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DISCIPLINARY ORDERS POSTED for 2017

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.


B&H Risk Services, Inc. of Dallas
Order Number: 20175305
Date of Order:  12/7/2017
Action Taken:  Fined $22,775
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Centene Company of Texas, LP of Austin
Order Number: 20175320
Date of Order:  12/20/2017
Action Taken:  Fined $45,000
Violation:  Used unapproved adverse determination templates


CM&F Group, Inc. of New York, NY
Order Number: 20175302
Date of Order:  12/7/2017
Action Taken:  Fined $2,150
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Ellis, Fatimah Wakeelah of Garland
Order Number: 20175309
Date of Order:  12/7/2017
Action Taken:  (SOAH Docket No. 454-17-5884.C) Property and casualty adjuster license revoked
Violation:  Failed to comply with an agreed settlement issued by the Commissioner of Insurance


Fiorentino, Kelly C. of Lawrenceville, GA
Order Number: 20175304
Date of Order:  12/7/2017
Action Taken:  Fined $4,750
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Grande, Shaila of Robinson
Order Number: 20175310
Date of Order:  12/7/2017
Action Taken:  (SOAH Docket No. 454-17-5914.C) General lines agent licenses with property and casualty, and life, accident, and health qualifications revoked
Violation:  Engaged in fraudulent or dishonest acts or practices; misrepresented, converted to own use, or illegally withheld money belonging to an insurer; willfully violated the Insurance Code


Heritage Specialty Insurance Agency, LP of Bryan
Order Number: 20175300
Date of Order:  12/7/2017
Action Taken:  Fined $4,925
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Insurance Office of America, Inc. of Altamonte Springs, FL
Order Number: 20175307
Date of Order:  12/7/2017
Action Taken:  Fined $3,200
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Lockton Companies, LLC of Kansas City, MO
Order Number: 20175306
Date of Order:  12/7/2017
Action Taken:  Fined $3,925
Violation:  Failed to timely file new or renewal surplus lines policies and related documents.


Northeast National Brokerage, LLC of Bloomfield, CT
Order Number: 20175303
Date of Order:  12/7/2017
Action Taken:  Fined $1,850
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Polley, Heather M. of Burkburnett
Order Number: 20175315
Date of Order:  12/14/2017
Action Taken:  General lines licenses with property and casualty, and life, accident, and health qualifications revoked
Violation:  Engaged in fraudulent or dishonest acts or practices; misappropriated, converted to own use, or illegally withheld money belonging to an insured, insurer, or beneficiary; failed to comply with continuing education requirements


Regions Insurance, Inc. of Little Rock, AR
Order Number: 20175301
Date of Order:  12/7/2017
Action Taken:  Fined $14,250
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Superior HealthPlan, Inc. of Austin
Order Number: 20175321
Date of Order:  12/20/2017
Action Taken:  Fined $40,000
Violation:  Failed to properly monitor delegated entity that was using unapproved adverse determination templates


Taylor, Ashley Brooke of Dallas
Order Number: 20175308
Date of Order:  12/7/2017
Action Taken:  (SOAH Docket No. 454-18-0137.C) License revoked
Violation:  Engaged in fraudulent or dishonest acts or practices; failed to timely respond to request for information


Teamchoice of Lubbock
Order Number: 20175319
Date of Order:  12/20/2017
Action Taken:  Fined $3,000; ordered to register as a provider network contracting entity
Violation:  Failed to timely register within 30 days of acting as a provider network contracting entity in Texas


Yoakum County Title, LLC of Plains
Order Number: 20175318
Date of Order:  12/20/2017
Action Taken:  Fined $3,000
Violation:  Failure to timely file annual trust fund account audit report


Alliant Insurance Services Houston LLC of San Diego, CA
Order Number: 20175280
Date of Order:  11/14/2017
Action Taken:  Fined $7,325
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Alliant Insurance Services Inc of San Diego, CA
Order Number: 20175279
Date of Order:  11/14/2017
Action Taken:  Fined $9,575
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Alliant Specialty Insurance Services Inc of San Diego, CA
Order Number: 20175278
Date of Order:  11/14/2017
Action Taken:  Fined $12,875
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Burns & Wilcox Ltd. of Farmington Hills, MI
Order Number: 20175285
Date of Order:  11/14/2017
Action Taken:  Fined $6,550
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


CPRO Associates, Inc. of Dallas
Order Number: 20175284
Date of Order:  11/14/2017
Action Taken:  Fined $22,375
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Driscoll Children's Health Plan of Corpus Christi
Order Number: 20175273
Date of Order:  11/6/2017
Action Taken:  Fined $130,000
Violation:  Multiple violations found during a triennial quality of care examination


Griffin Underwriting Services A Division Of Cochrane, Griffin & Company, Inc of Bellevue, WA
Order Number: 20175281
Date of Order:  11/14/2017
Action Taken:  Fined $10,100
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


HUB International Texas, Inc. of Fort Worth
Order Number: 20175277
Date of Order:  11/13/2017
Action Taken:  Fined $6,775
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


IIAT Services MGA, Inc. of Austin
Order Number: 20175283
Date of Order:  11/14/2017
Action Taken:  Fined $5,450
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Kraft Lake Insurance Agency Inc. of Grand Rapids, MI
Order Number: 20175282
Date of Order:  11/14/2017
Action Taken:  Fined $20,250
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Orthonet of the South, Inc. of White Plains, NY
Order Number: 20175274
Date of Order:  11/6/2017
Action Taken:  Fined $10,000
Violation:  Use of unapproved adverse determination templates


American Alternative Insurance Corporation of Princeton, NJ
Order Number: 20175265
Date of Order:  10/26/2017
Action Taken:  (SOAH Docket No. 454-17-5815.C) Fined $160,000; must notify department of withdrawal of form filings
Violation:  Violations found during targeted market conduct examination; accepted premium or fees for new and renewal named driver policies without making and receiving requisite disclosures


Cochrane Agency, Inc. of Spokane, WA
Order Number: 20175234
Date of Order:  10/2/2017
Action Taken:  Fined $4,325
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Derrenberger, Mark D. of Garden City, NY
Order Number: 20175235
Date of Order:  10/2/2017
Action Taken:  Fined $2,750
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Federated Mutual Insurance Company of Owatonna, MN
Order Number: 20175244
Date of Order:  10/9/2017
Action Taken:  Fined $5,000 and may not write group health insurance for five years
Violation:  Failed to file withdrawal plan with TDI


Madison National Life Insurance Company, Inc. of Madison, WI
Order Number: 20175266
Date of Order:  10/26/2017
Action Taken:  Fined $350,000 and must pay $627,971.43 in prompt payment penalties
Violation:  Failed to report compliant claims payment information and pay prompt payment penalties; failed to ensure competent TPA administration; and failed to file withdrawal plans


Marsh & McLennan Agency LLC of New York, NY
Order Number: 20175233
Date of Order:  10/2/2017
Action Taken:  Fined $6,825
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


O'Donovan & Associates, Inc. of Glenelg, MD
Order Number: 20175237
Date of Order:  10/2/2017
Action Taken:  Fined $14,050
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Paradise Settlement Services, LLC of Lewisville
Order Number: 20175238
Date of Order:  10/2/2017
Action Taken:  Fined $5,400
Violation:  Delinquent required annual report


Peachtree Casualty Insurance Company of San Diego, CA
Order Number: 20175254
Date of Order:  10/17/2017
Action Taken:  Prohibited from writing new business in Texas, and may not resume writing for five years without commissioner approval
Violation:  Violations found during market conduct examination; accepted premiums or fees without making required disclosures to insureds for renewal named driver personal automobile policies; failed to increase capital stock; and failed to file withdrawal plan for approval


RLA Insurance Intermediaries, LLC of Boston, MA
Order Number: 20175232
Date of Order:  10/2/2017
Action Taken:  Fined $11,750
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Shield Commercial Insurance Services, Inc. of Palm Desert, CA
Order Number: 20175243
Date of Order:  10/9/2017
Action Taken:  Fined $6,000
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


USI Insurance Services LLC of Seattle, WA
Order Number: 20175231
Date of Order:  10/2/2017
Action Taken:  Fined $4,625
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


XN Financial Services Inc of Boca Raton, FL
Order Number: 20175236
Date of Order:  10/2/2017
Action Taken:  Fined $4,625
Violation:  Failed to timely file new or renewal surplus lines policies and related documents


Aguilar, Karen M of Houston
Order Number: 20175222
Date of Order:  9/20/2017
Action Taken:  Fined $2,500; suspension of general lines agent license with a property and casualty qualification probated for two years
Violation:  Engaged in fraudulent or dishonest acts or practices; misappropriated, converted to own use, or illegally withheld money belonging to an insured, insurer, or beneficiary


Alliance Regional Health Network of Amarillo
Order Number: 20175217
Date of Order:  9/18/2017
Action Taken:  Fined $6,000
Violation:  Not registering with the department within 30 days after beginning to act as a provider network contracting entity in Texas


Commercial Alliance Insurance Company of Houston; Occidental Fire & Casualty Company of North Carolina; Harco National Insurance Company and Transguard Insurance Company of America, Inc. of Raleigh, NC
Order Number: 20175218
Date of Order:  9/18/2017
Action Taken:  Fined $25,000 to be paid jointly and severally
Violation:  Loss control inspection resulting in an inadequate rating


Employers Insurance Company of Wausau of Boston, MA
Order Number: 20175229
Date of Order:  9/22/2017
Action Taken:  Fined $30,000
Violation:  Use of rate not on file


Howard, Joshua Don of Denton
Order Number: 20175223
Date of Order:  9/20/2017
Action Taken:  Fined $3,000; general lines agency license granted to PC&H Insurance Agency, LLC
Violation:  Engaged in fraudulent or dishonest acts or practices


Magdaleno, Guillermo of San Antonio
Order Number: 20175225
Date of Order:  9/20/2017
Action Taken:  License issued; suspension of license probated for 4 years
Violation:  Made a material misrepresentation on a license application


The Reny Company of Plano
Order Number: 20175228
Date of Order:  9/22/2017
Action Taken:  Fined $10,000
Violation:  Use of unapproved adverse determination templates


Walker, Lakeitha Denice of Grand Rapids, MI
Order Number: 20175224
Date of Order:  9/20/2017
Action Taken:  License Issued; suspension of license probated for 2 years
Violation:  Criminal offense involving fraud and dishonesty


A-1 Abstract & Title Company of Littlefield
Order Number: 20175202
Date of Order:  8/31/2017
Action Taken:  Fined $1,400
Violation:  Failed to timely submit an annual trust fund account audit report


Alba, Rebecca E. of El Paso
Order Number: 20175204
Date of Order:  8/31/2017
Action Taken:  Fined $3,500
Violation:  Engaged in fraudulent or dishonest acts or practices; allowed staff member to engage in business of insurance without a license


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