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DISCIPLINARY ORDERS POSTED for 2016

TEXAS DEPARTMENT OF INSURANCE

The Texas Department of Insurance has issued the following disciplinary orders. Only final orders are listed. A Commissioner of Insurance order imposing disciplinary measures becomes final 20 days after the agent or insurance company has received notice of the order unless a motion for rehearing is filed within that period. A motion for rehearing stays the finality of an order until the Commissioner of Insurance acts upon the motion or upon the operation of law. Commissioner of Insurance orders are subject to appeal to state district court.

A Commissioner of Workers’ Compensation consent order (settlement) imposing sanctions becomes final upon signature of the Commissioner of Workers’ Compensation. System participants are entitled to a hearing at the State Office of Administrative Hearings (SOAH) if they do not wish to settle the enforcement matter. If there is a hearing on an enforcement matter at SOAH, the SOAH Administrative Law Judge will issue a Proposal for Decision (PFD). The Commissioner of Workers’ Compensation will then consider the case, and shall issue a decision or order that may become final. The decision or order that may become final will become final in accordance with Government Code chapter 2001, subchapters F and G.

Copies of Commissioner of Insurance and or Commissioner of Workers' Compensation orders may be obtained only by an open records request. Your request can be sent by email, fax, mail, or in person. Learn more about how to request information.


Anthem Insurance Companies, Inc. of Indianapolis, IN
Order Number: 2016-4852
Date of Order:  12/15/2016
Action Taken:  Regulatory settlement agreement
Violation:  Findings in multistate targeted market conduct examination


Black, Brian of Lubbock
Order Number: 20164824
Date of Order:  12/1/2016
Action Taken:  Application granted for general lines agent insurance license with life, accident, and health qualification but with probated four-year suspension
Violation:  Criminal history


Capital Title of Texas, L.L.C. of Plano
Order Number: 20164840
Date of Order:  12/7/2016
Action Taken:  Fined $7,000
Violation:  Provided prohibited escrow fee discounts to consumers for soliciting or referring title insurance business


Cigna Healthcare of Texas, Inc. of Plano
Order Number: 20164855
Date of Order:  12/16/2016
Action Taken:  Fined $75,000
Violation:  Failed to timely issue an adverse determination; failed to timely correct deficiencies in plan of correction


Conn, Chrissey Ann of Joshua
Order Number: 20164834
Date of Order:  12/6/2016
Action Taken:  Application granted for general lines agent insurance license with life, accident, and health qualification but with probated three-year suspension
Violation:  Criminal history


Empire Title Company, L.T.D. of Houston
Order Number: 20164836
Date of Order:  12/7/2016
Action Taken:  Fined $9,500
Violation:  Failed to timely pay premium for title insurance policies to insurer; failed to timely provide title insurance policies to insureds


EWA Title Inc. of Fort Stockton
Order Number: 20164838
Date of Order:  12/7/2016
Action Taken:  Fined $5,000
Violation:  Failed to timely submit annual trust fund account audit reports


Fountain, Roger Clayton of Plano
Order Number: 20164872
Date of Order:  12/29/2016
Action Taken:  (SOAH Docket No. 454-17-0828.C) Application for general lines agent license with property and casualty qualification denied
Violation:  Felony criminal conviction


Hallmark County Mutual Insurance Company; American Hallmark General Agency, Inc. of Fort Worth and Plano
Order Number: 20164856
Date of Order:  12/16/2016
Action Taken:  Fined $60,000
Violation:  Unilaterally expanded coverage at renewal at additional cost without insured's request or consent when insured had not accumulated 12 months of continuous coverage; failed to properly renew before accepting a premium or fee


Hicks, Richard Dewayne of Tyler
Order Number: 20164853
Date of Order:  12/15/2016
Action Taken:  (SOAH Docket No. 454-17-1016.C) General lines agent license with life, accident and health qualification revoked
Violation:  Engaged in fraudulent or dishonest acts or practices


Martinez, Rosalinda Gonzales of Mathis
Order Number: 20164873
Date of Order:  12/29/2016
Action Taken:  (SOAH Docket No. 454-17-1143.C) General lines agent license with life, accident, and health qualification and county mutual license revoked; must pay restitution of $1,211
Violation:  Misappropriated, converted to own use or illegally withheld money belonging to an insured, insurer or beneficiary


McMahon, Dequita Dicole of Dallas
Order Number: 20164848
Date of Order:  12/14/2016
Action Taken:  (SOAH Docket No. 454-17-0339.C) Application for a general lines agent license with life, accident and health qualification denied
Violation:  Criminal history


Molina Healthcare of Texas, Inc. of Irving
Order Number: 20164835
Date of Order:  12/7/2016
Action Taken:  Fined $200,000
Violation:  Failed to timely correct deficiencies in its plan of correction; failed to maintain am adequate HMO delivery network; engaged in repeat violations


New Alliance Insurance Brokers, Inc. of Long Beach, CA
Order Number: 20164841
Date of Order:  12/7/2016
Action Taken:  Fined $20,000
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Paras, Nikolaos L. of New Hyde Park, NY
Order Number: 20164851
Date of Order:  12/14/2016
Action Taken:  Fined $2,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Performance Title, L.L.C. of Houston
Order Number: 20164871
Date of Order:  12/29/2016
Action Taken:  Fined $3,500
Violation:  Failed to timely pay title insurance premium due to title insurance company


RELTCO, Inc. of Plano
Order Number: 20164839
Date of Order:  12/7/2016
Action Taken:  Fined $10,000
Violation:  Failed to timely submit annual trust fund account audit reports


Travelers Casualty and Surety Company of America of Hartford, CT
Order Number: 20164837
Date of Order:  12/7/2016
Action Taken:  Fined $100,000
Violation:  Failed to file and use an approved form


Adair, Joshua Caleb of Tyler
Order Number: 20164808
Date of Order:  11/22/2016
Action Taken:  (SOAH Docket No. 454-16-1757.C) Application for general lines agent license with life, accident, and health qualifications denied
Violation:  Felony criminal offense


Alinsco Insurance Company; Empower Managing General Agency, Inc. of Fort Worth
Order Number: 20164769
Date of Order:  11/2/2016
Action Taken:  Fined $100,000
Violation:  Failed to timely report appointment of managing general agency; unilaterally expanded coverage at renewal at additional cost without insured's request or consent when insured had not accumulated 12 months of continuous coverage; failed to properly renew before accepting a premium or fee


Alpha Dental Programs, Inc. of San Francisco, CA
Order Number: 20164806
Date of Order:  11/22/2016
Action Taken:  Fined $15,000
Violation:  Failed to timely pay clean claims


Denticare Inc. of Louisville, KY
Order Number: 20164773
Date of Order:  11/3/2016
Action Taken:  Fined $75,000
Violation:  Failed to timely pay clean claims; failed to timely submit quarterly claims payment exemption information


International Placement Services L.C. of St. Louis, MO
Order Number: 20164793
Date of Order:  11/16/2016
Action Taken:  Fined $49,200
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Keane, Carroll John Jr. of Kirkwood, Mo
Order Number: 20164807
Date of Order:  11/22/2016
Action Taken:  Fined $550
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Priority One Insurance Company of Temple
Order Number: 20164799
Date of Order:  11/21/2016
Action Taken:  Fined $12,500
Violation:  Retroactively terminated an insured's homeowners policy when insured still entitled to liability coverage


Resolution Reinsurance Intermediaries, L.L.C. of Columbia, SC
Order Number: 20164801
Date of Order:  11/21/2016
Action Taken:  Fined $700
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Reviewtex, Inc. of San Antonio
Order Number: 20164802
Date of Order:  11/21/2016
Action Taken:  (SOAH Docket No. 454-17-0295.C) Independent review organization license revoked
Violation:  Failed to timely issue independent review organization decisions


Taylor, Melissa Tave of Tyler
Order Number: 20164809
Date of Order:  11/22/2016
Action Taken:  (SOAH Docket No. 454-17-0340.C) General lines agent license with life, accident and health qualification revoked
Violation:  Misappropriated, converted to own use or illegally withheld money belonging to an insurer


Texas Security General Insurance Agency, Inc. of San Antonio
Order Number: 20164794
Date of Order:  11/16/2016
Action Taken:  Fined $26,000
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Town Square Title Company, L.L.C. of Waxahachie
Order Number: 20164774
Date of Order:  11/3/2016
Action Taken:  Fined $7,500
Violation:  Failed to timely pay title insurance premium due to title insurance company


UnitedHealthCare Benefits of Texas, Inc. of Minnetonka, MN
Order Number: 20164800
Date of Order:  11/21/2016
Action Taken:  Fined $90,000
Violation:  Failed to include complaint form; failed to provide reasonable opportunity for a peer-to-peer review; failed to properly acknowledge oral complaints


Apollo General Insurance Agency, Inc. of Sonoma, CA
Order Number: 20164697
Date of Order:  10/7/2016
Action Taken:  Fined $3,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Arthur J. Gallagher Risk Management Services, Inc. of Itasca, IL
Order Number: 2016-4707
Date of Order:  10/7/2016
Action Taken:  Fined $4,000
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


BancorpSouth Insurance Services, Inc. of Livingston
Order Number: 2016-4698
Date of Order:  10/7/2016
Action Taken:  Fined $11,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Beaver, Janet Elizabeth of Los Angeles, CA
Order Number: 2016-4710
Date of Order:  10/7/2016
Action Taken:  Fined $4,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Bin Insurance Holdings, L.L.C. of Allen
Order Number: 2016-4700
Date of Order:  10/7/2016
Action Taken:  Fined $9,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


CareCentrix, Inc. of Hartford, CT
Order Number: 2016-4726
Date of Order:  10/12/2016
Action Taken:  Fined $10,000
Violation:  Failed to pay clean claims in a timely manner; acted as a third party administrator without holding a TDI license


Christy, Tina Annette of Chandler, OK
Order Number: 2016-4713
Date of Order:  10/7/2016
Action Taken:  Fined $4,000
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Combenefits Insurance Company of Louisville, KY
Order Number: 2016-4727
Date of Order:  10/12/2016
Action Taken:  Fined $25,000
Violation:  Misreported number of clean claims received in prompt pay reports.


Construction Risk Solutions, L.L.C. of Hunt Valley, MD
Order Number: 2016-4744
Date of Order:  10/25/2016
Action Taken:  Fined $4,000
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Contractor Managing General Insurance Agency, Inc. of Woodland Hills, CA
Order Number: 2016-4703
Date of Order:  10/7/2016
Action Taken:  Fined $4,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Cottingham & Butler Insurance Services, Inc. of Dubuque, IA
Order Number: 2016-4694
Date of Order:  10/7/2016
Action Taken:  Fined $5,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


CPRO Associates, Inc. of Dallas
Order Number: 2016-4706
Date of Order:  10/7/2016
Action Taken:  Fined $4,000
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Cullin Smith Abstract & Title, Inc., dba Security Abstract & Title Company of Orange
Order Number: 2016-4719
Date of Order:  10/11/2016
Action Taken:  Fined $5,000
Violation:  Failed to timely pay premium for title insurance policies; failed to timely provide title insurance policies to insureds


Dugan, Michael Patrick of Shreveport, LA
Order Number: 2016-4693
Date of Order:  10/7/2016
Action Taken:  Fined $4,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Garza, Marcus A. of San Antonio
Order Number: 2016-4732
Date of Order:  10/14/2016
Action Taken:  (SOAH Docket No. 454-16-4438.C) General lines property and casualty agent license revoked
Violation:  Felony criminal conviction


Griffin Underwriting Services, A Division of Cochrane, Griffin & Company, Inc. of Bellevue, WA
Order Number: 2016-4692
Date of Order:  10/7/2016
Action Taken:  $5,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Hamann Insurance Group, Inc. of Katy
Order Number: 2016-4756
Date of Order:  10/27/2016
Action Taken:  Fined $3,500
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Hill Country Titles, Inc. of Fredericksburg
Order Number: 2016-4754
Date of Order:  10/27/2016
Action Taken:  Fined $6,500
Violation:  Failed to timely remit portions of insurance premium due to title insurance company


Insurance Office of America, Inc. of Altamonte Springs, FL
Order Number: 2016-4708
Date of Order:  10/7/2016
Action Taken:  Fined $9,000
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


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