Petitioner: DEPARTMENT OF INSURANCE
Respondent: JOEL MOSKOWITZ
Judges: SUSAN BELYEU KIRKLAND
Agency: Department of Financial Services
Locations: Tallahassee, Florida
Filed: Jul. 03, 2001
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Wednesday, September 19, 2001.
Latest Update: Dec. 24, 2024
JUN 6 2001
TREASURER AND
THE TREASURER OF THE STATE OF FLORIDA wou PaCS ON
Docketed by:
DEPARTMENT OF INSURANCE ua
TOM GALLAGHER
01-2001 FL
IN THE MATTER OF:
JOEL MOSKOWITZ CASE NO.: 42062-01-AG
ADMINISTRATIVE COMPLAINT
TO: JOEL MOSKOWITZ
2644 Bent Hickory Circle
Longwood, Florida 32779-3664
JOEL MOSKOWITZ
405 Douglas Avefiue, Suite 1855B
Altamonte Springs, Florida 32714-2572
You, J OEL MOSKOWITZ, are hereby notified that, pursuant to Chapter 626, Florida
Statutes, the Insurance Commissioner of the State of Florida has caused to be made an
investigation of your activities while licensed as an insurance agent in this state, as a result of
which it is alleged:
GENERAL ALLEGATIONS
1. Pursuant to Chapter 626, Florida Statutes, at all times pertinent to the dates and
occurrences referred to herein, you, JOEL MOSKOWITZ, were licensed in this state as a life and
health insurance agent, License No. A185675._ |
. 2. At all times pertinent to the dates and occurrences referred to herein, you, J ont
MOSKOWITZ, were licensed in this state as an insurance agent.
3. During the years 1997 through 1998 and thereafter, you, JOEL MOSKOWITZ,
knowingly prepared and submitted numerous false and fraudulent written representations with
life insurance applications to an insurer for the purpose of obtaining agent commissions therefor.
4. Pursuant to Chapter 626, Florida Statutes, the Florida Department of Insurance
has jurisdiction over your insurance licenses and appointments.
COUNT I
5. The above general allegations are realleged and incorporated here and fully by
reference.
6. That on or about October 1, 1998, you, JOEL MOSKOWITZ, submitted an
application for life insurance coverage in behalf of Carol Austin to CNA Insurance Company.
Eligibility for such insurance coverage required the applicant to have issued a fully underwritten
policy from an eligible carrier within the last three years with a face amount lesser than or equal
to the face amount to the CNA policy applied for. If the applicant met these requirements they
could obtain a CNA policy without a medical exam, a blood test, a an test, or financial
information and agents who submitted such application were given full commission upon
issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly prepared
and submitted false and fraudulent documentation to CNA reflecting the said Caro! Austin had a
previous life insurance issued through Jackson National Life Insurance Company which was
intended by you to qualify him for the policy to be issued by CNA Insurance Company under the
application submitted. !
7. ITIS THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
- and are accountable under the following provisions of the Florida Insurance Code and Rules of
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) | Knowingly making a false or fraudulent written or oral statement or
representation on, or relative to, an application or negotiation for an insurance policy for the
purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(k)(1), Florida Statutes];
(b) Demonstrated lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes];
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.61 1(9), Florida Statutes];
(d) Willful failure to comply with, or willful violation of, any proper order or
tule of the department or willful violation of any provision of this code. [Section 626.61 1013),
: Florida Statutes].
COUNT II
8. The above general allegations are realleged and incorporated here and fully by
reference.
3. That on or or about November 10, 1998, you, JOEL MOSKOWITZ, submitted an
/ application for life insurance coverage in behalf of Robert Kay ‘Lumpkin t to > CNA Insurance
Company. Eligibility for such insurance coverage required the applicant to have issued a fully’
underwritten policy from an eligible carrier within the last three years with a face amount lesser
~ “than or equal to the face amount to the CNA policy applied for. If the applicant met these
requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
or financial information and agents who submitted such application were given full commission
A eimai SAECO
upon issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly
prepared and submitted false and fraudulent documentation to CNA reflecting the said Robert
--Kay Lumpkin had a previous life insurance issued through Jackson National Life Insurance
~ Company which was intended by you to qualify him for the policy to be issued by CNA
Insurance Company under the application submitted.
10. ITIS THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
and are accountable under the following provisions of the Florida Insurance Code and Rules of
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) | Knowingly making a false or fraudulent written or oral statement or
representation on, or relative to, an application or negotiation for an insurance policy for the
"purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
én or individual. [Section 626.9541(1)(k)(1), Florida Statutes];
(b) | Demonstrated lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes],
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.61 10), Florida Statutes)
(d) Willful failure t to > comply with, | or willful violation of any ‘proper -order or
rule of the department or willful violation of any provision of this code. [Section 626.611(13),
Florida Statutes].
COUNT Ii
11. The above general allegations are realleged and incorporated here and fully by
reference.
ee ete eee ea OI
12. That in or about November 27, 1998, you, JOEL MOSKOWITZ, submitted an
application for life insurance coverage in behalf of Keith John Germain to CNA Insurance
Company. Eligibility for such insurance coverage required the applicant to have issued a fully
underwritten policy from an eligible carrier within the last three years with a face amount lesser
than or equal to the face amount to the CNA policy applied for. If the applicant met these
requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
~ or financial information and agents who submitted such application were given full commission
upon issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly
. prepared and submitted false and fraudulent documentation to CNA reflecting the said Keith
John Germain had a previous life insurance issued through Jackson National Life Insurance
Company which was intended by you to qualify him for the policy to be issued by CNA
__Insurance Company under the application submitted,
13. ITIS THEREFORE CHARGED, that you, J OEL MOSKOWITZ, have violated
= and are accountable under the following provisions of the Florida Insurance Code and Rules of
“the Department of Insurance which constitute grounds for the suspension or revocation of your
SSN licenses and eligibility as an insurance agent:
(a) Knowingly making a false or fraudulent written or oral statement or
epresentation 0 on, or r relative t to, an application or negotiation for an insurance policy for the
purpose of obtaining a fee, commission, money, or other benefit from # any insurer, agent, broker,
. of individual, [Seaton 626, 9541(1)00(), Florida Statutes);
i
‘Demonstrated lack of fitness or trustworthiness t to engage in ‘the business
i
of insurance. [Section 62661 (7), Florida Statutes];
cagenep gen se RI
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.61 1(9), Florida Statutes};
(d) Willful failure to comply with, or willful violation of, any proper order or
tule of the department or willful violation of any provision of this code. [Section 626.611(13),
Florida Statutes].
COUNT IV
14. The above general allegations are realleged and incorporated here and fully by
~ reference.
15, That on or about June 12, 1997, you, JOEL MOSKOWITZ, submitted an
application for life insurance coverage in behalf of Robert Emanuel Jones to CNA Insurance
Company. Eligibility for such insurance coverage required the applicant to have issued a fully
underwritten policy from an eligible carrier within the last three years with a face amount lesser
than or equal to the face amount to the CNA policy applied for. If the applicant met these
_ requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
or financial information and agents who submitted such application were given full commission
upon issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly
prepared and submitted false and fraudulent documentation to CNA reflecting the said Robert
. Emanuel J ones had a previous life insurance issued through Jackson National Life Insurance
~ “Company which was intended by you to qualify him for the policy to be issued Py CNA
«e+ Insurance Company under the application submitted.,
-16. . IT Is THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
‘and are accountable under the following provisions of the Florida Insurance Code and Rules of
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) Knowingly making a false or fraudulent written or oral statement or
: ‘representation on, or relative to, an application or negotiation for an insurance policy for the
purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(k)(1), Florida Statutes];
(b) | Demonstrated lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes];
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.611(9), Florida Statutes];
“d) Willful failure to comply with, or willful violation of, any proper order or
tule of the department or willful violation of any provision of this code. [Section 626.61 1(13),
; Florida Statutes].
COUNT V
17. The above general allegations are realleged and incorporated here and fully by
reference. _
oe 1 8. - That on or about May 5, 1997, you, JOEL MOSKOWITZ, submitted an
~ application for life iigiinée boverage in behalf of Anthony E. McFarlane to CNA Insurance
Company. Eligibility for such insurance coverage required the applicant to have issued a fully |
underwritten policy from an eligible carrier within the last three years with a face amount lesset
than or equal to the face amount to the CNA policy applied for. If the applicant met these |
requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
or financial information and agents who submitted such application were given full commission
upon issuance. In order to meet such requirements you, JOEL MOSKOWITZ, knowingly
prepared and submitted false and fraudulent documentation to CNA reflecting the said
Anthony E. McFarlane had a previous life insurance issued through Jackson National Life
Insurance Company which was intended by you to qualify him for the policy to be issued by
CNA Insurance Company under the application submitted.
19. ITIS THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
and are accountable under the following provisions of the Florida Insurance Code and Rules of
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) | Knowingly making a false or fraudulent written or oral statement or
representation on, or relative to, an application or negotiation for an insurance policy for the
purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(k)(1), Florida Statutes];
(b) | Demonstrated 'lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes],
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.61 1(9), Florida Statutes];
(d) Willful failure to comply with, or willful violation of, any proper order or
rule of the department or willful violation of any provision of this code. [Section 626.611(13),
Florida Statutes].
| ~ COUNT VI
20. The above general allegations are realleged and incorporated here and fully by
reference.
gees oe eee
21. That on or about November 20, 1998, you, JOEL MOSKOWITZ, submitted an
application for life insurance coverage in behalf of Larry W. Crigger to CNA Insurance
Company. Eligibility for such insurance coverage required the applicant to have issued a fully
underwritten policy from an eligible carrier within the last three years with a face amount lesser
than or equal to the face amount to the CNA policy applied for. Ifthe applicant met these
requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
or financial information and agents who submitted such application were given full commission
upon issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly
prepared and submitted false and fraudulent documentation to CNA reflecting the said Larry W.
Crigger had a previous life insurance issued through Jackson National Life Insurance Company
which was intended by you to qualify him for the policy to be issued by CNA Insurance
Company under the application submitted.
22. ITIS THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
and are accountable under the following provisions of the Florida Insurance Code and Rules of
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) Knowingly making a false or fraudulent written or oral statement or
representation on, or relative to, an application or negotiation for an insurance policy for the
purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(K)(1), Florida Statutes];
“(b) Demonstrated lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes];
cooper ea
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.611(9), Florida Statutes];
(d) —- Willful failure to comply with, or willful violation of, any proper order or
tule of the department or willful violation of any provision of this code. [Section 626.611(13),
Florida Statutes].
COUNT VII
23. The above general allegations are realleged and incorporated here and fully by
reference.
24. That on or about February 13, 1997, you, JOEL MOSKOWITZ, submitted an
application for life insurance coverage in behalf of Semone H. Scantlebury to CNA Insurance
Company. Eligibility for such insurance coverage required the applicant to have issued a fully
underwritten policy from an eligible carrier within the last three years with a face amount lesser ,
than or equal to the face amount to the CNA policy applied for. If the applicant met these
requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
or financial information and agents who submitted such application were given full commission
upon issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly
prepared and submitted false and fraudulent documentation to CNA reflecting the said Seimone
“HL Scantlebury had a previous life insurance issued through Jackson National Life Insurance
Company which was intended by you to qualify him for the policy to be issued by CNA
Insurance Company under the application submitted.
25. IT IS THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
and are accountable under the following provisions of the Florida Insurance Code and Rules of
10
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the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) Knowingly making a false or fraudulent written or oral statement or
" representation on, or relative to, an application or negotiation for an insurance policy for the
purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(K)(1), Florida Statutes];
(b) Demonstrated lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes];
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.611(9), Florida Statutes];
(d) Willful failure to comply with, or willful violation of, any proper order or
rule of the department or willful violation of any provision of this code. [Section 626.611(13),
_ Florida Statutes].
COUNT VIII
26. The above general allegations are realleged and incorporated here and fully by
reference.
“27. That 0 on or about March 21, 1997, you, JOEL MOSKOWITZ, submitted an
in bebalt of Dis ie to CNA Insurance
Company. Eligibility for such insurance coverage required the applicant t to have issued a fully
underwritten policy from an eligible carrier within the last three years with a face amount lesser
than or equal to the face amount to the CNA policy applied for. If the applicant met these —
requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
or financial information and agents who submitted such application were given full commission
\
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copeere
upon issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly
prepared and submitted false and fraudulent documentation to CNA reflecting the said Dixie
Elaine Caskey had a previous life insurance issued through Jackson National Life Insurance
Company which was intended by you to qualify him for the policy to be issued by CNA
Insurance Company under the application submitted.
28. IT IS THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
and are accountable under the following provisions of the Florida Insurance Code and Rules of
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) Knowingly making a false or fraudulent written or oral statement or
representation on, or relative to, an application or negotiation for an insurance policy for the
- purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(k)(1), Florida Statutes];
(b) Demonstrated lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes];
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.611(9), Florida Statutes];
(d) Willful failure to comply with, or willful violation of, any proper order or
tule of the department or willful violation of any provision of this code. [Section 626.611(13),
Florida Statutes) 7 oo
COUNT IX
29. The above general allegations are realleged and incorporated here and fully by
reference.
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30. That on or about September 30, 1998, you, JOEL MOSKOWITZ, submitted an
application for life insurance coverage in behalf of Samuel Lee Brummitt to CNA Insurance
Company. Eligibility for such insurance coverage required the applicant to have issued a fully
underwritten policy from an eligible carrier within the last three years with a face amount lesser
than or equal to the face amount to the CNA policy applied for. Ifthe applicant met these
requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
or financial information and agents who submitted such application were given full commission
upon issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly
prepared and submitted false and fraudulent documentation to CNA reflecting the said Samuel
Lee Brummitt had a previous life insurance issued through Jackson National Life Insurance
Company which was intended by you to qualify him for the policy to be issued by CNA
Insurance Company under the application submitted.
31. ITIS THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
and are accountable under the following provisions of the Florida Insurance Code and Rules of
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) | Knowingly making a false or fraudulent written or oral statement or
representation on, or relative to, an application or negotiation for an insurance policy for the
_ purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(k)(1), Florida Statutes};
“...(b) ~~ Demonstrated lack of fitness or trustworthiness to engage in the business
. {
of insurance. [Section 626.611(7), Florida Statutes];
13
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(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.611(9), Florida Statutes];
(d) Willful failure to comply with, or willful violation of, any proper order or
rule of the department or willful violation of any provision of this code. [Section 626.61 1(13),
Florida Statutes].
COUNT X
32. The above general allegations are realleged and incorporated here and fully by
reference. ;
33. That on or about May 19, 1998, you, JOEL MOSKOWITZ, submitted an
application for life insurance coverage in behalf of James F. Boice to CNA Insurance Company.
Eligibility for such insurance coverage required the applicant to have issued a fully underwritten
policy from an eligible carrier within the last three years with a face amount lesser than or equal
to the face amount to the CNA policy applied for. If the applicant met these requirements they
could obtain a CNA policy without a medical exam, a blood test, a urine test, or financial
information and agents who submitted such application were given full commission upon
issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly prepared
alse and fraudulent documentation to CN. A reflecting the said James F. Boice had
a previous | life i insurance issued through J jackson National Life Insurance Company which was
intended by you to cua him for the policy to be issued by CNA Insurance Company under the
application submitted. -
34 Ir 1s THEREFORE CHARGED, that j you, J OEL MOSKOWITZ, have violated
and are accountable under the following provisions of the Florida Insurance Code and Rules of,
14
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) Knowingly making a false or fraudulent written or oral statement or
representation on, or relative to, an application or negotiation for an insurance policy for the
purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(k)(1), Florida Statutes];
(b) Demonstrated lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes];
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. [Section 626.611(9), Florida Statutes];
(d) Willful failure to comply with, or willful violation of, any proper order or
rule of the department or willful violation of'any provision of this code. [Section 626.611(13),
Florida Statutes].
COUNT XI
35. The above general allegations are realleged and incorporated here and fully by
reference.
36. That on or about February 17, 1997, you, JOEL MOSKOWITZ, submitted an
application for life insurance coverage in behalf of Gregory E. Sims to CNA Insurance
Company. Eligibility for such insurance coverage required the applicant to have issued a fully |
underwritten policy from an eligible carrier within the last three years with a face amount lesser
than or equal to the face amount to the CNA policy applied for. If the applicant met these
requirements they could obtain a CNA policy without a medical exam, a blood test, a urine test,
or financial information and agents who submitted such application were given full commission
15
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upon issuance. In order to meet such requirements, you, JOEL MOSKOWITZ, knowingly
prepared and submitted false and fraudulent documentation to CNA reflecting the said Gregory
E. Sims had a previous life insurance issued through Jackson National Life Insurance Company
which was intended by you to qualify him for the policy to be issued by CNA Insurance
Company under the application submitted.
37. IT IS THEREFORE CHARGED, that you, JOEL MOSKOWITZ, have violated
and are accountable under the following provisions of the Florida Insurance Code and Rules of
the Department of Insurance which constitute grounds for the suspension or revocation of your
licenses and eligibility as an insurance agent:
(a) | Knowingly making a false or fraudulent written or oral statement or
representation on, or relative to, an application or negotiation for an insurance policy for the
purpose of obtaining a fee, commission, money, or other benefit from any insurer, agent, broker,
or individual. [Section 626.9541(1)(k)(1), Florida Statutes];
(b) ~~ Demonstrated lack of fitness or trustworthiness to engage in the business
of insurance. [Section 626.611(7), Florida Statutes];
(c) Fraudulent or dishonest practices in the conduct of business under the
license or appointment. {Section 626.61 10), Florida Statutes],
@ Willful failure to ‘comply with, or willful violation of any proper x order rot
tule of the department oF ‘willful violation ‘of any provision of this code. [Section 626.61 113),
Florida Statutes}.
WHEREFORE, you, JOEL MOSKOWITZ, are hereby notified that the Treasurer and |
Insurance Commissioner intends to enter an Order suspending or revoking your licenses and
eligibility for licensure as an insurance agent or to impose such lesser penalties as may be
16
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ae ails i ill a i
provided under the provisions of Chapter 626, Florida Statutes, and under the other referenced
sections of the Florida Statutes as set out in this Administrative Complaint. You are further
notified that any order entered in this case revoking or suspending any license or eligibility for
licensure held by you shall also apply to all other licenses and eligibility held by you under the
Florida Insurance Code.
NOTICE OF RIGHTS
Pursuant to Sections 120.569 and 120.57, Florida Statutes and Rule 28-106, Florida
Administrative Code (F.A.C.), you have the right to request a proceeding to contest this action
by the Department. You may elect a proceeding by completing the attached Election of Rights
form or filing a Petition. Your Petition or Election of a proceeding must be in writing and must
be filed with the General Counsel acting as the Agency Clerk, Department of Insurance. If
__ served by U.S. Mail, the Petition or Election should be addressed to the Florida Department of
_», Insurance at 612 Larson Building, Tallahassee, Florida 32399-0333. If Express Mail or hand
delivery is utilized, the Petition or Election should be delivered to 612 Larson Building, 200 East
Gaines Street, Tallahassee, Florida 32399-0333. The Petition or Election must be received by,
and filed i in n the Department within twenty-one (21) days of the date of your receipt of this notice.
: YOUR FAILURE TO RESPOND THIS ADMINISTRATIVE
COMPLAINT WITHIN TWENTY-ONE (21) DAYS WILL
CONSTITUTE A WAIVER OF YOUR RIGHT TO REQUEST A
PROCEEDING ON THE MATTERS ALLEGED HEREIN AND
AN ORDER OF REVOCATION WILL BE ENTERED
“AGAINST YOU. : '
if a proceeding i is Tequested and there i is no So dispute of fact the provisions of Section
120. 512), Florida Statutes would apply. In this regard you may y submit oral or written eviderice
in ‘opposition t to 5 the action taken by this agency or a written statement challenging the grounds
upon which the agency has relied. While a hearing is normally not required in the absence of a
17
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eee gee eT
dispute in fact, if you feel that a hearing is necessary one will be conducted in Tallahassee,
Florida or by telephonic conference call upon your request.
If you dispute material facts which are the basis for this agency’s action you may request
a formal adversarial proceeding pursuant to Sections 120.569 and 120.57(1), Florida Statutes. If
you request this type of proceeding, the request must comply with all of the requirements of
Rule 28-106, F.A.C. and contain:
(a) A statement identifying with particularity the allegations of the Department which
you dispute and the nature of the dispute,
(b) Anexplanation of what relief you are seeking and believe you are entitled to;
(c) Any other information which you contend is material.
These proceedings are held before a State administrative law judge of the Division of
_ Administrative Hearings. Unless the majority of witnesses are located elsewhere, the
Department will request that the hearing be conducted in Tallahassee.
If you request a hearing, you have the right to be represented by counsel, or other
; qualified representative, to take testimony, to call and cross-examine witnesses, and to have
subpoena and subpoena duces tecum issued on your behalf.
You. at are hereby notified that mediation under Section 120.573, Florida Statutes, is not
available. —
~ Failure to follow w the procedure outlined with regard to your response to this notice may
result in the > request being denied. All prior correspondence in this t matter shall be considered
freeform agency action, and no such correspondence shall operate as a valid request for an
administrative proceeding Any request for administrative proceeding received prior to the date
18
of this notice shall be deemed abandoned unless timely renewed in compliance with the
guidelines as set out above.
DATED and SIGNED this \o _dayof DUNE _, 2001.
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DEPARTMENT OF INSURANCE
DIVISION OF LEGAL SERVICES
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