95-004048
Department Of Insurance vs.
Tara Jeanne Smith
Status: Closed
Recommended Order on Friday, July 12, 1996.
Recommended Order on Friday, July 12, 1996.
1STATE OF FLORIDA
4DIVISION OF ADMINISTRATIVE HEARINGS
8DEPARTMENT OF INSURANCE )
12AND TREASURER, )
15)
16Petitioner, )
18)
19vs. ) CASE NO. 95-4048
24)
25TARA JEANNE SMITH, )
29)
30Respondent. )
32____________________________)
33RECOMMENDED ORDER
35Pursuant to notice, a formal hearing was held in this case on February 8,
491996, in Tallahassee, Florida, before the Division of Administrative Hearings,
59by its designated Hearing Officer, Diane Cleavinger.
66APPEARANCES
67For Petitioner: Michael K. McCormick, Esquire
73Division of Legal Services
77612 Larson Building
80Tallahassee, Florida 32399-0300
83For Respondent: Charles J. Grimsley, Esquire
89Charles J. Grimsley and Associates
941880 Brickell Avenue
97Miami, Florida 33129
100STATEMENT OF ISSUES
103The issue in this proceeding is whether Respondent's insurance agent's
113license should be suspended, revoked or otherwise disciplined for violations of
124Chapter 626, Florida Statutes.
128PRELIMINARY STATEMENT
130On July 27, 1995, the Petitioner, Department of Insurance, filed an
141Administrative Complaint against Respondent, Tara Jeanne Smith, alleging that
150Respondent's insurance licenses should be disciplined for violating various
159provisions of Chapter 626, Florida Statutes. Specifically, the Administrative
168Complaint alleged, in three separate counts, that the Respondent unlawfully sold
179insureds motor club memberships without their informed consent, made false and
190misleading statements regarding the coverages provided and falsely represented
199and illegally required insureds to purchase motor club membership as part of
211their purchase of automobile insurance. The Administrative Complaint, in all
221county, alleged that Respondent engaged in the prohibited practice of "sliding"
232additional coverages or products into the purchase of the insured without the
244informed consent of the insured.
249Respondent denied the allegations of the Administrative Complaint and
258requested a formal administrative hearing. The case was forwarded to the
269Division of Administrative Hearings.
273At the hearing, the Department offered the testimony of three witnesses and
285submitted one composite exhibit into evidence. The Respondent testified in her
296own behalf and offered three exhibits into evidence.
304After the hearing, the Petitioner and Respondent filed Proposed Recommended
314Orders on May 21, 1996, and May 17, 1996, respectively. The parties' Proposed
327Findings of Fact have been considered and utilized in the preparation of this
340Recommended Order, except where those facts were cumulative, subordinate,
349irrelevant, immaterial or were not shown by the evidence. Specific rulings on
361the parties' Proposed Findings of Fact are contained in the Appendix to the
374Recommended Order.
376FINDINGS OF FACT
3791. Respondent is currently and at all times relevant to this proceeding
391was licensed as a life and health insurance agent and as a general lines agent.
4062. Respondent was the primary agent of Emerald Coast Insurance Agency
417(Emerald Coast) located at Pensacola Street in Tallahassee, Florida. Respondent
427did not work on commission, but received a fixed salary for her employment.
4403. Emerald Coast was a general lines insurance agency in Florida and
452specializes in nonstandard automobile insurance, insuring high risk drivers who
462normally have a difficult time procuring insurance.
4694. On June 30, 1993, Hulan Mitchell called Emerald Coast and requested a
482quote for automobile insurance on his truck. His truck insurance was about to
495expire.
4965. Mr. Mitchell received a quote over the phone. Later that same day,
509during his lunch hour, Mr. Mitchell went to Emerald Coast's office where
521Respondent worked to purchase insurance. Because he was on his lunch hour, Mr.
534Mitchell was in a hurry to complete the insurance transaction.
5446. Mr. Mitchell initially met with a gentlemen at the counter, but was
557turned over to Respondent. Mr. Mitchell advised Respondent that he wanted to
569purchase the bare minimum of coverage for his truck.
5787. The Respondent made a printout of a quote for automobile insurance from
591the agency's quick quote computer system. The printout did not reflect a charge
604for membership in an automobile club. Mr. Mitchell was surprised to discover
616that the quote he obtained from Respondent was about $48.00 higher than the
629quote he had received over the phone. However, Mr. Mitchell decided to purchase
642the insurance anyway.
6458. There were approximately five forms which were filled out by Respondent
657in the presence of Mr. Mitchell. In fact, Mr. Mitchell supplied the information
670included in some of the forms. No document was completed before his arrival at
684the agency. As each document was completed, Respondent showed it to Mr.
696Mitchell, explained the content of the forms, highlighting the areas she was
708explaining with a mark and obtained his signature where it was required.
7209. Mr. Mitchell admitted that he signed and initialed the forms presented
732to him. However, because he was in a hurry he was not paying close attention to
748the explanations of his purchase being given by Respondent. Nonetheless, in
759fact, Mr. Mitchell actively made certain choices as to the type of coverage he
773wanted and specifically rejected some of the products or benefits which were
785offered to him.
78810. The documents which were presented to Mr. Mitchell contained
798information and warnings in regard to coverage or benefits not required by the
811State of Florida that were optional add-ons to his purchase of insurance,
823including an explanation that the price he was paying included a $50.00 charge
836for membership in a travel club with $5,000.00 in benefits. All these areas,
850including the membership in the automobile club were explained by Respondent to
862Mr. Mitchell. Some of the explanations and rejections of benefits was recalled
874by Mr. Mitchell at the hearing.
88011. The entire transaction took approximately a half hour. Throughout the
891process Respondent did not change the pace of her explanation, attempt to cover
904or conceal documents or prevent Mr. Mitchell from asking any questions. Nor was
917any of the optional non-insurance benefits requirement for the purchase of
928insurance or a condition for a lower down payment or the availability of premium
942financing on his insurance purchase.
94712. Given these facts, the evidence did not clearly or convincingly
958demonstrate that Respondent attempted to cause Mr. Mitchell to purchase non-
969insurance products he did not want or was unaware that he was purchasing.
982Likewise, the evidence did not demonstrate that Respondent had made any
993misrepresentations to Mr. Mitchell during or after the conclusion of his
1004transaction with Emerald Coast. Therefore, Count I of the Administrative
1014Complaint should be dismissed.
101813. On February 16, 1994, Jeanna Chester called Emerald Coast where
1029Respondent worked for a quote on automobile insurance. During the call she
1041provided some basic information to the agency.
104814. Later that same day, Ms. Chester went to Emerald Coast to purchase
1061automobile insurance. She met with Respondent, who pulled up the earlier quote
1073on the agency's computer.
107715. Again approximately five forms were filled out on Ms. Chester's
1088presence and were handed to her one at a time. Respondent did not attempt to
1103cover up or hide any form or portion of a form. Ms. Chester was not prevented
1119from asking any questions during the transaction and was permitted to examine
1131each form. Each form was explained to Ms. Chester, including the optional
1143automobile club membership and benefits with Respondent making her usual marks
1154on the forms as she explained each area.
116216. Ms. Chester made active decisions regarding the extent of insurance
1173coverage she desired and the deductible she wanted under that coverage. She
1185also examined the forms to see if they were correct as to the coverage she
1200desired. Additionally she signed and initialed each form where required,
1210including the portions where the optional membership in the automobile club were
1222explained.
122317. The entire transaction took approximately twenty minutes.
123118. On May 23, 1994, Ms. Chester had to return to the agency to repurchase
1246her coverage. Ms. Chester was without insurance because her only payment on her
1259original purchase was by a check which had bounced. As a consequence her
1272insurance and club membership had been canceled. Ms. Chester went through the
1284process a second time which again took approximately 20 minutes.
129419. Given these facts, the evidence did not clearly or convincingly
1305demonstrate that Respondent attempted to cause Ms. Chester to purchase non-
1316insurance products she did not want or was unaware that she was purchasing.
1329Likewise, the evidence did not demonstrate that Respondent had made any
1340misrepresentations to Ms. Chester during or after the conclusion or either or
1352her transactions with Emerald Coast. Therefore, Count II of the Administrative
1363Complaint should be dismissed.
136720. On March 5, 1994, Michelle Humose purchased her first car, a 1993
1380Subaru. Because she needed insurance coverage to purchase the car, the car
1392dealer called Emerald Coast and obtained a quote for automobile insurance for
1404her. During the call the dealer had given Emerald Coast basic information on
1417the car and driver.
142121. The car dealer followed her to Emerald Coast and escorted her inside
1434to introduce her to an agent, who was Respondent. The dealer then left.
144722. Respondent went outside and took pictures of Ms. Humose's car and came
1460back inside to complete the transaction with Ms. Humose.
146923. In this instance, most of the paperwork had been filled out prior to
1483Ms. Humose's arrival at the agency. However, some of the forms which required
1496personal information from Ms. Humose were filled out in her presence. Although,
1508Ms. Humose does not recall, Respondent followed her usual process of handing the
1521forms to Ms. Humose, simultaneously explaining and marking the documents as she
1533explained them, including the areas which covered the optional auto club
1544membership. After, each area was explained Ms. Humose signed and initialed the
1556forms as it was required.
156124. Respondent did not change the pace of her presentation and did not
1574cover or hide any documents or portion of any document.
158425. Ms. Humose also asked questions about the purchase she was making.
1596The entire transaction took approximately 15 minutes with Respondent also
1606helping another customer during the initial stages of Ms. Humose's transaction.
161726. Ms. Humose did not make the full down payment required by her
1630contract. On Monday, May 8, 1994, Ms. Humose had obtained a better deal on
1644automobile insurance and called to cancel the insurance she had purchased with
1656Emerald Coast. Eventually, Ms. Humose received a full refund of the money she
1669had paid to the insurer.
167427. Given these facts, the evidence did not clearly or convincingly
1685demonstrate that Respondent attempted to cause Ms. Humose to purchase non-
1696insurance products she did not want or was unaware that she was purchasing.
1709Likewise, the evidence did not demonstrate that Respondent, had made any
1720misrepresentations to Ms. Humose during or after the conclusion of her
1731transactions with Emerald Coast. Therefore, Count III of the Administrative
1741Complaint should be dismissed.
1745CONCLUSIONS OF LAW
174828. The Division of Administrative Hearings has jurisdiction over this
1758subject matter of and the parties to this proceeding. Section 120.57(1),
1769Florida Statutes.
177129. In license discipline cases the agency has the burden to establish by
1784clear and convincing evidence that the Respondent had violated the statutes or
1796rules which govern the license. Ferris v. Turlington. 510 So. 2d 292 (Fla.
18091987).
181030. In this case, the Respondent was charged with violating Sections
1821626.611(4), 626.611(5), 626.611(7), 626.611(9), 626.611(13), 626.621(2),
1827626.621(6), 626.9541(1)(k)1., and 626.9541(1)(z), Florida Statutes. Boiled down
1835to the essentials the Department alleged that Respondent violated the provisions
1846listed above by unlawfully selling insureds motor club memberships without their
1857informed consent, made false and misleading statements regarding the coverages
1867provided and falsely represented and illegally required insureds to purchase
1877motor club membership as part of their purchase of automobile insurance and that
1890Respondent engaged in the prohibited practice of "sliding" additional coverages
1900or products into the purchase of the insured without the informed consent of the
1914insured.
191531. However, the Department failed to establish by clear and convincing
1926evidence that Respondent attempted to "slide" coverage or ancillary products or
1937mislead any of the customers involved in this case. Likewise, the evidence did
1950not clearly or convincingly demonstrate that Respondent did not obtain the
1961informed consent of her customers prior to selling them the auto club
1973memberships involved here. Therefore, the Administrative Complaint should be
1982dismissed.
1983RECOMMENDATION
1984Based upon the findings of fact and the conclusions of law, it is,
1997RECOMMENDED:
1998That the Department of Insurance enter a Final Order finding Respondent not
2010guilty of violating Chapter 626, Florida Statues and dismissing the
2020Administrative Complaint.
2022DONE and ENTERED this 12th day of July, 1996, in Tallahassee, Leon County,
2035Florida.
2036___________________________________
2037DIANE CLEAVINGER, Hearing Officer
2041Division of Administrative Hearings
2045The DeSoto Building
20481230 Apalachee Parkway
2051Tallahassee, Florida 32399-1550
2054(904) 488-9675 SunCom 278-9675
2058Filed with the Clerk of the
2064Division of Administrative Hearings
2068this 12th day of July, 1996.
2074APPENDIX
20751. The facts contained in paragraphs 1, 2, 3, 4, 7, 8 and 16 of
2090Petitioner's Proposed Findings of Fact are adopted.
20972. The facts contained in paragraphs 5, 6 and 9 of Petitioner's Proposed
2110Findings of Fact are subordinate.
21153. The facts contained in paragraphs 10, 11, 12, 13, 14, 15, 17, 18, 19,
213020, 21, 22 and 23 of Petitioners' Proposed Findings of Fact were not shown by
2145the evidence.
21474. The facts contained in paragraphs 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,
216412, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 24, 25 and 26 of Respondent's
2181Proposed Findings of Fact are adopted.
21875. The facts contained in paragraph 23 of Respondent's Proposed Findings
2198of Fact are subordinate.
2202COPIES FURNISHED:
2204Stephen C. Frederickson, Esquire
2208Division of Legal Services
2212645A Larson Building
2215Tallahassee, Florida 32399-0333
2218Charles J. Grimsley, Esquire
2222Charles J. Grimsley and Associates
22271880 Brickell Avenue
2230Miami, Florida 33129
2233Bill Nelson
2235Commissioner
2236Department of Insurance
2239and Treasurer
2241The Capitol, Plaza Level
2245Tallahassee, Florida 32399-0300
2248Dan Sumner
2250Department of Insurance
2253and Treasurer
2255The Capitol, Plaza Level
2259Tallahassee, Florida 32399-0300
2262NOTICE OF RIGHT TO SUBMIT EXCEPTIONS
2268All parties have the right to submit written exceptions to this Recommended
2280Order. All agencies allow each party at least 10 days in which to submit
2294written exceptions. Some agencies allow a larger period within which to submit
2306written exceptions. You should contact the agency that will issue the final
2318order in this case concerning agency rules on the deadline for filing exceptions
2331to this Recommended Order. Any exceptions to this Recommended Order should be
2343filed with the agency that will issue the final order in this case.
2356=================================================================
2357AGENCY FINAL ORDER
2360=================================================================
2361THE TREASURER OF THE STATE OF FLORIDA
2368DEPARTMENT OF INSURANCE
2371BILL NELSON
2373IN THE MATTER OF: DOI CASE NO. 11200-94-A-MKM
2381TARA JEANNE SMITH DOAH CASE NO. 95-4048
2388_____________________/
2389FINAL ORDER
2391THIS CAUSE came on before me for the purposes of issuing a Final Agency
2405Order. The Hearing Officer assigned by the Division of Administrative Hearings
2416in the above-styled matter submitted a Recommended Order to the Department of
2428Insurance and Treasurer (hereinafter referred to as the "Department" or
"2438Petitioner"). The Recommended Order entered July 12, 1996, by Hearing Officer
2450Diane Cleavinger recommending dismissal of the Administrative Complaint, is
2459incorporated by reference. The Department filed numerous exceptions to the
2469Recommended Order. The Respondent did not file exceptions. Based upon the
2480complete review of the record, including the original charging document, the
2491transcript and evidence adduced at the formal hearing, the Recommended Order and
2503exceptions thereto, and relevant statutes, rules and case law, I find as
2515follows:
2516FINDINGS OF FACT AND CONCLUSIONS OF LAW
2523The Department of insurance and Treasurer hereby adopts and incorporates by
2534reference the findings of fact set forth in the Recommended Order except as
2547modified by rulings on exceptions, and adopts the conclusions of law except as
2560modified by the rulings on exceptions.
2566RULINGS ON EXCEPTIONS TO FINDINGS OF FACT
2573The Petitioner takes exception to the findings of fact contained in the
2585Recommended Order at paragraphs 12, 19, and 27, wherein the Hearing Officer
2597found that the evidence did not prove that the Respondent had committed the
2610violations charged as referenced in each finding. This conclusion is not
2621supported by competent and substantial evidence as required by section
2631120.57(1)(a) 10., Florida Statutes. The Hearing Officer was convinced that the
2642multitude of forms utilized by the Respondent in selling the non-insurance
2653products (motor clubs) to Hulan Mitchell, Jenna Chester and Michele Humose
2664demonstrated that they had given their informed consent. However, the Hearing
2675Officer overlooked the blatant misrepresentation and false statement contained
2684in the "premium" receipts issued to each of the insureds. Although the Hearing
2697Officer is free to determine the credibility of the witness' testimony, the
2709Hearing Officer cannot ignore or reject unrefuted competent and substantial
2719evidence in the record that clearly and convincingly demonstrates that the
2730premium receipts are a misrepresentation of fact or false statement. No witness
2742testimony is necessary to make this finding. The documents speak for themselves
2754and were not otherwise questioned or refuted. The record unequivocally
2764established the following:
2767Hulan Mitchell - The "premium" receipt (Pet. Ex. "1") issued to Mr.
2780Mitchell indicates a total premium of $378. The actual cost of the "insurance"
2793was $328 with a downpayment of $98 required. See Premium Finance Agreement
2805(Pet. Ex. "1") This is absolutely unrefuted on the record. The premium receipt
2819includes $50 for the cost of the motor club, which is not a policy of insurance
2835and accordingly is not "premium". Also the downpayment required, purportedly
2846for insurance, included $50 for the motor club ($98 $50 = $148). Furthermore,
2859based on clear documentary evidence in the record, Mr. Mitchell was again
2871subject to a misrepresentation of fact (undisputed) wherein on July 9, 1993 he
2884received a letter (Pet. Ex. "1") threatening to cancel his "insurance" policy
2897because he did not pay a $48 balance due on the motor club. Accordingly the
2912record clearly indicates that the Respondent has made a false or misleading
2924statement with reference to the insurance transaction for Mr. Mitchell. The
2935fact that the Hearing Officer held that Mr. Mitchell knew (despite his testimony
2948otherwise) that he had purchased a motor club, does not negate the fact that the
2963Respondent made a false or misleading statement.
2970JENNA CHESTER - The deceptive premium receipt practice was visited upon Ms.
2982Chester on two occasions. First on February 1, 1994 a "premium" receipt (Pet.
2995Ex. "2") was issued in an amount of $670 for "total premium" due and a required
3012downpayment of $261. The actual cost of the "insurance" was $585 with a
3025required downpayment of $176. See Premium Finance Agreement (Pet. Ex. "2") The
"3038premium" receipt and downpayment included a non-insurance fee for a motor club
3050in the amount of $85. On May 23, 1994 Ms. Chester went to the Respondent to
3066repurchase coverage which had been cancelled. At that time, another "premium"
3077receipt was issued to her in the amount of a "total premium" of $719 and a
3093required downpayment of $286 (Pet. Ex. "2") The actual cost of the insurance was
3108$619 and a required downpayment of $186. See Premium Finance Agreement (Pet.
3120Ex. "2") The additional $100 was for the non-insurance motor club which was sold
3135to Ms. Chester. Although the Hearing Officer held that Ms. Chester knew she was
3149purchasing this motor club (despite Ms. Chester' s testimony otherwise) this
3160does not negate the fact that the Respondent has made false or misleading
3173statement in this insurance transaction with Ms. Chester.
3181Michelle Humose - The unrefuted documentary evidence indicates that on May
31925, 1994, Ms. Humose was issued a "premium" receipt (Pet. Ex. "3") indicating a
"3207total premium" in the amount of $926 and a required downpayment of $348. The
3221actual cost of the "insurance" was $826 with a required downpayment of $248 See
3235Premium Finance Agreement (Pet. Ex. "3") The additional $100 included in the
"3248premium" receipt was for the non-insurance motor club sold to Ms. Humose.
3260Again despite the Hearing Officer's finding contrary to Ms. Humose's direct
3271testimony that she did not know she was purchasing a motor club, the Respondent
3285has clearly and convincingly made a false or misleading statement with respect
3297to this insurance transaction with Ms. Humose.
3304It is implicit in the Findings of Fact by the Hearing Officer that each
3318referenced transaction took place as described herein. The Hearing Officer
3328merely failed to explicitly state in the Recommended Order that the unrefuted
3340documentary evidence establishes a prima facie misrepresentation of fact.
3349Indeed, the exact factual scenario established herein was determined to
3359constitute a misrepresentation in In the Matter of: Kenneth Michael Whitaker,
3370Case Number 93-L-432DDH (Final Order dated July 3, 1995). It was specifically
3382determined "that the Respondent's standard business practice of combining the
3392costs of insurance coverages with the costs of the auto club memberships and
3405then calling such costs "total premium" on receipts issued to customers
3416constituted a misrepresentation and was deceptive." Also, it was further
3426determined "that the Respondent's standard business practice of deducting all or
3437part of the ancillary product fee up front resulted in false statements on other
3451documents that the full downpayment for premium or financing of premium had been
3464made, when in actuality it had not." Whitaker Final Order at pp's 9-10. The
3478Department determined that this activity was a violation of section 626.611(9),
3489Florida Statutes. This finding was also affirmed on appeal in Whitaker v.
3501Department of Insurance and Treasurer, Case No. 95-2702, (21 FLW 1353, Slip
3513Opinion dated June 13, 1996). The court upheld this violation when it
3525summarized the practice in the opinion as follows:
3533Appellant took all or part of the ancillary
3541product from the required premium downpayment
3547and gave the consumer a receipt which listed
3555the full downpayment as "Total Premium". The
3563receipt did not reveal that part of the
"3571premium" went to purchase an ancillary
3577product. Whitaker Slip
3580Opinion at pp's 3-4.
3584This type of fraudulent and deceptive practice also constitutes a violation
3595of section 626.9541(1)(b), Florida Statutes, by placing before the public a
3606representation or statement which is untrue, deceptive or misleading.
3615The Hearing Officer has already considered the unrefuted facts on the
3626record and was clearly in error to make a finding otherwise. Accordingly,
3638pursuant to section 120.57(a)(a) 10., Florida Statutes, which reads in part:
3649The agency may not reject or modify the
3657findings of fact, including findings of
3663fact that form the basis for an agency
3671statement, unless the agency first
3676determines from a review of the complete
3683record, and states with particularity in the
3690order, that findings of fact were not based
3698upon competent substantial evidence or that
3704the proceedings on which the findings were
3711based did not comply with essential
3717requirements of law.
3720the Department may modify the findings of fact.
3728In this case there was no competent and substantial evidence to make a
3741finding that the Respondent did not make a false or misleading statement with
3754the premium receipts issued in this cause. A review of the entire record
3767demonstrates unrefuted documentary evidence which supports the modified findings
3776of fact contained herein. Therefore, Petitioner's exceptions to findings of
3786fact 12, 19 and 27 are hereby GRANTED.
3794RULINGS ON EXCEPTIONS TO CONCLUSIONS OF LAW
3801The Petitioner takes exception to conclusions of law at paragraphs 30 and 31,
3814based on the Hearing Officer's rejection of unrefuted facts established on the
3826record, i.e., deceptive and misleading premium receipts. Conclusions of Law 30
3837and 31 are revised to reflect that the premium receipts issued to insureds
3850constitute fraudulent and deceptive practices as well as placing before the
3861public a representation or statement which is untrue, deceptive, or misleading.
3872Conclusion of Law 30 is modified as follows:
388030. In this case, the Respondent was charged
3888with violating sections 626.611(4), 626.611(5),
3893626.611(7), 626.611(9), 626.611(13), 626.621(2),
3897626.621(6), 626.9541(1)(b), 626.9541(1)(e),
3900626.9541(1)(k)1., and 626.9541(1)(z), Florida
3904Statutes. Boiled down to the essentials the
3911Department alleged that Respondent violated the
3917provisions listed above by unlawfully selling
3923insureds motor club memberships without their
3929informed consent, made false and misleading
3935statements regarding the coverage provided and
3941falsely represented and illegally required
3946insureds to purchase motor club membership as
3953part of their purchase of automobile insurance
3960and that Respondent engaged in the prohibited
3967practice of "sliding" additional coverages or
3973products into the purchase of the insured without
3981the informed consent of the insured.
3987This revision is necessary because the Hearing Officer failed to include
3998sections 626.9541(1)(b) and 62.9541(1)(e), Florida Statutes, as alleged
4006violations.
4007Conclusion of Law 31 is likewise revised as follows:
401631. The Department failed to establish by clear
4024and convincing evidence that Respondent attempted
4030to "slide" coverage or ancillary products
4036involved in this case. Likewise, the evidence
4043did not clearly or convincingly demonstrate that
4050Respondent did not obtain the informed consent of
4058her customers prior to selling them the auto club
4067memberships involved here. However, based on the
4074unrefuted evidence in the record, the Respondent
4081has violated sections 626.611(9) and
4086626.9541(1)(b), Florida Statutes, by issuing
"4091premium receipts" which falsely and deceptively
4097represented "total premium" which included a fee
4104for a non-insurance product, ie. motor club
4111membership. Accordingly, the Respondent is
4116guilty of three counts of violating sections
4123626.611(9) and 626.9541(1)(b), Florida Statutes.
4128The Petitioner's exceptions to conclusions of law 30 and 31 are hereby GRANTED.
4141RULING ON EXCEPTIONS TO RECOMMENDATION
4146The Petitioner takes exception to the recommendation that the
4155Administrative Complaint be dismissed. The Penalty Guidelines contained in
4164Chapter 4-231, Florida Administrative Code, should be applied in this case.
4175There are three documented violations (one for each count) of engaging in
4187fraudulent and dishonest practices as prohibited in section 626.611 (9), Florida
4198Statutes, and placing before the public a representation or statement which is
4210untrue, deceptive or misleading in violation of section 626.9541(1)(b), Florida
4220Statutes. Under the penalty guidelines, a violation of section 626.611(9),
4230Florida Statutes, requires a suspension of 9 months per count. Under the
4242penalty guidelines, a violation of section 626.9541(1)(b), Florida Statutes,
4251requires a suspension of 6 months per count. Based on Rule 4-231.040, Florida
4264Administrative Code, the highest penalty per count should be assessed, therefore
4275the appropriate penalty is three counts at 9 months for a total suspension
4288period of 27 months. Since the total required suspension exceeds 2 years, the
4301appropriate sanction is the revocation of the Respondent's licenses in
4311accordance with section 626.641(1), Florida Statutes.
4317The violation of section 626.9541(1)(b), Florida Statutes, permits the
4326assessment of an additional fine on top of any other administrative sanction,
4338pursuant to section 626.9521, Florida Statutes. This section permits fines for
4349wilful violations of up to $10,000 per violation not to exceed $100,000. The
4364Petitioner recommends that a fine of $3,000 be assessed against the Respondent.
4377However, insufficient grounds have been demonstrated to justify the
4386assessment of a $3,000 administrative fine. Therefore, Petitioner's exceptions
4396to the recommendation are hereby GRANTED, except for the Petitioner's argument
4407for an additional sanction in the form of a $3,000 administrative fine which is
4422hereby DENIED.
4424PENALTY
4425Rule 4-231.160, Florida Administrative Code, prescribes the aggravating and
4434mitigating factors which the Department shall consider and, if warranted, apply
4445to the total penalty in reaching the final penalty. Aggravating factors in this
4458matter, as delineated in Rule 4-231.160, Florida Administrative Code, are the
4469willfulness of the Respondent's conduct and the existence of secondary
4479violations established in Counts I-III of the Administrative Complaint. Only
4489minimal mitigating factors exist which are outweighed by the aggravating
4499factors. The existence of these aggravating factors would increase the
4509Respondent`s total penalty, thereby resulting in a higher final penalty.
4519Increasing the Respondent's total penalty would be pointless, however, for
4529section 626.641(1), Florida Statutes, limits a licensee's period of suspension
4539to a maximum of 2 years. The Respondent's 27-month total penalty already
4551exceeds the two-year statutory limit. Consequently, the Department has
4560determined that a revocation of the Respondent's insurance agent license is
4571warranted and appropriate in this matter, and is necessary to adequately protect
4583the insurance-buying pubic.
4586IT IS THEREBY ORDERED:
4590All licenses and eligibility for licensure held by TARA JEANNE SMITH, are
4602hereby REVOKED, pursuant to the provisions of sections 626.611, 626.621,
4612626.641(2) and 626.651(1), Florida Statutes, effective the date of this Final
4623Order. As of the date of this Final Order, the Respondent shall not engage in
4638or attempt or profess to engage in any transaction or business for which a
4652license or permit is required under the Florida Insurance Code, or directly or
4665indirectly own, control or be employed in any manner by an insurance agent or
4679agency.
4680Any party to these proceedings adversely affected by this Final Order is
4692entitled to seek review of this Final Order pursuant to section 120.68, Florida
4705Statutes, and Rule 9.110, Florida Rules of Appellate Procedure. Review
4715proceedings must be instituted by filing a Notice of Appeal with the General
4728Counsel, acting as the agency clerk, at 612 Larson Building, Tallahassee,
4739Florida 32399-0333, and a copy of the same and the filing fee with the
4753appropriate District Court of Appeal within thirty (30) days of rendition of
4765this Order.
4767DONE and ORDERED this 4th day of September, 1996, in Tallahassee, Florida.
4779__________________________
4780BILL NELSON
4782Treasurer and
4784Insurance Commissioner
4786COPIES FURNISHED:
4788Tara Jeanne Smith
47912588 Panther Creek Road, Apt. A
4797Tallahassee, Florida 32308-5628
4800Charles J. Grimsley, Esquire
4804Charles J. Grimsley and Associates, P.A.
48101880 Brickell Avenue
4813Miami, Florida 33129
4816Diane Cleavinger, Hearing Officer
4820Division of Administrative Hearings
4824The DeSoto Building
48271230 Apalachee Parkway
4830Tallahassee, Florida 32399-1550
4833Stephen C. Fredrickson, Esquire
4837Division of Legal Services
4841200 E. Gaines Street
4845Tallahassee, Florida 32399-0333
- Date
- Proceedings
- Date: 09/06/1996
- Proceedings: Final Order filed.
- Date: 05/21/1996
- Proceedings: (Petitioner) Motion to File Amended Proposed Recommended Order; Petitioner's Amended Proposed Recommended Order filed.
- Date: 05/20/1996
- Proceedings: Petitioner's Proposed Recommended Order filed.
- Date: 05/17/1996
- Proceedings: (Respondent) Proposed Recommended Order filed.
- Date: 04/19/1996
- Proceedings: Notice of Filing; DOAH Court Reporter Final Hearing Transcript filed.
- Date: 02/08/1996
- Proceedings: CASE STATUS: Hearing Held.
- Date: 02/07/1996
- Proceedings: Respondent`s Notice of Compliance With Petitioner`s First Request for Admission; Respondent`s Response to Petitioner`s First Set of Request for Admission filed.
- Date: 12/28/1995
- Proceedings: (Petitioner) Notice of Service of Request for Admissions First Set of Admissions filed.
- Date: 10/13/1995
- Proceedings: (Charles J. Grimsley) Notice of Appearance filed.
- Date: 09/26/1995
- Proceedings: Notice of Hearing sent out. (hearing set for 02/08/96; 9:30 a.m.; Tallahassee)
- Date: 08/28/1995
- Proceedings: Joint Response to Initial Order filed.
- Date: 08/18/1995
- Proceedings: Initial Order issued.
- Date: 08/15/1995
- Proceedings: Agency referral letter; Petition for Formal Administrative Proceedings; Administrative Complaint; Election Of Rights filed.
Case Information
- Judge:
- DIANE CLEAVINGER
- Date Filed:
- 08/15/1995
- Date Assignment:
- 08/18/1995
- Last Docket Entry:
- 09/06/1996
- Location:
- Tallahassee, Florida
- District:
- Northern
- Agency:
- ADOPTED IN PART OR MODIFIED