Notas de Casos
Case: The Bureau of Investigation received an insurer's notice of the termination for cause alleging a life insurance agent had committed fraudulent, illegal and dishonest acts. The insurer alleged the agent knowingly, with intent to defraud the insurer, submitted an application to insure a deceased person.
Case: A case was opened when a property and casualty agent filed a complaint against a customer representative. The agent alleged that while conducting a background check during the hiring process, she discovered the subject had placed ads on social media falsely representing herself as a licensed general lines agent offering homeowners, auto and commercial insurance products to the public. The ads also indicated the subject was operating an insurance agency at her residence. The hiring agent also noted the subject had been appointed and unappointed nine times in the last eight months which she felt was very unusual.
During the course of the investigation, evidence proved the subject unlawfully advertised as a general lines agent offering insurance products on social media. Customer representatives are prohibited from soliciting to the insurance buying public, or holding themselves out to the public as a general lines agent. The subject did not hold an agency license for the entity advertised. When questioned by investigators, the subject admitted she did not apply for or possess an agency license, but had thought about opening one.
Case: The Department received a consumer complaint alleging a general lines agent accepted a premium payment to add commercial equipment to an existing policy, which did not exist. The equipment was financed and was required to include physical damage coverage. The subject issued a Certificate of Coverage for the equipment and provided it to the consumer and the finance company. The equipment was damaged in a fire and the insurance company informed the consumer that there was no coverage, and the claim was denied.
Case: A life insurance agent was alleged to have named herself and members of her family as the beneficiaries of several life insurance policies. The Florida Statutes prohibit a licensee from naming themselves or family members as beneficiaries of any life insurance policy without a demonstrated insurable interest in the life of the insured.
Statements were obtained from several of the involved insureds. The insurer's representative provided an affidavit along with extensive documentation of the information maintained by the insurer.
The insurer's documents
indicated the agent had designated both herself and her family members as beneficiaries on numerous applications. To conceal her actions, the subject made a series of false representations on the applications. Many of the insureds were indigent, suffered from mental illness, and had no knowledge of the applications or the insurance policies issued.
Case: A health insurance agency hired a third-party administrator (TPA) and allowed it to offer coupons for discounted insurance rates on its website. A review of the website found coupons offering several unlawful inducements to purchase insurance including 50% off insurance premiums, "10% off", $10 off "sign-up", and "special offers". When a consumer clicked on a coupon, the website routed the user to the agency's website, suggesting the reader "quote and save today".