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Enlaces Bienvenidos Issues |
Notas de CasosCase: An investigation was opened as a follow up on a suspended agent to determine whether he was complying with the Order of Suspension. The business address listed for the agent in Department records proved to be a vacant office. Through state employment records, investigators determined the suspended agent was in fact, currently employed by an insurance-related entity and visited the business. Investigators witnessed the suspended agent working at the agency during the visit. Under the terms of his suspension, the agent was not permitted to be employed by any insurance-related entity. Case: The Department received a complaint from the Florida Workers' Compensation Joint Underwriting Association, Inc. (FWCJUA) alleging the agent in charge/owner of a general lines agency was charging unlawful fees. According to the complaint, four clients of the agency stated they had been charged "service fees" ranging from $150 to $455. As a result of its investigation, the FWCJUA revoked the agency's privilege to write business. Investigators obtained statements from agency customers confirming unlawful fees were charged. Disposition: The agency was fined $5,000 and placed on probation for one year. Case: Investigators scheduled a bail bond agency inspection based on information unlicensed employees were conducting bail bond business. The individual was found to be quoting premiums for bail bonds, arranging for a premium payment plan for the indemnitor and scheduling time for the defendant and indemnitors to come into the bail bond agency to complete the remainder of the paperwork. Disposition: The agency was fined $5,000 and placed on probation for one year. Case: Investigators' review of a Public Adjuster's contract referred from Consumer Service determined the contract failed to indicate the type of claim, whether the claim was emergency, non-emergency or supplemental claim, and did not include the required three-day notice of cancellation required by Florida Statutes. Disposition: Fined $2,500. Case: An insurer alleged an agent routinely misled his clients to believe that in order to be eligible to purchase health insurance through the Affordable Care Act (ACA), they needed to buy life insurance policies. To avoid disclosure of life insurance application forms to the consumer, the agent fraudulently signed the insureds' names without their knowledge or consent. In at least one instance, the agent grossly understated a consumer’s true income on ACA forms so the consumer would qualify for a higher government subsidy, which later created a large tax liability for the consumer. Investigators obtained statements from affected consumers and documentation from the insurer during the course of the investigation of the agent's activities. Case: Investigators received a complaint from Consumer Services alleging an agent wrote a life insurance policy for a lower face amount than the consumer expected. The consumer also stated his signature was forged on both the application and the cancellation request for the existing policy which was being replaced. |
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Legal Notices © 2018 Florida Department of Financial Services |