10-002443 Department Of Financial Services vs. Falcontrust Group, Inc.
 Status: Closed
Recommended Order on Friday, October 15, 2010.


View Dockets  
Summary: Insurance agent and agency took premiums to pay commissions held back by insurance company. Pending civil suit did not prevent administrative decision interpreting Agency Agreement; taking the premiums violated several insurance code provisions.

1STATE OF FLORIDA

4DIVISION OF ADMINISTRATIVE HEARINGS

8DEPARTMENT OF FINANC IAL )

13SERVICES, )

15)

16Petitioner, )

18)

19vs. ) Case Nos. 10 - 2442

26) 10 - 2443

30ALBERTO LUIS SOTERO AND )

35FACLONTRUST GROUOP, INC., )

39)

40Respondent s . )

44______________________________ ___)

46RECOMMENDED ORDER

48Administrative Law Judge John D. C. Newton, II, of the

58Division of Administrative Hearings, heard this case on

66August 10, 2010, at the Division of Administrative Hearings,

751230 Apalachee Parkway, The DeSoto Building, Tallahassee,

82Florida.

83APPEARANCES

84For Petitioner: James A. Bossart, Esquire

90Department of Financial Services

94612 Larson Building

97200 East Gaines Street

101Tallahassee, Florida 32399 - 0333

106For Respondent: Daniel C. Brown, Esquire

112Carlton Fields, P.A.

115Post Office Box 190

119Tallahassee, Florida 32302 - 0190

124STATEMENT OF THE ISSUES

128A . Does Petitioner, Departme n t of Financial Services

138(DFS) , have authority to determine if Respondent, Alberto Luis

147Sotero (Mr. Sotero) and Respondent, FalconTrust Group, Inc.

155(FalconTrust), wron g fully took or witheld premium funds owed an

166insurance company while a civil action between the insurance

175company and Mr. Sotero and FalconTrust pend s in C ircuit C ourt

188presenting the same issues?

192B . Should the insurance agent license of Mr. Sotero be

203disciplined for alleged violations of Sections 62 6.561(1),

211626.611(7), 626.611(10), 626.611(13), and 626.621(4) , Florida

217Statutes (200 7) ? 1 .

222C . Should the insurance agency license of FalconTrust be

232disciplined for alleged violations of Section 626.561(1),

239626.6215 (5) (a), 626.621 5 (5)(d). 626.621 5 (5)(f), and

249626.621 5 (5)(k), Florida Statutes?

254PRELIMINARY STATEMENT

256On April 16, 2010, DFS filed Administrative Complaints

264against Mr. Sotero and FalconTrust , each with one Count alleging

274violations of Chapter 656, Florida Statutes (200 7 ) governing the

285business o f insurance. 2 Mr. Sotero and FalconTrust both

295requested administrative hearings to dispute the charges. DFS

303referred the cases to the Division of Admin i strative Hearings

314(DOAH) on May 6, 2010.

319DOAH consolidated the cases and set them for Final Hearing

329t o be held August 10, 2010. The hearing was held as noticed.

342The court reporter filed the T ranscript on August 25, 2010. All

354parties submitted Proposed Recommended Orders and supporting

361Memoranda of Law. The parties asked for and were granted leave

372to file responses to each other's post - hearing filings , which

383extended the time for issua n ce of the Recommended Order. The

395parties filed responses.

398At the f inal h earing DFS submitted the following exhibits

409into evidence: Petitioner's Exhibits 1, 2, 3, 4, 6 , 8, 9, 10,

42111, 12, 13, and 14. DFS presented testimony from Scott T.

432Bothwell, an employee of Zurich American Insurance Company.

440Mr. Sotero and FalconTrust entered the following exhibits

448into evidence: Respondents' Exhibits C, F, G, L, H, and M. Mr.

460S otero was the sole witness for himself and FalconTrust.

470FINDINGS OF FACT

473Based on the testimony and other evidence presented at the

483final hearing and on the entire record of this proceeding, the

494following findings of fact are made:

5001. Mr. Sotero is licensed by DFS as an insurance agent in

512Florida and has been at all times material to this matter. He

524holds license number A249545.

5282. Falcon T rust is licensed by DFS as an insurance agency

540in this state and has been at all times material to th is matter.

554It holds license number L014424.

5593. Mr. Sotero is an officer and director of Falcon T rust

571and held these positions at all times material to this

581proceeding. Mr. Sotero also controlled and directed all actions

590of FalconTrust described in these Findings of Fact.

5984. Zurich American Insurance Company is a commercial

606property and casualty insurance company .

6125. Falcon T rust Commercial Risk Specialists, Inc. , and

621Zurich - American Insurance Group entered into an "Agency - Company

632Agreement" (Agency Agr eement) that was effective January 1,

6411999. The Agency Agreement bound the following Zurich entities,

650referred to collectively as Zurich: Zurich Insurance Company,

658U.S. Branch; Zurich American Insurance Company of Illinois;

666American Guarantee and Liability Insurance Company; American

673Zurich Insurance Company; and Steadfast Insurance Company. The

681Agreement specified that Fa l c onT rust was an "independent Agent

693and not an employee of the Company [Zurich.]" . . ..

7046. The Agency Agreement also state d:

711All premiums collected by you [Falcontrust]

717are our [Zurich's] property and are held by

725you as trust funds. You have no interest in

734such premiums and shall make no deduction

741therefrom before paying same to us [Zurich]

748except for the commission if any a uthorized

756by us in writing to be deducted by you and

766you shall not under any circumstances make

773personal use of such funds either in paying

781expense or otherwise. If the laws or

788regulations of the above state listed in

795your address require you to handle pr emiums

803in a fiduciary capacity or as trust funds

811you agree that all premiums of any kind

819received by or paid to you shall be

827segregated held apart by you in a premium

835trust fund account opened by you with a bank

844insured at all times by the Federal Deposit

852Insurance Corporation and chargeable to you

858in a fiduciary capacity as trustee for our

866benefit and on our behalf and you shall pay

875such premiums as provided in this agreement.

882(emphasis supplied.

884The Agency Agreement commits Zurich to pay Falcon T rust

894comm issions " on terms to be negotiated . . . ." It requires

907Falcon T rust to pay "any sub agent or sub producer fees or

920commissions required."

9227. The Agency Agreement also provides:

928Suspension or termination of this Agreement

934does not relieve you of the duty t o account

944for and pay us all premiums for which you

953are responsible in accordance with Section 2

960and return commissions for which you are

967responsible in accordance with Section 3

973[the Commission section.]

9768. The Agency A greement w as for Mr. Sotero and Fa lcontrust

989to submit insurance applications for the Z urich companies to

999underw r ite prope r ty and casualty insurance , primarily for long -

1012haul trucking.

10149. The Agency A greement and all the parties contemplated

1024that Mr. Sotero and Falcon T rust would deduct agre ed - upon

1037commissions from premiums and remit the remaining funds to

1046Zurich. On September 14, 2000, Zurich and Mr. Sotero amended

1056the Agency Agreement to change the due date for premium payment s

1068and to replace FalconTrust Group, Inc. (FalconTrust) for

1076Falc onTrust Commercial Risk Specialists, Inc. , and to replace

1085Zurich - American Insurance Group and Zurich Insurance Company,

1094U.S. Branch , with Zurich U.S.

109910. Mr. Sotero and Zurich's authorized agent , Account

1107Executive Sue Marcello , negotiated the terms of the commission

1116agreement as contemplated in the Agency Agreement.

112311 . Mr. Sotero confirmed the terms in a July 20, 1999 ,

1135letter to Ms. Marcello. The parties agreed on a two - part

1147commission . O ne part was to be paid from the premi ums upon

1161collection of the premiums . T he second part , contingent upon

1172the program continuing for five years , was to be paid by Zurich

1184to Mr. Sotero and Falcon Tru st. The total commission was 20

1196percent . Falcon Trust and Mr. Sotero were authorized to deduc t

120813 percent of the commission from premiums before forwarding

1217them to Zurich. The remaining seven percent Zurich was to pay

1228to Mr. Sotero and Falcon Trus t at the end of the program or after

1243the fifth year anniversar y date. The letter spelled out clearly

1254that Zurich would hold the money constituting the seven percent

1264and was entitled to all investment income earned on the money.

127512 . The passage describing the arrangement reads as

1284follows:

1285Our total commission is 20 percent however

1292Zurich will hold and re tain the first 7

1301percent commission where they are entitle

1307[sic] to earn investment income. I

1313understand that FalconTrust will not benefit

1319from this compounded investment income.

1324However you mentioned you would increase our

1331initial commission that is set at 13 percent

1339currently from time to time depending on

1346FalconTrust reaching their g oals, but it

1353will never exceed a total commission of 20

1361percent . It is to our understanding that

1369the difference will be paid at the end of

1378the program or after the fifth y ear

1386anniversary date being 12/31/2005, but not

1392earlier than five years . I do understand

1400that if Zurich and/or FalconTrust cancels

1406the program on or before the fourth year

1414being 12/31/2004 that we are not entitle

1421[sic] to our remaining commission that you

1428will be holding . If the program is

1436can c elled after 12/31/2004 by FalconTrust

1443and/or Zurich it is understood that all

1450commission being held will be considered

1456earned . (emphasis added.)

146013 . Until the program ended, the parties conducted

1469themselves under the Agency Agreement as described in the

1478letter. At some point the parties agreed to decrease the

1488percentage retained by Zurich to five percent and increase the

1498percentage init i ally paid to and kept by FalconTrust to 15

1510perc e nt .

151414. During the course of the relationship FalconTrust

1522produced approximately $146,000,000 in premiums for Zurich. At

1532all times relevant to this matter, all premium payments, except

1542for the portion deducted by sub - agents and producers before

1553forwarding the payments to Mr. Sotero a nd FalconTrust were

1563deposited into a trust account.

156815. The various sub - agents of FalconTrust collected

1577premiums and forwarded them to FalconTrust, after deducting

1585their commission s , which were a subpart of the FalconTrust 13

1596percent commission. FalconTr ust in turn forwarded the remaining

1605premium funds after de ducting the portion of its 13 percent left

1617after the sub - agent deduction. This was consistent with the

1628Agency Agreement and accepted as proper by Zurich at all times.

1639All parties realized that the held - back seven percent , later

1650five percent , was money that Zurich would owe and pay if the

1662conditions for payment were met. The parties conducted

1670themselves in keeping with that understanding.

167616 . Mr. Sotero and FalconTrust described the practice this

1686way in their Third Amended Complaint in a court proceeding about

1697this dispute : "In accordance with the Commission Agreement,

1706Zurich held the contingency/holdback commission and received

1713investment income thereon." ( Emphasis supplied . )

172117. In 2006 Zuri ch decided to end the program. In a

1733letter dated December 8, 2006, Tim Anders , Vice President of

1743Zurich, notified Mr. Sotero that Zurich was terminating the

1752Agency - Company Agreement of January 1, 1999. The letter was

1763specific. It said Zurich was providi ng "notificat i on of

1774termination of that certain Agency - Company Agreement between

1783Zurich American Insurance Company, Zurich American Insurance Co.

1791of Illinois, American Guar a ntee and Liability Insurance Co.,

1801American Zurich Insurance C ompany, Steadfast Ins u rance Company .

1812. . and FalconTrust Grup, Inc. . . ., dated January 1, 1999, . .

1827.. " Mr. Sotero wrote asking Zurich to reconsider or at least

1838extend the termination date past the March 15, 2007 , date

1848provided in the letter. Zurich agreed to extend the te rmination

1859date to April 30, 2007.

186418. At the time of termination FalconTrust had fulfilled

1873all of the requirements under the Agency - Agreement for receipt

1884of the held - back portion of the commissions. Mr. Sotero asked

1896Zurich to pay the held - back commission amounts. He calculated

1907the amount to exceed $7, 0 00,000. Zurich did not pay the held -

1922back commission amounts .

192619. As the program was winding down and the termination

1936date approached , FalconTrust continued to receive premiums. As

1944the Agency Agreement and negot i ated commission structure

1953provided , FalconTrust deducted its initial commission from the

1961premium payments. But, reacting to Zurich's failure to begin

1970paying the held back commission amounts, Mr. Sotero engaged in

"1980self help." He deducted at least $ 6 , 0 00,000 from the premium

1994payments from customers , received and deposited in the trust

2003account. He took the money as payment from Zurich of earned and

2015held back commissions. 3 Nothing in the Agency Agreement or

2025negotiated commission a greement authorized this action.

203220. In March of 2007, Mr. Sotero and FalconTrust also

2042brought suit against Zurich in the Circuit Court for the

2052Eleventh Judicial Circuit, Miami, Florida. The issues in that

2061proceeding include whether Mr. Sotero and Falcon Trust wrongfully

2070took premiums and how much Zurich owes them for commissions. As

2081of the f inal h eari n g, that cause ( Case Number 07 - 6199 - CA - 01 )

2102remained pending before the court and set for jury trial in

2113August 2010 . There is no evidence of a final disposi tion.

21252 1 . But the court has entered a partial Summary Judgment

2137determining that FalconTrust wrongfully took premium funds for

2145the commissions that it maintained Zurich owed. The court's

2154Order concludes that the issue is not whether Zurich owed money

2165to FalconTrust , but whether FalconTrust was entitled to take the

2175funds when it did. Like the undersigned, the court determines

2185that it was not.

21892 2 . Between December 8, 2006, the date of the cancelation

2201letter, and April 30, 2007 , the program termination da te,

2211Mr. Sotero and FalconTrust did not remit to Zurich any of the

2223approximately $6,000,000 in premium payments received. Despite

2232not receiving premiums, Zurich did not cancel or refuse to issue

2243the policies for which the premiums taken by Mr. Sotero and

2254F alconTrust were payment. The policies remained in effect.

2263CONCLUSIONS OF LAW

22662 3 . The Division of Administrative Hearings has

2275jurisdiction over the subject matter and of the parties to this

2286action in accordance with Sections 120.569 and 120.57(1),

2294Florida Statutes (2010) .

22982 4 . As the Petitioner , DFS must prove the material

2309allegations by clear and convincing evidence. Department of

2317Banking and Finance v. Osborne Stern and Company, In c., 670 So.

23292d 932 (Fla. 1996) , and Ferris v. Turlington , 510 So. 2d 292

2341(Fla. 1987). Clear and convincing evidence must be credible.

2350The memories of witnesses must be clear and not confused. The

2361evidence must produce a firm belief that the truth of

2371all egations has been established. Slomowitz v. Walker , 429 So.

23812d 797, 800 (Fla. 4th DCA 1983). Evidence that conflicts with

2392other evidence may be clear and convincing. The trier of fact

2403must resolve conflicts in the evidence. G.W.B. v. J.S.W. (in Re

2414Baby E.A.W.) , 658 So. 2d 961, 967 (Fla. 1995).

2423DFS Authority to Proceed

24272 5 . Mr. Sotero and FalconTrust maintain that DFS may take

2439no action in this proceeding until final disposition of the

2449circuit court action between FalconTrust and Zurich. They rely

2458on Ru ssell v . Florida Department of Insurance , 668 So. 2d 276

2471(Fla. 2d DCA 1996) ( Russell ) for this argument. In Russell , an

2484a dministrative l aw j udge issued a Recommended Order concluding

2495that the Department of Insurance should dismiss its complaint

2504seeking to suspend Russell's insurance agent's license.

251126 . Russell involved money that Mr. Russell received from

2521Principal Mutual Life Insurance Company in excess of commissions

2530owed him. Over the years, Russell had received multiple

2539commission advances from Principal with the express and repeated

2548approval of Principal' s officers. When Principal assigned a new

2558commissions technician to Russell's account, Russell requested

2565advances from her. The new technician was not aware of the

2576previous practice, the approval of the officers, or the way in

2587which the advances had been made. To grant Russell's request

2597she devised a method of adding money to his commission statement

2608and forcing the computer system to make payments of unearned

2618money. She was diverting Principal's funds to Russell.

262627 . Russell had no reason to questio n the means by which

2639the new technician provided the money advanced. He reasonably

2648assumed that the payments had been approved by Principal's

2657officers as his previous payments had been. Department of

2666Insurance and Treasurer v. Russell , C ase No. 94 - 0810 ( Division

2679of Administrative Hearings, Recommended Order, December 2,

26861994) ; Dep't of Ins. Amended Final Order April 18, 1996 . The

2698findings of fact included a determination that Russell had no

2708reason to know that he had no right to the money he received or

2722that he knowingly or wrongfully sought to obtain payments to

2732which he was not entitled.

273728 . When Principal learned what the new technician had

2747been doing, it terminated Russell's contracts and filed a civil

2757suit against him seeking return of the money. Russell

2766counterclaimed. The Department filed an administrative

2772complaint against Russell. After a final hearing, the

2780Administrative Law Judge found the facts described above and

2789that Russell did not repay Principal when it demanded repayment,

2799because h e was awaiting the outcome of the civil suit. The

2811administrative law judge determined that the facts did not

2820establish any of the violations charged. The Recommended Order

2829recommended that the Department dismiss its complaint.

283629 . The Department's Fi nal Order accepted the Order's

2846Findings of Fact but rejected the conclusion. The Final Order

2856concluded instead that Russell had converted and failed to

2865return funds belonging to an insurer in violation of S ections

2876626.561, 626.611, and 626.621, Florida St atutes (1993). These

2885are all statutes involved in this case and not materially

2895different from the 2009 versions that govern here. The facts

2905are, however, different. The court reversed the Department's

2913Final Order saying: "The findings of fact do not su pport this

2925legal conclusion. Accordingly, we reverse." Russell 668 So. 2d

2934at 277. Although the court stated that the Department could

2944file another complaint if the trial court determined that

2953Russell improperly took or kept the money, the pending trial

2963court action was not the reason for reversal.

297130 . Mr. Sotero and FalconTrust argue that Russell held

2981that only a court can interpret terms of the contract and that

2993DFS has no authority to act against their license s until the

3005circuit court action results in a final determination of whether

3015the moneys taken were premiums. This is not Russell 's holding .

3027The decision was based on the fact . H owever, th ose facts are

3041very different from the facts here. The court did no t make a

3054jurisdictional determination or decide that DFS could never act

3063on a set of facts if there was a legal proceeding involving them

3076pending. Russell does not require dismissing the complaint.

308431. Sotero and FalconTrust also cite Webb v. Dep't of

3094P rof'l Regulation , 595 So. 2d 1103 (Fla. 5th DCA 1992) in

3106support for their argument that the Department lacks authority

3115to determine if the moneys that they kept were premiums , not

3126commissions to which they were entitled. Webb does not support

3136the argumen t. Like Russell , the holding in Webb is specific to

3148the facts of the case. Webb involved a fee dispute between an

3160engineer and client. The court reversed the decision because

3169the undisputed facts established a fee dispute that did not

3179amount to miscondu ct. The opinion did not hold that only courts

3191could determine the meaning of the contract between the engineer

3201and the client or that facts giving rise to a fee dispute could

3214never be a disciplinary offense. The other authorities relied

3223upon by Sotero an d FalconTrust similarly depend upon specific

3233facts and the authority of specific agencies. They do not

3243support the theory that actions which may be the subject of a

3255contractual dispute may never be the basis for a disciplinary

3265action.

3266The Charges

32683 2 . DFS charges Mr. Sotero with violations of S ections

3280626.561(1), 626.611(7), 626.611(10), 626.611(13), and

3285626.621(4) , Florida Statutes . DFS charges FalconTrust with

3293violations of S ections 626.561(1), 626.6215(5)(a),

3299626.6215(5)(d), 626.6215(5)(f), and 626. 6215(5)(k) , Florida

3305Statutes . All of these charges rest on the claim that after

3317receiving Zurich's December 8, 2006 , notice of termination,

3325Mr. Sotero and FalconTrust withheld as payment for held - back

3336commissions the moneys insurance customers paid for pr emiums.

3345DFS proved that claim with clear and convincing evidence.

33543 3 . Mr. Sotero and FalconTrust argue that the funds were

3366commissions , not premiums. The facts do not support that

3375argument. The funds were premiums. The facts show that Zurich

3385held ba ck years' worth of commissions as agreed among the

3396parties. The facts also show that Zurich was to pay the held -

3409back commission amounts under certain conditions.

34153 4 . Mr. Sotero and FalconTrust may be right that those

3427conditions all occurred and Zurich owed them over $7,000,000 in

3439commissions. T hat , however, is an obligation of Zurich to pay

3450money to Mr. Sotero and FalconTrust. The documents and the

3460practice of the parties in the course of their relationship do

3471not support the conclusion that Mr. Soter o and FalconTrust wer e

3483authorized to deduct the held - back commissions from premium

3493payments they received from insurance customers. Fortunately

3500for the customers, Zurich did not choose to deny or cancel

3511coverage because it had not received premiums. All that remains

3521is application of the elements of the various charges to the

3532facts .

3534Charges Against Mr. Sotero

35383 5 . Section 626.561(1) , Florida Statutes, makes all

3547premiums received by insurance agents and agencies trust funds,

3556requires agents to keep the fun ds in a separate account, and

3568requires agents to pay the funds to the insurer or insured

3579entitled to the funds. The funds that Mr. Sotero and

3589FalconTrust collected after receiving the December 8, 2006 ,

3597letter from Zurich were premium funds to which Zurich was

3607entitled. Mr. Sotero did not pay them to Zurich as required.

3618DFS proved a violation of Section 626.561(1) , Florida Statutes,

3627by clear and convincing evidence.

363236. The alleged violations of Section 626.611(7), (10),

3640and (13) , Florida Statutes, requ ire specific intent on the part

3651of the licensee. See Bowling v. Department of Insurance , 394 So.

36622d 165 (Fla. 1st DCA 1981). Clear and convincing evidence

3672establishes that Mr. Sotero and FalconTrust intended to take the

3682premium funds to pay the commission s they believed they were

3693owed. Their rationalization for taking the money does not

3702change the fact that they knew the funds were premiums and that

3714the agreement, as memorialized in Mr. Sotero's letter , only

3723permitted taking the initial commission percent age before

3731forwarding the remaining money to Zurich.

37373 7 . Section 626.611(7) , Florida Statutes, permits DFS to

3747deny, suspend, or revoke the license of any insurance agent who

3758has demonstrated a lack of fitness or trustworthiness to engage

3768in the business o f insurance. Mr. Sotero resorted to self - help

3781when he concluded that Zurich was unlikely to pay the held - back

3794commissions. In doing so he put his personal financial

3803interests ahead of the interest s of the insurance customers who

3814depended on him to forward their premium payments to Zurich.

3824This action demonstrated a lack of fitness or trustworthiness to

3834engage in the business of insurance. DFS proved this charge by

3845clear and convincing evidence.

38493 8 . Section 626.611(10) , Florida Statutes, permits DFS to

3859deny, suspend, or revoke the license of any insurance agent who

3870misappropriates, converts or unlawfully withholds money

3876belonging to an insurer received in the conduct of business

3886under the insuran ce license. The premiums received after the

3896December 8, 2006 , letter were premium moneys belonging to

3905Zurich. Mr. Sotero deliberately and willfully took them and

3914converted them to his own use . DFS proved this charge by clear

3927and convincing evidence.

393037 . Section 626.611(13) , Florida Statutes, permits DFS to

3939deny, suspend, or revoke the license of any insurance agent who

3950willfully fails to comply with or willfully violates any rule of

3961DFS or any provision of Florida's insurance code. As set forth

3972in thi s Recommended Order, Mr. Sotero deliberately and willfully

3982violated several provisions of Florida's insurance code. DFS

3990proved this charge by clear and convincing evidence.

399838 . Section 626.621(4) , Florida Statutes, permits DFS to

4007deny, suspend, or revoke the license of any insurance agent who

4018fails or refuses "upon demand, to pay over to any insurer he or

4031she represents or has represented any money coming into his or

4042her hands belonging to the insurer." DFS did not prove by clear

4054and convincing evidence that Zurich demanded money coming into

4063Mr. Sotero's hand that belonged to Zurich. Consequently DFS did

4073not prove this charge by clear and convincing evidence.

4082Charges Against Falcontrust

408539 . Section 626.561(1) , Florida Statutes, makes all

4093premiums rec eived by insurance agents and agencies trust funds,

4103requires agents to keep the funds in a separate account, and

4114requires agents to pay the funds to the insurer or insured

4125entitled to the funds. The funds that Mr. Sotero and

4135FalconTrust collected after re ceiving the December 8, 2006 ,

4144letter from Zurich were premium funds to which Zurich was

4154entitled. FalconTrust did not pay them to Zurich as required.

4164DFS proved a violation of Section 626.561(1) by clear and

4174convincing evidence.

41764 0 . Section 626.6215(5) , Florida Statutes, permits DFS to

4186suspend, deny, or revoke an insurance agency license if the

4196agency or its majority owner commits any of several listed acts

"4207with such frequency as to have made the operation of the agency

4219hazardous to the insurance - buying public or other persons . " The

4231acts charged here are:

4235(a) Misappropriation, conversion, or

4239unlawful withholding of moneys belonging to

4245insurers or insureds or beneficiaries or to

4252others and received in the conduct of

4259business under the license.

4263* * *

4266(d) Violation of any provision of this code

4274or of any other law applicable to the

4282business of insurance in the course of

4289dealing under the license.

4293* * *

4296(f) Failure or refusal, upon demand, to pay

4304over to any insurer he or she represen ts or

4314has represented any money coming into his or

4322her hands belonging to the insurer.

4328* * *

4331(k) Demonstrated lack of fitness or

4337trustworthiness to engage in the business of

4344insurance arising out of activities related

4350to insurance or the insuran ce agency.

43574 1 . FalconTrust's willful and deliberate decision to tak e

4368premium funds to pay the held - back commissions that it

4379maintained Zurich owed establishes by clear and convincing

4387evidence that FalconTrust committed each of the offenses

4395described in s ubsections (a), (d), (f), and (k). The only

4406remaining question is whether FalconTrust committed the offenses

"4414with such frequency as to have made the operation of the agency

4426hazardous to the insurance - buying public or other persons ."

44374 2 . There are a number of ways to analyze this element.

4450Mr. Sotero and FalconTrust take the position that this case

4460involves a single incident that cannot amount to frequent

4469violations. DFS does not address the issue , and only alleged

4479one Count in its Administrative Com plaint. Recurrence implies

4488more than one action. T he magnitude of the amount of premium

4500payments involved makes it plausible to conclud e that the single

4511action of taking over $6,000,000 in premium payments establishes

4522a violation . In addition the money FalconTrust took likely

4532represented premium payments of several insurance customers

4539received and taken over a period of days. Taking premiums of a

4551number of customers or taking premiums on a number of days could

4563establish frequent violations. But evidenc e on this subject

4572does not establish how many customer policies or how many

4582premium payments were involved. Consequently , DFS did not prove

4591the several charged violations of Section 626.6215(5) by clear

4600and convincing evidence.

4603Penalty

46044 3 . Under Florida Administrative Code Rule 69B -

4614231.040(l)(a), the penalty per count cannot exceed the highest

4623penalty for any violation found under the count.

46314 4 . Mr . Sotero's violation of Section 626.611(10) is

4642punishable with a 12 - month suspension per violation. This i s

4654the highest penalty for any violation by Mr. Sotero established

4664in this case.

46674 5 . Florida Administrative Code Rule 69B - 231.160 lists

4678aggravating and mitigating factors that may be considered. The

4687following aggravating circumstances are present: will fulness of

4695the licensee's conduct, motivation of the licensee, and

4703financial gain to the licensee. The only mitigating

4711circumstance is the lack of previous disciplinary orders or

4720warnings.

47214 6 . In consideration of the facts and all the aggravating

4733and m itigating circumstances , a suspension of Mr. Sotero's

4742license for nine months is appropriate in light of the

4752deliberate, willful nature of his actions and the amount of

4762premium moneys that he took.

47674 7 . FalconTrust's violation of Section 626.561(1) is

4776puni shable with a nine - month suspension per violation. Fla.

4787Admin. Code R. 69B - 231.110. This is the highest penalty for any

4800violation by FalconTrust established in this case. The

4808discussion of aggravating and mitigating factors above applies

4816equally to dete rmining the penalty for FalconTrust.

482448 . In consideration of the facts and all of the

4835aggravating and mitigating circumstances, a suspension of

4842FalconTrust's license for nine months is also appropriate in

4851light of the deliberate, willful nature of the acti ons and the

4863amount of premium moneys taken.

48684 9 . DFS also asks that reinstatement of the licenses for

4880Mr. Sotero and FalconTrust be made contingent upon a

4889satisfactory accounting of the premium funds. Putting aside the

4898questions about the existence of statute or rule authority for

4908imposing this requi rement, the evidence does not permit a

4918determination of the precise amounts involved since some amount,

4927albeit less than $1,000,000 applying the 15 percent initial

4938commission, could have been kept as earned commissions not

4947payment of held back commissions.

4952RECOMMENDATION

4953Based on the foregoing Findings of Fact and Conclusions of

4963Law, it is RECOMMENDED that the Department of Financial Services

4973suspend the license of Adalberto L. Sotero for nine months and

4984suspend the license of FalconTrust Group, Inc. for n ine months.

4995DONE AND ENTERED this 15th day of October, 2010, in

5005Tallahassee, Leon County, Florida.

5009S

5010___________________________________

5011JOHN D. C. NEWTON, II

5016Administrative Law Judge

5019Division of Administrative Hearings

5023The DeSoto Building

50261230 Apalachee Parkway

5029Tallaha ssee, Florida 32399 - 3060

5035(850) 488 - 9675 SUNCOM 278 - 9675

5043Fax Filing (850) 921 - 6847

5049www.doah.state.fl.us

5050Filed with the Clerk of the

5056Division of Administrative Hearings

5060this 15th day of October , 2010.

5066ENDNOTES

50671 / All references to Florida Statutes are to the 2007 statutes

5079unless otherwise noted.

50822 / At the Final Hearing DFS withd rew one charge against each

5095Respondent and amended some of the statutes cited in the

5105Administrative Complaint against FalconTrust.

51093 / The evidence is not clear about the exact amount that was for

5123the initial commission, 15 percent at that time, and how m uch

5135was for the held back commissions. But it was clear that

5146Mr. Sotero and FalconTrust witheld millions of premium dollars

5155beyond the amount that would have paid the 15% commission they

5166were entitled to withhold.

5170COPIES FURNISHED:

5172Julie Jones, CP, FRP , Agency Clerk

5178Department of Financial Services

5182The Capitol, Plaza Level 11

5187Tallahassee, Florida 32399 - 0307

5192Benjamin Diamond, General Counsel

5196Department of Financial Services

5200The Capitol, Plaza Level 11

5205Tallahassee, Florida 32399 - 0307

5210Honorable Alex Sink,

5213Chief Financial Officer

5216Department of Financial Services

5220The Capitol, Plaza Level 11

5225Tallahassee, Florida 32399 - 0307

5230James A. Bossart, Esquire

5234Department of Financial Services

5238612 Larson Building

5241200 East Gaines Street

5245Tallahassee, Florida 32399 - 0333

5250Daniel C. Brown, Esquire

5254Carlton Fields, P.A.

5257Post Office Box 190

5261Tallahassee, Florida 32302 - 0190

5266M. Drew Parker, Esquire

5270Ard Shirley & Rudolph P. A.

5276Post Office Box 1874

5280Tallahassee, Florida 33302 - 1874

5285NOTICE OF RIGHT TO SUBMIT EXCEPTIONS

5291All parties have the right to submit written exceptions within

530115 days from the date of this Recommended Order. Any exceptions

5312to this Recommended Order should be filed with the agency that

5323will issue the Final Order in this case.

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PDF
Date
Proceedings
PDF:
Date: 02/10/2011
Proceedings: Notice of Appeal filed.
PDF:
Date: 01/13/2011
Proceedings: Agency Final Order filed.
PDF:
Date: 01/12/2011
Proceedings: Agency Final Order
PDF:
Date: 10/26/2010
Proceedings: Transmittal letter from Claudia Llado forwarding Deposition of Lorna J. Noren, which was not admitted into evidence, to the agency.
PDF:
Date: 10/15/2010
Proceedings: Recommended Order
PDF:
Date: 10/15/2010
Proceedings: Recommended Order (hearing held August 10, 2010). CASE CLOSED.
PDF:
Date: 10/15/2010
Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
PDF:
Date: 09/15/2010
Proceedings: Petitioner's Reply to Respondents' Post-Hearing Submissions filed.
PDF:
Date: 09/15/2010
Proceedings: Notice of Ex-parte Communication.
PDF:
Date: 09/10/2010
Proceedings: Respondents' Reply to Petitioner's Memo of Law and Proposed Recommended Order filed.
PDF:
Date: 09/10/2010
Proceedings: Response to Petitioner's Motion to Strike filed.
PDF:
Date: 09/10/2010
Proceedings: Order Granting Leave to Reply.
PDF:
Date: 09/10/2010
Proceedings: Order Denying Motion to Strike.
PDF:
Date: 09/09/2010
Proceedings: Petitioner's Motion to Strike filed.
PDF:
Date: 09/08/2010
Proceedings: Respondents' Motion for Leave to File Brief Reply to Petitioner's Post-Final-Hearing Submissions filed.
PDF:
Date: 09/08/2010
Proceedings: Letter to Judge Newton from J. Bossart regarding memorandum and proposed recommended order filed.
PDF:
Date: 09/07/2010
Proceedings: Memorandum of Law filed.
PDF:
Date: 09/07/2010
Proceedings: Proposed Recommended Order filed.
PDF:
Date: 09/07/2010
Proceedings: Respondents' Post-Final-Hearing Memorandum of Law filed.
PDF:
Date: 09/07/2010
Proceedings: Respondents' Proposed Recommended Order filed.
Date: 08/25/2010
Proceedings: Transcript of Proceedings filed.
Date: 08/10/2010
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 08/10/2010
Proceedings: Respondents' Memorandum of Law Regarding Issues at Final Hearing filed.
PDF:
Date: 08/04/2010
Proceedings: Deposition of Lorna Noren filed.
PDF:
Date: 08/04/2010
Proceedings: Notice of Filing Deposition.
PDF:
Date: 08/02/2010
Proceedings: Joint Prehearing Stipulation filed.
PDF:
Date: 07/08/2010
Proceedings: Respondent, Falcontrust Group, Inc.'s, Answer and Defenses to the Department of Financial Services Administrative Complaint filed.
PDF:
Date: 07/08/2010
Proceedings: Respondent, Adalberto Luis Sotero's , Answer and Defenses to the Department of Financial Services Administrative Complaint filed.
PDF:
Date: 06/23/2010
Proceedings: Order Granting Withdrawal of Counsel.
PDF:
Date: 06/18/2010
Proceedings: Respondents' First Request for Production of Documents to Petitioner Pursuant to Rule 1.350, Florida Rules of Civil Procedure filed.
PDF:
Date: 06/18/2010
Proceedings: Respondents' Notice of Deposition of Petitioner Pursuant to Florida Rule of Civil Procedure 1.310(b)(6) filed.
PDF:
Date: 06/18/2010
Proceedings: Notice of Withdrawal of Counsel filed.
PDF:
Date: 06/17/2010
Proceedings: Notice of Appearance (filed by D.Brown, K. Cruz-Brown, M. Bernier).
PDF:
Date: 05/19/2010
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 05/19/2010
Proceedings: Notice of Hearing (hearing set for August 10, 2010; 9:00 a.m.; Tallahassee, FL).
PDF:
Date: 05/18/2010
Proceedings: Order of Consolidation (DOAH Case Nos. 10-2442, 10-2443).
PDF:
Date: 05/12/2010
Proceedings: Response to Initial Order filed.
PDF:
Date: 05/06/2010
Proceedings: Request for Formal Hearing filed.
PDF:
Date: 05/06/2010
Proceedings: Election of Proceeding filed.
PDF:
Date: 05/06/2010
Proceedings: Initial Order.
PDF:
Date: 05/06/2010
Proceedings: Agency referral filed.
PDF:
Date: 05/06/2010
Proceedings: Administrative Complaint filed.

Case Information

Judge:
JOHN D. C. NEWTON, II
Date Filed:
05/06/2010
Date Assignment:
05/18/2010
Last Docket Entry:
02/10/2011
Location:
Tallahassee, Florida
District:
Northern
Agency:
Other
 

Counsels

Related Florida Statute(s) (6):