2009 Orders

Orders posted below are unverified duplicates of official orders actually entered. To get an official version of the order contact:

Renee Molnes
Phone: 360-725-7047
Email: legal@oic.wa.gov

Orders 51 to 100 of 129
 
Name Violation Issue Date Action Order

Johannsson, Stefan E.,
Spanaway, WA
Failure to respond to numerous requests to replace NSF check used to pay for licensing fees. 12/11/2009 Revocation 09-0153
Comments: Stefan E. Johannsson has requested an administrative hearing to contest this Order. The enforcement of this Order is effective beginning December 31, 2009, and will remain effective until the outcome of the administrative hearing.

Kaiser Foundation Health Plan of the Northwest
Portland, OR
Use of unfiled forms. 3/27/2009 $70,000 Fine with $55,000 suspended 09-0005
Comments:

Kaiser Foundation Health Plan of the Northwest & Kaiser Permanente Health Alternatives
Portland, OR
Indications to providers that claims had been denied rather than accepted and applied to the deductible, failure to calculate and track COB savings, failure to ensure that new business contracts were written by licensed agents, assignments of a contract renewal to a Company representative who was not licensed, failure to ensure that its agents had been appointed and those appointments were filed with OIC, attempting to file replacement plans as endorsements to previous plans, sale of a plan without filing it with OIC, use of unfiled rates, use of unfiled rate model, failure to issue Certificates of Coverage. 3/27/2009 $10,000 Fine and Compliance Plan 09-0020
Comments:

Kamerer, Rebecca L.
Tacoma, WA
Failure to respond. 2/3/2009 Revocation 09-0009
Comments: Fingerprint replacement card

Kawasaki Motors Corporation, USA
Wilmington, DE
Sale of service contracts prior to being registered. 9/3/2009 $20,000 Fine 09-0105
Comments:

Kilpatrick, Philip A., II
Boardman, OH
Failure to respond. 5/20/2009 Revocation 09-0068
Comments: Fingerprint replacement card

Klein, Erika A.
Puyallup, WA
Failure to respond. 1/16/2009 Revocation 09-0004
Comments: Fingerprint replacement card

Landamerica Home Warranty Co
Burbank, CA
Failure to timely file. 8/4/2009 $2,000 Fine 09-0087
Comments:

Landamerica Home Warranty Company
Burbank, CA
Meets requirements. 6/24/2009 Order Rescinding Prior Suspension of Certificate of Registration 09-0074
Comments:

Larsen, Cynthia L.
Gig Harbor, WA
Failure to admit to felony record and failure to respond. 2/3/2009 Revocation 09-0007
Comments:

Leukemia & Lymphoma Society, Inc.
White Plains, NY
Failure to timely file. 6/5/2009 $1,000 Fine 09-0066
Comments:

Lewis, Hilary
Fredericksburg, VA
Failure to respond. 7/28/2009 Revocation 09-0098
Comments: Fingerprint replacement card.

LifeWise Health Plan of Washington
Seattle, WA
Failure to timley file. 12/30/2009 $1250 fine 09-0128
Comments:

Lunsford, Candice M.
Morrilton, AR
Failure to respond. 1/16/2009 Revocation 09-0003
Comments: Fingerprint replacement card

Lutheran Church - Missouri Synod Foundation
St. Louis, MO
Failure to maintain sufficent reserve. 5/11/2009 Order Suspending Certificate of Exemption 09-0058
Comments:

MacLaren-Beattie, Brenda L. and The MacLaren Group
DesMoines, WA
Transacting the unauthorized business of insurance; acting or holding herself out to be an insurance agent, broker, solicitor, adjuster, or producer; soliciting to Washington residents any product requiring a license or other authorization under the Insurance Code. 9/16/2009 Order to Cease and Desist 09-0113
Comments:

Markert, Justin P.
Cleveland Heights, OH
Failure to respond. 2/13/2009 Revocation 09-0014
Comments: Fingerprint replacement card

Mercury Select Mgmt Co., Inc.
Oklahoma City, OK
Failure to timely file. 7/28/2009 $1,000 Fine 09-0083
Comments:

MGA Marketing, Inc.
Vancouver, WA
Failing to preserve inviolate the integrity of insurance; failing to promptly account for and pay the insurer premium funds; failing to account for and maintain in an account separate from all other business and personal funds, premium funds; sharing or allowing commissions or other compensation with a person not licensed; collecting a sum as premium for insurance which insurance was not provided by an authorized insurer; submitting to OIC a license application that failed to reveal information about MGA; obtaining or attempting to obtain its licenses through misrepresentation; showing itself to be incompetent, untrustworthy, and a source of injury and loss to the public; willfully and knowingly facilitating the transaction of insurance by an unlicensed agent. 6/5/2009 Order Revoking License 09-0078
Comments:

Ministry Advance Foundation
Portland, OR
Failure to maintain minumum requirements. 5/29/2009 Order Suspending Certificate of Authority 09-0070
Comments:

National Union Fire Insurance Company of Pittsburgh, PA
Harrisburg, PA
Issuing blanket coverage policies to groups that are not eligible, selling disability insurance to individuals under a group policy delivered to a policyholder outside of the state, and selling disability insurance coverage to residents under a group policy delivered to a policyholder outside of the state. 2/5/2010 $150,000 Fine with $50,000 suspended and Compliance Plan 09-0151
Comments:

National Union Fire Insurance Company of Pittsburgh, PA
Harrisburg, PA
Issuing, delivering, or using insurance policy forms as to which the Commissioner’s approval did not then exist. 2/5/2010 $110,000 Fine with $55,000 suspended and Compliance Plan 09-0150
Comments:

National Union Fire Insurance Company of Pittsburgh, PA
Harrisburg, PA
Issuing policies with effective dates of coverage prior to approval of the forms. 2/5/2010 $50,000 Fine with $10,000 suspended and Compliance Plan 09-0152
Comments:

Nationwide Life Insurance Company
Columbus, OH
Issuing, delivering, and using an insurance policy form, application form, and riders which had not been filed; failing to file copies of all certificate forms and any other related forms; failing to provide that the policy’s lifetime limits apply to chemical dependency benefits in the same manner as medical and surgical benefits; failing to make an offer of home health care and hospice care coverage; failing to make an offer of coverage for treatment for temperomandibular joint disorders; requiring that charges for accident expenses benefits in incurred within 90 days of the date of accidental bodily injury; including an “expense incurred” accident benefit in conjunction with fixed payment insurance; failing to provide the disclosures required for the Plan; and failing to include the statement on its application and claims forms warning consumers against filing fraudulent claims. 11/20/2009 $20,000 Fine 09-0037
Comments:

Newman, Nancy A.
Brillion, WI
Failure to respond. 3/12/2009 Revocation 09-0027
Comments: Fingerprint replacement card

Ngoc, Ho Toan aka Ho, Toan
Seattle, WA
Transacting the unauthorized business of insurance; seeking, soliciting, pursuing, and/or obtaining any insurance business in the State of Washington and from participating directly or indirectly, in any act of an insurance agent or insurance company in seeking, soliciting, pursuing, and/or obtaining any unauthorized insurance business in the State of Washington; soliciting Washington residents to sell or purchase any plan or policy or coverage for any form of insurance; soliciting Washington residents by e-mail, facsimile, telephone, mail, or any other means to induce them to purchase any form of insurance product; offering to Washington residents a plan, contract, trust, annuity, policy, or coverage for any form of insurance without submitting to examination by the Insurance Commissioner. 9/28/2009 Order to Cease and Desist 09-0090
Comments:

Nichols, Andrew T.
Mauldin, SC
Failure to respond. 3/12/2009 Revocation 09-0028
Comments: Fingerprint replacement card

Old American Insurance Company
Kansas City, MO
Failure to timely file. 10/26/2009 $1,000 fine 09-0124
Comments:

PacifiCare of Washington, Inc.
Vancouver, WA
Failing to undertake the annual true-ups required by the OIC Management Agreement during the period of 2003 to 2006 and failing to submit reports substantiating the fact that true-ups took place and failing to submit reports of the results of the true-ups as required by OIC. 10/30/2012 Consent Order Levying A Fine Fined $400,000 09-0010
Comments:

PacifiCare of Washington, Inc.; PacifiCare Life Assurance Company, and UnitedHealthcare Insurance Company
Mercer Island, WA
Failure to file provider contracts and material changes to provider contracts. 10/26/2009 $100,000 Fine with $60,000 suspended 09-0118
Comments:

Physicians Insurance A Mutual Company
Seattle, WA
Issuing or renewing policies in situations where the producing broker had failed to maintain its Washington broker license and was not acting as the issuing Company’s agent and failure to give policyholders premium credits to which they were entitled under the Company’s rate filings then in effect. 3/10/2009 $2,500 Fine, which total amount is suspended 09-0018
Comments:

Powell, Nancy C.
Cape Coral, FL
Failure to respond. 5/15/2009 Revocation 09-0060
Comments: Fingerprint replacement card

Premera Blue Cross and LifeWise Health Plan of Washington
Mountlake Terrace, WA
Inability to locate and produce underwriting files for all in-force business, misleading advertising, failure to identify the source of statistics used in advertisements, failure to ensure agent was appointed, inability to verify that agents were licenses for the appropriate lines of business and appointed by the Companies, use of unfiled or unapproved contracts, use of unfiled or approved rates, failure to provide the “Guide to Health Insurance for People with Medicare” to each applicant and obtain and retain a copy of the acknowledgements of receipt, failure to provide copies of signed acknowledged applications to all Individual Medicare Supplement members, failing to attach or make a true copy of the application part of each Medicare Supplement policy when it was issued and delivered, failing to notify providers of there responsibilities regarding administrative policies and programs when the grievance procedure changed, failing to file a report of participating providers or monthly updates for their Global Network, filing Geographic Network reports that did not meet the requirements of WAC 284-43-220(4), failing to file required Geographic Network report for the MSC preferred individual network or the MSC Traditional Participating Individual Network. 3/2/2009 $80,000 Fine with $50,000 suspended and Compliance Plan 09-0015
Comments:

Puget Sound Health Partners, Inc.
Lakewood, WA
Proposed Acquisition of Control. 9/21/2009 Acquisition granted 09-0032
Comments:

Puget Sound Health Partners, Incorporated
Federal Way, WA
Failure to timely file. 1/20/2010 $1250 fine 09-0156
Comments:

Regence BlueShield
Seattle, WA
Failing to notify enrollees of appeals decisions within 14 days of receipt of their appeals without notifying enrollees that an extension is necessary and failing to notify enrollees of appeals decisions within 30 days of receipt of their appeals without obtaining the enrollee’s informed, written consent to an extension. 2/24/2010 $100,000 Fine with $50,000 suspended and Compliance Plan 09-0120
Comments:

Regence BlueShield, Asuris Northwest Health, and Regence BlueCross BlueShield of Oregon
Seattle, WA
Failing to provide coverage from prostate cancer screening, failing to file fully-negotiated health plan contract forms and rate scheduled within thirty working days, and failing to send amended benefit certificates. 1/13/2010 $200,000 Fine with $75,000 suspended and Compliance Plan 09-0116
Comments:

RiverSource Life Insurance Company
Minneapolis, MN
Using unfiled, increased rates for the tax-qualified form. 10/5/2009 $25,000 Fine with $10,000 suspended 09-0039
Comments:

Rowe, Jr., Larry E.,
Spokane, WA
Failure to respond. 8/25/2009 Revocation 09-0107
Comments: Complaint generated.

Ryals, Scott A.
Niagara Falls, NY
Failure to respond. 2/12/2009 Revocation 09-0013
Comments: Fingerprint replacement card

Sabatke, Emily A.
Stevens Point, WI
Failure to respond. 8/4/2009 Revocation 09-0099
Comments: Fingerprint replacement card

Seattle Symphony Foundation
Seattle, WA
Violation of RCW 48.38.010(6). 5/11/2009 Order Suspending Certificate of Exemption 09-0052
Comments:

Sierra Club Foundation, The
San Francisco, CA
Issuing Charitable Gift Annuities without a Certificate of Exemption. 5/20/2009 $3,075 Fine 09-0048
Comments:

Smith, Libbie L.,
Vancouver, WA
Failure to comply with Department of Social and Health Service support order. 8/4/2009 Suspension 09-0100
Comments:

Smith, Libbie L.,
Vancouver, WA
Reinstatement of License 12/9/2009 Licensee complied with DSHS support order - reinstate license. 09-0100
Comments: Complied with DSHS Support Order

Spokane United Methodist Homes
Spokane, WA
Failure to meet minimum requirements. 5/11/2009 Order Suspending Certificate of Exemption 09-0053
Comments:

Standard Life Insurance Company of Indiana, The
Indianapolis, IN
Capital & Surplus below minimum 12/4/2009 Suspention of Certificate of Authority. 09-0143
Comments:

State Farm Mutual Automobile Insurance Company
Bloomington, IL
Failure to timely file. 12/16/2009 $750 Fine 09-0140
Comments:

Sullivan, Jeffrey A.,
West Richland, WA
Probationary License Granted 12/17/2009 Probationary License Granted 09-0148
Comments:

Szmyd, Katarzyna
Chicago, IL
Failure to respond. 9/30/2010 $500 Fine 09-0059
Comments: Fingerprint replacement card

Orders 51 to 100 of 129
First 50 Orders Previous 50 Orders Next 50 Orders Last 50 Orders
 

These enforcement actions taken by Mike Kreidler, Washington state Insurance Commissioner, are a primary tool in protecting the people of Washington.

Type of Entity Authority to Suspend or Revoke Authority to Fine
Agent or broker RCW 48.17.530 RCW 48.17.560
Insurance company RCW 48.05.140 RCW 48.05.185
Health care service contractor RCW 48.44.160 RCW 48.44.166
Health maintenance organization (HMO) RCW 48.46.130 and RCW 48.46.135

Updated 04/06/2014

See also

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