New York State
Insurance Department
| ISSUED: 1/17/01 | FOR IMMEDIATE RELEASE |
NEW YORK STATE INSURANCE DEPARTMENT TAKES DISCIPLINARY ACTIONS
AGAINST COMPANIES, AGENTS, BROKERS & ADJUSTERS
COMPANY STIPULATIONS
LICENSEE |
ADDRESS |
PENALTY |
Ace American Insurance Co. |
Two Liberty Place |
$28,000 fine |
Market Conduct report investigation of the Companys Public Automobile Livery Business conducted by the Department for policies with an expiration date of February 28, 2000 revealed violation of Regulation 57 by failing to charge filed rates and to establish adequate procedures to minimize the occurrence of improperly charged rates. |
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LICENSEE |
ADDRESS |
PENALTY |
| American Guarantee & Liability Insurance Company | 1400 American Way Schaumburg, IL |
$30,900 fine |
| Company violated Regulation 57, which requires insurers to charge filed rates. Also violated Regulation 129, which requires that the overall effect of applying schedule rating, IRPM plans and experience rating on any individual insured shall not, in aggregate, provide for modification in filed rates in excess of + 25 percent; and requires that any "a" rated risk information shall be retained in the insurers individual underwriting file for five years. Violated Regulation 96 by not reporting fire losses in excess of $1,000 to the Property Insurance Loss Register (PILR), within five business days of the loss. Violated Section 3426 (a)(I) of the Insurance Law that requires that every notice of cancellation or non-renewal delivered by an insurer shall advise the insured and such insureds authorized agent or broker of the availability of loss information. Violated Regulation 96, which requires that unless the insured returns the completed, signed and affirmed anti-arson application to the insurer 15 days prior to the expiration of the policy, the insurer shall terminate the policy on its expiration date. Violated Regulation 57 that requires insurers to establish adequate procedures to minimize the occurrence of improperly charged rates. In addition, Respondent admits that it failed to fully comply with a Department stipulation dated April 2, 1997 in that it failed to perform an adequate review of all commercial multiple peril policies as specified in said stipulation. | ||
LICENSEE |
ADDRESS |
PENALTY |
American Progressive Life and Health Insurance Company of NY |
6 International Drive |
$10,000 fine |
Company violated Insurance Law by failing to notify the Superintendent of its intention to render services to an affiliate on a regular or systematic basis and by using a policy form that was not filed and approved by the Superintendent. |
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LICENSEE |
ADDRESS |
PENALTY |
Columbian Mutual Life Insurance Co. |
Vestal Parkway East |
$50,000 fine |
Company violated Insurance Law by taking credit for reinsurance ceded and letters of credit which did not meet the requirements of said Section; by requesting HIV testing of proposed insureds without receiving written consent prior to such testing and by using consent forms which did not provide all of the information required by the Insurance Law; and by using policy forms which had been approved by the Superintendent in a manner which did not comply with such approval. Respondents violated Regulation 60 by failing to effectively monitor its internal operations regarding compliance with the requirements for the replacement of life insurance policies. |
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LICENSEE |
ADDRESS |
PENALTY |
CGU Life Insurance Company of NY |
100 Corporate Parkway |
$20,000 fine |
Company violated sections of the Insurance Law by failing to receive the required written informed consent of individuals who were requested or required to submit to an HIV related test; by applying different underwriting standards on identical policies; and by failing to charge interest on loans to agents and by issuing a loan to an agent which exceeded the expected compensation of the agent over the next twelve months. |
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LICENSEE |
ADDRESS |
PENALTY |
| Eagle Insurance Company | 999 Stewart Avenue |
$2,500 fine |
Company violated Section 3426(f)(1)(2) of the Insurance Law by admitting that during the calendar year 1998, it exceeded the maximum number of private passenger automobile non-renewals permitted for the calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Empire Fidelity Investments Life Insurance Company |
200 Liberty Street |
$20,000 fine |
Respondent violated sections of the Insurance Law by making certain payments to an officer of the Company that were not authorized by the Board of Directors; by failing to file certificates of appointment in order to appoint insurance agents to represent the Company; and by paying commissions to agents who were neither properly licensed nor appointed by the Company. |
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LICENSEE |
ADDRESS |
PENALTY |
Employers Insurance of Wausau, |
PO Box 8017 |
$252,120 fine |
Respondents violated Section 5102 of the Insurance Law by failing to make the basic economic loss coverage documentation available at the time of application. In addition, Company violated Regulation 35-D by failing to provide a written notice concerning SUM coverage. In addition, Respondents violated Regulation 57 by failing to charge filed rates and by failing to establish adequate procedures to minimize the occurrence of improperly filed rates. |
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LICENSEE |
ADDRESS |
PENALTY |
First Cova Life Insurance Company |
120 Broadway |
$25,000 fine |
Respondents violated sections of the Insurance Law by failing to notify the Department as directed in Department Circular Letter No. 33 (1979), of its tax allocation agreement; by failing to notify the Superintendent in writing at least 30 days prior to entering into four service agreements with its affiliates; by failing to keep minutes of the meetings of its shareholders, board of directors and committees thereof. Company also violated section of the Insurance Law by failing to have written criteria for its annuity interest rates approved by its board of directors or a committee and failing to have any audit committee meetings during the examination period. |
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LICENSEE |
ADDRESS |
PENALTY |
| First Investors Life Insurance Company | 95 Wall Street |
$10,000 fine |
Violated Insurance Law by failing to obtain prior approval for an amendment to its plan of operations for its separate accounts; and by requesting HIV testing of proposed insureds without providing the information required by Sections 2611(b)(3) and (5) the Insurance Law. |
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LICENSEE |
ADDRESS |
PENALTY |
Frontier Insurance Company |
195 Lake Louise Marie Road |
$14,300 fine |
Respondents violated Regulation 57, which requires that insurers charge filed rates; Regulation 129 which requires that rating plan for eligibility purposes only be used in the rating of risk which would otherwise generate certain enumerated basic limits premium; Regulation 86, which requires that every binder, contract, policy, rider and endorsement issued pursuant to Sction 6301 of the Insurance Law on special risks located or resident in New York State comply with minimum standard policy provisions of the Insurance Law; Regulation 86, which requires that the appropriate classification code be indicted on the lower left corner of the front page of each binder, policy, contract, rider or endorsement, and on all subsequent amendments thereto; and Regulation 96 which requires that every insurer, broker or agent furnish to applicants an anti-arson application prior to or at the time the risk is submitted or bound. Failed to comply with Section 2307(b) of the Insurance Law which requires that no policy form shall be issued unless it has been filed and approved by the Superintendent. |
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LICENSEE |
ADDRESS |
PENALTY |
| General Security Insurance Company | Two World Trade Center New York, NY |
$11,900 fine |
| Violated Regulation 57, which requires that insurers charge filed rates and requires insurers to establish procedures to minimize the occurrence of improperly charged rates and to, in fact, pursue such procedures. In addition, violated Regulation 96, which requires every insurer, at least 45 days, but no more than 60 days, in advance of the expiration date of the policy, to deliver an anti-arson application to the insured. | ||
LICENSEE |
ADDRESS |
PENALTY |
Life Insurance Company of Boston and New York |
21 East 40th Street |
$15,000 fine |
Violated sections of the Insurance Law by failing to notify the Superintendent of the services provided for its parent company; by calling attention to an unauthorized insurer in its advertisements; and by failing to maintain a complete advertising file in its home office. |
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LICENSEE |
ADDRESS |
PENALTY |
Lion Insurance Company |
999 Stewart Avenue |
$1,750 fine |
During the calendar year 1998, the Respondents violated Section 3425(f)(1) and (2) of the Insurance Law by exceeding the maximum number of private passenger automobile non-renewals permitted for the calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Mutual Service Casualty Ins. Co. |
2 Pine Tree Drive |
$4,200 fine |
Respondents admitted that they violated Department Regulation 57, and/or the Insurance Law by failing to charge filed rates. The Respondents will re-rate all public automobile livery policies expiring 2/28/2000 and will refund overcharges in excess of $15. They must also notify insureds of undercharges exceeding $15. No retroactive premium adjustments will be applied, but upon renewal correct rates will be charged. The Respondent will submit a report summarizing the results of its re-rating procedures. |
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LICENSEE |
ADDRESS |
PENALTY |
| Preferred Life Insurance Company of NY | 152 West 57th Street New York, NY |
$20,000 fine |
| Violated Section 2112 of the Insurance Law by failing to file certificates of appointment for insurance agents representing the Company. In addition, violated Section 2114 (a)(1) and (a)(3) of the Insurance Law in that it paid commissions to insurance agents who were not appointed as representatives of the Company. Also violated Section 2108(a)(4) of the Insurance Law in that it paid commissions for claims adjusting to three third party administrators who were not licensed as independent adjusters. | ||
LICENSEE |
ADDRESS |
PENALTY |
Star Insurance Company |
26600 Telegraph Road |
$234,800 fine |
Respondent violated Sections 160.2(c), and 160.2(g) of Department Regulation 57, in that it failed to charge filed rates, and to establish adequate procedures to minimize the occurrence of improperly charged rates and to in fact pursue those procedures. Respondents used a rating classification that had not been filed with the Department. It is the Departments position that such conduct is violative of Section 2307(a) of the Insurance Law which states that no insurer shall use a rating classification unless it has been filed with the Superintendent. In addition, Respondent failed to follow its filed rates in that it used rates lower than those filed with the Department. It is the Departments position that such conduct is violative of Section 2310(a) of the Insurance Law which requires every insurer to furnish the Superintendent, on or before the date of their use, all changes in filed rates. |
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LICENSEE |
ADDRESS |
PENALTY |
| Transamerica Life Insurance Company of New York | 100 Manhattanville Road |
$25,000 fine |
Respondents violated Section 1505(d) of the Insurance Law by failing to adhere to the terms of two approved service agreements. Respondents violated Sections 310(a)(3) and 1507(a) of the Insurance Law in that its officers and the officers of its parent and affiliates failed to facilitate the examination. Respondents violated Section 3214(c) of the Insurance Law in that it failed to pay the required interest on supplementary contracts. Respondents violated Department Regulation 34A, by failing to control the content, form and method of dissemination of certain advertisements and failed to have its name and/or home office location included in the advertisements; by displaying an advertisement on its webpage contained confusing information related to its term life insurance products; by using the words "no cost options" to describe the benefits available with its term product; by failing to maintain copies of all advertisements in its advertising file and the file did not contain information regarding the manner and extent of the distribution of certain advertisements. Respondent violated Department Regulation 64, in that it failed to send follow-up letters to claimants of resisted claims. |
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LICENSEE |
ADDRESS |
PENALTY |
| United States Fire Ins. Co. | 305 Madison Avenue Morristown, NJ |
$22,650 fine |
Respondents violated the following regulations: Regulation 57, which requires insurers to charge filed rates. Regulation 129 which requires that individual underwriting files contain the specific criteria, relative to the risk being rated, and document the particular circumstances that support each expense reduction credit; that individual underwriting files contain the specific criteria, relative to the risk being rated and document the specific circumstances that support each debit or credit; that an audit to determine final premium for policies under which the initial premium is based on an estimate of the insureds exposure base be conducted within 180 days after expiration of such policy and cannot be waived; and that any "a" rated risk information be retained in the insurers individual underwriting file for each policy issued, for a period of five years from the date of first issuance of such policy, and be available for inspection. In addition, Company violated Regulation 57, which requires insurers to establish adequate procedures to minimize the occurrence of improperly charged rates; Regulation 86 which requires each insurer to maintain in its files the premium charged for each special risk and the basis for the rate; and Regulation 96, which states that unless the insured returns the completed, signed and affirmed anti-arson application to the insurer, broker or agent within 45 days of the effective date of coverage, or 15 days prior to the expiration date of renewals, the insurer shall rescind such coverage. Also Company violated Section 3426 of the law which requires insurers to furnish specific reasons on non-renewal notices. |
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LICENSEE |
ADDRESS |
PENALTY |
Utica Mutual Insurance Company |
PO Box 530 |
$8,250 fine |
During the calendar year 1998, Respondents violated Section 5106 of the Insurance Law and Department Regulation 68 by failing to pay the required 2% interest rate compounded and calculated on a 30 day pro-rate basis on overdue PIP benefits. |
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LICENSEE |
ADDRESS |
PENALTY |
Virginia Surety Company |
123 North Wacker Drive |
$50,000 fine |
Violated Insurance Law Section 2307(b), which states that no insurer shall use a policy form unless it has been filed and approved by the Superintendent; Regulation 57, which requires insurers to charge filed rates; and Regulation 135, which states that except in connection with a federal purchasing group, no group policy shall be issued or renewed in this state unless it is in conformity with the requirements specified therein. |
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LICENSEE |
ADDRESS |
PENALTY |
| Yasuda Fire & Marine Insurance Company of America | 225 Liberty Street |
$5,000 fine |
Respondent admits that for the period October 1, 1998 through September 30, 1999, it violated Regulation 57, which requires that insurers establish adequate procedures to minimize the occurrence of improperly charged rates, and, in fact, pursue such procedures. |
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LICENSEE |
ADDRESS |
PENALTY |
Zurich Insurance Company |
1400 American Way |
$36,100 fine |
Respondent violated the following: Regulation 57, which requires insurers to charge filed rates. Regulation 129, which requires that the overall effect of applying schedule rating, IRPM plans and experience rating on any individual insured shall not, in aggregate, provide for modification in filed rates in excess of plus or minus 25 percent; Regulation 129, which requires that any "a" rated risk information shall be retained in the insurers individual underwriting file for each policy issued, for a period of five years from the date of first issuance of such policy, and be available for inspection.; Insurance Law Section 3426 (g)(1) which requires that every notice of cancellation or non-renewal delivered by an insurer shall advise the insured and such insureds authorized agent or broker of the availability of loss information; Regulation 96, which requires that fire losses in excess of $1000 be reported to the Property Insurance Loss Register within five business days of notice of the loss and which requires that unless the insured returns the completed, signed and affirmed anti-arson application to the insurer 15 days prior to the expiration of the policy, the insurer shall terminate the policy on its expiration date; Regulation 57, which requires insurers to establish adequate procedures to minimize the occurrence of improperly charged rates and, in fact, pursue such procedures. Regulation 129, which states that the use of a filed and approved experience rating, IRPM and expense reduction plan is mandatory and shall be applied uniformly in a non-discriminatory manner for all eligible classes of risks; and which requires that individual underwriting files contain the specific criteria, relative to the risk being rated and document the particular circumstances that support each debit or credit; and which requires that a premium audit be completed within 180 days after expiration of a policy. If an insured fails to cooperate with the insurer in its attempt to conduct such an audit, the insurer shall non-renew the insured upon the completion of the current policy period. In addition, Respondent admits that it failed to fully comply with a Department stipulation dated April 2, 1997 in that it failed to perform an adequate review of all commercial multiple peril policies. |
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AGENT & BROKER STIPULATIONS
| Region: Binghamton |
LICENSEE |
ADDRESS |
PENALTY |
Elva J. Hunt Insurance Agency, Inc |
34 River Street |
$1,000 fine |
On or about September 24, 1998, Respondents received a return premium check in the amount of $2,824.51, which they failed to return to the insured until November 17, 1999. |
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| Region: Westchester County |
LICENSEE |
ADDRESS |
PENALTY |
Cira A. Velin |
232 N. Washington Street |
Licenses revoked |
Between January and March 1998, Ms. Velin issued seven insurance premium checks, totaling $1,955.30, that were dishonored by the bank, but were subsequently replaced. Ms. Velin breached two department stipulations wherein she undertook to take all necessary steps to prevent the recurrence of similar violations. |
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| Region: Buffalo |
LICENSEE |
ADDRESS |
PENALTY |
| Dann G. Neale (Agent) |
103 Narayone Drive Batavia, NY |
$3,046 fine |
| Mr. Neale placed a life insurance policy with Prudential Insurance Company of American on behalf of an insured. The annual premium for said policy were funded by loans from existing policies which exceeded 50% of the tabular cash values of the existing policies, which constituted a replacement of life insurance with the meaning of Department Regulation 60. Mr. Neale also submitted a signed statement to the insurer on which he incorrectly indicated that the transaction did not involve replacements; and failed to present to the insured a completed disclosure statement signed by Mr. Neale and a notice regarding replacement of life insurance. Mr. Neale also failed to submit a completed disclosure statement signed by him to the insurer. | ||
LICENSEE |
ADDRESS |
PENALTY |
Michael L. Stanton |
97 S. Washington Street |
$3,005 fine |
Mr. Stanton placed a life policy with Metropolitan Life Insurance Company on behalf of an insured. As part of said transaction, loans were taken on an existing life insurance policy of the insured. The loans amounted to more than 50% of the policys tabular cash value and thus the transaction constituted "replacement of life insurance" as defined in Regulation 60. Mr. Stanton also submitted a signed statement to the insurer on which he incorrectly indicated that the transaction did not involve replacements; and failed to present to the insured a completed disclosure statement signed by Mr. Stanton and a notice regarding replacement of life insurance. Mr. Stanton also failed to submit a completed disclosure statement signed by him to the insurer. |
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LICENSEE |
ADDRESS |
PENALTY |
Thomas A. Roth |
534 Main Street |
$2,500 fine |
Issued a forged insurance identification card and on or about November 24, 1997, he completed, signed and delivered an FS-1 auto insurance ID card without authorization from the insurer, the Atlantic Mutual Insurance Company. |
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LICENSEE |
ADDRESS |
PENALTY |
Arthur T. Stover |
76 Partridge |
$2,300 fine |
Issued four checks from their premium account which were dishonored; and on 163 occasions, from on or about January 1996 through September 1997, Respondents charged a $35 service fee on all new Assigned Risk applications and failed to obtain signed memoranda from the insureds. They have replaced the dishonored checks and have refunded the service fees to all insureds they were able to locate. |
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| AREA: Nassau County |
LICENSEE |
ADDRESS |
PENALTY |
Able Insurance Brokerage, LTD |
53 Audubon Avenue |
$500 fine |
Issued seven insurance premium checks, totaling over $4,880, that were dishonored by the bank but were subsequently replaced. |
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LICENSEE |
ADDRESS |
PENALTY |
| Brite Star Agency, Inc Josephine Levan (Sublicensee) |
1635 Great Neck Road |
$2,000 fine |
Issued 29 insurance premium payments checks totaling over $5,350 that were dishonored by the bank but were subsequently replaced. During the same time period, Ms. Levan commingled funds, paying personal and business expenses from the same account. |
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LICENSEE |
ADDRESS |
PENALTY |
Lawrence Brody |
33 Harbor View West |
License Revoked |
In January 1994, Mr. Brodys certification to produce insurance for the New York Automobile Insurance Plan ("Plan") was suspended for various Plan violations. Between July 1994 and February 1995, Mr. Brody issued 67 checks, totaling over $20,970, that were dishonored by the bank of which 25 checks remain unaccounted for. |
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LICENSEE |
ADDRESS |
PENALTY |
Joseph C. Douglas |
18-05 215th Street Apt. #40 Bayside, NY |
$1,375.14 fine |
Mr. Douglas solicited and/or sold three policies for the Fidelity Group, Inc. an entity not licensed or authorized to do an insurance business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
Gypsy Brokerage Corp |
936 Seneca Avenue |
$1,000 fine |
Issued an insurance premium transmittal check in the amount of $350 that was dishonored by the bank but was subsequently replaced. Commingled insurance premium funds in that they deposited all collected insurance moneys into a single account maintained by a travel agency over which they had no control. |
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LICENSEE |
ADDRESS |
PENALTY |
Scott M. Kunz |
1232 Stony Brook Road |
$250 fine |
Department by letters dated May 14, July 21 and August 31, 1999, directed Mr. Kunz to provide information regarding his employment. Mr. Kunz failed to reply until after issuance of a Citation thereby hampering and impeding the Departments investigation. Mr. Kunz has now provided the requested information. |
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LICENSEE |
ADDRESS |
PENALTY |
Robert I. Simms |
101 Soloff Boulevard |
$799.16 |
Solicited and/or sold two policies for the Fidelity Group, Inc. an entity not licensed or authorized to do an insurance business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
Alan Zaremba |
35 Bourndale Road South |
$500 fine |
Solicited and/or sold one policy for Equitable of Colorado to a New York resident in New York. Equitable of Colorado is not licensed in New York. |
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| Region: Mid-Hudson |
LICENSEE |
ADDRESS |
PENALTY |
John T. McFadden |
22 David Drive |
$1,300 fine |
Negotiated three annuity contracts with clients in New York State on behalf of an unlicensed insurer, American Life and Casualty Insurance Company. |
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LICENSEE |
ADDRESS |
PENALTY |
Oscar E. Gallion |
31 Main Parkway |
License Revoked |
Mr. Gallion submitted applications to the New York Automobile Insurance Plan ("Plan") wherein the principal driver was a person other than the applicant/insured and the principal driver did not authorize or consent to the use of his name. On May 20, 1999 Mr. Gallions certification to produce insurance for the Plan was revoked for various Plan violations. In addition, Mr. Gallion allowed a revoked licensee to conduct an insurance business using his license. |
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LICENSEE |
ADDRESS |
PENALTY |
Edward Gelb |
1 West Lyens Street |
$2,496 fine |
Solicited and/or sold seven policies for the Fidelity Group, Inc. an entity not licensed or authorized to do an insurance business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
Franklin Lerner |
103 Harbour Lane |
$500 fine |
Solicited and/or sold one policy for Equitable of Colorado to a New York resident. Equitable of Colorado is not licensed in New York. |
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LICENSEE |
ADDRESS |
PENALTY |
Marsh & Mullany, Inc. |
7 Westchester Drive |
$500 fine |
Issued four insurance premium checks, totaling over $2,160 that were dishonored by the bank but were subsequently replaced. |
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LICENSEE |
ADDRESS |
PENALTY |
Paula J. Porter |
5 Dorfer Lane |
License Revoked |
On or about September 1998, Ms. Porters certification to write insurance for the New York Automobile Insurance Plan ("Plan") was revoked for a period of three years. Among the cited Plan violations was Ms. Porters submission of 68 applications without the required premium deposit. To date, Ms. Porter has failed to adequately explain this deficiency. |
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LICENSEE |
ADDRESS |
PENALTY |
Michael Scavuzzo |
15 North Pine Street |
$1,161 fine |
Mr. Scavuzzo solicited and/or sold two policies for the Fidelity Group, Inc. an entity not licensed or authorized to do business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
S. Alfred Tucker |
9 Peter Lane |
$7,310.97 fine |
Solicited and/or sold 16 policies for the Fidelity Group, Inc. an entity not licensed to do an insurance business in this state. |
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| Region: New York City |
LICENSEE |
ADDRESS |
PENALTY |
Meshch Ariri |
4047B White Plains Road |
$1,000 fine |
Issued four premium transmittal checks, totaling over $1,253, that were dishonored by the bank but were subsequently replaced. Mr. Ariri also commingled premium funds by paying personal and operational expenses from his premium account. |
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LICENSEE |
ADDRESS |
PENALTY |
Yefim Breydo |
63-91 99th Street Apt. C10 Rego Park, NY |
$693.15 fine |
Solicited and/or sold two policies for the Fidelity Group, Inc., an entity not licensed or authorized to do an insurance business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
Elvira Castro |
1098 Lafayette Avenue |
$1,500 fine |
Issued 90 premium checks, totaling over $39,650 that were dishonored by the bank but were subsequently replaced. |
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LICENSEE |
ADDRESS |
PENALTY |
Crown Security and Insurance Company |
3062 Boston Road |
$500 fine |
Issued an insurance premium check in the amount of $200 that was dishonored by the bank but was subsequently replaced. |
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LICENSEE |
ADDRESS |
PENALTY |
David Brokerage, Inc. |
755 Grand Street |
$500 fine |
Issued eight insurance premium checks, totaling over $2,892, that were dishonored by the bank but were subsequently replaced. |
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LICENSEE |
ADDRESS |
PENALTY |
Rima Diary |
2906 Brighton 12th Street |
$530.23 |
Solicited and/or sold one policy for the Fidelity Group, Inc. an entity not licensed or authorized to do an insurance business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
EZ Vision Brokerage, Inc |
2385 Grand Concourse |
$500 fine |
Submitted an application to the New York Automobile Insurance Plan wherein the principal operator was a person other than the insured/applicant and Mr. Santos failed to complete a "Driver Verification Form" as required by the Plan. |
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LICENSEE |
ADDRESS |
PENALTY |
Gildalina E. Garcia |
350 East 9th Street |
$500 fine |
Issued two insurance premium checks, totaling $595 that were dishonored by the bank but were subsequently replaced. |
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LICENSEE |
ADDRESS |
PENALTY |
Michael Kliss |
2077 East 38th Street |
$2,248.43 fine |
Solicited and/or sold two policies for the Fidelity Group, Inc., an entity not licensed or authorized to do insurance business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
MMZ General Financial Services, Inc. |
1687 Jerome Avenue |
$3,500 fine |
Allowed an unlicensed employee to conduct their insurance business and submitted five "Driver Verification Forms" to the New York Automobile Insurance Plan that were stamped with a facsimile of his signature rather than signed and witnessed as required. |
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LICENSEE |
ADDRESS |
PENALTY |
Jack J. Passiatore & Associates, Inc. |
2506 East Tremont Avenue |
Licenses Revoked |
Between January 1, 1998 and May 31, 1999, Respondents issued 17 insurance premium checks, totaling over $9,509 that were dishonored by the bank but were subsequently replaced; and an additional 119 insurance premium checks when funds were not available but the checks were honored using overdraft privileges. |
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LICENSEE |
ADDRESS |
PENALTY |
Joseph D. Phoenix, Jr. |
114-26 209th Street Cambria Heights, NY |
License Revoked |
In November 1997, Mr. Phoenix collected a premium in the amount of $950 that was not remitted to the insurer until April 23, 1998. In addition, between December 1997 and March 1998, he collected three premiums totaling $568 that were remitted to the insurer on March 20, 1998 after the policy was cancelled for non-payment of the premium; and on May 13, 1997, Mr. Phoenix also collected a premium deposit of $671 which he failed to remit until November 19, 1997. |
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LICENSEE |
ADDRESS |
PENALTY |
Arkadiy Shnayder |
2042 Homecrest Avenue |
$3,420.39 fine |
Solicited/and or sold eight policies for the Fidelity Group, Inc. an entity not licensed or authorized to do an insurance business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
Edgardo Torralvo |
242 14th Street #14-1 New York, NY |
$1,500 fine |
Mr. Torralvlo was placed on the Certified Check Requirements List by the New York Automobile Insurance Plan for issuing dishonored premium checks; and issued 20 dishonored premium checks totaling over $5,551 which were subsequently replaced. |
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| Region: Out of State |
LICENSEE |
ADDRESS |
PENALTY |
Barry Kaye |
1901 Avenue of the Stars |
$500 fine |
Solicited and/or sold one policy for Equitable of Colorado to New York residents in New York. Equitable of Colorado is not licensed to do business in New York. |
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AGENTS/BROKER HEARINGS
| Region: Rochester County |
LICENSEE |
ADDRESS |
PENALTY |
Joseph W. Kennedy, Jr. |
169 Corwin Road |
License Revoked |
Mr. Kennedy gave false statements in a Bankruptcy proceeding. Also failed to appear at Department hearing. |
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| Region: Suffolk County |
LICENSEE |
ADDRESS |
PENALTY |
Darold B. Delany |
74 Plum Street |
Licensed Revoked |
Mr. Delany signed and submitted an application to the Department to renew his independent adjusters license, where he made false statements on said application. |
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| Region: Syracuse |
LICENSEE |
ADDRESS |
PENALTY |
Kevin M. Keding |
308 E. Broadway |
License Revoked |
As an agent of Nationwide Mutual Insurance Company, Mr. Keding collected premium amounts of over $17,581 from insureds and failed to remit these funds to Nationwide or otherwise account for them. |
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| Region: New York City |
LICENSEE |
ADDRESS |
PENALTY |
Anabella Tours Inc. |
291 East 170th Street |
License Revoked |
Violated New York Automobile Insurance Plan rules by submitting forged documents of an insured. Mr. Soriano failed to appear at the Department for his hearing. |
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LICENSEE |
ADDRESS |
PENALTY |
George Bacolas |
189-45 45 Drive Flushing, NY |
License Revoked |
Collected and failed to remit premium payments to Massachusetts Casualty Insurance Company. In addition, Mr. Bacolas did not appear at the Department for his scheduled hearing. |
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LICENSEE |
ADDRESS |
PENALTY |
Sharmila B. Bhagan |
100-23C Benchley Place |
License Revoked |
Collected and failed to remit premium payment to State Farm Insurance Company. In addition, Ms. Bhagan failed to cooperate with the Department regarding this investigation and failed to appear at the hearing. |
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LICENSEE |
ADDRESS |
PENALTY |
Francois E. Cadley |
732 East 78th
Street |
License Revoked |
During the period of January and November through December 1998, Mr. Cadley issued 11 insurance premium checks that were dishonored by the bank, some as a result of insufficient funds and others were stopped. These checks were subsequently replaced. All the dishonored (including the stopped) premium checks were related to New York Automobile Insurance Plan (NYAIP) clients. As a result of continued issuance of dishonored checks in violation of NYAIP rules, Mr. Cadley was placed on the certified check list. Mr. Cadley corrected his method of doing business by no longer accepting personal checks from his clients unless the insureds check is made payable to the NYAIP, insurer, or premium finance company. By stipulation dated May 1, 19995, Mr. Cadely admitted, among other violations, that he issued four insurance premium checks that were dishonored by the bank on which drawn. Mr. Cadley was fined $1,250 and agreed to take all necessary steps to prevent recurrence of similar violations. Mr. Cadley continued subsequently to issue dishonored premium checks and breached said stipulation. In a hearing held by the Department, Mr. Cadley did not pay the $4,500 fine ordered by the Department, thus revoking his agent/broker license. |
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LICENSEE |
ADDRESS |
PENALTY |
Roberto Garcia |
325A 22nd Street |
License Revoked |
On or about January 21, 1998, Mr. Garcias certification to write insurance business under the New York Automobile Insurance Plan ("Plan") was revoked because of a series of infractions and violation of the Plans rule. In addition, on June 28 and October 30, 1996, Mr. Gracia collected insurance premiums in the amount of $880 from his client. Mr. Garcia submitted only $280 of said monies to the insurer. To date, Mr. Garcia has failed to return the money or otherwise account for the discrepancy. |
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LICENSEE |
ADDRESS |
PENALTY |
David L. Hampel |
64-34 102nd Street Apt. 7-M Rego Park, NY |
License Revoked |
Mr. Hampel on several occasions failed to forward monies received from his clients to their insurers. Respondent failed on several occasions to respond to letters from the Department seeking information regarding questionable transactions. |
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LICENSEE |
ADDRESS |
PENALTY |
Insurance Agency Services of NYSI |
182 South Avenue |
License Revoked |
On or about July 1988, Respondent hired a non-licensee to manage and operate the insurance office and to sell automobile insurance through the New York Automobile Plan ("NYAIP") to prospective insureds. Mr. Pinder then relocated to Florida, leaving the insurance office in the unlicensed, unsupervised hands of the manager. Subsequently the non-licensee altered 31 NYAIP application forms signed by insureds by crossing out the printed name of Insurance Agency Services of NYSI Co, Inc., thereon and writing in her own name as producer of record. She submitted said altered applications without deposits to the NYAIP on or about April 26, 1999, with a note requesting that all commissions should be paid to her. Mr. Pinder filed a complaint with the Department and spoke to the Department examiner admitting that he hired the non-licensee to run the office after he moved to Florida but complained that she stole a lot of money from the insureds, issued dishonored checks, closed the office and disappeared. Mr. Pinder failed to appear at his scheduled Department hearing. |
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LICENSEE |
ADDRESS |
PENALTY |
Amrswood Morency |
1163 Flatbush Avenue |
License Revoked |
Respondent issued three premiums checks totaling $1,350 that were dishonored by the bank. Respondent failed to replace same or to otherwise properly account therefore. In addition, Mr. Morency failed to cooperate in Department investigation of this matter and did not appear for his scheduled hearing. |
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LICENSEE |
ADDRESS |
PENALTY |
Carlos Rojas |
3625 Parson Blvd. |
License Revoked |
Mr. Rojas collected approximately 23 premium payments from his clients totaling $1,638. He failed to remit said premium monies to the appropriate insurer or otherwise properly account for. Mr. Rojas failed to cooperate in Departments investigation of this matter and did not appear for his scheduled hearing. |
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LICENSEE |
ADDRESS |
PENALTY |
Seguros Agency Oriental, Inc. |
521 W. 181st Street |
$6,000 fine |
While Mr. Cruz was away from the office, his unlicensed secretary sold five insurance policies and used corporate Respondents operating checking account to pay the premiums. The lack of sufficient funds resulted in the bank dishonoring the checks, but they were subsequently replaced. Mr. Cruz failed to adequately respond to the Departments letters. |
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LICENSEE |
ADDRESS |
PENALTY |
Yousef A. Sihweil |
100-23C Benchley Place |
License Revoked |
Mr. Sihweil failed to remit $4,120 to an insurer and has otherwise not properly accounted for the monies. Mr. Sihweil did not cooperate with Departments investigation of this matter or appear at his scheduled Departmental hearing. |
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LICENSEE |
ADDRESS |
PENALTY |
Leon-Anat Brokerage, Inc. Leon Gavriel, Inc. |
72-71 Main Street |
$10,100 fine |
Respondents on numerous occasions misrepresented insurance coverage, provided low premium quotes, failed to remit monies to the appropriate insurers and impeded the Departments investigation by not responding to Department inquiries regarding their activities. |
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-LICENSEE |
ADDRESS |
PENALTY |
Andelys Veras |
54-40 Little Neck Parkway |
$250 fine |
Ms. Veras signed and issued three premiums checks totaling $631.55 on behalf of her insured with the New York Automobile Plan. She left her office for ten days to attend a funeral in the Dominican Republic. Ms. Veras, the only licensee on the premises, gave her employees the responsibility of depositing monies into the premium account to back up the three checks but failed to do so. The office remained opened without Ms. Veras presence because it also operated as a travel agency, prepared income tax returns, etc. Ms. Veras replaced all three checks as soon as she was informed of the problem. |
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FINES FOR LATE FINANCIAL STATEMENTS
The following health maintenance organizations (HMOs) and other insurers have been fined for late submissions of the 1998 Quarterly Statements & CPA Report Submissions:
LICENSEE |
ADDRESS |
PENALTY |
American Independent Network Ins. Co. of New York |
110 Walnut Street |
$500 fine |
LICENSEE |
ADDRESS |
PENALTY |
Fiduciary Ins. Co. of America |
Two Blue Hill Plaza |
$500 fine |
LICENSEE |
ADDRESS |
PENALTY |
Dentcare Delivery Systems, Inc. |
60 Charles Lindberg Blvd. |
$500 fine |