Findings Of Fact Respondent, Edward Willison Carroll, III, is currently eligible for licensure and is licensed in this state as a Credit Life, including Credit Disability Insurance Agent; General Lines - Property, Casualty, Surety and Miscellaneous Lines Agent; General Lines - Motor Vehicle Physical Damage and Mechanical Breakdown Agent; Ordinary Life, including Health Insurance Agent; Health Insurance Agent; and Automobile and Inspection and Warranty Association Salesman. On March 10, 1980, respondent filed a verified application with petitioner for examination as a General Lines Agent (Property, Casualty, and Miscellaneous Lines) . Question number 13 of the application asked the following: Have you ever been charged with or convicted of a felony? If so, complete the following and submit a full and detailed report on a separate sheet. Date Name of Court Address of Court Nature of Charge and Outcome Respondent answered no to this question. On May 28, 1982, respondent filed a verified application with petitioner for examination as an Ordinary Life including Disability Agent. Question number 15 of the application asked the following: Have you ever been charged with or convicted of a felony? If so, complete the following and submit a full and detailed report on a separate sheet. Date Name of Court Address of Court Nature of Charge and Outcome Respondent answered no to this question. Respondent's answers to question 13 on the March 10, 1980, application and question 15 on the March 28, 1982, application were false. On December 11, 1970, the State Attorney for the Second Judicial Circuit of the State of Florida, filed an information with the circuit court which charged that respondent did on December 3, 1970, in Leon County, Florida ... knowingly commit a lewd or lascivious act in the presence of Alice Leigh Divita, a female child under the age of fourteen years, to-wit: of the age of six years, without intent to commit rape upon said child, contrary to Section 800.04, F.S. On March 9, 1971, respondent entered a plea of guilty to the crime of fondling, as charged in the information. The court withheld adjudication of guilty and imposition of sentence, and placed respondent on probation for a period of three years. At hearing, respondent conceded that he had been charged with the aforementioned felony. He averred, however, that his failure to disclose such charge on his applications was not intended to be deceitful but was premised on his belief that he could properly answer no to such inquiries because adjudication of guilty had been withheld. While respondent may reasonably have believed that he could respond in the negative to an inquiry concerning felony convictions, his contention that he held an honest belief that he could also respond in the negative to inquiries about whether the had ever been charged with a felony is not persuasive. But for the foregoing charge, respondent has not been charged or convicted of any other felonies. Nor, has the respondent been shown to have engaged in any improprieties as an insurance agent.
Recommendation Based on the foregoing findings of fact and conclusions of law, it is RECOMMENDED that a final order be entered suspending respondent's licensure and eligibility for licensure for three months. DONE AND ENTERED in Tallahassee, Leon County, Florida, this 16th day of August, 1988. WILLIAM J. KENDRICK Hearing Officer Division of Administrative Hearings The Oakland Building 2009 Apalachee Parkway Tallahassee, Florida 32399-1050 Filed with the Clerk of the Division of Administrative Hearings this 16th day of August, 1988. APPENDIX Petitioner's proposed findings of fact are addressed as follows: 1. Addressed in paragraph 1. 2 & 3. Addressed in paragraph 2. 4 & 5. Addressed in paragraph 3. 6. Addressed in paragraph 5. 7 & 8 Addressed in paragraph 6. 9 & 10. Addressed in paragraphs 7 and 8. 11. Addressed in paragraph 9. 12-14. Rejected as not relevant. COPIES FURNISHED: S. Marc Herskovitz, Esquire Office of Legal Services 413-B Larson Building Tallahassee, Florida 32399-0300 Thomas L. Neilson, Esquire 105 West Fifth Avenue Tallahassee, Florida 32303 The Honorable William Gunter State Treasurer and Insurance Commissioner The Capitol, Plaza Level Tallahassee, Florida 32399-0300 Don Dowdell, Esquire General Counsel The Capitol, Plaza Level Tallahassee, Florida 32399-0300
The Issue The issues are whether Respondent maintained workers' compensation coverage for certain employees, and, if not, what penalty, if any, should be imposed.
Findings Of Fact Petitioner is the state agency responsible for enforcing the statutory requirement that employers secure the payment of workers' compensation for the benefit of their employees. § 440.107, Fla. Stat. (2002). Respondent is a corporation domiciled in Florida and engaged in the business of installing motorized aluminum hurricane shutters and security systems. On June 3, 2003, four of Respondent's workers installed aluminum shutters on a single-family residence located at 20799 Wheelock Drive, No. 909, Heron's Glen, North Fort Myers, Florida. Respondent did not have workers' compensation insurance for the four employees. In addition, Respondent failed to maintain workers' compensation coverage for the benefit of ten employees from June 21, 2002, through June 27, 2003 (the relevant period). Respondent stipulated that Respondent was an employer during the relevant period, and that Respondent failed to maintain workers' compensation coverage for five employees identified in the record as Ricardo Mendez, Pedro Rojas, Willie Marrow, Eric Mendez, and Izarate Cartas. Respondent further stipulated that Petitioner correctly assessed the penalty amounts for those employees. The remaining five individuals that Respondent contends were not employees are identified in the record as Jessica Mendez, Gelacio Zarate, Manual Mendez, Jesus Espinoza, and David Mobley. Respondent asserts, in relevant part, that these individuals were "casual labor" and not "employees" within the meaning of Section 440.02(15)(d)5, Florida Statutes (2002). Under the Workers' Compensation Law in effect on June 21, 2002, an "employee" did not include a person if the employment satisfied the conjunctive requirements of being casual and not in the course of the trade, business, profession, or occupation of the employer. § 440.02(15)(d)5, Fla. Stat. (2002). Section 440.02(5), Florida Statutes (2002), defined the term "casual," in relevant part, to be work that satisfied the conjunctive requirements of being completed in ten working days or less, without regard to the number of persons employed, and at a total labor cost of less than $500. Ms. Mendez and Mr. Zarate were Respondent's employees during the relevant period. Respondent paid each more than $500, and each individual performed services that were in the course of the trade, business, profession, or occupation of Respondent. Ms. Mendez worked as an assistant to the wife of the president and sole shareholder of Respondent. The wife maintained accounts and pulled permits for Respondent. Ms. Mendez assisted the wife by answering telephone calls and accompanying the wife when the wife pulled permits for Respondent. Respondent paid Ms. Mendez $760 during the relevant period. Respondent paid Mr. Zarate $800 during the relevant period to help build large roll-down, accordion, or panel shutters. Building shutters is an activity required in the course of Respondent's business. Mr. M. Mendez and Mr. Espinoza were Respondent's employees during the relevant period. Although Respondent paid each person less than $500, Mr. M. Mendez and Mr. Espinoza each performed cleanup work for Respondent. The amount of cleanup required depended on the number of roll-down shutter installations Respondent had at a given time. Constructing roll-down shutters produces a lot of paper and scraps that must be cleaned up to keep the shop clean. Mr. M. Mendez and Mr. Espinoza each performed services directly related to the construction of shutters by Respondent. Respondent argues that Mr. Mobley was either casual labor or an independent contractor. Mr. Mobley did not satisfy the statutory requirements for either classification. Mr. Mobley did not satisfy the requirements for casual labor. Mr. Mobley was an electrician who installed motorized shutters for Respondent. Mr. Mobley secured electrical permits needed for Respondent to do the electrical work essential to Respondent's business. Mr. Mobley accompanied Respondent's president to the construction site, ran the electrical, and wired the motor for the shutter that Respondent was assembling. Although Mr. Mobley worked for Respondent for only three days, Respondent paid Mr. Mobley approximately $1,200. Under the Workers' Compensation Law in effect during the relevant period, Section 440.02(15)(c), Florida Statutes (2002), required an "independent contractor" to satisfy all of the following requirements in Section 440.02(15)(d)1, Florida Statutes: The independent contractor maintains a separate business with his or her own work facility, truck, equipment, materials, or similar accommodations; The independent contractor holds or has applied for a federal employer identification number, unless the independent contractor is a sole proprietor who is not required to obtain a federal employer identification number under state or federal requirements; The independent contractor performs or agrees to perform specific services or work for specific amounts of money and controls the means of performing the services or work; The independent contractor incurs the principal expenses related to the service or work that he or she performs or agrees to perform; The independent contractor is responsible for the satisfactory completion of work or services that he or she performs or agrees to perform and is or could be held liable for a failure to complete the work or services; The independent contractor receives compensation for work or services performed for a commission or on a per-job or competitive-bid basis and not on any other basis; The independent contractor may realize a profit or suffer a loss in connection with performing work or services; The independent contractor has continuing or recurring business liabilities or obligations; and The success or failure of the independent contractor's business depends on the relationship of business receipts to expenditures. Mr. Mobley satisfied some of the definitional elements of an independent contractor. He maintained a separate business as a sole proprietor not required to obtain a federal identification number, and incurred principal expenses related to the service or work he performed for Respondent. There is insufficient evidence to find that Mr. Mobley satisfied the remaining requirements for an independent contractor. The evidence was insufficient to show that Mr. Mobley could be held liable for failure to complete the work or services he performed for Respondent, had continuing or recurring business obligations, or that the success or failure of his business depended on the relationship of receipts to expenditures. The evidence is clear that Mr. Mobley would not have performed work for Respondent if he were to have suffered a loss. Mr. Mobley was Respondent's employee during the relevant period. Mr. Mobley failed to satisfy the definition of either casual labor or an independent contractor.
Recommendation Based on the Findings of Fact and Conclusions of Law, it is RECOMMENDED that Petitioner enter a Final Order that affirms, approves, and adopts the Amended Stop Work and Penalty Assessment Order. DONE AND ENTERED this 9th day of April, 2004, in Tallahassee, Leon County, Florida. S DANIEL MANRY Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (850) 488-9675 SUNCOM 278-9675 Fax Filing (850) 921-6847 www.doah.state.fl.us Filed with the Clerk of the Division of Administrative Hearings this 9th day of April, 2004. COPIES FURNISHED: Marshall L. Cohen, Esquire Marshall L. Cohen, P.A. Post Office Box 60292 Fort Myers, Florida 33906-0292 Andrea L. Reino, Esquire Department of Financial Services 200 East Gaines Street Tallahassee, Florida 32399-4229 Honorable Tom Gallagher Chief Financial Officer Department of Financial Services The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0300 Mark Casteel, General Counsel Department of Financial Services The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0300
Findings Of Fact On March 23, 1992, Petitioner executed and subsequently submitted to Respondent agency his sworn application for licensure as a life and variable annuity and health insurance agent. On November 9, 1992, the Respondent notified Petitioner by Denial Letter that his application for licensure had been denied because his nondisclosure of past felony convictions and his representation that he had no such convictions was deemed a material misrepresentation and because the convictions themselves constituted a bar to licensure. The denial named the convictions and cited applicable statutes. On his application, Petitioner had been asked several questions in a run-on sentence. He filled in the answer NO to each element of the sentence as follows: "Have you ever been charged with or convicted of or pleaded guilty or no contest to a crime involving moral turpitude NO, or a felony NO or a crime punishable by imprisonment of one (1) year or more under the law of any state, territory or county, whether or not a judgment or conviction has been entered? NO" However, on June 3, 1985, Petitioner was charged in the United States District Court for the Eastern District of Virginia with one count of Possession with Intent to Distribute Cocaine, a felony punishable by one year or more of imprisonment in violation of Title 21 U.S.C. Section 841(a)(1) and Title 18 U.S.C. Section 2, and one count of Travel in Interstate Commerce With Intent to Promote, Manage, Establish and Distribute Cocaine, a felony punishable by one year or more imprisonment in violation of Title 18 U.S.C. Sections 1952(a)(3) and (2). On August 23, 1985, Petitioner was found guilty and convicted of the foregoing felony charges and was sentenced to five years in federal prison followed by a special parole term of three years. At the time of formal hearing, Petitioner was serving his probationary term and was under parole supervision. On July 23, 1987, Petitioner was found guilty of criminal contempt of court in violation of Title 18 U.S.C. Section 401 and Rule 42 of the Federal Rules of Criminal Procedure and was sentenced to ninety days imprisonment. Petitioner has made significant amendment of life and life-style since his incarceration and during parole. He is gainfully employed, happily married, and the father of a seventeen month old child. He seeks employment in the insurance industry to further better himself and contribute to society. He testified that he answered the first part of the question as "no" because he did not consider his crimes to be crimes of moral turpitude, which, in his opinion, would be such crimes as fraud or child molestation. As to the rest of the question, he stated that he had no recollection of answering "no," but admitted he signed the application verifying the answer, "no" as true. He suggested that he may have been interpreting each successive element of the question as relating back to "crimes of moral turpitude," when he answered "no".
Recommendation Upon the foregoing findings of fact and conclusions of law, it is recommended that the Department of Insurance enter a final order ratifying its denial of Petitioner's application for licensure. RECOMMENDED this 21st day of May, 1993, at Tallahassee, Florida. ELLA JANE P. DAVIS Hearing Officer Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-1550 (904) 488-9675 Filed with the Clerk of the Division of Administrative Hearings this 21st day of May, 1993. APPENDIX TO RECOMMENDED ORDER 92-2060 The following constitute specific rulings, pursuant to S120.59(2), F.S., upon the parties' respective proposed findings of fact (PFOF). Petitioner's PFOF: Petitioner's proposals are not numbered and constitute only admissions and argument. The admissions have been incorporated in the findings of fact as appropriate. The paragraphs of argument are rejected as argument and because they are not proposed findings of fact. Respondent's PFOF: Respondent's proposed findings of fact 1-9 are accepted in substance except where unnecessary, subordinate or cumulative. COPIES FURNISHED: Tom Gallagher State Treasurer and Insurance Commissioner The Capitol, Plaza Level Tallahassee, FL 32399-0300 Bill O'Neil, Esquire General Counsel Department of Insurance and Treasurer The Capitol, PL-11 Tallahassee, FL 32399-0300 John R. Dunphy, Esquire Department of Insurance and Treasurer 612 Larson Building Tallahassee, FL 32399-0300 Carlos A. Salas 10150 Arrowhead Drive East Unit #5 Jacksonville, FL 32257
The Issue The issue is whether Petitioner, U.S. Builders, L.P. (USB), timely and effectively requested a final hearing on the issues related to the Order of Penalty Assessment issued by the Department of Financial Services, Division of Workers’ Compensation (Department) in accordance with the requirements of Chapter 120.57, Florida Statutes.
Findings Of Fact USB is a general contractor engaged in the construction industry and is properly registered to conduct business in the State of Florida. The Department is the state agency responsible for enforcing the statutory requirement that employers secure the payment of workers' compensation coverage for the benefit of their employees and corporate officers. § 440.107, Fla. Stat. On May 30, 2007, Department Investigator Teresa Quenemoen conducted an investigation or compliance check of USB to determine liability for workers’ compensation coverage. As a result of that investigation, an Order of Penalty Assessment was issued on June 18, 2007, assessing USB a penalty in the amount of $14,983.95. Attached on the opposite side of the page from the Order was a Notice of Rights directing the recipient how to properly respond if he wished to contest the penalty. Quenemoen received a letter, dated June 21, 2007, from J. Roland Fulton, President of USB, which states that he “strongly disagrees” with the Department’s allegations that USB failed to secure adequate workers’ compensation coverage and he wants to “resolve” the matter and “void the Order of Penalty.” If the Department could not make that happen, he wanted to have the “Appeal Procedures.” In a consultation with her Supervisor, Robert Lambert, regarding how to respond to Fulton’s letter, Quenemoen was advised to immediately contact USB and advise them of the Notice of Rights and timeline requirements for any petition they may wish to file. This conversation took place well within the 21-day period for request of formal administrative proceedings. Quenemoen was also advised to provide a copy of the Notice of Rights to USB. Quenemoen, however, delayed taking any action until she contacted USB via letter on August 3, 2007, after the expiration of the timeline requirements for timely filing which occurred on July 9, 2007. Quenemoen indicated within her August 3, 2007 letter to USB that the original date of the Order was the operative date. Robert Lambert testified that the June 21, 2007, letter of USB’s president contained most of the requirements considered necessary for the letter to have been viewed as a petition for administrative proceedings and would have been so considered had the words “Petition for Hearing” appeared at the top of the page. He is also unaware of any prejudice that would result to the Department if the matter of penalty assessment against USB were permitted to proceed to a hearing on the merits of the matter. Quenemoen, in her deposition, opines she did not consider the June 21, 2007, letter to be a petition because she thought it lacked crucial items, such as an explanation of how the party’s substantial interests would be affected by the agency’s decision; disputed items of material fact; and a concise statement of ultimate facts alleged. Quenemoen’s August 3, 2007 letter to USB, inquired why USB had neither paid their penalty nor entered into a Payment Agreement Schedule for Periodic Payment of Penalty, pursuant to Section 440.107, Florida Statutes. The letter re-informed USB that it had 21 days from the receipt of the original Order of Penalty Assessment to file a petition for hearing. On August 23, 2007, the Department received a Petition for Hearing from USB’s counsel. The Department determined the Petition filed by USB met the content criteria but failed on timeliness as it was filed more than forty days past the deadline of July 9, 2007. USB, through the testimony of its President, Mr. Fulton, admitted that he was not “familiar with the law. I did not go look it up.” He also said, “I did not think I needed to go back and consult the textbook of the law.” When asked if he ever decided to consult with a lawyer during the 21-day period, he stated he did not.
Recommendation Based on the foregoing Findings of Fact and Conclusions of Law, it is recommended that the Department of Financial Services enter a Final Order that Petitioner, U.S. Builders, L.P. (USB), timely and effectively requested a final hearing on the issues related to the Order of Penalty Assessment issued by the Department of Financial Services, Division of Workers’ Compensation (Department) in accordance with the requirements of Chapter 120.57, Florida Statutes, and proceed forthwith with provision of such proceedings. DONE AND ENTERED this 30th day of April, 2008, in Tallahassee, Leon County, Florida. S DON W. DAVIS Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (850) 488-9675 SUNCOM 278-9675 Fax Filing (850) 921-6847 www.doah.state.fl.us Filed with the Clerk of the Division of Administrative Hearings this 30th day of April, 2008. COPIES FURNISHED: William H. Andrews, Esquire Coffman, Coleman, Andrews and Grogan, P.A. Post Office Box 40089 Jacksonville, Florida 32203 Marc A. Klitenic, Esquire Kandel, Klitenic, Kotz and Betten, LLP 502 Washington Avenue Suite 610 Towson, Maryland 21204 Kristian E. Dunn, Esquire Anthony B. Miller, Esquire Department of Financial Services Division of Workers’ Compensation 200 East Gaines Street Tallahassee, Florida 32399-4229 Daniel Y. Sumner, General Counsel Department of Financial Services The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0307 The Honorable Alex Sink Chief Financial Officer Department of Financial Services The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0300
Findings Of Fact On or about September 24, 1982, the Petitioner, Donald Ray Shelton, submitted his application to the Department of Insurance in order to become licensed as an Ordinary Life including Disability agent in the State of Florida. On January 21, 1983, the Department of Insurance, by letter, notified Petitioner that his application for examination and licensure as an Ordinary Life including Disability agent had been denied. That letter, in summarizing the grounds for denial, stated: The reason for the denial is because on your application for license you failed to note that you had been charged with a felony, your record of issuing worth- less checks and your record of traffic offenses. Additionally, on a previous application for license processed by the Department of Insurance for examination, you gave false information, i.e., social security number, birthplace, residence address, employment history and license history as insurance agent. One of the grounds for denial related to an application filed with the Department by American Republic Insurance Company in March, 1981. (See Respondent's Exhibit 1.) The social security number, birthplace, residence address, employment history, and license history as an insurance agent were all false. This information had been entered on the application by the Petitioner during a job interview with American Republic. The petitioner signed the application but did not sign in the presence of a notary. Petitioner also signed an additional application form titled Application for State and County License as Life/Disability Agent. (See Joint Exhibit No. 2.) This form did not require a notary. The interview with American Republic had been arranged by a close friend and the Petitioner gave the false information in order to not appear disinterested. He, however, did not want his friends, relatives, and business associates being bothered by a background investigation for a job he was not going to accept. The Petitioner had not intended for the March, 1981, application to be filed with the Department of Insurance, because he had no intention of going to work for American Republic. He learned that the application had been filed when he received notification that he had been approved for taking the examination. He did not take the examination. He did not notify the Department of Insurance that the application was filed without his knowledge or authorization. In October, 1982, Petitioner sent a letter of explanation to the Department after inquiry was made about the March, 1981, application in connection with the processing of the current application. (See Petitioner's Exhibit No. 1.) Another ground for denial by the Department was the Petitioner's failure to disclose he had been arrested for a felony, auto theft. Petitioner unequivocally denied ever having been arrested or charged with auto theft or any other felony. The evidence offered by the Department did not establish that the Petitioner had ever been arrested for larceny of an auto or that larceny of an auto as set forth in the Index to Criminal Records (Respondent's Exhibit 3) was a felony. petitioner did not fail to disclose an arrest for or charge of larceny of an auto. The application form does not ask for nor provide a space for the disclosure of traffic, bad check offenses, or other non-felony offenses. On October 29, 1980, the Petitioner pled guilty and was found guilty of the crime of worthless checks. The offense arose out of a check written to the Army Store on June 8, 1980, in the amount of $149.46, and returned due to the account being closed. The check was signed by Petitioner and was check number 126. The face of the check reveals that the account was in the name of "Donald R. Shelton" and "Vickie Shelton". Petitioner was sentenced to six months imprisonment which was suspended for two years, two years probation, and payment of restitution, and court costs. This conviction occurred in Case Number 80 Cr 4469, 30th District Court, Baywood County, North Carolina. Also, on October 29, 1980, Petitioner pled guilty to six other worthless check charges. Court records reveal the following information with regard to those convictions. Case No. 3205 involved Check No. 107 written to Bilo in the amount of $60.57 on March 1, 1980, and returned not paid because of insufficient funds. Case No. 80 Cr 2639 arose out of Check No. 3 written to Ingles on February 22, 1980, in the amount of $37.49 and returned not paid because of insufficient funds;. This check is a counter check without the name and address of Petitioner and Vickie Shelton printed on it. The check number is written on the check rather than pre-printed. Case No. 80 Cr 4053 arose out of Check No. 108 written on March 4, 1980, to Gas & Groceries in the amount of $21.30 and returned not paid because of insufficient funds. Case No. 80 Cr 4054 involved Check No. 105 written on March 1, 1980, to Gas & Groceries in the amount of $23.60 and returned not paid because of insufficient funds. Case No. 80 Cr 6027 involved Check No. 120 written to Potts Texaco on June 7, 1980, in the amount of $25.50 and returned not paid because of account closed. Case Nos. 80 Cr 2639, 80 Cr 4053, 80 Cr 4054, and 80 Cr 6027 were consolidated and for the conviction in these four cases, Petitioner was sentenced 30 days imprisonment suspended for two years with two years probation and restitution on each check and court costs in each case. This sentence was to begin following completion of the sentence in Case No. 80 Cr 4469 discussed in Paragraph 7 above. In Case No. 3205, Petitioner was sentenced to six months imprisonment, suspended for two years with two years probation and payment of restitution and court costs. All of the checks in these cases were written on the same account. This account was a joint account with Petitioner and his ex-wife as signatures on the account. On January 9, 1981, the Petitioner pled guilty and was convicted of worthless checks. That charge arose out of Check No. 109 written on March 4, 1980, to John Graham's in the amount of $259.98 and returned not paid because of insufficient funds. He was sentenced to pay court costs plus restitution. On February 16, 1981, the Petitioner pled guilty to the crime of worthless checks. The charge involved Check No. 101 written to Sky City on February 28, 1980, in the amount of $33.58 and returned not paid because of insufficient funds. Petitioner was convicted and sentenced to pay court costs plus restitution. On February 25, 1981, after making full restitution, the two year probation was terminated by the Court. Each of the worthless checks discussed above was written in February, March, or June, 1980. During the period August, 1979, to July, 1980, the Petitioner was unemployed. During this period, Petitioner was also going through a hotly contested divorce and checks were being written on the joint account by his now ex-wife without his knowledge. During this time, Petitioner did not make an effort to determine the balance in his checking account. The Petitioner has been convicted of the following traffic offenses: September 24, 1970: Speeding. September 18, 1970: Violation of quiet zone ordinance. September 23, 1971: Expired inspection sticker. October 19, 1972: Driving under the influence. Petitioner was 17, 18, and 19 years old when the offenses occurred. From April, 1977, to August, 1979, the Petitioner was employed by Globe Life Insurance Company in the State of North Carolina. Until August 1, 1979, Petitioner was a licensed Life and Accident and Health Agent in the State of North Carolina. The Petitioner is an agent in good standing with the Department of Insurance of the State of North Carolina. He had no complaints made against him or his license while selling insurance for Globe Life. He was a good, reliable agent while with Globe Life.
Recommendation Based upon the foregoing Findings of Fact and Conclusions of Law, it is RECOMMENDED: That the Petitioner's application for licensure be granted conditioned upon passing the required examination and payment of the necessary fees. DONE and ENTERED this 15th day of August, 1983, in Tallahassee, Florida. MARVIN E. CHAVIS, Hearing Officer Division of Administrative Hearings The Oakland Building 2009 Apalachee Parkway Tallahassee, Florida 32301 (904) 488-9675 Filed with the Clerk of the Division of Administrative Hearings this 15th day of August, 1983. COPIES FURNISHED: Honorable Bill Gunter Insurance Commissioner and Treasurer The Capitol, Plaza Level Tallahassee, Florida 32301 Donald Ray Shelton Post Office Box 155 Grand Island, Florida 32735 Ruth Gokel, Esquire Department of Insurance 413-B Larson Building Tallahassee, Florida 32301
The Issue The issue to be determined in this case is whether Petitioner's application for licensure as a Resident Customer Representative insurance agent should be granted.
Findings Of Fact The Petitioner is a receptionist for an insurance agency and is seeking licensure as a Florida Resident Customer Representative from the Department of Financial Services. The Department is an agency of the State of Florida responsible for the licensing of insurance agents and customer representatives in the State of Florida, in accordance with the provisions of Chapter 626, Florida Statutes. On October 22, 2003, the Petitioner filed a license application (electronically) with the Department seeking licensure as a Resident Customer Representative insurance agent. On her application for licensure, the Petitioner answered the following question in the negative: Have you ever been convicted, found guilty, or pled guilty or nolo contendere (no contest) to a crime punishable by imprisonment of one year or more under the laws of any municipality, county, state, territory or country, whether or not adjudication was withheld or a judgment of conviction was entered? When the Petitioner signed her application for licensure she signed an "Applicant Affirmation Statement" and mailed it to the Department. In that statement, she swore that all the answers on the questions on the application were true and correct to the best of her knowledge and belief. She knew of the requirement to be truthful and honest on the application and that had been stressed to her by her instructor for the insurance pre-licensing course which she attended. On March 16, 1995, the Petitioner entered a plea of nolo contendere to one count of forgery and one count of uttering a forged instrument, both felonies. The related arrest had occurred on November 10, 1994. The Petitioner was sentenced to three years probation, required to make restitution, pay court fines and costs and to perform fifty hours of community service. She was to write a letter of apology to the victim and to have no contact with the victim. Adjudication of guilt was withheld. She performed all of the requirements of her sentence. She was excused by the court from providing the fifty hours of community service because she was pregnant at the time. The Petitioner acknowledges that she answered the question incorrectly and had made a mistake, because she felt the phrase "punishable by one year or more" meant that she had been imprisoned for one year or more, which she had not. She testified that she intentionally answered the question in the negative because she was not aware that her felony crimes were potentially punishable by one year or more. She signed the 1995 plea agreement, which indicated that it was then her understanding that the offenses could carry a maximum sentence of ten years imprisonment. At the time she answered the relevant question on her application, however, she did not have a present understanding or recollection that that would be the case. The point is, she answered in good faith. She did not intentionally answer the question untruthfully but rather due to a mistaken impression, after some nine or so years had elapsed, concerning the nature and effect of the punishment or potential punishment her crimes carried. The Petitioner has not had a criminal history since her 1995 plea, with the exception of a June 7, 2000 arrest in Hernando County, Florida, after her return to Florida from Tennessee, for purported violation of probation with regard to the 1995 felony case. The Petitioner's testimony demonstrates in a credible way that indeed she had fulfilled the requirements of her probation. The judge had released her from her community service requirement and the reason for the arrest, because she was believed to have failed to pay relevant costs and restitution, apparently was a mistake. She established that at or around the time of her moving to Tennessee she had paid the relevant monetary sums required with two cashiers checks. The court terminated her probation. It is found that this arrest was based upon a mistake. The Petitioner's supervisor corroborated the testimony of the Petitioner and established that the circumstances and mental impression leading to the Petitioner's negative answer show no intent to be untruthful or to defraud. The Petitioner and her witnesses (her supervisors) established that she has been fit and trustworthy in her work with the insurance agency. Petitioner has routinely handled sums of money for the agency and for insurance clients, always with proper accounting and never with any funds being missing or mis-appropriated. The Petitioner's employment provides her family's only livelihood for her and her child. Her employment is dependent on her being granted licensure as a Customer Representative. Denial of the license application will create a hardship for her. She was nineteen years of age at the time of the arrest and plea, made full restitution and complied with the terms of her probation.
Recommendation Having considered the foregoing findings of fact, conclusions of law, the evidence of record, the candor and demeanor of the witnesses and the pleadings and arguments of the parties, it is, therefore, RECOMMENDED that a final order be entered by the Department granting the licensure applied; or granting it for a probationary period of two years under reasonable terms and conditions specified by the Department in that final order. DONE AND ENTERED this 2nd day of December, 2004, in Tallahassee, Leon County, Florida. S P. MICHAEL RUFF Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (850) 488-9675 SUNCOM 278-9675 Fax Filing (850) 921-6847 www.doah.state.fl.us Filed with the Clerk of the Division of Administrative Hearings this 2nd day of December, 2004. COPIES FURNISHED: Honorable Tom Gallagher Chief Financial Officer Department of Financial Services The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0300 Pete Dunbar, General Counsel Department of Financial Services The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0300 Tanya C. Lollie 4732 Elwood Road Spring Hill, Florida 34608 Elizabeth Penny, Certified Legal Intern Ladasiah Jackson, Esquire Department of Financial Services 200 East Gaines Street Tallahassee, Florida 32399-0333
Findings Of Fact Petitioner was found guilty of breaking and entering in 1974, and was charged with burglary and attempted escape in 1976. The burglary charge was, upon adjudication reduced to trespassing and too attempted escape charge was dropped. Respondent's license application form contains the question, "Have you ever been charged with or convicted of a felony?" Details are required if a "yes" answer is given. Petitioner disclosed the 1974 breaking and entering conviction but did not include either of the 1976 charges or the 1976 misdemeanor conviction. However, this was not an attempt by Petitioner to withhold information, but was rather a misunderstanding of the request to list all felony charges regardless of disposition and not merely those involving felony convictions. Petitioner's reputation for truthfulness was attested to by the police officer who arrested him in 1974 and 1976, and monitored his subsequent rehabilitation. Petitioner readily admitted the acts for which he was arrested in 1974, and has never been otherwise known to lie. Petitioner, who was 26 years old at the time he filed his application in April of 1980, has overcome his earlier difficulties. Since 1976, he has completed a drug therapy program, taken mental health technician courses at a community college, and worked as a counselor and supervisor in a community mental health facility. He is currently a convenience store manager in Fort Pierce, and recently trained part-time with a local insurance agency in anticipation of licensing.
Recommendation From the foregoing, it is RECOMMENDED that the application of Ricky D. Brown for filing for examination as ordinary-combination life including disability agent be granted. DONE and ORDERED this 10th day of December, 1980, in Tallahassee, Leon Country, Florida. R. T. CARPENTER Hearing Officer Division of Administrative Hearings Room 101, Collins Building Tallahassee, Florida 32301 (904) 488-9675 Filed with the Clerk of the Division of Administrative Hearings this 10th day of December, 1980. COPIES FURNISHED: Mr. Ricky D. Brown 601 North 15th Street Fort Pierce, Florida 33450 Leon Rolle, Esquire Office of Treasurer and Insurance Commissioner 220 Larson Building Tallahassee, Florida 32301
The Issue Whether Petitioner should be licensed as a title agent by the Department of Financial Services?
Findings Of Fact The Parties Ms. Shirley Auxais, the Petitioner, was born on November 20, 1971, in Brooklyn, New York. She is presently a resident of Coral Springs, Florida. Formerly married, Ms. Auxais' married name was Shirley A. Seraphin. The Department of Financial Services, the Respondent, was created by the Florida Legislature in the 2002 Session. Section 20.121, Florida Statutes. It is responsible for taking action on the license application submitted by Ms. Auxais and has been substituted as the Respondent in this proceeding for the Department of Insurance, the agency that issued the notice of denial. See B., 1Note to Section 120.121, Florida Statutes (2002), p. 400. Unemployment Compensation Fraud On February 17, 1998, the State Attorney of the Seventeenth Judicial Circuit filed an information against Ms. Auxais for unemployment compensation fraud, a felony. See Section 443.071(1), Florida Statutes. At the time of the filing, Ms. Auxais' name was Shirley A. Seraphin. The information charged the following: Shirley A. Seraphin from on or about the 13th day of August, A.D., 1995 up to and including the 16th day of September A.D., 1995, . . ., did . . . make a false statement or representation on her Pay Order Card(s), Florida Department of Labor Form UCB60 and/or UCB61, knowing said statement or representation to be false, or knowingly failed to disclose a material fact to obtain or increase benefits or other payments for her or any other person, in that the said Shirley A. Seraphin did knowingly state on her pay order cards that she was unemployed and not earning wages during the aforesaid period, when in fact and truth she was employed . . ., and earning wages which she willfully failed to report, and the said false statement was made or material fact not disclosed with the intent to obtain or increase benefits pursuant to the Florida Unemployment Compensation Law Respondent's Exhibit 3. Ms. Auxais, in the Circuit Court of the 17th Judicial Circuit, in and for Broward County (the "Court") entered a plea of "No Contest" to the charges. On June 18, 1998, Ms. Auxais upon the motion of the State, was ordered by the Court to pay restitution to the Division of Unemployment Compensation "in the total sum of Eight hundred twenty-five and 00/100 ($825)." Respondent's Exhibit 5. On June 18, 1998, an Order of Probation was rendered by the Court in Ms. Auxais' case pursuant to a plea of nolo contendere to Unemployment Compensation Fraud as reflected on the face of the order. Adjudication of guilt was withheld and Ms. Auxais was placed on "18 months mail in probation." Respondent's Exhibit 6. Slightly more than four months later, an order was entered by the Court that terminated Ms. Seraphin's probation. Application for Licensure as a Title Agent On May 13, 2002, Ms. Auxais submitted an application for a new license as a title agent to the Department of Insurance's Bureau of Agent and Agency Licensing. The license applied for, according to the application is "04-10-Resident Title Agent." Respondent's Exhibit 2, p. 7. The application poses a number of screening questions. Two are immediately adjacent to each other in the order that follows: In the past 12 months, have you been arrested, indicted, or had an information filed against you or been otherwise charged with a crime by any law enforcement authority anywhere in the United States or its possessions or any other country. Have you ever been charged, convicted, found guilty or pled guilty or nolo contendere (no contest) to a crime under the laws of any municipality, county, state, territory, or country, whether or not adjudication was withheld or a judgment of conviction was entered. Respondent's Exhibit 2, p. 8. The answer shown on the application to both questions is "N" which stands for "no." Six months later, on November 14, 2002, the Notice of Denial was issued. The factual basis for the denial consists of two interrelated facts. First, Ms. Auxais responded "no" to the question of whether she had ever pled no contest to a crime. Second, Ms. Auxais had pled no contest to Unemployment Compensation Fraud, a felony, in the Circuit Court in and for Broward County. Explanations In the interim between the submission of the application and the denial, Ms. Auxais, in a letter to a Regulatory Consultant at the Department of Insurance, offered "explanations . . . in regard to the cases filed against [her] . . .". Respondent's Exhibit 9, page 25. The first explanation concerns a criminal charge of "larceny by credit card." The charge is not related to the Department's basis for denial. Nonetheless, the explanation sheds light on Ms. Auxais' credibility. It has value to this case, moreover, because Ms. Auxais chose in her testimony at hearing to explain further her written explanation. She did so as she attempted, at the same time, to explain away the false answer on her application with regard to the nolo contendere plea for Unemployment Compensation Fraud, the second explanation in her letter in November of 2002 to the Department of Insurance. The explanation to the unrelated charge (the first explanation offered in the letter to the Department of Insurance) follows: Arrest Date: 3/13/95. Charge: Larceny Credit Card I went shopping with an ex-associate. I was not aware of the fact that she had obtained a credit card and attempted to use it unlawfully. When security began to question the nature of the card she fled the scene and I was held, arrested and charged for Larceny Credit Card. I explained the nature of the incident to the defense attorney appointed to me who suggested I plead no-contest. The courts ruled adjudication withheld. (Respondent's Exhibit 9). With regard to a question about whether her ex-associate had ever been charged with some type of theft crime for the incident, Ms. Auxais testified, "No she was never found. I can't find her to this day." (Tr. 44, 45). The second explanation relates to the felony of Unemployment Compensation Fraud: Arrest Date: 4/29/98 Charge: Fraud/Unemployment I worked for a group of physicians one of whom split from the group. At that time the other physicians felt threatened since I worked directly for the physician who decided to leave and I got fired. During this time I filed for unemployment. While I was on unemployment and receiving benefits the physician gave me a gift (so I thought) in the sum of $400.00. I was not aware that her accountant documented the $400.00 as employment. Some months later after she re-opened her new practice and I resumed working for her I among other employees received a letter from the unemployment office notifying us of unemployment fraud and they demanded repayment of the monies I received in the amount of $800.00. When I explained the situation to the physician she agreed to repay unemployment. I set up a payment plan with unemployment however the physician's accountant did not keep up with the payment which caused me to get arrested for unemployment fraud. (Id.) At hearing, in the midst of elaborating on these two explanations, Ms. Auxais offered an explanation for how it happened that her application had been submitted with the false answer of "no" to the screening question of whether she had ever pled "no contest" to a crime when, in fact, she had pled nolo contendere or no contest to crimes twice. Her explanation in this regard was: I personally did not fill out the application for the title insurance thing on line. My supervisor did it for me[.] [A]t the time that the application was filled out for me on line[,] I was in title insurance training in Tampa . . . But you just don't go around telling everybody that yes I was charged with unemployment compensation fraud after you thought everything was done. I guess the person who filled out the application for me was not aware that I was charged with a felony, so when the question was asked, had I ever been charged with a felony, they checked no. When it came back, I had already signed the last page of that prior to leaving, because you can actually print out the application. The application was sent out with that. (Tr. 30). Before transmitting it to the Department of Insurance, Ms. Auxais did not read the filled-out application. She testified she did not have the opportunity to so "[b]ecause [she] was in the midst of trying to go out of town and [she] was in the midst of trying to get [the] application out for a deadline . . .". (Tr. 64). There are at least two problems with this explanation. Both relate to the declaration that appears above the signature line in the application: Under penalties of perjury, I declare that I have read the foregoing application for licensure and that the facts stated in it are true. Respondent's Exhibit 2, p. 000011 of Respondent's Exhibits. If Ms. Auxais is to be believed, she had not, in fact, read the application with answers before signing it so that her attestation by way of her signature was false. The other problem occurs with her reading of the application after it had been signed, filled out, sent in and discovered by the Department of Insurance to be false. On this point, Ms. Auxais had yet another explanation. This explanation has as its basis Ms. Auxais' reading of the two screening questions quoted in paragraph 10, above. The first of the two has a time frame with regard to the question it asks about criminal arrests or charges. "In the past 12 months," is the predicate to the question. The second question, has no such time limitation. It asks whether the applicant has "ever" pled nolo contendere or no contest to a crime. When confronted by a Department of Insurance employee, "a Mr. Thomas" with the false answer to the second question, Ms. Auxais testified, "I . . . explained to him that even after going back and re-reading everything I would have still said no because the prior question asked within the past 12 months." (Tr. 60, 61). In other words, Ms. Auxais construed the second question to be limited by the time frame of the first so that contrary to its plain inquiry as to whether she had "ever" pled nolo contendere or no contest to a crime, it really asked whether she had so pled within the previous 12 months. Ms. Auxais is a college graduate. She plans to continue her education post-graduate by attending law school and regards employment as a licensed title insurance agent as a stepping stone to a career in law.
Recommendation Based on the foregoing findings of fact and conclusions of law, it is recommended that a final order be entered denying Petitioner's application for licensure as a title insurance agent. DONE AND ORDERED this 28th day of April, 2003, in Tallahassee, Leon County, Florida. DAVID M. MALONEY Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (850) 488-9675 SUNCOM 278-9675 Fax Filing (850) 921-6847 www.doah.state.fl.us Filed with the Clerk of the Division of Administrative Hearings this 28th day of April, 2003. COPIES FURNISHED: Shirley Auxais 9022 West Atlantic Boulevard, No. 227 Coral Springs, Florida 33065 Ladasiah Jackson, Esquire Department of Financial Services 200 East Gaines Street Tallahassee, Florida 32399-0333 Honorable Tom Gallagher Chief Financial Officer Department of Financial Services The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0300 Mark Casteel, General Counsel Department of Financial Services The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0300
The Issue The issue in the case is whether the Respondent, an insurance agent, has complied with applicable continuing education requirements.
Findings Of Fact The Respondent is a licensed life insurance and variable annuity insurance agent, holding license number A104253, and has held the license at all times material to this case. The Respondent is required to meet applicable continuing education requirements set forth by statute. Based on the type of license held by the Respondent, he must complete 28 hours of continuing education instruction during each reporting period. The instruction must be related to the type of insurance the Respondent is authorized to sell. During the reporting period from December 1, 1995 through November 30, 1997, the Respondent completed 28 hours of continuing education instruction; however, only 21 hours of the instruction are creditable to life and variable annuity insurance agents for purposes of complying with the continuing education requirement. Because seven of the Respondent’s 28 hours are not related to his licensure status, they are not applicable to his continuing education requirement; accordingly, the Respondent had a deficit of seven hours for the relevant reporting period. One of the courses completed by the Respondent was "LTC Strategies and Laws" (Course ID 30180) on November 25, 1997. Credit for this three-hour course is available only to licensed health insurance agents. The Respondent is not a licensed health insurance agent, and is not entitled to credit for this course. Another of the courses completed by the Respondent was "Senior Citizen Insurance" (Course ID 4301) on November 25, 1997. The credit for this eight-hour course is divided; four hours of credit is applicable to life insurance agents and four hours is applicable to health insurance agents. The Respondent is entitled only to the four hours of credit available to life insurance agents. By Preliminary Notice of Non-Compliance dated June 15, 1999, the Respondent received notice that, according to the Department’s review of the records, he had not completed the continuing education requirement. The Notice included a number of resolution alternatives, ranging from the licensee’s correction of the records by providing additional information, to resolving the matter by payment of a fine and completion of the hours, to a licensee-initiated license termination. The Department sent the Preliminary Notice to all addresses of record on file for the Respondent. The Respondent did not respond to the June 15 Preliminary Notice of Non-Compliance. On August 17, 1997, the Department issued a Final Notice of Non-Compliance, again advising that the continuing education requirement was unmet, again including options for resolving the deficiency, and advising of the right to request a formal administrative hearing. The Department sent the Final Notice by certified mail to the licensee’s permanent address of record. In response to the Final Notice, the Respondent requested a formal administrative hearing. The Respondent also sent additional information to the Department apparently unaware that some of the completed course hours were inapplicable to his licensure.
Recommendation Based on the foregoing Findings of Fact and Conclusions of Law, it is recommended that the Department of Insurance enter a final order suspending the licensure of Lannie J. Gregory for not less than one month or until Lannie J. Gregory completes seven additional continuing education hours appropriate to his licensure, whichever is later, and imposing a fine of $1,000. DONE AND ENTERED this 24th day of May, 2000, in Tallahassee, Leon County, Florida. WILLIAM F. QUATTLEBAUM Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (850) 488-9675 SUNCOM 278-9675 Fax Filing (850) 921-6847 www.doah.state.fl.us Filed with the Clerk of the Division of Administrative Hearings this 24th day of May, 2000. COPIES FURNISHED: Lannie J. Gregory 2680 West Lake Road Palm Harbor, Florida 34684-3120 Miguel Oxamendi, Senior Attorney Department of Insurance 612 Larson Building 200 East Gaines Street Tallahassee, Florida 32399-0333 Daniel Y. Sumner, General Counsel Department of Insurance and Treasurer The Capitol, Lower Level 26 Tallahassee, Florida 32399-0300 Honorable Bill Nelson State Treasurer and Insurance Commissioner Department of Insurance and Treasurer The Capitol, Plaza Level 11 Tallahassee, Florida 32399-0300
The Issue The issue is whether Mr. Lowe should be disciplined for fraudulent conduct as a licensed insurance agent by making false representations on insurance applications, by fraudulently signing the names of spouses on insurance applications, and by fraudulently signing the names of insureds on cancellation forms.
Findings Of Fact Lawrence Sherman Lowe, III is licensed and eligible for licensure as a life (2-16), life and health (2-18), and health (2-40) insurance agent. At the times pertinent to the allegations of the administrative complaint, Mr. Lowe was licensed as a life and health insurance agent for Colonial Life and Accident Insurance Company (Colonial). Colonial offers insurance to state employees as part of group insurance plans and also offers individual policies of insurance. Some insurance programs are available to spouses of state employees, and have benefits similar to those in the group plans, but they have a higher premium and may have different underwriting criteria. Bill Hopkins is marketing director for Colonial, and has held that position since 1977. Before that, he was an agent with the company. Mr. Hopkins' responsibilities include recruiting, training, and working with various sales directors for the company. Although Mr. Hopkins is a licensed insurance agent, he does not actively solicit insurance business now, but oversees the marketing of Colonial's insurance products to employees of 24 agencies of the State of Florida. Mr. Hopkins was generally responsible for hiring Mr. Lowe. Mr. Lowe's initial sales territory was Florida from Fort Pierce to Key West. Colonial makes available correspondence courses for agents concerning underwriting and other aspects of the insurance business pertinent to products offered by Colonial; its agents also receive on the job training. In 1987 colonial began to offer quarterly workshops to its agents and sales directors, which Mr. Lowe attended. In the course of soliciting insurance contracts, agents often complete the top form of the application for the potential insured. Mr. Lowe knew that information about a potential insured was to be taken in the presence of the applicant, and that the applicant had to sign the policy application, attesting to the correctness of the information contained therein. Insurance companies cannot offer to state employees whatever insurance products they wish. The insurance products must be approved by each state agency before employees may be solicited by Colonial's agents to purchase approved products. Colonial's agents are compensated by commissions on policies they sell, and they receive renewal commissions as long as the agent remains under contract with Colonial and the policies they sold remain in force. The supervisors of agents, such as Mr. Hopkins, receive compensation in the form of override commissions based on the productivity of the agents supervised. Those override commissions are the sole source of Mr. Hopkins' compensation. J. Frank Manning, Jr. is Assistant General Counsel for Colonial, and is responsible for managing litigation and advising several departments within the company. Mr. Manning came to know about Mr. Lowe shortly after joining the company, when Mr. Lowe received a Hall of Fame Award from the company for being the nation's top producer of business for that year. Under his contract with Colonial, Mr. Lowe marketed plans of group health, life and disability insurance to employees of the State of Florida. The Department of Health and Rehabilitative Services did not approve sickness riders as insurance products which agents of Colonial were entitled to solicit from employees of that department. Spouses and dependents of state employees may be insured for accident and disability through a rider attached to the policy of the primary insured, i.e. the state employee. If a state employee obtains coverage for a spouse through a rider attached to a policy issued to an employee, premiums for the rider may be paid through payroll deduction from the salary warrant of the employee, or through a bank authorization to deduct the premium for the rider directly from the checking account of the employee. The processing of the applications is completed by the agent, and is summarized on various sheets which are then forwarded to the company. As marketing director, Mr. Hopkins does not receive copies of applications, cancellations, or other background documents from agents. Hopkins only receives copies of the summary transmittal sheets for each agent. In November of 1987, Mr. Lowe solicited an application for disability insurance with an accidental death benefit rider from Tracy Bethay- Reed, who was employed by the Department of Health and Rehabilitative Services. She also wanted coverage for her husband, Roy Reed. Mr. Reed was not employed by the State of Florida, but by General Electric as a truckdriver, earning approximately $240.00 per week. Mr. Reed's salary had to be $35,000 per year to qualify for the insurance policy Mr. Lowe sold him. Mr. Lowe knew this from his training, see, Finding 4, above. Mr. Lowe advised Mrs. Reed that her husband would be eligible for life insurance in the amount of $50,000. On November 20, 1987 Mr. Lowe submitted an application to colonial on behalf of Roy Reed, which represented that he was an employee with the State of Florida, Department of Health and Rehabilitative Services with a salary of $35,000 annually. It is not unusual for Colonial to insure a husband and wife who are employed by a single state agency. Mr. Lowe misrepresented Roy Reed's occupation, employer, and annual income on that application, and signed Mr. Reed's name to that application. If Mr. Lowe had disclosed Mr. Reed's true employer and earnings, Roy Reed would not have been eligible for State of Florida employee group accidental death insurance with Colonial. He might have qualified for an individual policy, had an application for such a policy been made. On about May 1, 1988, Roy Reed was killed in an automobile accident. Colonial paid a death claim of $50,000 to Mrs. Bethay-Reed. In March of 1988, Mr. Lowe solicited by telephone an application for disability insurance for Albert Pelham, who was married to Sandra Pelham, an employee of the State of Florida Department of Health and Rehabilitative Services. Mrs. Pelham told Mr. Lowe that her husband, Albert, was employed as a construction worker by S.E.U. Construction, a private business. On about March 28, 1988 Mr. Lowe submitted and application to Colonial Life for disability insurance for Albert Pelham. On the application, Mr. Lowe fraudulently signed the name of Albert Pelham, and represented that Albert was a registered nurse. If Mr. Lowe had truthfully disclosed Albert Pelham's employment, the application submitted to Colonial would not have qualified Albert Pelham for disability income benefits. Albert Pelham later became temporarily unable to work due to an injury and Colonial paid disability benefits to Mr. Pelham. About July 15, 1988, Bill Hopkins of Colonial told Mr. Lowe his contract with Colonial was being terminated for cause, based on his misrepresentations on policy applications. As a result of the claims filed by Mr. Reed and Mr. Pelham, it had dawned on officers at Colonial that Mr. Lowe had been such a successful agent because he had been writing insurance in an unauthorized manner, i.e., he had routinely processed applications which indicated that both spouses were employees of the State of Florida when that was not the case, and obtained insurance on both, which was paid for by a payroll deduction from the spouse who was a state employee. Colonial instituted a civil suit against Mr. Lowe seeking damages, an injunction, and other remedies for breach of contract, in part to recover the funds paid by Colonial on the Reed and Pelham claims. That suit was settled; the terms of the settlement included a requirement that Mr. Lowe make a cash payment to Colonial in the amount of $60,000 and not to compete with Colonial as an insurance agent. Mr. Lowe agreed to give Colonial a quarterly list of his accounts so that Colonial could determine whether or not Mr. Lowe had engaged in any violation of the noncompetition clause of the settlement agreement. The $60,000 Mr. Lowe was to pay Colonial under the settlement was not paid in a lump sum. Rather, Mr. Lowe was required to pay $7,500 at the time the settlement was signed and $500 a month for several years, with a balloon payment at the end of that payment schedule. Mr. Lowe actually paid $8,000 at the time the settlement was signed and has made the monthly payments required under the settlement agreement. Shortly after he was terminated as an agent of Colonial, on about July 20, 1988, Mr. Lowe submitted to Colonial a request to cancel a life insurance policy issued on the life Frederick Fowler. Mr. Fowler did not authorize this cancellation request. Mr. Fowler did not sign the cancellation request, or authorize anyone else to sign the request. Mr. Lowe fraudulently signed Mr. Fowler's name to the request. On or about that same day, July 20, 1988, Mr. Lowe submitted a request to Colonial Life to cancel a life insurance policy on the life of Elijah Lewis. Mr. Lewis did not authorize this cancellation request. Mr. Lewis did not sign the cancellation request nor did he authorize anyone to sign such a request. Mr. Lowe fraudulently signed Mr. Lewis' name to the request. On about August 3, 1987, Mr. Lowe had submitted an application to Colonial Life for health and accident insurance on Julio Proven of Miami, Florida. Mr. Proven was not an employee of the State of Florida, Department of Health and Rehabilitative Services although the insurance application represented that he was. Mr. Lowe filled in the fraudulent information, and also signed Mr. Proven's name to that application although Mr. Proven neither signed an application nor gave anyone the authority to sign such an application for him. Once again, on or about July 20, 1988, Mr. Lowe submitted a request to Colonial Life to cancel the insurance policy which had been issued to Mr. Proven. Mr. Proven did not authorize the cancellation request. Mr. Proven did not sign the request nor did he authorize anyone else to sign the request. Mr. Lowe fraudulently signed Mr. Proven's name to this request. On or about August 4, 1987, Mr. Lowe had submitted an application to Colonial Life for health and accident insurance on Angel Fajardo of Miami, Florida. The application fraudulently represented Mr. Angel Fajardo was employed by the State of Florida Department of Health and Rehabilitative Services as an administrative assistant. Mr. Fajardo did not sign the application nor did he given anyone else the authority to sign the application. Mr. Lowe signed Mr. Fajardo's name to the application. As with the other cancellations, on about July 20, 1988, Mr. Lowe submitted a request to Colonial to cancel the insurance policy issued to Angel Fajardo. Mr. Fajardo did not sign the cancellation request, nor did he authorize anyone else to sign the request. Mr. Lowe fraudulently signed Mr. Fajardo's name to this request. Mr. Lowe contends that he was directed by his superiors at Colonial to cancel Mr. Fajardo's insurance policy or else Mr. Lowe would lose his job and face a law suit. Whether or not he was under any threats from Colonial to get business off the books which Mr. Lowe had obtained through false representations in insurance applications, he did not have the right to forge the names of insureds on applications for cancellation of those policies. On or about August 3, 1987, Mr. Lowe had submitted an application to Colonial Life for health and accident insurance on Ernest Wilson of Miami, Florida. The application represented fraudulently that Mr. Wilson was employed by the State of Florida Department of Health and Rehabilitative Services. Mr. Wilson did not sign the application, nor did he give anyone else the authority to sign the application for him. Mr. Lowe fraudulently signed Mr. Wilson's name to that application. On or about July 20, 1988, Mr. Lowe submitted a request to Colonial Life to cancel the insurance policy issued to Ernest Wilson. Mr. Wilson did not sign the cancellation request, nor did he authorize anyone else to sign the request. Mr. Lowe fraudulently signed Mr. Wilson's name to the cancellation request. Mr. Lowe's contention that he only admitted that he wrote Mr. Wilson's name on the cancellation form in the location calling for the insured's printed name but that he did not sign Mr. Wilson's name at the bottom of the form is rejected. On about November 3, 1987, Mr. Lowe had submitted an application to Colonial for health and accident insurance on Felix Rodriguez. The application fraudulently represented that Mr. Rodriguez was an employee of the State of Florida Department of Health and Rehabilitative Services. Mr. Rodriguez did not sign the application, nor did he give anyone else the authority to sign it. Mr. Lowe fraudulently signed Mr. Rodriguez's name to that application. On or about July 20, 1988, Mr. Lowe submitted a request to Colonial to cancel the insurance policy issued to Felix Rodriguez. Mr. Rodriguez did not sign the cancellation request, nor did he authorize anyone else to sign the request. Mr. Lowe fraudulently signed Mr. Rodriguez's name to the cancellation request. Any threats made by employees of Colonial to take action against Mr. Lowe if the Rodriguez policy was not terminated fail to justify Mr. Lowe's forging the name of Mr. Rodriguez to a cancellation request. On about November 10, 1987, Mr. Lowe had submitted an application to Colonial for health and accident insurance on Lourdes Mier of Hialeah, Florida. Despite what is contained on the application, Lourdes Mier was not employed as an investigator by the Florida Judicial Branch Number 11, i.e., she was not an employee of the Eleventh Judicial Circuit. Mrs. Mier did not sign the application, nor did she give anyone else the authority to sign it for her. Mr. Lowe fraudulently signed Mrs. Mier's name to the application. On July 20, 1988, Mr. Lowe submitted a request to Colonial to cancel the insurance policy issued to Mrs. Mier. Mrs. Mier did not sign the cancellation request, nor did she authorize anyone to sign it for her. Mr. Lowe fraudulently signed Ms. Mier's name to the cancellation request. On July 20, 1988, Mr. Lowe submitted a request to Colonial to cancel the insurance policy issued to Alton Glass. Mr. Glass did not sign the cancellation request, nor did he authorize anyone to sign it for him. Mr. Lowe fraudulently signed Mr. Glass' name to the cancellation request. On or about February 12, 1988, Mr. Lowe had submitted an application to Colonial for health and accident insurance on Valty Raymore of Miami, Florida. Mr. Raymore was not an R.N. employed by the State of Florida Department of Health and Rehabilitative Services as disclosed on the application. Mr. Raymore did not sign the application nor did he authorize anyone to sign it for him. Mr. Lowe fraudulently signed Mr. Raymore's name to that application. On or about July 20, 1988, Mr. Lowe submitted a request to Colonial Life and Accident Insurance Company to cancel the life insurance policy issued to Mr. Raymore. Mr. Raymore did not sign the cancellation request nor did he authorize anyone to sign it for him. Mr. Lowe fraudulently signed Mr. Raymore's name to the cancellation request. On or about July 20, 1988, Mr. Lowe submitted a request to Colonial to cancel an insurance policy issued to Willie Oliver. Mr. Oliver did not sign the cancellation request nor did he authorize anyone to sign it for him. Mr. Oliver did not authorize the cancellation. Mr. Lowe fraudulently signed Mr. Oliver's name to this request. He also forged the name of Jana C. Lowe as a witness to the request. Mr. Lowe's argument that he only admitted that he wrote Mr. Oliver's name on the cancellation request at the location calling for the insured's printed name, but that he did not sign it for Mr. Oliver, is rejected.
Recommendation Based upon the foregoing Findings of Fact and Conclusions of Law, it is RECOMMENDED that the Department of Insurance enter a Final Order revoking the licenses and eligibility of Lawrence Sherman Lowe III, to hold licenses with respect to the business of insurance. DONE and ENTERED this 31st day of July, 1990, at Tallahassee, Florida. WILLIAM R. DORSEY, JR. Hearing Officer Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-1550 (904) 488-9675 Filed with the Clerk of the Division of Administrative Hearings this 31st day of July, 1990.
