New York
State
Insurance Department
ISSUED 9/17/2004 |
FOR IMMEDIATE RELEASE |
NEW YORK STATE INSURANCE DEPARTMENT TAKES DISCIPLINARY ACTIONS AGAINST COMPANIES, AGENTS, BROKERS & ADJUSTERS
The New York State Insurance Department has taken disciplinary action against the following licensees. Those categorized as stipulations have been agreed to by the licensee. Department actions that result from Department hearings are subject to judicial review and possible stay of enforcement.
COMPANY STIPULATIONS
LICENSEE |
ADDRESS |
PENALTY |
Blue Ridge Indemnity Company |
One General Drive |
$1,500 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Coregis Insurance Company |
c/o Strook, Stroock & Lavan |
$36,325 fine |
| Respondent violated various provisions of the Insurance Law and Department regulations during the period October 1, 2000 through September 30, 2002 in connection with the underwriting and rating of its Commercial Multi-Peril and other liability business. Respondent also failed to adequately comply with the provisions of a stipulation entered into between the Department and Respondent dated January 28, 2001, in that while the Respondent conducted the rerating specified in the stipulation, a Department review revealed an error ratio of 50% indicating that the Respondents internal controls and rate verification procedures were not adequate. | ||
LICENSEE |
ADDRESS |
PENALTY |
Federal Insurance Company |
C/o Chubb & Son |
$76,825 fine |
| Respondent violated several provisions of the Insurance Law and Department Regulations during the period July 1, 2000 through June 30, 2001 in connection with the underwriting and rating of its Commercial Multi-Peril business. In addition, Respondent failed to adequately comply with the provisions of an earlier stipulation between the Department and Respondent which required Respondent to re-rate CMP policies as they came up for renewal. | ||
LICENSEE |
ADDRESS |
PENALTY |
Granite State Insurance Company |
4501 North Point Parkway |
$13,500 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Great Northern Insurance Company |
c/o Chubb & Son |
$9,000 fine |
Respondent violated the Insurance Law and Department Regulations which state that insurers must charge filed rates and shall maintain adequate procedures to minimize the occurrence of improperly charged rates and shall in fact pursue such procedures. |
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LICENSEE |
ADDRESS |
PENALTY |
| Interboro Mutual Indemnity Insurance Company | 155 Mineola Blvd. |
$32,250 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Leader Insurance Company |
11700 Great Oaks Way |
$14,250 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Liberty Mutual Fire Insurance Company |
175 Berkely Street |
$65,000 fine |
Respondent violated the Insurance Law and Department Regulation which state that payment or denial of claim must be made within 30 calendar days of receipt of relevant information and/or proof of claim. |
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LICENSEE |
ADDRESS |
PENALTY |
Liberty Mutual Insurance Company |
175 Berkely Street |
$60,000 fine |
| Respondent violated the Insurance Law and Department Regulations which state that payment or denial of claim must be made within 30 calendar days of receipt of relevant information and/or proof of claim; and that all overdue PIP benefits shall bear interest at rate of 2 percent per month, compounded and calculated on a pro rata basis using a 30 day month. | ||
LICENSEE |
ADDRESS |
PENALTY |
Manhattan Life Insurance Company |
225 Community Drive, Suite 11 |
$25,000 fine |
| Respondent violated the Insurance Law and Department Regulations by failing to keep and maintain its charter and by-laws, board minutes and books of account at it principal office in this state; by failing to maintain electronic access to its books of account at its principal office in New York; allocating general insurance expenses on the basis of net investment income; and failing to maintain records with sufficient detail to show the allocation method used for expenses in 2000 and the re-allocation of surplus in its 2001 annual statement. | ||
LICENSEE |
ADDRESS |
PENALTY |
| Merchants & Business Mens Mutual Insurance Company | 100 Corporate Center Drive |
$5,250 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Metropolitan General Insurance Company |
700 Quaker Lane |
$32,500 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
New Hampshire Indemnity Company |
4501 North Point Parkway |
$71,750 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Northern Assurance Company |
One Beacon Street |
$2,250 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
Royal Indemnity Company |
9300 Arrowpoint Blvd. |
$3,150 fine |
Respondent violated Department Regulation which require that a rental letter must be sent to the insured immediately, but no more than 2 business days after notice of claim; that all total theft losses shall be reported to the National Insurance Crime Bureau immediately, but no more than 2 business days after notice of claim; that all first and third-party losses, however sustained, where damage to the claimants vehicle exceeds $2,500 shall be reported to the NICB no later than five calendar days after the sale of salvage, or, if the insured or claimant is permitted to retain the vehicle, no later than five calendar days after the date of loss payment; and that the insurers shall report to the NICB, all losses over $2,500 no later than five calendar days after the sale of salvage or no later than five calendar days after the date of loss payment. |
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LICENSEE |
ADDRESS |
PENALTY |
Safeguard Insurance Company |
9300 Arrowpoint Blvd. |
$2,850 fine |
Respondent violated Department Regulation which require that a rental letter must be sent to the insured immediately, but no more than 2 business days after notice of claim; that all total theft losses shall be reported to the National Insurance Crime Bureau immediately, but no more than 2 business days after notice of claim; that all first and third-party losses, however sustained, where damage to the claimants vehicle exceeds $2,500 shall be reported to the NICB no later than five calendar days after the sale of salvage, or, if the insured or claimant is permitted to retain the vehicle, no later than five calendar days after the date of loss payment; and that the insurers shall report to the NICB, all losses over $2,500 no later than five calendar days after the sale of salvage or no later than five calendar days after the date of loss payment. |
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LICENSEE |
ADDRESS |
PENALTY |
TICO Insurance Company |
11700 Great Oaks Way |
$1,750 fine |
Respondent violated the Insurance Law by exceeding the maximum number of Private Passenger automobile non-renewals permitted for a calendar year. |
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LICENSEE |
ADDRESS |
PENALTY |
William Penn Life Insurance Company of New York |
100 Quentin Roosevelt Blvd. |
$25,000 fine |
Respondents violated the Insurance Law and Department Regulations by not having an independent committee nominate candidates for director for election by shareholders and recommend to the board of directors the selection and compensation of officers; by offering bonuses and a pension plan to officers and senior staff without such bonuses or pension plan being submitted to and approved by the board of directors; and by failing to fully implement procedures to ensure compliance with the requirements of the regulation pertaining to the replacement of life insurance. |
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AGENT AND BROKER HEARINGS
Region: Albany
LICENSEE |
ADDRESS |
PENALTY |
Steven J. DiPietro |
c/o Combined Life |
License revoked |
Respondent demonstrated untrustworthiness by submitting an application for a life insurance policy life on which he had materially altered the response to questions regarding the medical condition of the applicant. |
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LICENSEE |
ADDRESS |
PENALTY |
John E. Eubanks |
11 British American Blvd. |
License revoked |
| Respondent demonstrated untrustworthiness by failing to remit to the insurer or property account for premiums he collected from various insureds. Respondent did not cooperate with the Department thereby hampering and impeding its investigation. | ||
Region: Nassau County
LICENSEE |
ADDRESS |
PENALTY |
Jose Cepeda, Jr. |
34-18 Linneus Place |
License revoked |
Respondent demonstrated untrustworthiness by failing to disclose on his insurance agents license that he had been convicted of a crime. |
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LICENSEE |
ADDRESS |
PENALTY |
Azmat N. Cheema |
350 41st Street Brooklyn, NY |
$1,200 fine |
| Respondent demonstrated untrustworthiness by issuing four insurance premium checks that were dishonored by the bank upon which drawn, but were subsequently replaced. Respondent also commingled insurance fiduciary funds with his own funds and did not respond to Department correspondence requesting an explanation thereby hampering and impeding its investigation. | ||
LICENSEE |
ADDRESS |
PENALTY |
Annie Fang Chien Cheng |
66-20 Wetherole Street, Apt. 1A |
License revoked |
| Respondent demonstrated untrustworthy conduct by issuing seventeen premium payment checks that were dishonored by the bank upon which drawn; issuing a fraudulent automobile insurance identification card to her client. Respondent also failed to cooperate with the Departments investigation. | ||
LICENSEE |
ADDRESS |
PENALTY |
Yale M. Fishman |
445 Central Avenue, Suite 201 |
$1,000 fine |
Respondent, an attorney, was convicted of Misprision of a Felony for failing to disclose illegal activities of his former clients. |
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LICENSEE |
ADDRESS |
PENALTY |
| Richard I. Mendelson (Agent) |
C/o Prudential Ins. Co. of America |
License revoked |
Respondent demonstrated untrustworthiness when he failed to disclose on his original life and health insurance agents license that he had been convicted of a crime. Respondent did not respond to Departments request for information concerning his termination as an agent by Prudential and why he failed to reveal his criminal conviction on his license applications. The Respondent also failed to appear at the offices of the Department as directed. |
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LICENSEE |
ADDRESS |
PENALTY |
Aida Jeanneth Tellez |
85-49 96th Street |
License revoked |
| Respondent demonstrated untrustworthy conduct by issuing 42 premium payment checks which were dishonored by the bank upon which drawn, 39 of which have not been replaced. In addition, Respondent was decertified by the New York Automobile Plan for issuing dishonored premium checks, numerous deficient applications, and four producer performance standards violations. Respondent failed to cooperate with the Departments investigation. | ||
LICENSEE |
ADDRESS |
PENALTY |
Raul Vazquez |
2309 Holland Avenue, #5B |
License revoked |
Respondent demonstrated untrustworthy conduct by issuing eleven premium payments checks that were dishonored by the bank upon which drawn, only three of which were replaced. Respondent was decertified by the New York Automobile Insurance Plan (NYAIP) as producer for two years based upon his issuance of dishonored premium checks and producer performance standard violations. Respondent failed to cooperate with Department request to appear for an audit, thereby hampering and impeding its investigation. |
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LICENSEE |
ADDRESS |
PENALTY |
Rowena S. West |
2757 Claflin Avenue Apt. 21 |
License revoked |
Respondent was convicted of the felony crime of Grand Larceny in the 3rd Degree relating to her fraudulently obtaining World Trade Center disaster relief funds from two charitable organizations. The Respondent failed to cooperate with the Departments investigation. |
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Region: Suffolk
LICENSEE |
ADDRESS |
PENALTY |
William Keenan |
49 Hileen Drive |
$1,500 fine |
Respondent demonstrated untrustworthiness by failing to disclose criminal convictions on his license applications. |
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Region: Westchester
LICENSEE |
ADDRESS |
PENALTY |
Frederick Hachtel |
Citibank |
$250 fine |
Respondent failed to disclose on his application for an insurance agents license that he had been adjudged a bankrupt. |
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LICENSEE |
ADDRESS |
PENALTY |
| Lillie N. Spruill (Agent) |
Northwestern Mutual Life |
License revoked |
Respondent demonstrated untrustworthiness by failing to furnish documentation concerning her bankruptcy thereby hampering and impeding the Departments investigation. |
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Region: Out of State
LICENSEE |
ADDRESS |
PENALTY |
Jerome L. Edmond |
21 Apache |
License revoked |
Respondent made material misstatements on his license application and failed to cooperate with the Departments investigation. |
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LICENSEE |
ADDRESS |
PENALTY |
Della A. Ware-Remert |
Progressive Casualty Insurance Company |
Licensed revoked |
| Respondent failed to cooperate with a Department investigation of her bankruptcy. Respondents license was revoked when she failed to pay a fine of $400 ordered by the Department. | ||
AGENTS AND BROKERS STIPULATIONS
Region: Albany
LICENSEE |
ADDRESS |
PENALTY |
Susan N. Baker |
73 Fleetwood Avenue |
$1,500 fine |
| Respondent violated the Insurance Law by acting as a third party administrator for Millenieum, an entity not licensed or authorized to do an insurance business in the State of New York. Respondent adjusted claims on behalf of Millenieum without having authority to do so by virtue of an independent adjusters license and transacted insurance business in the names of Baker & Haynes Associates, Inc. and National Administrative Services, entities which are not licensed by the Department. | ||
Region: Mid-Hudson
LICENSEE |
ADDRESS |
PENALTY |
John Defreitas |
27 Holmes Road |
$500 fine |
| Respondent failed to disclose a criminal conviction on his original license application. | ||
LICENSEE |
ADDRESS |
PENALTY |
Luis J. Diplan |
226 First Street |
$1,0000 fine |
Respondent demonstrated untrustworthy conduct by failing to disclose on his original license application that he had been disqualified from participating in State and Federal food stamp programs. |
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Region: Nassau
LICENSEE |
ADDRESS |
PENALTY |
Aurora Caceda |
8 Comber Street |
$1,000 fine |
Respondent demonstrated untrustworthy conduct by issuing five insurance premium transmittal checks that were dishonored by the bank upon which drawn, but were subsequently replaced. Respondent commingled her premium account by paying personal and business expenses using premium monies. |
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LICENSEE |
ADDRESS |
PENALTY |
Joseph Kirby, Jr. |
192 Cleveland Avenue |
$7,000 fine |
Respondent violated the Insurance Law by soliciting, negotiating and/or effectuating health insurance contracts on behalf of Millennium, an entity which is not licensed or authorized to do an insurance business in this state. |
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LICENSEE |
ADDRESS |
PENALTY |
One Stop Multiservice, Inc. |
54-08 Flushing Avenue, 1st Fl. |
$500 fine |
Respondent demonstrated untrustworthy conduct by issuing 18 insurance premium transmittal checks that were dishonored by the bank upon which drawn, but were subsequently replaced. |
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LICENSEE |
ADDRESS |
PENALTY |
| Leslie Riopedre (Broker) |
32-30 70th Street, Apt. 4M |
$1,000 fine |
Respondent demonstrated untrustworthy conduct by issuing six insurance premium checks that were dishonored by the bank upon which drawn, but were subsequently replaced. Respondent commingled her premium account by purchasing business supplies using premium monies. |
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Region: New York City
LICENSEE |
ADDRESS |
PENALTY |
John J. Cacchioli Agency, Inc. |
99 Tulip Avenue, Suite 108 |
$10,000 fine |
| Respondents demonstrated untrustworthiness by mischaracterizing a clients automobile risk by falsely stating that the insured vehicle was used outside of New York City, when in fact, the vehicle was used almost exclusively in New York City thus depriving the insurer of a higher insurance premium rate. Respondent Cacchioli was also convicted of "Falsifying business records in the second degree". | ||
LICENSEE |
ADDRESS |
PENALTY |
Mario M. Rosario |
77 Varet Street, Apt. 22 |
$500 fine |
Respondent demonstrated untrustworthy conduct by issuing four insurance premium transmittal checks that were dishonored by the bank upon which drawn, but were subsequently replaced. |
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LICENSEE |
ADDRESS |
PENALTY |
Paul Winter |
C/o Wassserman Wexler DBA IJB |
$1,500 fine |
Respondent failed to properly exercise his oversight responsibilities as a director and sublicensee of IJB Jewelers Block & Fine Arts, Inc. (IJB) on its broker and excess line broker licensees. In connection with the failure of IJB to remit or otherwise properly account for premium funds collected from insureds, and its failure to pay premium taxes and stamping fees owed to the State of New York. |
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Region: Rochester
LICENSEE |
ADDRESS |
PENALTY |
Alan R. Tiberio, Inc. |
523 South Main Street |
$1,000 fine |
Respondents demonstrated untrustworthy conduct by issuing three insurance premium transmittal checks that were dishonored by the bank upon which drawn, but were subsequently replaced; and by issuing insurance premium transmittal checks from a bank account that was not designated as a premium account. |
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Region: Suffolk
LICENSEE |
ADDRESS |
PENALTY |
John J. Casare |
Mass Mutual Life Insurance Co. |
$2,500 fine |
Respondent falsely indicated on a policy loan request form that he had witnessed the policyholders signature when he had not done so, and the policyholders signature was in fact a forgery. |
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LICENSEE |
ADDRESS |
PENALTY |
Colletta Ned Agency, Inc. |
105 Sterling Ct. |
License revoked |
Respondent demonstrated untrustworthy conduct by adding coverage to the automobile insurance policies of 389 insureds without the knowledge, permission or consent of the insureds. |
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Region: Westchester
LICENSEE |
ADDRESS |
PENALTY |
Henry Gonzalez |
32 Elinor Place |
$1,500 fine |
Respondent demonstrated untrustworthy conduct by issuing four insurance premium transmittal checks that were dishonored by the bank upon which drawn, but were subsequently replaced. In addition, Respondent failed to disclose on his brokers renewal application that he had been convicted in a criminal action. |
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LICENSEE |
ADDRESS |
PENALTY |
The Rose Walter Aency, Inc. |
8 Stage Road Same as above |
$1,000 fine |
| Respondents demonstrated untrustworthy conduct by failing to obtain commercial liability insurance coverage on behalf of a client after receiving a premium down payment check for such coverage. Respondents employee submitted an altered Brokers Confirmation of Placement of Coverage form to an insurers agent. in an attempt to obtain renewal commercial liability insurance coverage.. In addition, Respondents failed to timely obtain Business Owners Insurance Coverage and Workers Compensation insurance coverage on behalf of a client, notwithstanding that Respondents had received an application and premium downpayment check for such coverage. | ||
Region: Out of State
LICENSEE |
ADDRESS |
PENALTY |
David N. Brechbuhl |
8846 Doral East Drive, Apt. D |
$250 fine |
Respondent demonstrated untrustworthy conduct by failing to provide documentation to the Department after three requests. Respondent eventually furnished the Department with the requested documentation. |
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LICENSEE |
ADDRESS |
PENALTY |
Sheila H. Hartman |
C/o Sheila Hartman Ins. Services Inc. |
$500 fine |
Respondent demonstrated untrustworthy conduct by failing to disclose on her original license application that she had been adjudged a bankrupt. |
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LICENSEE |
ADDRESS |
PENALTY |
Joseph J. Knott, Jr. |
C/o RMH |
License revoked |
Respondent demonstrated untrustworthy conduct by failing to disclose on his individual life/accident & health agent renewal application that the State of California, Department of Insurance, denied his application for a license based upon the fact that he was convicted in Pennsylvania of giving a false report to law enforcement authorities. |
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LICENSEE |
ADDRESS |
PENALTY |
LIG Insurance Agency, Inc. |
Raritan Plaza II Same as above |
$500 fine |
Respondents failed to disclose on their license applications that they had been fined by the State of Kansas and the Commonwealth of Virginia. |
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LICENSEE |
ADDRESS |
PENALTY |
Personalized Brokerage Services, Inc. and Charles E. Lucius |
Topeka Air Industrial Park 3905 SW Clarion Place |
$2,500 fine |
Respondents demonstrated untrustworthy conduct by failing to disclose a criminal conviction on their agents renewal application. |
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LICENSEE |
ADDRESS |
PENALTY |
Timothy P. Stapleton |
2967 Pacific #2 |
License revoked |
Respondent demonstrated untrustworthy conduct by failing to disclose on his original application that he had been adjudged a bankrupt. |
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LATE FILINGS
The following health maintenance organization (HMO has been fined for late submissions of their annual statement and Section 307 filing:
LICENSEE |
ADDRESS |
PENALTY |
American Independent Network Insurance Company of New York |
110A Walnut Street |
$6,500 fine |