Mr. Hansen. As noted in the general pen sale findings above,
5918Mr. Hansen did not deny having seen the pen sale sheet and
5930admitted that he signed it. The pen sale document was identical
5941to that shown to Ms. Jungling.
594762. Respondent used the pen sale sheet to explain to
5957Mr. Hansen that the optional vehicle protection plan included a
5967$1,000 medical expense that co uld be used toward his PIP
5979deductible, hospital coverage of $125 per day, and rental car
5989reimbursement of $25 per day if the insured car is in an
6001accident or is stolen. Respondent also used the pen sale sheet
6012to explain the term life insurance offered in the price quote.
602363. The signed pen sale sheet indicated that Mr. Hansen
6033accepted the vehicle protection plan and the term life insurance
6043policy. It also indicated that he rejected optional uninsured
6052motorist, medical payment, accidental death, comprehen sive and
6060collision policies.
606264. Respondent next printed the policy paperwork and
6070reviewed it with Mr. Hansen. The paperwork for the vehicle
6080protection plan application was identical to that described in
6089Findings of Fact 45 and 46 relating to Ms. Junglin g. Mr. Hansen
6102opted for the "individual plan" with a term of one year. He
6114signed on the signature line of the application page, and signed
6125the "Optional Vehicle Protection Plan Summary & Acknowledgement"
6133page indicating his acce ptance of this optional policy.
614265. Respondent went over the documents relating to the
6151term life policy. The policy named Mr. Hansen's mother, who
6161lived with Mr. Hansen, as the beneficiary on the $10,000 policy,
6173and stated an annual premium of $108.00. Mr. Hansen initialed
"6183no " answers to the standard insurability questions, and signed
6192and dated his acceptance of the policy on the signature line
6203provided.
620466. Respondent showed Mr. Hansen an "Explanation of
6212Policies, Coverages and Cost Breakdown (Including Non - Insurance
6221Product s)" spreadsheet identical in form to that shown
6230Mr. Gatlin and Ms. Jungling. The "Optional Policies" subheading
6239listed the optional policies, their premium amounts, and the
6248total estimated cost of all products. These optional items were
6258individually cir cled by Respondent and initialed by Mr. Hansen.
6268The spreadsheet contained language identical to that set forth
6277in Finding of Fact 18 above. Mr. Hansen signed and dated the
6289sheet in the spaces provided.
629467. Respondent presented the premium finance agreem ent to
6303Mr. Hansen in the same fashion described in Finding of Fact 26
6315above. On the first page of the agreement, under the heading,
"6326Itemization of Amounts Financed," was stated the type of
6335policy, the insurance company, and the annual premium for each
6345of the three policies (auto, life, and vehicle protection)
6354accepted by Mr. Hansen, totaling $833.00, plus $2.80 in
6363documentary stamp tax, less a down payment of $92.00, for a
6374total amount financed of $743.80. The page disclosed the
6383finance charge ($93.36) a nd the annual percentage rate of the
6394loan (26.56%). Mr. Hansen opted to make 10 monthly payments of
6405$83.72, initialed the bottom of the first sheet of the premium
6416finance agreement, then signed the second page to indicate his
6426acceptance of the loan terms.
643168. Finally, Respondent showed Mr. Hansen the Insurance
6439Premium Financing Disclosure Form. The itemization for
6446Mr. Hansen's policies read as follows:
6452Insurance you are REQUIRED by law to have:
6460Personal Injury Protection (PIP) $311
6465Property Damage L iability (PD) $219
6471Other insurance which you MAY be required by
6479law to have:
6482Bodily Injury (if an SR - 22 has been
6491issued) [ 10 ] $0
6496OPTIONAL insurance coverage:
6499Bodily Injury (if an SR - 22 has NOT been
6509issued) $0
6511Medical Payments $0
6514Uninsured Motorist $0
6517Comprehensive $0
6519Collision $0
6521Accidental Death $0
6524Towing $0
6526Rental $0
6528Life Insurance $98
6531Accident Medical Plan $0
6535Vehicle Protection Insurance $170
6539Life Policy Fee $10
6543SR - 22 Fee $0
6548Recoupment Fee, if applicable $0
6553Policy Fee, if applicable $25
6558TOTAL INSURANCE PREMIUMS $833
6562Document Stamp Tax, if applicable $2.80
6568Less Down Payment applied $92.00
6573AMOUNT FINANCED (loaned to you) $743.80
6579I, Bruce K. Hansen, have read the above and
6588un derstand the coverages I am buying and how
6597much they cost.
6600_______________________ _ __ ___________
6604Signature of Named Insured Date
660969. Mr. Hansen signed and dated the Insurance Premium
6618Financing Disclosure Form on the spaces indicated.
662570. Mr. Hansen testified that he left Respondent's office
6634believing he had bought only basic automobile insurance. He did
6644not recall Respondent's explanations of the optional policies,
6652and conceded that he was in a hurry to complete the transaction
6664and spent a t otal of a half - hour in Respondent's office that
6678day. Mr. Hansen testified that "I was flipping page after page,
6689just signing my name to get out of there . . . I was trusting
6704the person I was working with."
671071. Mr. Hansen testified that he did not recall Respondent
6720explaining that the vehicle protection plan was a separate
6729optional policy that would cost him an extra $170. He did
6740recall Respondent asking the insurability questions related to
6748the life insurance policy, but he thought they were just
"6758proced ure." Mr. Hansen conceded that Respondent might have
6767explained every page of the paperwork to him, but that he was
6779not paying attention.
678272. Mr. Hansen left Respondent's office with a copy of all
6793the paperwork on his policies. He never looked at the pa perwork
6805until he was contacted by a Department investigator in
6814February 2007. Mr. Hansen gave a statement to the Department
6824investigator and agreed to testify in order to "stop stuff like
6835this from happening," as well as try to obtain a full refund for
6848t he vehicle protection and term life policies. On March 3,
68592007, he went to Respondent's office and signed the paperwork to
6870cancel the term life and vehicle protection policies, for which
6880he received a pro - rated refund.
688773. The final Complaining Customer was Sidney Dossantos
6895(Counts VIII and IX). On July 20, 2006, Mr. Dossantos entered
6906Respondent's Cash Register office to purchase insurance.
6913Mr. Dossantos was renewing his policy with Direct General,
6922though this was the first time he had done business wi th
6934Respondent's office. In August 2005, Mr. Dossantos had
6942purchased auto insurance plus an optional accident medical
6950protection plan, a travel protection plan, and a term life
6960insurance policy. Mr. Dossantos testified that he told
6968Petitioner that he wish ed to purchase only basic automobile
6978insurance, and that he rejected the optional term life and
6988vehicle protection policies when Petitioner offered them.
699574. Respondent testified that her initial procedure is
7003different with a renewing customer. She looks up the customer
7013on her computer to verify the existing policies and determine if
7024any money is owed. She verifies the customer's name, address
7034and phone number. Respondent testified that the address is
7043important because the customer's zip code is partial ly
7052determinative of the rates offered on auto insurance.
706075. Respondent stated that the computer also lists the
7069optional policies that are also due for renewal, and that it is
7081her practice to go over these and inquire whether the customer
7092wants to renew t hem. Mr. Dossantos' case was complicated by the
7104fact that Direct General no longer offered the travel protection
7114plan as a separate product. In these cases, Respondent would
7124explain the vehicle protection plan, which was the current
7133equivalent of the acc ident medical protection and travel
7142protection plans that Mr. Dossantos purchased in 2005. See
7151footnote 4, supra .
715576. Respondent testified that, after the customer verifies
7163the information on file and states which policies he wishes to
7174renew, she goes ov er a pen sale sheet with the customer. As
7187noted in the general pen sale findings above, Mr. Dossantos did
7198not deny having seen the pen sale sheet and admitted that he
7210signed it. The pen sale document was identical to those shown
7221to Ms. Jungling and Mr. H ansen.
722877. The signed pen sale sheet indicated that Mr. Dossantos
7238accepted the vehicle protection plan and the term life insurance
7248policy. It also indicated that he rejected optional uninsured
7257motorist, medical payment, accidental death, comprehensive an d
7265collision policies.
726778. Respondent next printed the policy paperwork and
7275reviewed it with Mr. Dossantos. The paperwork for the vehicle
7285protection plan application was identical to that described in
7294Findings of Fact 45 and 46 relating to Ms. Jungling.
7304Mr. Dossantos opted for the "individual plan" with a term of one
7316year. He signed on the signature line of the application page,
7327and signed the "Optional Vehicle Protection Plan Summary &
7336Acknowledgement" page indicating his accep tance of this optional
7345po licy.
734779. Respondent went over the documents relating to the
7356term life policy. The policy named Mr. Dossantos' parents as
7366the beneficiaries on the $10,000 policy, and stated an annual
7377premium of $108.00. Mr. Dossantos was not asked the standard
7387insurabi lity questions , because this was a renewal of an
7397existing policy. Mr. Dossantos signed and dated his acceptance
7406of the policy on the signature line provided.
741480. Respondent showed Mr. Dossantos an "Explanation of
7422Policies, Coverages and Cost Breakdown (I ncluding Non - Insurance
7432Products)" spreadsheet identical in form to that shown to
7441Mr. Gatlin, Ms. Jungling, and Mr. Hansen. The "Optional
7450Policies" subheading listed the optional policies, their premium
7458amounts, and the total estimated cost of all product s. These
7469optional items were individually circled by Respondent and
7477initialed by Mr. Dossantos. The spreadsheet contained language
7485identical to that set forth in Finding of Fact 18 above.
7496Mr. Dossantos signed and dated the sheet in the spaces provided.
750781. Respondent presented the premium finance agreement to
7515Mr. Dossantos in the same fashion described in Finding of Fact
752626 above. On the first page of the agreement, under the
7537heading, "Itemization of Amounts Financed," was stated the type
7546of policy, t he insurance company, and the annual premium for
7557each of the three policies (auto, life, and vehicle protection)
7567accepted by Mr. Dossantos, totaling $913.00, plus $3.15 in
7576documentary stamp tax, less a down payment of $80.00, for a
7587total amount financed of $836.15. The page disclosed the
7596finance charge ($102.47) and the annual percentage rate of the
7606loan (25.93%). Mr. Dossantos opted to make 10 monthly payments
7616of $93.86, initialed the bottom of the first sheet of the
7627premium finance agreement, then signe d the second page to
7637indicate his acceptance of the loan terms.
764482. Finally, Respondent showed Mr. Dossantos the Insurance
7652Premium Financing Disclosure Form. The itemization for
7659Mr. Dossantos' policies read as follows:
7665Insurance you are REQUIRED by law to have:
7673Personal Injury Protection (PIP) $368
7678Property Damage Liability (PD) $242
7683Other insurance which you MAY be required by
7691law to have:
7694Bodily Injury (if an SR - 22 has been
7703issued) [ 1 1 ] $0
7709OPTIONAL insurance coverage:
7712Bodily Injury (if an SR - 22 has NOT been
7722issued) $0
7724Medical Payments $0
7727Uninsured Motorist $0
7730Comprehensive $0
7732Collision $0
7734Accidental Death $0
7737Towing $0
7739Rental $0
7741Life Insurance $98
7744Accident Medical Plan $0
7748Vehicle Protection Insurance $170
7752Life Policy Fee $10
7756SR - 22 Fe e $0
7762Recoupment Fee, if applicable $0
7767Policy Fee, if applicable $25
7772TOTAL INSURANCE PREMIUMS $913
7776Document Stamp Tax, if applicable $3.15
7782Less Down Payment applied $80.00
7787AMOUNT FINANCED (loaned to you) $836.15
7793I, Sidney Dossantos, have read the above and
7801understand the coverages I am buying and how
7809much they cost.
7812___________________ _ ___ _ __ ___________
7818Signature of Named Insured Date
782383. Mr. Dossantos signed and dated the Insura nce Premium
7833Financing Disclosure Form on the spaces indicated.
784084. As noted above, Mr. Dossantos testified that he told
7850Respondent he only wanted basic automobile insurance.
7857Mr. Dossantos, a 25 - year - old college student at the time he
7871purchased insurance from Respondent, acknowledged having
7877purchased the optional policies the previous year, when he was
7887still living with his parents. However, in July 2006 he was
7898living in an apartment with his girlfriend and money was
7908tighter. He received life insurance through his employer,
7916Publix Supermarkets, and did not want more.
792385. Mr. Dossantos conceded that his policy paperwork
7931clearly stated that the vehicle protection plan was optional,
7940but that he did not read it during the sale. Mr. Dossantos
7952simply signed whatever papers Respondent placed in front of him.
796286. Mr. Dossantos testified that when he walked out of
7972Respondent's office on July 20, 2006, he believed that he had
7983bought basic auto insurance and nothing else. Like Ms. Jungling
7993and Mr. Hansen, he lea rned otherwise only after being contacted
8004by the Department's investigator in February 2007. Unlike
8012Ms. Jungling and Mr. Hansen, Mr. Dossantos did not late r cancel
8024the optional policies.
802787. All four of the Complaining Customers credibly
8035testified that the Department made no promises that they would
8045obtain full refunds of the premiums paid on the optional
8055policies in exchange for their written statements or their
8064testimony in this proceeding.
806888. On or about August 9, 2006, Respondent changed her
8078princi pal business street address from 6318 U.S. Highway 19
8088North, New Port Richey, Florida, to 5116 U.S. Highway 19 North,
8099New Port Richey, Florida, but did not notify the Department of
8110this change in principal business street address unti l on or
8121about March 3, 2007.
8125CONCLUSIONS OF LAW
812889. DOAH has jurisdiction over the subject matter of this
8138proceeding and of the parties hereto , pursuant to Chapter 120,
8148Florida Statutes.
815090. Chapters 624 - 632, 634, 635, 636, 641, 642, 648, and
8162651 constitute the "Florida Insu rance Code." § 624.01, Fla.
8172Stat. It is the Department's responsibility to enforce the
8181provisions of the Florida Insurance Code, including the
8189licensure and di scipline of insurance agents. § 624.307, Fla.
8199Stat.
820091. The Department is authorized to suspe nd or revoke
8210agents' licenses, pursuant to Sections 626.611 and 626.621,
8218Florida Statutes; to impose fines on agents of up to $500.00 or,
8230in cases where there are "willful violation[s] or willful
8239misconduct, " up to $3,500, and to "augment" such disciplinar y
8250action "by an amount equal to any commissions received by or
8261accruing to the credit of the [agent] in connection with any
8272transaction" related to the grounds for suspension or
8280revocation, pursuant to Section 626.681, Florida Statutes; to
8288place agents on probation for up to two years, pursuant to
8299Section 626.691, Florida Statutes 12 ; and to order agents "to pay
8310restitution to any person who has been deprived of money by [the
8322agent's] misappropriation, conversion, or unlawful withholding
8328of moneys belonging to insurers, insureds, beneficiaries, or
8336others," pursuant to Sect ion 626.692, Florida Statutes.
834492. In its Administrative Complaint, the Department seeks
8352to impose penalties against Respondent that include suspension
8360or revocation of Respondent's license and/or the imposition of
8369an administrative fine. Therefore, the Department has the
8377burden of proving by clear and convincing evidence that
8386Respondent committed the violations alleged in the
8393Administrative Complaint. See Department of Banking and
8400Finance , Division of Securities and Investor Protection v.
8408Osborne Stern and Co. , 670 So. 2d 932 (Fla. 1996); and Ferris v.
8421Turlington , 510 So. 2d 292 (Fla. 1987). Clear and convincing
8431evidence is the proper standard in license revocation
8439proceedings, because th ey are penal in nature and implicate
8449significant property rights. See Osbourne Stern , 670 So. 2d
8458at 935.
846093. In Evans Packing Co. v. Department of Agriculture and
8470Consumer Services , 550 So. 2d 112, 116, n. 5 (Fla. 1st DCA
84821989), the Court defined clear and convincing evidence as
8491follows:
8492[C]lear and convincing evidence requires
8497that the evidence must be found to be
8505credible; the facts to which the witnesses
8512testify must be distinctly remembered; the
8518evidence must be precise and explicit and
8525the witnesses must be lacking in confusion
8532as to the facts in issue. The evidence must
8541be of such weight that it produces in the
8550mind of the trier of fact the firm belief of
8560conviction, without hesitancy, as to the
8566truth of the allegations sought to be
8573established. S lomowitz v. Walker , 429 So.
85802d 797, 800 (Fla. 4th DCA 1983).
858794. Judge Sharp, in her dissenting opinion in Walker v.
8597Florida Department of Business and Professional Regulation , 705
8605So. 2d 652, 655 (Fla. 5th DCA 1998)(Sharp, J., dissenting),
8615reviewed rece nt pronouncements on clear and convincing evidence:
8624Clear and convincing evidence requires more
8630proof than preponderance of evidence, but
8636less than beyond a reasonable doubt. In re
8644Inquiry Concerning a Judge re Graziano , 696
8651So. 2d 744 (Fla. 1997). It is an
8659intermediate level of proof that entails
8665both qualitative and quantative [sic]
8670elements. In re Adoption of Baby E.A.W. ,
8677658 So. 2d 961, 967 (Fla. 1995), cert.
8685denied , 516 U.S. 1051, 116 S. Ct. 719, 133
8694L.Ed.2d 672 (1996). The sum total of
8701evidence mu st be sufficient to convince the
8709trier of fact without any hesitancy. Id.
8716It must produce in the mind of the fact
8725finder a firm belief or conviction as to the
8734truth of the allegations sought to be
8741established. Inquiry Concerning Davey , 645
8746So. 2d 398, 4 04 (Fla. 1994).
875395. In determining whether Petitioner has met its burden
8762of proof, it is necessary to evaluate its evidentiary
8771presentation in light of the specific allegations of wrongdoing
8780made in the charging instrument. Due process prohibits an
8789agen cy from taking penal action against an agent based on
8800matters not specifically alleged in the charging instrument,
8808unless those matters have been tried by consent. See Shore
8818Village Property Owners' Association, Inc. v. Department of
8826Environmental Protect ion , 824 So. 2d 208, 210 (Fla. 4th DCA
88372002); Cottrill v. Department of Insurance , 685 So. 2d 1371,
88471372 (Fla. 1st DCA 1996); and Delk v. Department of Professional
8858Regulation , 595 So. 2d 966, 967 (Fla. 5th DCA 1992).
886896. The Administrative Complaint, as modified by the Pre -
8878h earing Stipulation, contains 10 counts. Counts I through IX
8888are the "sliding" counts, alleging that Respondent violated
8896S ubs ections 626.611(7) and (9), 626.621(6), 626.9521(1), and
8905626.9541(1)(z)1 . through 3 . , Florida Statutes, by sel ling
8915ancillary insurance products to customers without their
"8922informed consent." Count I concerns Mr. Gatlin's October 7,
89312005, purchase of a travel protection plan from Respondent.
8940Count II concerns Mr. Gatlin's October 7, 2005, purchase of an
8951accident medical protection plan from Respondent. Count III
8959concerns Mr. Gatlin's October 7, 2005, purchase of a term life
8970policy from Respondent. Count IV concerns Ms. Jungling's
8978August 17, 2006, purchase of a vehicle protection plan from
8988Respondent. Count V c oncerns Ms. Jungling's August 17, 2006,
8998purchase of a term life policy from Respondent. Count VI
9008concerns Mr. Hansen's August 19, 2006, purchase of a vehicle
9018protection plan from Respondent. Count VII concerns
9025Mr. Hansen's August 19, 2006, purchase of a term life policy
9036from Respondent. Count VIII concerns Mr. Dossantos' July 20,
90452006, purchase of a vehicle protection plan from Respondent.
9054Count IX concerns Mr. Dossantos' July 20, 2006, purchase of a
9065ter m life policy from Respondent.
907197. Count X alleg es that Respondent violated S ubs ection
9082626.621(2), Florida Statutes, by failing to "notify the
9090department . . . in writing within 60 days after a change of
9103name, residence address, principal business street address, or
9111mailing address" as required by Secti on 626.551, Florida
9120Statutes. In the Pre - h earing Stipulation, Respondent conceded
9130the facts establishing that she failed to notify the Department
9140in writing within 60 days of a change in her principal business
9152street address.
915498. At all times relevant to this case, S ubs ection s
9166626.611(7) and (9), Florida Statutes, has provided as follows,
9175in pertinent part:
9178The department shall deny an application
9184for, suspend, revoke, or refuse to renew or
9192continue the license or appointment of any
9199applicant, agent, titl e agency, adjuster,
9205customer representative, service
9208representative, or managing general agent,
9213and it shall suspend or revoke the
9220eligibility to hold a license or appointment
9227of any such person, if it finds that as to
9237the applicant, licensee, or appointee any
9243one or more of the following applicable
9250grounds exist:
9252* * *
9255(7) Demonstrated lack of fitness or
9261trustworthiness to engage in the business of
9268insurance.
9269* * *
9272(9) Fraudulent or dishonest practices in
9278the conduct of business under the
9284license. . . .
928899. At all times relevant to this case, S ubs ection
9299626.621(6), Florida Statutes, has provided as follows, in
9307pertinent part:
9309The department may, in its discretion, deny
9316an application for, suspend, revoke, or
9322refuse to renew or conti nue the license or
9331appointment of any applicant, agent,
9336adjuster, customer representative, service
9340representative, or managing general agent,
9345and it may suspend or revoke the eligibility
9353to hold a license or appointment of any such
9362person, if it finds that as to the
9370applicant, licensee, or appointee any one or
9377more of the following applicable grounds
9383exist under circumstances for which such
9389denial, suspension, revocation, or refusal
9394is not mandatory under s. 626.611:
9400* * *
9403(6) In the conduct of b usiness under the
9412license . . . , engaging in unfair methods
9420of competition or in unfair or deceptive
9427acts or practices, as prohibited under part
9434IX of this chapter, or having otherwise
9441shown himself or herself to be a source of
9450injury or loss to the publi c. . . .
9460100. At all times relevant to this case, S ubs ection
9471626.9521(1), Florida Statutes, has provided as follows:
9478No person shall engage in this state in any
9487trade practice which is defined in this part
9495as, or determined pursuant to s. 626.951 or
9503s. 6 26.9561 to be, an unfair method of
9512competition or an unfair or deceptive act or
9520practice involving the business of
9525insurance.
9526101. At all times material to the instant case,
9535S ubs ection s 626.9541 (1)(z)1 . through 3 . , Florida Statutes, has
9548provided as foll ows:
9552(1) UNFAIR METHODS OF COMPETITION AND
9558UNFAIR OR DECEPTIVE ACTS. -- The following
9565are defined as unfair methods of competition
9572and unfair or deceptive acts or practices:
9579* * *
9582(z) Sliding. -- Sliding is the act or
9590practice of:
95921. Representi ng to the applicant that a
9600specific ancillary coverage or product is
9606required by law in conjunction with the
9613purchase of insurance when such coverage or
9620product is not required;
96242. Representing to the applicant that a
9631specific ancillary coverage or produ ct is
9638included in the policy applied for without
9645an additional charge when such charge is
9652required; or
96543. Charging an applicant for a specific
9661ancillary coverage or product, in addition
9667to the cost of the insurance coverage
9674applied for, without the infor med consent of
9682the applicant.
9684102. Case law has established that an agent violates
9693Section 626.9541, Florida Statutes, if he or she fails to
9703provide the applicant an adequate "oral explanation" of the
9712ancillary nature of the product in question, notwiths tanding
9721that the applicant is given and signs paperwork that, if "read
9732with care," would provide the applicant with such information.
9741See Mack v. Department of Financial Services , 914 So. 2d 986,
9752989 (Fla. 1st DCA 2005); Thomas v. State, Department of
9762Ins urance and Treasurer , 559 So. 2d 419 (Fla. 2d DCA 1990). The
9775requirement for an oral explanation of the ancillary policy is
9785based on the fiduciary relationship between the insurance agent
9794and her customers. See Thomas , 559 So. 2d at 421; Sewall v.
9806State , 783 So. 2d 1171, 1178 (Fla. 5th DCA 2001)("[T]he victims'
9818ages coupled with the fact that Sewall, their insurance agent
9828who stood in a fiduciary relationship with them, would be
9838sufficient" to justify an upward departure from sentencing
9846guidelines.); Nate lson v. Department of Insurance , 454 So. 2d
985631, 32 (Fla. 1st DCA 1984)("Insurance is a business greatly
9867affected by the public trust, and the holder of an agent's
9878license stands in a fiduciary relationship to both the client
9888and insurance company."); and B eardmore v. Abbott , 218 So. 2d
9900807, 808 - 809 (Fla. 3d DCA 1969)("We accept the view that the
9914record herein establishes that a confidential relationship
9921existed between the parties and that it was one in which
9932Beardmore reposed trust and confidence in his in surance
9941counselor, Abbott.").
9944103. Because they are penal in nature, the foregoing
9953statutory provisions must be strictly construed, with any
9961reasonable doubts as to their meaning being resolved in favor of
9972the licensee. See Capital National Financial Cor poration v.
9981Department of Insurance , 690 So. 2d 1335, 1337 (Fla. 3rd DCA
99921997); Dyer v. Department of Insurance & Treasurer , 585 So. 2d
100031009 (Fla. 1st DCA 1991); Bowling v. Department of Insurance 394
10014So. 2d 165, 171 - 172 (Fla. 1st DCA 1981).
10024104. The test imonial evidence against Respondent was
10032equivocal at best. None of the Complaining Customers could
10041testify as to a clear recollection of Respondent's sales
10050presentation. The common theme of Mr. Gatlin, Ms. Jungling, and
10060Mr. Hansen was that they were in a hurry and did not bother to
10074attend to Respondent's presentation or read what they were
10083initialing and signing. Mr. Dossantos had previously purchased
10091ancillary policies from Direct General, and noted that he was
10101signing paperwork for "optional" policies, but asked no
10109questions. Mr. Gatlin at one point conceded that he allowed
10119Respondent to talk him into purchasing the ancillary policies,
10128rendering his assertion of ignorance as to the purchase less
10138than credible. 13 Lessening the credibility of the Compla ining
10148Customers regarding their lack of attention was the fact that
10158their signed pen sale sheets showed that they each rejected
10168several optional policies offered by Respondent.
10174105. Respondent credibly testified that her practice was
10182to explain that the i nitial price quote includes the ancillary
10193products, that she used a pen sale sheet to explain the
10204ancillary products to the customers and offer them the option of
10215accepting or rejecting the optional items, and that she then
10225walked the customers through eac h page of the paperwork. She
10236circled the optional items and had the customers initial them.
10246The paperwork admitted into evidence showed Respondent's
10253markings and the initials of the Complaining Customers,
10261corroborating Respondent's testimony.
10264106. The u ndersigned has noted the testimony of the
10274Complaining Customers that they had no intention of purchasing
10283ancillary policies and would have rejected them had Respondent
10292explained their optional nature. However, these conclusory
10299assertions cannot meet the s tandard for clear and convincing
10309evidence set forth in Evans Packing , 550 So. 2d at 116, n.5,
10321that "the facts to which the witnesses testify must be
10331distinctly remembered" and that "the evidence must be precise
10340and explicit and the witnesses must be lackin g in confusion as
10352to the facts in issue . . . ."
10361107. The undersigned has also noted the testimony of the
10371Complaining Customers that they left Respondent's office
10378thinking they had purchased only such insurance as required by
10388Florida law to maintain valid registration and licensure. It
10397strains credulity that a customer could look at the policy
10407paperwork discussed and quoted at length above, even if only
10417long enough to sign or initial it, and come away with no inkling
10430that he ha s purchased optional products .
10438108. As to Counts I through IX of the Administrative
10448Complaint, the evidence presented in this case has not produced
10458in the mind of the undersigned "a firm belief or conviction as
10470to the truth of the allegations sought to be established." It
10481is therefo re concluded that Counts I through IX should be
10492dismissed.
10493109. As to Count X of the Administrative Complaints, the
10503Department proved by clear and convincing evidence that
10511Respondent failed to notify the Department in writing within 60
10521days of a change in her principal business street address, as
10532required by Section 626.551, Florida Statutes.
10538110. No evidence was presented that Respondent's license
10546has previously been subject to discipline for a violation of
10556Section 626.551, Florida Statutes. The undersi gned recommends
10564that Respondent be fined $250.00, the maximum punishment for a
10574first offense under the statute.
10579RECOMMENDATION
10580Based upon the foregoing Findings of Fact and Conclusions
10589of Law, it is hereby
10594RECOMMENDED that Petitioner issue a f inal o rder f inding
10605Respondent guilty of committing the violation alleged in Count X
10615of the Administrative Complaint, fining her $250.00 for such
10624violation, and dismissing the remaining counts of the
10632Administrative Complaint.
10634DONE AND ENTER ED this 8th day of February , 2008 , in
10645Tallahassee, Leon County, Florida.
10649S
10650LAWRENCE P. STEVENSON
10653Administrative Law Judge
10656Division of Administrative Hearings
10660The DeSoto Building
106631230 Apalachee Parkway
10666Tallahassee, Florida 32399 - 3060
10671(850) 488 - 9675 SUNCOM 278 - 9675
10679Fax Filing (850) 921 - 6847
10685www.doah.state.fl.us
10686Filed with the Clerk of the
10692Division of Administrative Hearings
10696this 8th day of February , 2008 .
10703ENDNOTES
107041/ Chapters 624 through 632, 634, 535, 636, 641, 642, 648, and
10716651, Florida Statut es, constitute the "Florida Insurance Code."
10725See Section 624.01, Florida Statutes. Because the events at
10734issue in this case were alleged to have taken place during late
107462005 through 2006, all references to the Florida Statutes will
10756be to the 2006 codific ation unless otherwise noted.
107652 / The Pre - Hearing Stipulation consistently spelled New Port
10776Richey as "New Port Richie." The misspelling has been corrected
10786in the quoted text.
107903/ The undersigned has accepted these factual stipulations. See
10799Columbia Ba nk for Cooperatives v. Okeelanta Sugar Cooperative ,
1080852 So. 2d 670, 673 (Fla. 1951) (" When a case is tried upon
10822stipulated facts the stipulation is conclusive upon both the
10831trial and appellate courts in respect to matters which may
10841validly be made the subjec t of stipulation . "); Schrimsher v.
10853School Board of Palm Beach County , 694 So. 2d 856, 863 (Fla. 4th
10866DCA 1997) (" The hearing officer is bound by the parties'
10877stipulations."); and Palm Beach Community College v. Department
10886of Administration, Division of Retir ement , 579 So. 2d 300, 302
10897(Fla. 4th DCA 1991)("When the parties agree that a case is to be
10911tried upon stipulated facts, the stipulation is binding not only
10921upon the parties but also upon the trial and reviewing courts.
10932In addition, no other or different facts will be presumed to
10943exist.")
109454/ At the time of the James Gatlin transaction on October 7,
109572005, Direct General offered the travel protection plan, which
10966included bail bond coverage, ambulance assistance, and
10973automobile rental reimbursement, and off ered the accident
10981medical protection plan, which covered hospitalization and other
10989medical treatment. By the time of the later transactions,
10998Direct General had folded the elements of the travel protection
11008and accident medical protection plans into a new " vehicle
11017protection plan."
110195/ Mr. Gatlin's insurance purchase was both first in time and
11030the first matter alleged in the Administrative Complaint. The
11039remaining three Complaining Customers will be treated in the
11048order presented by the Administrative Comp laint rather than in
11058chronological order.
110606/ The findings as to the policy documents are largely based on
11072the documents themselves, supplemented by the testimony of
11080Respondent and the Complaining Customers. As noted above,
11088Respondent had no direct recol lection of the transactions with
11098the Complaining Customers, but she was able to explain her sales
11109script and state the likely course of events by reviewing the
11120policy documents.
111227/ Florida law requires persons who have had their driver
11132licenses suspended or revoked , pursuant to Section 322.26 or
11141322.27, Florida Statutes, to submit proof of financial
11149responsibility as to all motor vehicles registered by such
11158persons. § 324.072, Fla . Stat. Such person must carry bodily
11169injury liability insurance, in addit ion to the other required
11179coverages. The SR - 22 is the form filed by the insurance company
11192to verify the insured's compliance with the financial
11200responsibility law. See Fla. Admin. Code R. 15A - 3.005.
112108/ Ms. Jungling had a young son who lived with her.
112219/ Florida law requires persons who have had their driver
11231licenses suspended or revoked , pursuant to Section 322.26 or
11240322.27, Florida Statutes, to submit proof of financial
11248responsibility as to all motor vehicles registered by such
11257persons. § 324.072, F la . Stat. Such person must carry bodily
11269injury liability insurance, in addition to the other required
11278coverages. The SR - 22 is the form filed by the insurance company
11291to verify the insured's compliance with the financial
11299responsibility law. See Fla. Admi n. Code R. 15A - 3.005.
1131010/ Florida law requires persons who have had their driver
11320licenses suspended or revoked , pursuant to Section 322.26 or
11329322.27, Florida Statutes, to submit proof of financial
11337responsibility as to all motor vehicles registered by suc h
11347persons. § 324.072, Fla . Stat. Such person must carry bodily
11358injury liability insurance, in addition to the other required
11367coverages. The SR - 22 is the form filed by the insurance company
11380to verify the insured's compliance with the financial
11388responsibi lity law. See Fla. Admin. Code R. 15A - 3.005.
1139911/ Florida law requires persons who have had their driver
11409licenses suspended or revoked , pursuant to Section 322.26 or
11418322.27, Florida Statutes, to submit proof of financial
11426responsibility as to all motor ve hicles registered by such
11436persons. § 324.072, Fla . Stat. Such person must carry bodily
11447injury liability insurance, in addition to the other required
11456coverages. The SR - 22 is the form filed by the insurance company
11469to verify the insured's compliance with the financial
11477responsibility law. See Fla. Admin. Code R. 15A - 3.005.
1148712/ Petitioner may impose a fine or place an agent on probation
11499in lieu of suspension or revocation of the agent's license
" 11509except on a second offense or when . . . suspension [or]
11521rev ocation . . . is mandatory." §§ 626.681(1) and 626.691(1),
11532Fla. Stat.
1153413/ As soon as she looked at the paperwork, Ms. Burinskas
11545ascertained that Mr. Gatlin had purchased three ancillary
11553policies and confronted him about the matter. It appears likely
11563to the undersigned that embarrassment at Ms. Burinskas' learning
11572that he had succumbed to Respondent's sales presentation colored
11581Mr. Gatlin's testimony, leading him to claim that he just wasn't
11592paying attention when he signed the papers.
11599COPIES FURNISHED :
11602L. Michael Billmeier, Jr., Esquire
11607Galloway , Brennan & Billmeier
11611240 East Fif th Avenue
11616Tallahassee, Florida 32303
11619Michael Rothschild, Esquire
11622Law Offices of Larry S. Davis, P.A.
116291926 Harrison Street
11632Hollywood, Florida 33020
11635Thomas A. David, Esquire
11639D epartment of Financial Services
11644200 East Gaines Street
11648Tallahassee, Florida 32399 - 0333
11653Daniel Sumner, General Counsel
11657Department of Financial Services
11661The Capito l , P laza L evel 11
11669Tallahassee, Florida 32399 - 0300
11674Honorable Alex Sink, Chief Financial Offi cer
11681Department of Financial Services
11685The Capit o l , P laza L evel 11
11694Tallahassee, Florida 32399 - 0300
11699NOTICE OF RIGHT TO SUBMIT EXCEPTIONS
11705All parties have the right to submit written exceptions within
1171515 days from the date of this recommended order. Any ex ceptions
11727to this recommended order should be filed with the agency that
11738will issue the final order in this case.
![](/images/view_pdf.png)
- Date
- Proceedings
-
PDF:
- Date: 02/08/2008
- Proceedings: Recommended Order (hearing held August 14 and 21, 2007). CASE CLOSED.
-
PDF:
- Date: 02/08/2008
- Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
-
PDF:
- Date: 10/11/2007
- Proceedings: Order (parties shall file their proposed final orders no later than the close of business on October 22, 2007).
-
PDF:
- Date: 09/13/2007
- Proceedings: Order (Joint Motion for Extension of Time is granted, proposed final orders shall be filed by October 15, 2007).
- Date: 09/12/2007
- Proceedings: Transcript (Volumes I-A through II-B) filed.
-
PDF:
- Date: 09/07/2007
- Proceedings: Letter to Judge Stevenson from T. David advising that no further depositions are necessary filed.
- Date: 08/29/2007
- Proceedings: Transcript of Proceedings filed.
- Date: 08/21/2007
- Proceedings: CASE STATUS: Hearing Held.
-
PDF:
- Date: 08/15/2007
- Proceedings: Amended Notice of Hearing (hearing set for August 21, 2007; 9:00 a.m.; New Port Richey, FL; amended as to date and hearing room).
- Date: 08/14/2007
- Proceedings: CASE STATUS: Hearing Partially Held; continued to August 21, 9:00 a.m., New Port Richey, Florida
-
PDF:
- Date: 08/01/2007
- Proceedings: Amended Notice of Hearing (hearing set for August 14, 2007; 9:00 a.m.; New Port Richey, FL; amended as to location).
-
PDF:
- Date: 07/30/2007
- Proceedings: Petitioner`s Notice of Providing Respondent Petitioner`s Final Hearing Exhibits and Witness List filed.
-
PDF:
- Date: 07/05/2007
- Proceedings: Amended Notice of Hearing (hearing set for August 14, 2007; 9:00 a.m.; New Port Richey, FL; amended as to date).
-
PDF:
- Date: 06/13/2007
- Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for July 20, 2007; 9:00 a.m.; New Port Richey, FL).
-
PDF:
- Date: 05/15/2007
- Proceedings: Non-Party Direct General Insurance Agency`s Response to Petitioner`s Second Subpoena Duces Tecum filed.
-
PDF:
- Date: 05/14/2007
- Proceedings: Non-party Direct General Insurance Agency`s Response to Petitioner`s Subpoena Duces Tecum filed.
-
PDF:
- Date: 05/08/2007
- Proceedings: Petitioner`s Notice of Method of Recording Testimony at Final Hearing filed.
Case Information
- Judge:
- LAWRENCE P. STEVENSON
- Date Filed:
- 04/20/2007
- Date Assignment:
- 06/27/2007
- Last Docket Entry:
- 04/28/2008
- Location:
- New Port Richey, Florida
- District:
- Middle
- Agency:
- ADOPTED IN TOTO
- Suffix:
- PL
Counsels
-
L. Michael Billmeier, Esquire
Address of Record -
Thomas A. David, Esquire
Address of Record -
Michael Rothschild, Esquire
Address of Record -
Thomas A David, Esquire
Address of Record -
Thomas A. (Tad) David, Esquire
Address of Record