95-004048 Department Of Insurance vs. Tara Jeanne Smith
 Status: Closed
Recommended Order on Friday, July 12, 1996.


View Dockets  
Summary: Petitioner did not show that Respondent failed to provide informed consent to customers prior to selling them auto club memberships; administrative complaint should be dismissed.

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

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Date
Proceedings
Date: 09/06/1996
Proceedings: Final Order filed.
PDF:
Date: 09/04/1996
Proceedings: Agency Final Order
PDF:
Date: 07/12/1996
Proceedings: Recommended Order
PDF:
Date: 07/12/1996
Proceedings: Recommended Order sent out. CASE CLOSED. Hearing held 2/8/96.
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
 

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Related Florida Statute(s) (8):