10-002443
Department Of Financial Services vs.
Falcontrust Group, Inc.
Status: Closed
Recommended Order on Friday, October 15, 2010.
Recommended Order on Friday, October 15, 2010.
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.
- Date
- Proceedings
- 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 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: 09/10/2010
- Proceedings: Respondents' Reply to Petitioner's Memo of Law and Proposed Recommended Order 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.
- 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: 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: 06/18/2010
- 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: 06/17/2010
- Proceedings: Notice of Appearance (filed by D.Brown, K. Cruz-Brown, M. Bernier).
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
-
James A. Bossart, Esquire
Address of Record -
M. Drew Parker, Esquire
Address of Record -
Marion Drew Parker, Esquire
Address of Record