|
OAH 11-1004-20930-2 |
STATE
OF
OFFICE OF ADMINISTRATIVE HEARINGS
FOR THE DEPARTMENT OF COMMERCE
|
In the Matter of Eugene M. Evasku |
FINDINGS OF FACT, CONCLUSIONS AND RECOMMENDATION |
This matter came on for hearing before
Administrative Law Judge Barbara L. Neilson at
The hearing was held pursuant to the
Notice of Hearing issued on
STATEMENT OF ISSUES
1.
Did the Respondent:
a.
provide incorrect, misleading, incomplete or material untrue
information on a license application, in violation of Minn. Stat. § 60K.43,
subd. 1(1) (2008) ;[1]
b.
demonstrate that he is untrustworthy, financially
irresponsible, or otherwise incompetent or unqualified to act under the
authority or license granted by the Commissioner, in violation of Minn. Stat.
§ 45.027, subd. 7(a)(4);
c.
use fraudulent, coercive, or dishonest practices, in
violation of Minn. Stat. § 60K.43, subd. 1(8);
d.
utilize deceptive or dishonest practices, in violation of
Minn. Stat. § 60K.43, subd. 1(7);
e.
fail to report administrative actions taken against his
license in another jurisdiction, in violation of Minn. Stat. § 60K.54, subd. 1;
f.
have an insurance producer’s license denied or subjected to
other disciplinary action in another jurisdiction, in violation of Minn. Stat.
§ 60K.43, subd. 1(9);
g.
engage in unfair and deceptive acts in violation of Minn.
Stat. § 72A.19, subd. 1;
h.
misrepresent the terms of an actual or proposed insurance
contract or application for insurance in violation of Minn. Stat. § 60K.43, subd. 1(5);
i.
fail to comply with a court order imposing child support
obligations, in violation of Minn. Stat. § 60K.43, subd. 1(13); or
j.
fail to observe high standards of commercial honor and just
and equitable principles of trade in his conduct, in violation of Minn. R. 2795.1000
(2007)?
2. If so, is disciplinary action warranted?
Based upon all of the files, records and proceedings herein, the Administrative Law Judge makes the following:
FINDINGS OF FACT
1.
Respondent was a licensed
2.
From January 2006 to October 2008, Respondent was an agent
representing Pennsylvania Life and Pyramid Life. One of the insurance products Respondent sold
was a Medicare Advantage Plan called “Today’s Options.”[5]
Failure to Disclose Disciplinary Actions
3.
In 1985, Respondent entered into a consent order with the
Department based on allegations that he sold duplicate Medicare supplement
insurance to senior citizens. As a
result of the consent order, his insurance producer’s license was suspended for
four months.[6]
4.
In 1987, Respondent entered into a consent order with the Department
based on allegations that he improperly replaced Medicare supplemental
insurance policies, converted premiums to his own use, and failed to remit
insureds’ applications to an insurance company.
His license was suspended for two years as a result of the consent
order. The Department also ordered
Respondent to make full restitution of all debts arising out of his improper
actions and file a $10,000 bond with the Commissioner before he could act as an
insurance agent in the state after the two-year suspension expired.[7]
5.
On August 19, 1996, Respondent submitted an application to
the Department to reactivate his insurance license. On the application, Respondent indicated that
he had never been the subject of an investigation or inquiry by any division of
the Minnesota Department of Commerce, or any other regulatory agency. Respondent also checked a box to indicate
that his insurance license had previously been suspended or revoked. Respondent provided no explanation for the
suspension or revocation.[8]
6.
On September 5, 2001, Respondent entered into a consent
order with the Department that suspended his insurance agent’s license for
twelve days based on allegations that he sold a life insurance policy without first
reviewing the suitability of the policy.[9]
7.
On January 26, 2007, Respondent applied for a
8.
On October 20, 2008, Pennsylvania Life Insurance Company
terminated Respondent’s insurance producer’s appointment. This action was taken for several
reasons. First, Pennsylvania Life
learned that Respondent had become appointed with other unaffiliated companies,
in violation of his contract with Pennsylvania Life. Second, Pennsylvania Life had discovered that
Respondent was contacting existing Medicare Advantage members in an effort to
replace Pyramid Life coverage, which also violated his contractual obligations. Finally, Respondent had failed to inform
Pennsylvania Life of the enforcement actions taken against his license in 1985
and 1987. These enforcement actions
should have been disclosed in his employment application, which Respondent
signed on January 2, 2006. Respondent
did submit an explanation of the 2001 license suspension with his
application. If Respondent had disclosed
the 1985 and 1987 licensing actions, Pennsylvania Life would not have appointed
him.[12]
9.
Throughout 2008 and 2009, Respondent submitted sub-agent or
special agent applications to fourteen insurance entities. Each application asked whether the
applicant’s license had ever been suspended or revoked. None of the applications limited the
disclosure period to the last five, ten or even twenty years. Instead, the time period in each of the questions
was open-ended. Respondent failed to
disclose the 1985 and 1987 disciplinary actions in all of the fourteen
applications, including Equitable Life & Casualty (application date May 5,
2009);[13] Mutual
of Omaha Insurance Company (application date May 5, 2009);[14] Anthem
Blue Cross and Blue Shield (application date December 3, 2008);[15]
Coventry Health Care, Inc. (application date November 21, 2008);[16]
Prudential Financial (application date September 30, 2008);[17]
MedAmerica (application date September 30, 2008);[18]
Guarantee Trust Life Insurance Company (application date August 10, 2008);[19] United
Security Assurance Company of Pennsylvania (application date August 14, 2008);[20]
NCI-Unicare Life & Health Insurance Company (application date August 14,
2008);[21]
Genworth Financial (application date July 25, 2008);[22] Allianz
Life Insurance Company (application date July 25, 2008);[23]
Assurant Health (application date July 22, 2008);[24] Humana
Health Plan, Inc. (application date July 17, 2008);[25] and Arthur
J. Gallagher & Co. (application date July 17, 2008).[26] The Respondent did, however, disclose the
2001 disciplinary action in all of these applications. He also disclosed the
Miennert Complaint
10.
On
11.
In the days following the meeting with Respondent, the
Miennerts compared their Blue Cross/Blue Shield policy with the Today’s Options
policy and determined that they did not want to switch coverage. On
12.
On
13.
On December 26, 2007, Mary Botcher, the Miennerts’ Blue Cross/Blue
Shield insurance agent, assisted them in writing a complaint to the Commissioner
about Respondent’s high-pressure sales tactics.[31]
Meder Complaint
14.
In early 2008, Respondent assisted in the training of
Christine Finley, a new Pennsylvania Life insurance agent. Finley accompanied Respondent on six or seven
sales calls.[32]
15.
On
16.
The Meders were not given copies of anything they
signed. They were given a “New Member
Welcome Process” sheet, advising them to expect a telephone call from the
company the next day. When they received
the call, the Meders advised the company representative that they did not want
to proceed with the application. The
company representative transferred the call to someone else, and the Meders
repeated that they did not want to proceed with the application. The telephone call was then
disconnected. The Meders assumed that
their applications had been cancelled.
No one affiliated with the Pennsylvania Life agency or Pyramid Life ever
called Barbara Peterson regarding the applications signed by her parents.[34]
17.
On
18.
Administrative Law Judge Kathleen D. Sheehy concluded that
Finley utilized deceptive, dishonest and fraudulent tactics while soliciting
clients for the Today’s Options plan.[36]
19.
On October 29, 2009, the Commissioner adopted the Findings
of Fact and Conclusions of Judge Sheehy, ordered that Finley’s license be
revoked, and imposed a $20,000 civil penalty upon her. In the Memorandum attached to the Order, the
Commissioner noted that Finley participated in a scheme in which the Meders
were persuaded to sign an application form but were told that it was not going
to result in a change in their health insurance coverage
Child Support Payments
20.
Respondent failed, on several occasions, to pay child
support to his ex-wife, and his driver’s license was suspended as a result in
1996, 2004 and 2009. He and his ex-wife have
reached a repayment agreement and Respondent is currently making payments to
her even though his children are now in their 30s and 40s.[37]
Satisfied Clients and Favorable References
21.
Some of the people to whom Respondent sold insurance
policies were satisfied with the coverage they obtained through the Respondent and
with Respondent’s sales tactics and believed that he honestly explained the
policy coverage.[38] Respondent conducted himself in a lawful and
appropriate fashion in some instances, including his interactions with clients
Edythe Larimer, Janice Duellman and David Duellman.[39]
22.
Ronald Bjorklund, a close friend of Respondent’s who worked
with Respondent as a trainee in insurance sales during 2001-02, observed
Respondent acting in a professional and courteous fashion during that time
period.[40] Joan Moore, who was trained by Respondent
during March 2007 - March 2008, found Respondent to be fair, courteous and
informative with potential clients and did not observe him pressure a potential
client to enroll.[41] K. Lynn Matthews, who worked with Respondent,
found him to be thorough in his research and caring and passionate about his
business when she was out in the field with him.[42]
23.
Respondent also provided personal reference letters from
Pastors John Soshea and Frank Sanders.[43]
Based
upon the foregoing Findings of Fact, the Administrative Law Judge makes the
following:
CONCLUSIONS
1.
The Administrative Law Judge and the Commissioner of
Commerce are authorized to consider the charges against Respondent under Minn.
Stat. §§ 14.50, 45.027, subd. 7(b), and 60K.43, subd. 2(a).
2.
Respondent received due, proper, and timely notice of the
charges against him, and of the time and place of the hearing. This matter is, therefore, properly before
the Commissioner and the Administrative Law Judge.
3.
The Department has complied with all relevant procedural
legal requirements.
4.
The Commissioner may deny, suspend, or revoke the license of
a person or censure a person if the person has engaged in an act or practice,
whether or not the act or practice directly involves the business for which the
person is licensed or authorized, which demonstrates that the licensee is
untrustworthy, financially irresponsible, or otherwise incompetent or
unqualified to act under the authority or license granted by the commissioner.[44]
5.
The Commissioner may restrict, censure, suspend, revoke, or
refuse to issue or renew an insurance producer’s license or may levy a civil
penalty if the applicant or licensee provides incorrect, misleading,
incomplete, or materially untrue information in the licensing application.[45]
6.
The Commissioner may restrict, censure, suspend, revoke, or
refuse to issue or renew an insurance producer’s license or may levy a civil
penalty if the licensee admits or has been found to have committed any
insurance unfair trade practice or fraud.[46]
7.
The Commissioner may restrict, censure, suspend, revoke, or
refuse to issue or renew an insurance producer’s license or may levy a civil
penalty for having an insurance producer license, or its equivalent, denied,
suspended, or revoked, or having been the subject of a fine or any other
discipline in any other state, province, district, or territory.[47]
8.
The Commissioner may restrict, censure, suspend, revoke, or
refuse to issue or renew an insurance producer’s license or may levy a civil
penalty for misrepresenting the terms of an actual or proposed insurance
contract or application for insurance.[48]
9.
The Commissioner may restrict, censure, suspend, revoke, or
refuse to issue or renew an insurance producer’s license or may levy a civil
penalty for failure to comply with an administrative or court order imposing a
child support obligation.[49]
10.
Insurance producers must report to the Commissioner any
administrative action taken against the producer in another jurisdiction or by
another governmental agency within 30 days of the final disposition of the
matter.[50]
11.
The Commissioner may restrict, censure, suspend, revoke, or
refuse to issue or renew an insurance producer’s license or may levy a civil
penalty for the use of fraudulent, coercive, or dishonest practices, or engaging
in conduct that demonstrates incompetence, untrustworthiness, or financial
irresponsibility, whether or not involving the business of insurance in Minnesota
or elsewhere.[51]
12.
13.
Every insurance agent must observe high standards of
commercial honor and just and equitable principles of trade in the conduct of
the agent’s insurance business.[54] Violations of this chapter subject the
violator to the penalties described in Minn. Stat. §§ 72A.22 to 72A.29.[55]
14.
Based upon the Respondent’s failure to disclose past
administrative actions taken against him, the deceptive and dishonest sales
tactics he used with the Miennerts and the Meders, his failure to pay child
support, and the other misconduct detailed in the Findings above, the
Respondent has engaged in conduct that constitutes grounds for the imposition
of disciplinary action and/or a civil penalty.
Specifically:
·
The Respondent has engaged in acts or practices
demonstrating that he is untrustworthy to act under the authority or license granted
by the commissioner, within the meaning of Minn. Stat. §§ 45.027, subd. 7(a)(4),
and 60K.43, subd. 1(8);
·
The Respondent provided incomplete information in his 1996
application to the Department to reactivate his license, in violation of Minn.
Stat. § 60K.43, subd. 1(1);
·
The Respondent has had an insurance producer license disciplined
in another state, in violation of Minn. Stat. § 60K.43, subd. 1(9);
·
The Respondent failed to inform the Commissioner of the
administrative action taken by the State of
·
The Respondent misrepresented the terms of an actual
insurance application, in violation of Minn. Stat. § 60K.43, subd. 1(5);
·
The Respondent failed to comply with a court order imposing
a child support obligation, in violation of Minn. Stat. § 60K.43, subd. 1(13); and
·
The Respondent engaged in unfair or deceptive acts or
practices, in violation of Minn. Stat. §§ 60K.43, subd. 1(7), 72A.19, subd. 1,
72A. 20, subd. 18(b), and
15. The
imposition of disciplinary action against the Respondent is in the public
interest.
Based upon the foregoing Conclusions, the Administrative Law Judge makes the following:
RECOMMENDATION
IT IS HEREBY
RECOMMENDED: that the Commissioner of the Department of Commerce take adverse
action against the Respondent’s insurance producer’s license and/or impose an
appropriate civil penalty.
Dated: August 6, 2010.
|
s/Barbara L. Neilson |
|
BARBARA L. NEILSON |
|
Administrative Law Judge |
Reported: Digitally Recorded
No transcript prepared
This
Report is a recommendation, not a final decision. The Commissioner of Commerce will make the
final decision after reviewing the record and may adopt, reject or modify these
Findings of Fact, Conclusions, and Recommendations. Under Minn. Stat. § 14.61, the Commissioner’s
decision shall not be made until this Report has been available to the parties
to the proceeding for at least ten (10) days.
An opportunity must be afforded to each party adversely affected by this
Report to file exceptions and present argument to the Commissioner. Parties should contact
Emmanuel Munson-Regala, Deputy Commissioner, Market Assurance Division, Minnesota
Department of Commerce,
If the Commissioner fails to issue a final decision within 90 days of the close of the record, this report will constitute the final agency decision under Minn. Stat. § 14.62, subd. 2a. The record closes upon the filing of exceptions to the report and the presentation of argument to the Commissioner, or upon the expiration of the deadline for doing so. The Commissioner must notify the parties and the Administrative Law Judge of the date on which the record closes. To comply with Minn. Stat. § 14.62, subd. 2a, the Commissioner must then return the record to the Administrative Law Judge within 10 working days to allow the Judge to determine the discipline to be imposed.
Under Minn. Stat. § 14.62, subd. 1, the agency is required to serve its final decision upon each party and the Administrative Law Judge by first class mail or as otherwise provided by law.
MEMORANDUM
Failure to Disclose Disciplinary Actions
Respondent admitted most of the allegations regarding failure to disclose past disciplinary actions, and merely attempted to excuse the omissions at issue. He admitted that he did not disclose the Department’s 1985 and 1987 disciplinary actions against his license on the applications he submitted to the fourteen insurance entities, but he claimed that there was “an understanding” within the insurance community that it was unnecessary to disclose actions that occurred more than ten or twenty years ago. John Mackin, Jr., a Vice President of Pennsylvania Life Insurance Company, testified that there was no such “understanding” in the insurance field and that, if Respondent had accurately disclosed all of his disciplinary actions, he would not have been hired as an agent for Pennsylvania Life. Mr. Mackin has been in the insurance industry for more than 25 years and his testimony was credible. Moreover, because none of the applications Respondent completed limited the disclosure period to ten or twenty years, Respondent should have disclosed all disciplinary actions against his license on all of his applications, including his application to the State of Wisconsin and his 1996 application to the Department to reactivate his license.
Respondent attempted to explain his failure to report the
administrative action taken by the State of
Failure to Make Child Support Payments
Respondent also admitted that he was, on a number of occasions, in arrears on his child support payments. He explained that he and his ex-wife had subsequently reached an agreement. He further testified that the amount due had been drastically reduced by the court and that he was current on his payments. But Respondent never explained why he missed the payments, and his conduct violated Minn. Stat. § 60K.43, subd. 1(13).
Deceptive Sales Practices
Respondent did not admit using deceptive or high-pressure sales techniques with any of his customers, including the Miennerts and the Meders. He argued that he adequately explained the policy coverage to both couples and dismissed their confusion as attributable to their age. He also suggested that Ms. Botcher, a competing insurance agent, spurred the complaints that were made by the Miennerts and others. The Administrative Law Judge is not persuaded by Respondent’s explanation of what happened during the sales meetings.
The Meders credibly testified that Respondent represented that they needed to complete the application to verify that the meeting occurred, and minimized the significance of the application by informing them that they “probably would not qualify” for the coverage. Respondent also assured them that if they did qualify, they would not be enrolled until he spoke with their daughter, who served as their power-of-attorney. Contrary to Respondent’s representations, the Meders’ applications were processed immediately and they were enrolled in the new coverage. The Administrative Law Judge concludes that the Respondent’s representations to the Meders were misleading and deceptive.
The Miennerts similarly provided persuasive testimony that Respondent spoke very rapidly and did not allow them a chance to fully understand the Today’s Options coverage. Once they were able to fully understand the policy coverage and premiums and co-pays, they decided to stop their enrollment. Respondent refused to assist their disenrollment and instead became hostile and irate when Mrs. Miennert phoned him. The Miennerts were enrolled, despite Herculean efforts to stop the enrollment process, and their Blue Cross/Blue Shield coverage was cancelled. It is true, as Respondent argues, that some fault is attributable to the company, Pyramid Life, for an unworkable cancellation policy, but the company’s fault does not excuse Respondent’s deceptions and strong-arm tactics. His conduct was untrustworthy and unfair.
For all of these reasons, the Administrative Law Judge recommends that the Commissioner take appropriate disciplinary action against the Respondent.
B. L. N.
[1] All citations to Minnesota Statutes are to the 2008 edition and all citations to the Minnesota Rules are to the 2007 version.
[2] Testimony of Eugene Evasku; Ex. 4.
[3]
Ex. 1, p. 1; Ex. 2; Testimony of Cameron Jenkins; Test. of
[4] Test. of E. Evasku.
[5] Testimony of John Mackin, Jr.
[6] Ex. 5; Test. of E. Evasku.
[7] Ex. 4; Test. of E. Evasku.
[8] Ex. 7.
[9] Ex. 3; Test. of E. Evasku.
[10] Ex. 6; Test. of E. Evasku.
[11] Ex. 6; Ex. 19.
[12] Testimony of John T. Mackin,
Jr.; Ex. 15; Ex. 16; Ex. 17.
[13] Ex. 20.
[14] Ex. 21.
[15] Ex. 22.
[16] Ex. 23.
[17] Ex. 24.
[18] Ex. 25.
[19] Ex. 26.
[20] Ex. 27.
[21] Ex. 28.
[22] Ex. 29.
[23] Ex. 30.
[24] Ex. 31.
[25] Ex. 32.
[26] Ex. 33.
[27] Exs. 20, 21.
[28] Testimony of Dwain Miennert; Testimony of Elsie Miennert; Ex. 106.
[29]
Test. of D. Miennert; Test. of
[30]
Test. of D. Miennert; Test. of
[31] Test. of M. Botcher; Ex. 12.
[32] Test. of E. Evasku; see also Ex. 9.
[33] Testimony of Barbara Peterson; Ex. 8.
[34] Test. of B. Peterson; Ex. 8.
[35] Test. of B. Peterson; Ex. 8.
[36] In the Matter of Christine Rene Finley, OAH Docket No. 3-1004-20159-2, Findings of Fact, Conclusions and Recommendation June 2, 2009.
[37] Test. of E. Evasku.
[38] See, e.g., Testimony of Joan McKenna; Testimony of Leo McKenna; Testimony of Joan Hanson; Ex. 109 (Letter from A. Larey dated June 3, 2010; Letter from Charles and Rosemary Loveless dated May 17, 2010; Letter from Edythe Larimer dated May 25, 2010; Letter from David Duellman dated June 3, 2010).
[39] Stipulation of parties during hearing.
[40] Test. of Ronald Bjorklund.
[41] Ex. 109 (Letter from Joan Moore dated March 8, 2010).
[42] Ex. 109 (Letter from K. Lynn Matthews dated March 19, 2010).
[43] Ex. 109 (letter from John Soshea dated May 22, 2010; Letter from Frank Sanders dated June 2, 2010).
[44]
[45]
[46]
[47]
[48]
[49]
[50]
[51]
[52]
[53]
[54]
[55]