07-003951PL
Department Of Financial Services vs.
Monica L. Jones
Status: Closed
Recommended Order on Monday, January 7, 2008.
Recommended Order on Monday, January 7, 2008.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8DEPARTMENT OF FINANCIAL SERVICES, )
13)
14Petitioner, )
16)
17vs. ) Case No. 07-3951PL
22)
23MONICA L. JONES, )
27)
28Respondent. )
30__________________________________)
31RECOMMENDED ORDER
33Pursuant to notice, a hearing was conducted in this case
43pursuant to Sections 120.569 and 120.57(1), Florida Statutes, 1
52before Stuart M. Lerner, a duly-designated Administrative Law
60Judge of the Division of Administrative Hearings (DOAH), on
69October 26, 2007, by video teleconference at sites in Lauderdale
79Lakes and Tallahassee, Florida.
83APPEARANCES
84For Petitioner: David J. Busch, Esquire
90Department of Financial Services
94Division of Legal Services
98612 Larson Building
101200 East Gaines Street
105Tallahassee, Florida 32399-0333
108For Respondent: James O. Walker, III, Esquire
1151339 Northeast Fourth Avenue
119Fort Lauderdale, Florida 33304
123STATEMENT OF THE ISSUE
127Whether Respondent committed the violations alleged in the
135Administrative Complaint issued against her and, if so, what
144penalty should be imposed.
148PRELIMINARY STATEMENT
150On August 2, 2007, the Department of Financial Services
159(Department) issued a three-count Administrative Complaint
165against Respondent, notifying her that, based on the allegations
174of wrongdoing made therein, it "intend[ed] to enter an Order
184suspending or revoking [her] licenses and appointments as an
193insurance agent or impose such penalties as may be provided
203under [the law]." In the Administrative Complaint's "General
211Allegations," the Department asserted that, while "operating out
219of an agency known as A Maples Insurance Agency, Inc.," in
230Pompano Beach, Florida, Respondent "employed unlicensed
236individuals named Claudia Smith and Gus Jones, Jr., to describe
246the benefits or terms of insurance coverage, invite consumers to
256enter into insurance contracts, make recommendations as to
264insurance products, complete insurance applications, and
270otherwise advise as to insurance matters." Count I of the
280Administrative Complaint alleged that Respondent "knowingly and
287willfully provided Claudia Smith with the means to engage
296in . . . insurance transactions and insurance code violations"
306in connection with Ms. Smith's dealings with Sarah Harrington.
315Count II of the of the Administrative Complaint alleged that
325Respondent "knowingly and willfully provided Claudia Smith and
333Gus Jones with the means to engage in . . . insurance
345transactions and insurance code violations" in connection with
353Ms. Smith's and Mr. Jones' dealings with Alton Barroso and
363Monica Barranco. Count III of the Administrative Complaint
371alleged that Respondent "knowingly and willfully provided
378Claudia Smith with the means to engage in . . . insurance
390transactions and insurance code violations" in connection with
398her dealings with Marvin Mercier.
403On or about August 16, 2007, Respondent filed a written
413request for "a hearing pursuant to Section 120.57(1), Florida
422Statutes, to be held before the Division of Administrative
431Hearings." On August 29, 2007, the matter was referred to DOAH.
442Among the documents the Department transmitted to DOAH was a
452Motion to Dismiss and/or to Strike that it had received from
463Respondent. This motion was ultimately denied by the
471undersigned. See Wright-Simpson v. Department of Corrections ,
478891 So. 2d 1122, 1126 (Fla. 4th DCA 2004)("Notices of this sort
491[alleging misconduct] in administrative proceedings are not
498required to meet technical niceties or formal exactness as
507required of pleadings in the courts. The notice filed herein
517was specific enough to inform the employee with reasonable
526certainty of the nature of the charges against her.")(citation
536omitted); Seminole County Board of County Commissioners v. Long ,
545422 So. 2d 938, 940 (Fla. 5th DCA 1982)("A complaint filed by an
559administrative agency is not required to fulfill the technical
568niceties of a pleading filed in a court of law. Such an
580administrative complaint must only be specific enough to inform
589the accused with reasonable certainty of the nature of the
599charge. The charge in this instance met that requirement. The
609administrative complaint was not so vague, indistinct and
617indefinite as to mislead the appellee or to embarrass her in the
629preparation of her defense."); and Florida Board of Massage v.
640Thrall , 164 So. 2d 20, 22 (Fla. 3d DCA 1964)("[I]n [licensure
652disciplinary] administrative proceedings of this nature it is
660not necessary that the information or accusation be cast with
670that degree of technical nicety required in a criminal
679prosecution.").
681As noted above, the final hearing in this case was held on
693October 26, 2007. Five witnesses testified at the hearing:
702Monica Barranco, Marvin Mercier, Sarah Harrington, Raphael
709Montero, and Claudia Smith. In addition to these five witnesses'
719testimony, 14 exhibits (Petitioner's Exhibits 1 through 14) were
728offered and received into evidence. 2
734Upon the unopposed request of Respondent's attorney, the
742deadline for the filing of proposed recommended orders was set at
75345 days from the date of the filing with DOAH of the hearing
766transcript.
767The hearing Transcript (consisting of one volume) was filed
776with DOAH on November 9, 2007.
782The Department filed its Proposed Recommended Order on
790December 21, 2007. To date, Respondent has not filed any post-
801hearing submittal.
803FINDINGS OF FACT
806Based on the evidence adduced at hearing, and the record as
817a whole, the following findings of fact are made:
826Facts Relating to All Counts
8311. Respondent has held a Florida (2-20) general lines
840(property and casualty) insurance agent license since March 4,
8492000. She had been licensed as a (4-40) customer representative
859in Florida for approximately one year before obtaining her 2-20
869license. At no time as a licensee has she had any disciplinary
881action taken against her.
8852. At all times material to the instant case, Respondent
895was employed by A Maples Insurance Agency, Inc., in Pompano
905Beach, Florida (Agency).
9083. Respondent was one of four individuals involved in the
918operation of the Agency. The other three individuals were
927Respondent's sister, Mary Terrell (who had an ownership interest
936in the Agency); Respondent's brother, Gus Jones, Jr. (who was
946also a co-owner of the Agency), and Claudia Smith, a 25-year
957Agency employee. As Respondent was aware, neither Ms. Terrell,
966Mr. Jones, nor Ms. Smith possessed any Florida insurance
975license.
9764. At one time, prior to Respondent's coming to work for
987the Agency, Mr. Jones had been licensed in Florida as a 2-20
999insurance agent, but his license was taken away by the
1009Department's predecessor, the Department of Insurance, in 2002,
1017and it has not been reinstated. The Department of Insurance's
1027Final Order suspending Mr. Jones' license read, in pertinent
1036part, as follows:
1039Pursuant to Section 626.641, Florida
1044Statutes, the Respondent shall not engage in
1051or attempt to profess to engage in any
1059transaction or business for which a license
1066or appointment is required under the
1072Insurance Code or directly or indirectly
1078own, control, or be employed in any manner
1086by any insurance agent or agency or adjuster
1094or adjusting firm, during the period of
1101suspension.
1102Further, pursuant to Section 626.641,
1107Florida Statutes, the licenses, appointment,
1112or eligibility, which has been suspended
1118shall not be reinstated except upon request
1125for such reinstatement; but the Department
1131shall not grant such reinstatement if it
1138finds that the circumstance or circumstances
1144for which the license, appointment or
1150eligibility was suspended still exist or are
1157likely to recur.
11605. Respondent knew, when she began working at the Agency,
1170that Mr. Jones' 2-20 license had been taken away and not been
1182reinstated.
11836. It was Mr. Jones' being stripped of his license that
1194prompted the Agency to hire Respondent. The Agency needed a
1204licensed agent to replace Mr. Jones so that there would be
1215someone at the Agency able to generate commission revenues.
1224Upon being hired, Respondent filled this role as the Agency's
1234lone licensed producing agent.
12387. Respondent's employment at the Agency was her only
1247source of income. She was paid on a commission-only basis,
1257receiving her commission payments in cash from Mr. Jones.
12668. The business hours of the Agency were 9:00 a.m. to
12775:00 p.m. Monday through Thursday and 9:00 a.m. to 6:00 p.m. on
1289Friday. The Agency closed an hour for lunch each day.
12999. Although she was the only one working at the Agency who
1311held an insurance license, Respondent ordinarily worked just
1319nine hours a week (three hours on Mondays, three hours on
1330Wednesdays, and three hours on Fridays).
133610. Respondent authorized Ms. Terrell, Mr. Jones, and
1344Ms. Smith to sign Respondent's name on insurance-related
1352documents and otherwise act in her stead so that these
1362unlicensed individuals would be able to transact business and
1371produce commissions for the Agency when she was out of the
1382office. Respondent "g[o]t credit for the[se] sale[s]" made by
1391these three unlicensed individuals and was compensated
1398accordingly, notwithstanding her lack of personal involvement in
1406the transactions.
1408Facts Relating to Count I
141311. In August 2004, Sarah Harrington went to the Agency to
1424shop for insurance for a manufactured home she was purchasing
1434(through financing provided by Bank of America).
144112. At the Agency, Ms. Harrington dealt exclusively with
1450Ms. Smith, whom Ms. Harrington reasonably believed was an
1459insurance agent.
146113. Based on the information Ms. Harrington provided her,
1470Ms. Smith recommended obtaining coverage through Citizens
1477Property Insurance Corporation (Citizens), the state-created
1483entity that services homeowners unable to find insurance in the
1493private market.
149514. Ms. Smith told Ms. Harrington what the premiums were
1505for this coverage, and Ms. Harrington wrote a check to the
1516Agency for the total amount ($1,540.00) and gave it to
1527Ms. Smith.
152915. Ms. Harrington left the Agency with a two-page
1538insurance binder (with an effective date of August 25, 2004, and
1549an expiration date of August 25, 2005) that Ms. Smith gave her.
1561The binder contained what purported to be Respondent's signature
1570in two different places. The signatures, however, were not
1579Respondent's. They were placed there by Ms. Smith, pursuant to
1589the grant of authority Respondent had previously given her.
159816. In September 2005, Ms. Harrington received a letter
1607from her mortgage lender, Bank of America, advising her that her
"1618hazard insurance policy ha[d] potentially lapsed, effective
162508/25/2005" and that the bank was "unable to pay the premium for
1637[her] new hazard insurance coverage because [it had] not
1646received a bill from [her] insurance agent/company."
165317. Ms. Harrington reacted to this advisement by
1661telephoning the Agency and speaking with Ms. Smith. Ms. Smith
1671told Ms. Harrington that the Agency was a "little behind in
1682processing [the paperwork for the renewal of Ms. Harrington's
1691insurance coverage]" and would be sending Bank of America a bill
1702shortly.
170318. Approximately a month later, Ms. Harrington received a
1712second letter from Bank of America. In the letter, the bank
1723informed her that it had still not received anything concerning
1733the renewal of her insurance coverage.
173919. Ms. Harrington again telephoned the Agency and spoke
1748with Ms. Smith. Ms. Smith told Ms. Harrington that the Agency
"1759had already billed Bank of America" and that "everything was
1769fine."
177020. On October 24, 2005, Hurricane Wilma made landfall in
1780South Florida and "took off two sides of [Ms. Harrington's]
1790home." The home was a total loss.
179721. When Ms. Harrington telephoned Citizens to initiate
1805the claim process, she was told that there was no record of her
1818being insured.
182022. Ms. Harrington thereafter went to the Agency to
1829inquire about the matter and met with Ms. Smith. Ms. Harrington
1840demanded to see proof of her insurance. Ms. Smith was unable to
1852provide such proof.
185523. Ms. Harrington returned to the Agency for a follow-up
1865visit. This time she met with Mr. Jones, as well as Ms. Smith.
187824. Mr. Jones gave Ms. Harrington the first two pages of
1889an application for insurance he said he had mailed, on her
1900behalf, to Citizens on October 19, 2005. Mr. Jones told
1910Ms. Harrington that the payment for this insurance "was being
1920processed" and that Ms. Harrington's "house was going be
1929covered" inasmuch as she "had insurance."
193525. Upon examining the two pages that Mr. Jones had given
1946her, Ms. Harrington noticed that it contained erroneous
1954information concerning her occupation, her date of birth, and
1963the age of her home. She pointed out these errors to Mr. Jones
1976and Ms. Smith. Ms. Smith subsequently wrote, and signed
1985Respondent's name to, a memorandum to Citizens, dated
1993November 7, 2005, correcting the information that Ms. Harrington
2002had identified as being erroneous.
200726. After this follow-up visit to the Agency,
2015Ms. Harrington requested, and later received from Citizens, the
2024entire application package that the Agency had submitted to
2033Citizens on October 19, 2005, on her behalf. There were
2043initials and signatures on the documents in this package that
2053purported to be Ms. Harrington's, but were actually forgeries.
2062These documents also contained signatures purporting to be
2070Respondent's that were placed there by Ms. Terrell, Mr. Jones,
2080and/or Ms. Smith, pursuant to the grant of authority Respondent
2090had previously given them.
209427. Ms. Harrington's claim for the destruction of her home
2104was ultimately paid by Citizens, as Mr. Jones and Ms. Smith said
2116it would be. Ms. Harrington received $74,000.00.
212428. At no time did Respondent have any dealings or
2134interaction with Ms. Harrington.
2138Facts Relating to Count II
214329. Alton Barroso is the owner of Barroso Pools, Inc.
2153(Company).
215430. In March of 2005, the Company, through the Agency,
2164obtained insurance from Grenada Insurance Company (Grenada) for
2172three Company vehicles.
217531. Ms. Terrell had signed Respondent's name on the
2184application for this insurance, pursuant to the grant of
2193authority Respondent had previously given her. Respondent had
2201no personal involvement in this insurance transaction.
220832. After the effective date of the Company's policy with
2218Grenada, a Company vehicle was involved in an accident resulting
2228in damages to the vehicle costing approximately $7,500.00 to
2238repair.
223933. The Company submitted a claim requesting that Grenada
2248cover these damages under the Company's insurance policy with
2257Grenada.
225834. Grenada refused to pay the claim, advising the Company
2268that the Company vehicle "which was involved in [the]
2277accident . . . was not listed as a covered vehicle under [its]
2290auto policy at the time of the loss."
229835. Mr. Barroso, who does not "speak or write English very
2309well," had a friend of his, Monica Barranco, go to the Agency to
2322inquire about the matter.
232636. Ms. Barranco made several trips to the Agency. She
2336dealt primarily with Ms. Smith, but met once with Mr. Jones, who
2348gave her a copy of the Company's policy. She had no contact at
2361all with Respondent.
236437. Despite Ms. Barranco's efforts, the Company never
2372received any payment for the damages to the Company vehicle that
2383was involved in the accident.
2388Facts Relating to Count III
239338. Marvin Mercier is Ms. Smith's brother. He has
2402obtained automobile insurance through the Agency for the past
2411five or six years.
241539. In February 2006, Mr. Mercier was informed that the
2425insurance policy he had on his 1990 Ford Aerostar van would not
2437be renewed because of an at-fault accident in which he had been
2449involved.
245040. Mr. Mercier thereafter spoke with Ms. Smith, who
2459offered to "get [him] a [new] policy" with another insurer.
2469Mr. Mercier accepted his sister's offer of assistance.
247741. Approximately a week later, on or about March 11,
24872006, in accordance with Ms. Smith's instructions, Mr. Mercier
2496met with Ms. Smith at the Agency "to sign the application [for
2508the new policy] and to give a down payment."
251742. In obtaining this new policy for his van, Mr. Mercier
2528dealt exclusively with Ms. Smith. Respondent had no involvement
2537whatsoever in the transaction.
2541CONCLUSIONS OF LAW
254443. DOAH has jurisdiction over the subject matter of this
2554proceeding and of the parties hereto pursuant to Chapter 120,
2564Florida Statutes.
256644. "Chapters 624-632, 634, 635, 636, 641, 642, 648, and
2576651 constitute the 'Florida Insurance Code.'" § 624.01, Fla.
2585Stat.
258645. It is the Department's responsibility to "enforce the
2595provisions of this code." § 624.307(1), Fla. Stat.
260346. Among the Department's duties is to license and
2612discipline insurance agents.
261547. The Department is authorized to suspend or revoke
2624agents' licenses, pursuant to Sections 626.611 and 626.621,
2632Florida Statutes; to impose fines on agents of up to $500.00 or,
2644in cases where there are "willful violation[s] or willful
2653misconduct," up to $3,500, and to "augment[]" such disciplinary
2663action "by an amount equal to any commissions received by or
2674accruing to the credit of the [agent] in connection with any
2685transaction as to which the grounds for suspension, [or]
2694revocation . . . related," pursuant to Section 626.681, Florida
2704Statutes; to place agents on probation for up to two years,
2715pursuant to Section 626.691, Florida Statutes 3 ; and to order
2725agents "to pay restitution to any person who has been deprived
2736of money by [their] misappropriation, conversion, or unlawful
2744withholding of moneys belonging to insurers, insureds,
2751beneficiaries, or others," pursuant to Section 626.692, Florida
2759Statutes.
276048. The Department may take such disciplinary action
2768against an agent only after the agent has been given reasonable
2779written notice of the charges and an adequate opportunity to
2789request a proceeding pursuant to Sections 120.569 and 120.57,
2798Florida Statutes. See § 120.60(5), Fla. Stat.
280549. An evidentiary hearing must be held if requested by
2815the agent when there are disputed issues of material fact.
2825§§ 120.569 and 120.57(1), Fla. Stat.
283150. At the hearing, the Department bears the burden of
2841proving that the agent engaged in the conduct, and thereby
2851committed the violations, alleged in the charging instrument.
2859Proof greater than a mere preponderance of the evidence must be
2870presented for the Department to meet its burden of proof. Clear
2881and convincing evidence of the agent's guilt is required. See
2891Department of Banking and Finance, Division of Securities and
2900Investor Protection v. Osborne Stern and Company , 670 So. 2d 932,
2911935 (Fla. 1996); Beshore v. Department of Financial Services ,
2920928 So. 2d 411, 413 (Fla. 1st DCA 2006); Pou v. Department of
2933Insurance and Treasurer , 707 So. 2d 941 (Fla. 3d DCA 1998); and §
2946120.57(1)(j), Fla. Stat. ("Findings of fact shall be based upon a
2958preponderance of the evidence, except in penal or licensure
2967disciplinary proceedings or except as otherwise provided by
2975statute . . . .").
298151. Clear and convincing evidence is an "intermediate
2989standard," "requir[ing] more proof than a 'preponderance of the
2998evidence' but less than 'beyond and to the exclusion of a
3009reasonable doubt.'" In re Graziano , 696 So. 2d 744, 753 (Fla.
30201997). For proof to be considered "'clear and convincing' . . .
3032the evidence must be found to be credible; the facts to which
3044the witnesses testify must be distinctly remembered; the
3052testimony must be precise and explicit and the witnesses must be
3063lacking in confusion as to the facts in issue. The evidence
3074must be of such weight that it produces in the mind of the trier
3088of fact a firm belief or conviction, without hesitancy, as to
3099the truth of the allegations sought to be established." In re
3110Davey , 645 So. 2d 398, 404 (Fla. 1994), quoting, with approval,
3121from Slomowitz v. Walker , 429 So. 2d 797, 800 (Fla. 4th DCA
31331983); see also In re Adoption of Baby E. A. W. , 658 So. 2d 961,
3148967 (Fla. 1995)("The evidence [in order to be clear and
3159convincing] must be sufficient to convince the trier of fact
3169without hesitancy."). "Although this standard of proof may be
3179met where the evidence is in conflict, . . . it seems to
3192preclude evidence that is ambiguous." Westinghouse Electric
3199Corporation, Inc. v. Shuler Bros., Inc. , 590 So. 2d 986, 988
3210(Fla. 1st DCA 1991).
321452. In determining whether the Department has met its
3223burden of proof, it is necessary to evaluate its evidentiary
3233presentation in light of the specific allegations of wrongdoing
3242made in the charging instrument. Due process prohibits the
3251Department from taking disciplinary action against an agent
3259based on matters not specifically alleged in the charging
3268instrument, unless those matters have been tried by consent.
3277See Shore Village Property Owners' Association, Inc. v.
3285Department of Environmental Protection , 824 So. 2d 208, 210
3294(Fla. 4th DCA 2002); Cottrill v. Department of Insurance , 685
3304So. 2d 1371, 1372 (Fla. 1st DCA 1996); and Delk v. Department of
3317Professional Regulation , 595 So. 2d 966, 967 (Fla. 5th DCA
33271992).
332853. The Administrative Complaint in the instant case
3336charges Respondent with three counts of violating Section
3344626.611(13), Florida Statutes, and Section 626.621.621(12),
3350Florida Statutes, by knowingly and willfully enabling unlicensed
3358Agency personnel to engage in activities requiring an insurance
3367license.
336854. At all times material to the instant case, Section
3378626.611(13), Florida Statutes, has provided, in pertinent part,
3386as follows:
3388The department shall . . . suspend [or]
3396revoke . . . the license . . . of
3406any . . . agent . . . , and it shall suspend
3418or revoke the eligibility to hold a
3425license . . . of any such person, if it
3435finds that as to the . . . licensee . . .
3447any one or more of the following applicable
3455grounds exist:
3457* * *
3460Willful failure to comply with, or willful
3467violation of, any proper order or rule of
3475the department or willful violation of any
3482provision of this code.
348655. At all times material to the instant case, Section
3496626.621(12), Florida Statutes has provided, in pertinent part,
3504as follows:
3506The department may, in its discretion, . . .
3515suspend [or] revoke, . . . the license . . .
3526of any . . . agent . . . , and it may
3538suspend or revoke the eligibility to hold a
3546license . . . of any such person, if it
3556finds that as to the . . . licensee . . .
3568any one or more of the following applicable
3576grounds exist under circumstances for which
3582such . . . suspension [or] revocation . . .
3592is not mandatory under s. 626.611:
3598* * *
3601Knowingly aiding, assisting, procuring,
3605advising, or abetting any person in the
3612violation of or to violate a provision of
3620the insurance code or any order or rule of
3629the department, commission, or office.
363456. Engaging in insurance activities without a license is
3643prohibited by the following "provision[s] of the insurance code"
3652and "rule of the [D]epartment" (which were cited in the
3662Administrative Complaint):
3664§ 626.112. License and appointment
3669required; agents, customer representatives,
3673adjusters, insurance agencies, service
3677representatives, managing general agents
3681(1)(a) No person may be, act as, or
3689advertise or hold himself or herself out to
3697be an insurance agent, insurance adjuster,
3703or customer representative unless he or she
3710is currently licensed by the department[ 4 ]
3718and appointed by an appropriate appointing
3724entity or person.
3727(b) Except as provided in subsection (6) or
3735in applicable department rules, and in
3741addition to other conduct described in this
3748chapter with respect to particular types of
3755agents, a license as an insurance agent,
3762service representative, customer
3765representative, or limited customer
3769representative is required in order to
3775engage in the solicitation of insurance.
3781For purposes of this requirement, as
3787applicable to any of the license types
3794described in this section, the solicitation
3800of insurance is the attempt to persuade any
3808person to purchase an insurance product by:
38151. Describing the benefits or terms of
3822insurance coverage, including premiums or
3827rates of return;
38302. Distributing an invitation to contract
3836to prospective purchasers;
38393. Making general or specific
3844recommendations as to insurance products;
38494. Completing orders or applications for
3855insurance products;
38575. Comparing insurance products, advising
3862as to insurance matters, or interpreting
3868policies or coverages; or
38726. Offering or attempting to negotiate on
3879behalf of another person a viatical
3885settlement contract as defined in s.
3891626.9911.
3892* * *
3895(9) Any person who knowingly transacts
3901insurance or otherwise engages in insurance
3907activities in this state without a license
3914in violation of this section commits a
3921felony of the third degree, punishable as
3928provided in s. 775.082, s. 775.083, or s.
3936775.084.
3937§ 626.0428. Agency personnel powers,
3942duties, and limitations
3945* * *
3948(2) No employee of an agent or agency may
3957bind insurance coverage unless licensed and
3963appointed as a general lines agent or
3970customer representative.
3972(3) No employee of an agent or agency may
3981initiate contact with any person for the
3988purpose of soliciting insurance unless
3993licensed and appointed as a general lines
4000agent or customer representative.[ 5 ]
400669B-222.060. Unlawful Activities by
4010Unlicensed Insurance Agency Personnel.
4014The following actions are never allowable by
4021unlicensed personnel.
4023(1) Comparing insurance products; advising
4028as to insurance needs or insurance matters;
4035or interpreting policies or coverages.
4040(2) Binding new, additional, or replacement
4046coverage for new or existing customers; or
4053binding coverage on or recording additional
4059property under existing policies.
4063(3) Soliciting the sale of insurance by
4070telephone, in person, or by other
4076communication. However, the unlicensed
4080person may telephone persons to set
4086appointments for licensed and appointed
4091agents, customer representatives, or
4095solicitors, or to obtain basic policy
4101information as to existing insurance
4106coverage. The unlicensed person may not
4112engage in a substantive discussion of
4118insurance products.
412057. Because they are penal in nature, the foregoing
4129statutory provisions must be strictly construed, with any
4137reasonable doubts as to their meaning being resolved in favor of
4148the licensee. See Capital National Financial Corporation v.
4156Department of Insurance , 690 So. 2d 1335, 1337 (Fla. 3rd DCA
41671997)("Section 627.8405 is a penal statute and therefore must be
4178strictly construed: . . . . 'When a statute imposes a penalty,
4190any doubt as to its meaning must be resolved in favor of a
4203strict construction so that those covered by the statute have
4213clear notice of what conduct the statute proscribes.'").
422258. An examination of the evidentiary record in this case
4232reveals that the Department clearly and convincingly proved
4240that, as alleged in Counts I through III of the Administrative
4251Complaint, Respondent knowingly and willfully enabled unlicensed
4258Agency personnel to engage in insurance activities in connection
4267with their dealings with Ms. Harrington (Count I), Mr. Barroso
4277and Ms. Barranco (Count II), and Mr. Mercier (Count III), in
4288violation of Section 626.611(13), Florida Statutes, and Section
4296626.621(12), Florida Statutes, by giving these unlicensed
4303persons, in effect, a carte blanche to use her 2-20 license and
4315act in her stead to generate business and commission revenue for
4326the Agency. 6
432959. To determine the penalty the Department should impose
4338on Respondent for the commission of these violations, it is
4348necessary to consult the Department's "penalty guidelines" set
4356forth in Florida Administrative Code Rule Chapter 69B-231, which
4365impose restrictions and limitations on the exercise of the
4374Department's disciplinary authority. See Parrot Heads, Inc. v.
4382Department of Business and Professional Regulation , 741 So. 2d
43911231, 1233 (Fla. 5th DCA 1999)("An administrative agency is
4401bound by its own rules . . . creat[ing] guidelines for
4412disciplinary penalties."); cf . State v. Jenkins , 469 So. 2d 733,
4424734 (Fla. 1985)("[A]gency rules and regulations, duly
4432promulgated under the authority of law, have the effect of
4442law."); Buffa v. Singletary , 652 So. 2d 885, 886 (Fla. 1st DCA
44551995)("An agency must comply with its own rules."); Decarion v.
4467Martinez , 537 So. 2d 1083, 1084 (Fla. 1st 1989)("Until amended
4478or abrogated, an agency must honor its rules."); and Williams v.
4490Department of Transportation , 531 So. 2d 994, 996 (Fla. 1st DCA
45011988)(agency is required to comply with its disciplinary
4509guidelines in taking disciplinary action against its employees).
451760. Florida Administrative Code Rule 69B-231.040 explains
4524how Petitioner goes about "[c]alculating [a] penalty." It
4532provides as follows:
4535(1) Penalty Per Count.
4539(a) The Department is authorized to find
4546that multiple grounds exist under Sections
4552626.611 and 626.621, F.S., for disciplinary
4558action against the licensee based upon a
4565single count in an administrative complaint
4571based upon a single act of misconduct by a
4580licensee. However, for the purpose of this
4587rule chapter, only the violation specifying
4593the highest stated penalty will be
4599considered for that count. The highest
4605stated penalty thus established for each
4611count is referred to as the "penalty per
4619count".
4621(b) The requirement for a single highest
4628stated penalty for each count in an
4635administrative complaint shall be applicable
4640regardless of the number or nature of the
4648violations established in a single count of
4655an administrative complaint.
4658(2) Total Penalty. Each penalty per count
4665shall be added together and the sum shall be
4674referred to as the "total penalty".
4681(3) Final Penalty.
4684(a) The final penalty which will be imposed
4692against a licensee under these rules shall
4699be the total penalty, as adjusted to take
4707into consideration any aggravating or
4712mitigating factors;
4714(b) The Department may convert the total
4721penalty to an administrative fine and
4727probation if the licensee has not previously
4734been subjected to an administrative penalty
4740and the current action does not involve a
4748violation of Section 626.611, F.S.;
4753(c) The Department will consider the
4759factors set forth in rule subsection 69B-
4766231.160(1), F.A.C., in determining whether
4771to convert the total penalty to an
4778administrative fine and probation.
4782(d) In the event that the final penalty
4790would exceed a suspension of twenty-four
4796(24) months, the final penalty shall be
4803revocation.
480461. Florida Administrative Code Rule 69B-231.080 is
4811entitled, "Penalties for Violation of Section 626.611." It
4819provides, in pertinent part, as follows:
4825If it is found that the licensee has
4833violated any of the following subsections of
4840Section 626.611, F.S., for which compulsory
4846suspension or revocation . . . is required,
4854the following stated penalty shall apply:
4860* * *
4863(13) Section 626.611(13), F.S. - suspension
48696 months
487162. Florida Administrative Code Rule 69B-231.090 is
4878entitled, "Penalties for Violation of Section 626.621." It
4886provides, in pertinent part, as follows:
4892If it is found that the licensee has
4900violated any of the following subsections of
4907Section 626.621, F.S., for which suspension
4913or revocation of license(s) and
4918appointment(s) is discretionary, the
4922following stated penalty shall apply:
4927* * *
4930(12) Section 626.621(12), F.S. - suspension
49366 months
493863. In the instant case, the "penalty per count" for each
4949of the three counts of the Administrative Complaint is a six-
4960month suspension, making the "total penalty" an 18-month
4968suspension.
496964. The "aggravating/mitigating factors" that must be
4976considered to determine whether any "adjust[ment]" should be
4984made to this "total penalty" are set forth in Florida
4994Administrative Code Rule 69B-231.160, which provides, in
5001pertinent part, as follows:
5005The Department shall consider the following
5011aggravating and mitigating factors and apply
5017them to the total penalty in reaching the
5025final penalty assessed against a licensee
5031under this rule chapter. After
5036consideration and application of these
5041factors, the Department shall, if warranted
5047by the Department's consideration of the
5053factors, either decrease or increase the
5059penalty to any penalty authorized by law.
5066(1) For penalties other than those assessed
5073under Rule 69B-231.150, F.A.C.:
5077(a) Willfulness of licensee's conduct;
5082(b) Degree of actual injury to victim;
5089(c) Degree of potential injury to victim;
5096(d) Age or capacity of victim;
5102(e) Timely restitution;
5105(f) Motivation of licensee;
5109(g) Financial gain or loss to licensee;
5116(h) Cooperation with the Department;
5121(i) Vicarious or personal responsibility;
5126(j) Related criminal charge; disposition;
5131(k) Existence of secondary violations in
5137counts;
5138(l) Previous disciplinary orders or prior
5144warning by the Department; and
5149(m) Other relevant factors.
515365. In its Proposed Recommended Order, the Department
5161takes the position that "the appropriate final penalty [in this
5171case] is revocation of Respondent's license," arguing as
5179follows:
518076. . . . . The evidence at hearing
5189demonstrated that Respondent's conduct was
5194willful; that there was a substantial degree
5201of actual and potential injury to the
5208victims; that the agent was motivated by
5215financial gain; and that Respondent was
5221responsible for all of the unlicensed
5227business practices at the agency, including
5233those that served to allow a suspended
5240licensee to flaunt a Department order
5246suspending his license and thus continue to
5253engage illegally in the insurance business.
525977. It is this latter aggravating factor
5266that alone serves as justification for the
5273revocation of Respondent's license. By
5278allowing her license to be abused by a
5286suspended licensee, she provided the means
5292to enable him to continue in the insurance
5300business from which he had been banned, and
5308she compounded this wrongdoing by allowing
5314two other unlicensed individuals to also
5320prey upon an unsuspecting public. Even the
5327appointed insurance carriers had no reason
5333to suspect the agency's essentially
5338unlicensed operation, so long as
5343Respondent's falsified signatures appeared
5347on the appropriate documents. It was a
5354deliberate and deceitful scam, rather like
5360hav[ing] a surgeon popping into the
5366operating room on occasion, while an
5372unlicensed nurse removes a healthy kidney,
5378leaves the diseased one, and then signs the
5386doctor's name to the medical notes.
539278. There is no mitigating factor to offset
5400these aggravating factors.
540366. The undersigned does not agree entirely with the
5412Department's analysis. He takes issue with the Department's
5420suggestion that the proof submitted at hearing is sufficient to
5430establish that Respondent's violations caused "a substantial
5437degree of actual . . . injury to the victims." Furthermore, he
5449disagrees that there are "no mitigating factor[s]" in this case.
5459One mitigating factor is Respondent's unblemished disciplinary
5466record (which does not contain any "[p]revious disciplinary
5474orders or prior warning by the Department"). Another mitigating
5484factor is Respondent's "[c]ooperation with the Department."
5491Although she could have invoked her right to remain silent, 7
5502Respondent gave incriminating answers to questions posed by the
5511Department's counsel during her deposition, and this deposition
5519testimony of hers was the linchpin of the Department's proof
5529against her at hearing.
553367. The foregoing mitigating factors offset the
5540aggravating factors present in the instant case, but only
5549partially. Inasmuch as the aggravating factors predominate, an
5557increase in the "total penalty" is warranted. An additional six
5567months should be added to the period her license is suspended.
557868. Accordingly, the "final penalty" that the Department
5586should impose in the instant case is a 24-month suspension of
5597Respondent's license.
5599RECOMMENDATION
5600Based upon the foregoing Findings of Fact and Conclusions
5609of Law, it is hereby
5614RECOMMENDED that the Department issue a Final Order finding
5623Respondent guilty of the violations alleged in Counts I through
5633III of the Administrative Complaint and suspending her license
5642for a total of 24 months for having committed these violations.
5653DONE AND ENTERED this 7th day of January, 2008, in
5663Tallahassee, Leon County, Florida.
5667S
5668___________________________________
5669STUART M. LERNER
5672Administrative Law Judge
5675Division of Administrative Hearings
5679The DeSoto Building
56821230 Apalachee Parkway
5685Tallahassee, Florida 32399-3060
5688(850) 488-9675 SUNCOM 278-9675
5692Fax Filing (850) 921-6847
5696www.doah.state.fl.us
5697Filed with the Clerk of the
5703Division of Administrative Hearings
5707this 7th day of January, 2008.
5713ENDNOTES
57141 Unless otherwise noted, all references in this Recommended
5723Order to Florida Statutes are to Florida Statutes (2007).
57322 Petitioner's Exhibit 14 was a transcript of a deposition given
5743by Respondent on October 17, 2007. The statements Respondent
5752made during her deposition testimony constitute party admissions
5760(within the meaning of Section 90.803(18)(d), Florida Statutes)
5768that would be admissible over a hearsay objection in a civil
5779proceeding in Florida and therefore are, in and of themselves,
5789sufficient to support a finding of fact in this administrative
5799proceeding. See § 120.57(1)(c), Fla. Stat. ("Hearsay evidence
5808may be used for the purpose of supplementing or explaining other
5819evidence, but it shall not be sufficient in itself to support a
5831finding unless it would be admissible over objection in civil
5841actions."); and Castaneda v. Redlands Christian Migrant
5849Association , 884 So. 2d 1087, 1091 (Fla. 4th DCA 2004)("[T]he
5860statements of the Redlands employees are admissions within the
5869meaning of section 90.803(18)(d) as the statements concerned
5877matters regarding this specific accident arising from their
5885employment and were made while the deponents were still
5894employees of Redlands.").
58983 The Department may impose a fine or place an agent on
5910probation "in lieu of" suspension or revocation of the agent's
5920license "except on a second offense or when . . . suspension
5932[or] revocation . . . is mandatory." §§ 626.681 and 626.691,
5943Fla. Stat.
59454 This prohibition extends to all persons not holding a current
5956license, including those, like Mr. Jones, whose license has been
5966suspended or revoked by the Department. See also § 626.641(4),
5976Fla. Stat. ("During the period of suspension or revocation of
5987the license or appointment, the former licensee or appointee
5996shall not engage in or attempt or profess to engage in any
6008transaction or business for which a license or appointment is
6018required under this code or directly or indirectly own, control,
6028or be employed in any manner by any insurance agent or agency or
6041adjuster or adjusting firm.").
60465 Subsection (1) of Section 626.0428, Florida Statutes, provides
6055as follows:
6057An individual employed by an agent or agency
6065on salary who devotes full time to clerical
6073work, with incidental taking of insurance
6079applications or quoting or receiving
6084premiums on incoming inquiries in the office
6091of the agent or agency, is not deemed to be
6101an agent or customer representative if his
6108or her compensation does not include in
6115whole or in part any commissions on such
6123business and is not related to the
6130production of applications, insurance, or
6135premiums.
61366 In her deposition testimony (the transcript of which was
6146offered into evidence by the Department and received as
6155Petitioner's Exhibit 14), Respondent claimed that the Department
6163had entered into an agreement allowing Ms. Terrell, Mr. Jones,
6173and Ms. Smith to "work as customer service reps,"
6182notwithstanding that they were not licensed by the Department to
6192do so. This testimony, which was not corroborated by any
6202evidence adduced at hearing, has been rejected as incredible and
6212unworthy of belief.
62157 See Kozerowitz v. Florida Real Estate Commission , 289 So. 2d
6226391, 392 (Fla. 1974)("In Vining , we explained that Kozerowitz
6236was based upon the premise that the self-incrimination clause of
6246the Fifth Amendment extended only to proceedings criminal in
6255nature. Our Vining opinion, however, concluded that the
6263proscription against self-incrimination also applies to any
6270administrative proceeding of a 'penal' character. We held that
6279a revocation or suspension hearing before the Florida Real
6288Estate Commission is a proceeding of this nature, and we
6298specifically held that Florida Statutes, Section 475.30(1),
6305F.S.A., was unconstitutional to the extent that it required a
6315defendant in a discipline proceeding before the Real Estate
6324Commission to respond to the charges against him."); State ex
6335rel. Vining v. Florida Real Estate Commission , 281 So. 2d 487,
6346491 (Fla. 1973)("[I]t is our view that the right to remain
6358silent applies not only to the traditional criminal case, but
6368also to proceedings 'penal' in nature in that they tend to
6379degrade the individual's professional standing, professional
6385reputation or livelihood."); Best Pool and Spa Service Co., Inc.
6396v. Romanik , 622 So. 2d 65, 66 (Fla. 4th DCA 1993)("We agree that
6410requiring Kassover to answer these questions does violate his
6419right against self-incrimination which applies not only to
6427criminal matters but also administrative proceedings such as
6435licensing."); and McDonald v. Department of Professional
6443Regulation, Board of Pilot Commissioners , 582 So. 2d 660, 663
6453n.2 (Fla. 1st DCA 1991)("Because license revocation or
6462suspension proceedings are penal in nature, the fifth amendment
6471right to remain silent applies.").
6477COPIES FURNISHED :
6480David J. Busch, Esquire
6484Department of Financial Services
6488Division of Legal Services
6492612 Larson Building
6495200 East Gaines Street
6499Tallahassee, Florida 32399-0333
6502James O. Walker, III, Esquire
65071339 Northeast Fourth Avenue
6511Fort Lauderdale, Florida 33304
6515Honorable Alex Sink
6518Chief Financial Officer
6521Department of Financial Services
6525The Capitol, Plaza Level 11
6530Tallahassee, Florida 32399-0300
6533Daniel Sumner, General Counsel
6537Department of Financial Services
6541The Capitol, Plaza Level 11
6546Tallahassee, Florida 32399-0307
6549NOTICE OF RIGHT TO SUBMIT EXCEPTIONS
6555All parties have the right to submit written exceptions within
656515 days from the date of this Recommended Order. Any exceptions
6576to this Recommended Order should be filed with the agency that
6587will issue the Final Order in this case.
- Date
- Proceedings
- PDF:
- Date: 01/07/2008
- Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
- Date: 11/09/2007
- Proceedings: Transcript filed.
- Date: 10/26/2007
- Proceedings: CASE STATUS: Hearing Held.
Case Information
- Judge:
- STUART M. LERNER
- Date Filed:
- 08/29/2007
- Date Assignment:
- 10/23/2007
- Last Docket Entry:
- 04/09/2008
- Location:
- Lauderdale Lakes, Florida
- District:
- Southern
- Agency:
- ADOPTED IN PART OR MODIFIED
- Suffix:
- PL
Counsels
-
David J. Busch, Esquire
Address of Record -
James O. Walker, III, Esquire
Address of Record -
David J Busch, Esquire
Address of Record