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| 2009 Insurance Enforcement Activity | 
 
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  | December | 
 
  Final Orders 
    Harry Del Bosco, Fair Lawn,   NJ 
        Garden State Brokers, Inc., Fair    Lawn, NJ 
        Final Decision and Order  #E09-81, December 18, 2009; Del Bosco failed to remit or return premium  payments made by or on behalf of numerous insureds, and failed to timely notify  the Department of the filing of a criminal accusation against him and of his  conviction of a felony crime pursuant to his guilty plea.  Sanctions:   Revocation of licenses; Restitution - $24,419.02, Fine - $65,000; Costs  - $1,775.  
         
     
    Orders to Show Cause  
    Yehuda Dachs, Lakewood, NJ 
      Order  #E09-80, December 16, 2009; producer is  charged with submitting a fraudulent claim (for which he agreed to pay a civil  penalty and attorneys fees pursuant to the NJ Insurance Fraud Prevention Act). 
       
     
    Consent Orders 
    Deny J. Aleman, Clifton,   NJ 
  Consent Order #E09-75, December  2, 2009; producer issued a check to the Department for payment of a licensing  fee which was dishonored for insufficient funds.  Sanction:   Fine - $500. 
   
  Financial Casualty & Surety, Inc., Houston, TX 
  Consent Order #E09-79, December  16, 2009; the surety, through its appointed bail agent, imposed premium charges  for bail bonds that were not based on a fee schedule established by the surety  and which on occasion varied by defendant despite the common face amount of the  bond.  Sanction:  Fine - $2,000. 
       
      Sidney L. Gaines, Willingboro,   NJ 
      Consent Order #E09-78, December  2, 2009; producer issued a check to the Department for payment of a licensing  fee which was dishonored for insufficient funds.  Sanction:   Fine - $500. 
       
      Caroline Keller, Montvale,   NJ 
      Consent Order #E09-76, December  2, 2009; producer failed to timely notify the Department of her indictment,  criminal conviction and a Stipulation with the NY Department of Insurance. Sanction:   Fine - $1,750. 
       
      Steve Umoru, Allentown,   NJ 
      Consent Order #E09-77, December  2, 2009; producer accepted premium but failed to secure homeowner’s insurance  coverage; subsequently, the producer submitted an application and premium to  the FAIR Plan, but failed to refund excess premium; subsequently, the FAIR Plan  cancelled insurance and returned unearned premium which the producer failed to  refund to the mortgage company until after the producer’s appearance before the  Department was compelled via Department subpoena; and, in addition, the  producer failed to maintain a premium trust account.  Sanction:   Fine - $3,500.      | 
 
   
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  | November | 
 
  Final and Miscellaneous Orders 
    Girls, Inc., New York, NY 
      Conditional Order Revoking Special Permit #E09-65, October  14, 2009; special permit to issue charitable annuities is revoked due to  failure to submit annual statements, but may be retroactively reinstated  provided Girls, Inc. satisfies regulatory concerns within 30 days. 
    Rider University, Lawrenceville,   NJ 
  Conditional Order Revoking Special Permit #E09-66, October  14, 2009; special permit to issue charitable annuities is revoked due to  failure to submit an annual statement, but may be retroactively reinstated  provided Rider University satisfies regulatory concerns within 30 days.  The concerns were, in fact, satisfied after  the issuance of the Conditional Order and the permit was retroactively  reinstated. 
   
     
    Orders to Show Cause  
    New   Jersey Physicians  United Reciprocal Exchange (NJ PURE), Princeton,  NJ 
        Order #E09-73, November 13, 2009;  NJPURE is charged with numerous instances of disseminating  advertisements and marketing material that were false or maliciously critical  of or derogatory to the financial condition of competitors; and with unfair acts,  practices or methods of competition. 
         
     
    Consent Orders 
    Aetna Health, Inc., Blue Bell,   PA 
        Aetna Life Insurance Company, Blue Bell, PA 
        Consent Order #C09-102, November  12, 2009; Aetna reported to the Department that from October 2002 through  September 2009 it improperly processed out-of-network hospital and non-hospital  facility claims for persons covered under individual health coverage (IHC) and  small employer health (SEH) contracts.  Aetna will reprocess all affected claims to remedy  underpayments, including 12% interest.  Payment  to either the affected member or facility will be made based on the results  received from notices that Aetna will issue to  impacted members and facilities requesting proof of payment information.  Reprocessing shall be completed on or before  April 30, 2010.  Sanction:  none. 
    Foundation Title, LLC, Marlton,   NJ  
        Brian E. Allen, Mercerville,   NJ 
        Carol Azarian, Marlton,   NJ 
        John M. Cox, East    Brunswick, NJ 
        James H. Craft, II, Marlton,   NJ 
        William T. Crowell, East    Brunswick, NJ 
        Mark G. D’Agostino, Marlton,   NJ 
        Christopher J. Gimello, Vineland,   NJ 
        Sebastian Guzzardi, Mercerville,   NJ 
        Scott Jakubowski, Red Bank, NJ 
        Brian J. Katz, Mercerville,   NJ 
        Keith N. Langan, Marlton,   NJ 
        Christopher P. Mooney, Ocean    City, NJ 
        Edward R. Rickenbach, Jr., East    Brunswick, NJ 
        Christine M. Roesberg, Woodbury,   NJ 
        Joseph J. Ryan, Cherry    Hill, NJ 
        Michael S. Ryan, Northfield,   NJ 
        Robert Souder, East    Brunswick, NJ 
        Consent Order E#09-74, November  23, 2009; respondent producers, except Joseph Ryan, offered inducements through  reduced fees and rebates to certain clients in connection with the placement of  title insurance; Joseph Ryan initially did not cooperate fully with the  Department during an investigative interview.   Sanctions:  Fine - $64,500  (allocated $1,000 to Allen, $1,000 to Azarian, $1,000 to Cox, $1,000 to Craft,  $2,500 to Crowell, $10,000 to D’Agostino, $1,000 to Gimello, $5,000 to  Guzzardi, $5,000 to Jakubowski; $1,000 to Katz, $5,000 to Langan, $1,000 to  Mooney, $5,000 to Rickenbach, $5,000 to Roesberg, $2,500 to Joseph Ryan, $5,000  to Michael Ryan, $5,000 to Souder and $7,500 to Foundation Title). 
    David M. Lombardo, Ramsey   NJ 
  Consent Order #E09-71, November  9, 2009;  producer is determined to be unworthy  for licensure as a result of his conviction for theft – a criminal act  committed during the course of his business as a general securities  representative at a time when he held a producer license.  Sanctions:   Revocation of license; Fine - $1,000. 
    Kimberly Pocquat, Long    Valley, NJ 
  Consent Order #E09-72, November  9, 2009; producer issued a check to the Department for payment of a licensing  fee which was dishonored for insufficient funds.  Sanction:   Fine - $500.  | 
 
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  | October | 
 
  
    
      Notices and Final Orders 
                     
        Horizon Healthcare Services, Inc., Newark, NJ           
        Enforcement Notice #E09-51 –  Notice Pursuant to N.J.S.A. 26:2S-16a to Cease, Desist and Remediate Violations,  September 14, 2009; through this Notice the Department asserts that Horizon did  not properly reimburse former participating medical providers for services  provided to new patients treated during the applicable continuity of care  period following termination from Horizon’s network.  
        
          
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            | Related  Action:  | 
            Horizon Healthcare Services,  Inc. 
              Horizon Healthcare of New Jersey,  Inc. | 
           
          
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            Consent Order  #E09-70, October 27, 2009.  By May 1,  2010, Horizon and Horizon HMO will remediate applicable payments to providers  terminated on and after January 1, 2009 for services rendered to patients first  seen after termination, by reimbursing the difference, if any, between the  out-of-network benefit amount and the amount paid as in-network, plus 12%  interest; by February 1, 2010, Horizon and Horizon HMO will implement system  changes to reimburse terminated providers for services rendered to patients  first seen after termination based on the applicable out-of-network benefit;  and Horizon and Horizon HMO will submit a report to the Department by July 1,  2010 detailing remediation. | 
           
          
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         Consent Orders 
               
          Dallmer Adjusters, Inc., Bensalem,   PA 
          Consent Order #E09-64, October  9, 2009; public adjuster failed to timely file notices of changes regarding  sub-licensees.  Sanction:  Fine - $500. 
             
            Donald F. LaPenna Associates, Inc., Clark, NJ 
            Consent Order #E09-69, October  26, 2009; producer placed transactions without having the required surplus  lines authority and failed to have the required authority/authority number when  premium tax reports were submitted to the Commissioner.  Sanction:   Fine - $700. 
             
            Stephen P. Feldkamp, Little Silver, NJ 
            Consent Order #E09-63, October  9, 2009; producer conducted business using a name not licensed by or registered  with the Department.  Sanction:  Fine - $500. 
             
            Michelle Pohubka, Marlton,   NJ               
            Concept Title Agency, LLC, Marlton,   NJ 
            Consent Order #E09-68, October  26, 2009; producers completed closing on a property but failed to timely file  the deed with the county clerk.   Sanction:  Fine - $1,500. 
             
            Robert L. Poole, Lavallette,   NJ 
            Consent Order #E09-62, October  9, 2009; producer failed to issue and deliver a title insurance policy in a  timely manner.  Sanction:  Fine - $500.  | 
     
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  | September | 
 
  
    
      Consent Orders 
          Michael J. Alberga, Montclair,   NJ 
  Consent Order #E09-52, September  15, 2009; the producer failed to timely notify the Department of a criminal  conviction.  Sanction:  Fine - $500. 
          Columbia Casualty Insurance Company, Chicago, IL 
  Consent Order #E09-61, September  30, 2009; insurer accepted surplus lines placements without the required  transaction number.  Sanction:  Fine - $4,000. 
          Fernando Chaux, Passaic,   NJ 
              Jaymar Insurance Agency Corp., Passaic, NJ 
              Consent Order #E09-53, September  17, 2009; producers failed to disclose the total number of moving vehicle  points in applications submitted to NJ PAIP.   Sanction:  Fine - $1,000. 
          Financial and Professional Risk Solutions, Inc., Chicago, IL 
  Consent Order #E09-60, September  30, 2009; producer placed coverages with surplus lines insurers without first  obtaining surplus lines authority; and was responsible for allowing a managing  general underwriter to accept a surplus lines placement without the required  transaction number.  Sanction:  Fine - $18,000. 
          Maria A. Grosvenor, Riverview,   FL 
  Consent Order #E09-59, September  30, 2009; producer failed to disclose a criminal conviction on her nonresident  producer license application.  Sanction:  Revocation of license. 
          Mohammad A. Javaid, Piscataway,   NJ 
  Consent Order #E09-55, September  30, 2009; producer conducted business using a business name that was not  registered with or licensed by the Department; and commingled premiums with  other funds in a bank account that was not a premium trust account.  Sanction:   Fine - $1,000. 
          Richard Maffei, Altamonte    Springs, FL 
  Consent Order #E09-58, September  30, 2009; producer failed to notify the Department of disciplinary actions taken  by the states of Alabama and Maine; and failed to timely inform the Department  of a change of business address.  Sanction:  Revocation of license. 
          Anthony W. March, Kitty    Hawk, NC 
  Consent Order #E09-57, September  30, 2009; producer failed to disclose a fine paid to Virginia’s insurance authority in his  application to the Department for a nonresident license.  Sanction:   Fine - $500. 
          James Owens, Millville,   NJ 
  Consent Order #E09-54, September  30, 2009; producer submitted applications to NJ PAIP in an untimely  manner.  Sanction:  Fine - $1,325. 
          James B. Ramundo, Lincoln    Park, NJ 
  Consent Order #E09-56, September  30, 2009; without the knowledge or consent of his client, Ramundo completed an  insurance application for one policy and used the cash value from the client’s  other policy to pay the premium; without the knowledge or consent of his  client, Ramundo signed his client’s name on various insurance documents in  order to receive a commission, knowing that the information provided was false;  and Ramundo failed to timely notify the Department of a Consent Order entered  into with the Office of the Insurance Fraud Prosecutor in which he agreed to  pay a fine for application fraud and forgery.   Sanctions:  Revocation of license;  Fine - $5,000.            | 
     
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  | August | 
 
  
    
        Consent Orders 
            Arrowood Surplus Lines Insurance Co., Atlanta, GA 
  Consent Order #E09-47, August 7,  2009; insurer accepted a surplus lines placement without the required  transaction number.  Sanction:  Fine - $1,000. 
            Robert M. Dash, Springfield,   NJ 
  Consent Order #E09-45, August 7,  2009; Dash assisted in the submission of an annuity application, knowing that  the assisted producer was not an agent of the insurer in question, by procuring  the signature of a producer who was an agent (Losey) on the annuity  application.  Sanction:  Fine - $5,000. 
            Warren F. Losey, Sr., Union,   NJ 
  Warren F. Losey, Sr., Inc., Union,   NJ 
  Consent Order #E09-49, August 7,  2009; Losey signed an annuity application as an agent of the insurer even though  he never met the applicant, had never discussed whether the annuity was  appropriate for the applicant, and with knowledge that he was signing an  application that had been solicited and completed by a producer who was not an  agent of the insurer.  Sanction:  Fine - $5,000. 
            Dore Schreibman, East    Northport, NY 
  Consent Order #E09-48, August 7,  2009; producer issued a check to the Department for payment of a licensing fee  which was dishonored for insufficient funds.   Sanction:  Fine - $500. 
            Triad Healthcare, Inc., Plainville,   CT 
  Consent Order #E09-46, August 7,  2009; Triad, a Licensed Organized Delivery System, denied or underpaid certain  chiropractic claims on the erroneous basis that the underlying services were  subject to precertification.  Sanction:  Fine - $50,000; Remediation of improperly  denied and underpaid claims.              | 
       
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  | July | 
 
  
    
        Consent Orders 
        Maina K. Agha, Irvington,   NJ 
            AMC Insurance Agency, Inc., Irvington,   NJ 
            Consent Order #E09-40, July 7,  2009;  producer failed to disclose the  total number of moving vehicle points on an application submitted to NJ  PAIP.  Sanction:  Fine - $1,000. 
        Liaqat Ali, Avenel,   NJ 
  Consent Order #E09-42, July 10,  2009; public adjuster conducted business using a name that was not registered  with the Department and issued misleading advertisements. Sanction:  Fine - $1,500. 
        Illinois Union Insurance Company, Philadelphia, PA 
  Consent Order #E09-41, July 10,  2009; insurer accepted a surplus lines placement without the required  transaction number.  Sanction:  Fine - $1,500. 
        Trevor N. Patton, Plainfield,   NJ 
  Consent Order #E09-43, July 15,  2009; producer issued a check to the Department for payment of a licensing fee  which was dishonored for insufficient funds.   Sanction:  Fine - $500. 
        Nelson S. Saavedra, Morganville,   NJ  
  Consent Order #E09-44, July 15,  2009; producer failed to disclose a 1986 criminal conviction in an application  for reinstatement of his license.  Sanction:  Fine - $500.  | 
     
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  | June | 
 
  
    
      Notices & Final Orders 
        Oxford Health  Insurance, Inc., Trumbull,   CT 
            Oxford Health Plans (NJ), Inc., Trumbull, CT 
            Enforcement Notice #E09-39– Notice Pursuant to N.J.S.A.  17B:30-55a to Cease, Desist, and Remediate Violations, June 23, 2009; through  this Notice the Department asserts that Oxford engaged in recoupment efforts  against medical providers by use of extrapolation, in contravention of the  Health Claims Authorization, Processing and Payment Act (HCAPPA), and thereafter  made inappropriate referrals of many of the affected medical providers to the  Office of Insurance Fraud Prosecutor (OIFP) in an apparent effort to provide a  justification or cure for its violations of HCAPPA.  Pursuant to the Notice, Oxford has until July 23, 2009 to remediate  its violations by taking measures including but not limited to reimbursing all  affected providers for all amounts obtained in violation of HCAPPA, together  with interest at 12%, and submitting supplemental information to the OIFP consistent  with its remedial action.  Oxford shall submit a  report detailing remedial actions to the Department by August 7, 2009. 
        Guy G. Cardinale, Fair Haven, NJ 
          Final Order #E09-32, June 4,  2009; Order to Show Cause #E08-84, issued September 22,  2008, charged Cardinale with securing insurance policies in a fraudulent manner  in order to receive greater commissions; willfully failing to process client  policy adjustments in order to receive greater commissions; applying for  policies covering himself and remitting premium for those policies by issuing  checks that were returned for insufficient funds in order to generate  commissions; having imposed against Cardinale criminal convictions based on  these acts, thereby demonstrating unworthiness to continue possessing a  producer license; and failing to timely inform the Department of license  revocations in other jurisdictions.  Although  provided with notice and an opportunity to contest these charges, Cardinale  failed to do so.  Sanctions:  Revocation of license; Restitution -  $170,424.52; Fine - $52,500; Costs - $575. 
           
    
  Consent Orders 
        CBDI, Inc., Mount Laurel, NJ 
            William O. Daggett, Mount    Laurel, NJ 
            Jack J. Piccininni, Mount Laurel, NJ 
            Consent Order #E09-30, June 1,  2009; Producers were responsible for allowing an unlicensed employee to  transact insurance business, paying the employee insurance related commissions,  and failing to supervise the employee’s insurance related conduct.
            Sanction:  Fine - $2,200. 
        David L. Clark, Somerville,   NJ 
  Consent Order #E09-31, June 5,  2009;  Clark sold group health insurance  coverage through a purported union that was later determined by the USDOL not  to constitute a “labor organization;” collected insurance premium totaling  $91,620 but failed to timely remit the premium to the carrier and failed to  notify enrollees that coverage had been canceled; failed to disclose to the  enrollees the true premium charged by the carrier by incorporating premium with  charges for fees and dues; commingled premiums with fees and dues in a  non-trust account; collected premium purportedly as a “reserve” and thereafter  disbursed a portion as income (the premium was subsequently reimbursed). Sanctions:  Revocation of license; Fine - $40,000. 
        Andrew MacGregor, Renesselear,   NY 
  Consent Order #E09-33, June 4,  2009; Producer failed to timely inform the Department of changes of business  and residential addresses.  Sanction:  Fine - $750. 
        Nona H. Procopio, Philadelphia,   PA 
  Consent Order #E09-29, June 1,  2009; Producer sold insurance contracts after her license expired and received  commissions from these sales; and she enrolled her mother-in-law into a  employer group health benefit plan even though the mother-in-law was not  associated with the employer.  Sanctions:  Revocation of license; Fine - $5,000. 
        Musu V. Richardson, Trenton,   NJ 
  Consent Order #E09-34, June 10,  2009; Producer issued a check to the Department for payment of a licensing fee  which was dishonored for insufficient funds.   Sanction:  Fine - $500. 
        Edward Tiller, Piscataway,   NJ  
  Consent Order #E09-38, June 19,  2009; In conjunction with a life insurance application, Tiller provided a  policy illustration that failed to provide accurate information regarding a  number of material aspects.  Sanction:  Fine - $1,000. 
        Robert R. Winward, Cape    May Court House, NJ 
  Consent Order #E09-36, June 11,  2009; Winward transacted business as a public adjuster without the benefit of a  current license.  Sanction:  Fine - $500. 
   
         
        Matters Resolved without  Determination of Violation 
        Houston Casualty  Company, Houston, TX 
          Consent Order #E09-35, June 10, 2009; Issue: surplus lines  authority/transaction number; 
          Administrative Sanction:   $1,000.  | 
     
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  | May | 
 
  
    
      Final Orders 
         
        Lee V. Williams, Philadelphia,   PA 
         Final Decision and Order  #E09-04, January 16, 2009;  Producer  issued a check for the renewal of his license that was subsequently dishonored  for insufficient funds; when contacted by the Department, Williams nevertheless  failed to timely replace the funds (which were replaced approximately 6 months  later) or provide a timely explanation in response to the Department’s inquiry.  Sanctions imposed included a $1,000 fine and  costs of $500, which sanctions were to have been paid on or before February 15,  2009, otherwise an indefinite suspension would be imposed.  Having not received the monetary payment, the  license was placed in suspension effective May 19, 2009. 
         
           
          Orders to Show Cause  
             
            Julio C. Fonseca, Orange, NJ 
          Order to Show Cause #E09-28, May 28, 2009; allegations  against this producer include multiple instances of issuing checks that were  returned for insufficient funds; multiple instances of submitting deficient  applications to NJPAIP; multiple instances of failing to remit premium and/or  the associated application for insurance coverage to the insurer; and multiple  instances of issuing auto insurance identification cards for which there was no  underlying insurance coverage. 
             
            Rhett Kirchhoff, Minersville, PA 
            Senior Financial  Planners Insurance, Minersville,   PA 
            Order to Show Cause #E09-25, May 21, 2009;  the producers are alleged to be unworthy for  licensure as a result of Kirchhoff’s guilty plea in federal court to conspiracy  to commit securities fraud, conspiracy to commit wire fraud, conspiracy to  commit money laundering, conspiracy to interfere with commerce by threats of  violence, and bankruptcy fraud; and they misrepresented information on their  license applications by failing to disclose that Kirchhoff signed a Letter of  Acceptance, Waiver and Consent with the NASD in which he was fined $25,000 and  barred from further association with any NASD member in any capacity. 
               
              David M. Lombardo, Ramsey, NJ 
              Order to Show Cause #E09-27, May 26, 2009; Producer is  alleged to be unworthy for licensure as a result of his conviction for theft – a  criminal act committed during the course of his business as a general  securities representative at a time when he held a producer license. 
                 
                   
                  Consent Orders 
                     
                    Alan Feldman, West Orange, NJ 
                    The Feldman Agency,  Inc., West Orange, NJ  
                    Consent Order #E09-24, May 8,  2009; Producer failed to delivery a policy to the insured in a timely  manner.  Sanction:  Fine - $1,000 ($500 each – Alan Feldman and  Feldman Agency). 
                       
                      Matters Resolved without  Determination of Violation 
                         
                        UnitedHealthCare Insurance Company, Hartford, CT; Consent  Order  #E09-23,  May 8, 2009; Issue: insurer’s Use of  Non-Participating Laboratory Services protocol;  Administrative Sanction - $5000; Costs -  $5,000.  | 
       
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  | April | 
 
  
    
      Consent Orders 
        Allstate New Jersey Insurance Company, Northbrook, IL 
          Consent Order #E09-20, April 8, 2009; Insurer made an  automobile rate filing but failed to concurrently provide a copy to the Public  Advocate; and Allstate provided notice of the filing to policyholders in a form  different that that required by regulation. Sanction: Fine - $5,000. 
        Israel M.  Bruch, Allentown, PA 
  Consent Order #E09-22, April 27, 2009; Bruch allowed three  persons to solicit and sell annuities without the benefit of a NJ producer  license; he falsely asserted that he completed and signed annuity applications  in the presence of the applicants; and he failed to notify the Department that  he entered into a related administrative order providing for the surrender of  his Pennsylvania producer license. Sanction: Revocation of license. 
        Benjamin L. Tindal, Lansdowne,   PA 
  Consent Order #E09-21, April 17, 2009; Producer issued a  check to the Department for payment of his license renewal which was  subsequently dishonored for insufficient funds. Sanction: Fine - $500.  | 
     
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  | March | 
 
          Final Orders 
    Otis M. Boone, Trenton,   NJ 
  Final Order #E09-17, March 30,  2009; Order to Show Cause #E08-91, issued October 16, 2008, charged Boone, a  former public adjuster and insurance producer, with starting fires with the  purpose of collecting insurance for the destruction or damage to properties; agreeing  to knowingly engage in conduct constituting the crime of aggravated arson;  failing to timely notify the Department of the filing of formal criminal  charges against him; and failing to timely notify the Department of his criminal  conviction.  Although  provided with notice and an opportunity to contest these charges, Boone failed  to do so. Sanctions:  Revocation of insurance producer and public  adjuster licenses; Fine - $5,000; Costs - $726.50. 
    Michael D. Cook, Pleasantville,   NJ 
  Final Order #E09-16, March 30,  2009; Order to Show Cause #E08-90, issued October 16, 2008, charged Cook with  knowingly submitting a backdated application to an insurer, and failing to  timely notify the Department that he entered into a Consent Order with the  Office of the Insurance Fraud Prosecutor regarding the backdated insurance  application submission.  Although  provided with notice and an opportunity to contest these charges, Cook failed  to do so.  Sanctions:  Revocation of license; Fine - $7,500; Costs -  $275. 
    Consent Orders 
    Aetna Health, Inc., Blue Bell,   PA 
  Settlement Agreement and Consent  Order #09-14, March 25, 2009; Aetna withdraws  its contest of Order #A07-59, imposing sanctions with respect to payment  practices affecting certain out-of-network providers in connection with claims  for medical services pertaining to emergency or in-patient admissions.  Remediation to be made to affected providers  including the payment of interest.   Sanction:  Fine - $2,500,000. 
    CIGNA Healthcare of New Jersey, Inc., Jersey City, NJ 
          Connecticut General Life Insurance Company, Bloomfield, CT 
          Consent Order #A09-12, March 5,  2009; Insurers withdraw their contest to Order #A07-34, imposing sanctions in  connection with practices regarding nonrenewal of optional benefit riders for certain  small employer plans and offers to obtain new coverage.  Remediation was made to affected small  employer members.  Sanction:  Fine - $1,000,000. 
    Ricardo V. Coomer, Voorhees,   NJ 
  Consent Order #E09-15, March 30,  2009; Coomer used a written fee agreement which incorrectly attributed a $20  service fee to be a NJPAIP requirement; used business names without filing for  and receiving Department approval; Coomer’s employee, Beatrice Humer (see  Beatrice M. Humer below), completed a PAIP application in which she failed to  record a known accident that occurred earlier in the day; Humer issued a PAIP  temporary insurance ID card which had no force or effect, because the insurance  was not bound as required; Humer issued a noncompliant cash receipt; and Coomer  issued an check on an account having insufficient funds as payment for his  insurance license renewal fee.  Sanction:  Fine - $4,750. 
    Beatrice M. Humer, Willingboro,   NJ 
  Consent Order #E09-13, March 10,  2009; Humer completed a PAIP application in which she failed to record a known  accident that occurred earlier in the day; and issued a PAIP temporary  insurance ID card which had no force or effect, because the insurance was not  bound as required.  Sanctions:  Revocation of license; Fine - $2,000. 
    Charles D. Melita, Woodbridge,   NJ 
          Melita Associates, LLC, Woodbridge,   NJ 
          Consent Order #E09-18, March 30,  2009; Respondents sold group health insurance coverage through a purported  union that was later determined by the USDOL not to constitute a “labor  organization;” collected insurance premium totaling $91,620 but failed to  timely remit the premium to the carrier and failed to notify enrollees that  coverage had been canceled; failed to disclose to the enrollees the true  premium charged by the carrier by incorporating premium with charges for fees  and dues; commingled premiums with fees and dues in a non-trust account;  collected premium purportedly as a “reserve” and thereafter disbursed a portion  to themselves as income (the premium was subsequently reimbursed); and used an  unregistered trade name.  Sanctions:  Revocation of licenses; Fine - $20,000. 
    Matters Resolved without  Determination of Violation 
    Steven J. McCaffrey; Consent Order #E09-11, March 5, 2009; Issue: licensee  address information; administrative sanction - $250.  | 
 
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  | February | 
 
  Final Orders 
    Jesse D. McCaskill, Fair    Lawn, NJ 
  Final Decision and Order  #E09-09, February 18, 2009.  The Final  Decision and Order approves a settlement resolving charges contained in OTSC  E08-21, which charges pertain to the producer’s failure to satisfy the payment  obligations set forth in a November 19, 1997 consent order.  Under the present settlement, McCaskill will  pay a fine equivalent to the outstanding unpaid fine plus an additional $1,500,  satisfy his outstanding restitution obligation, and remain subject to  suspension or revocation in the event of a default.  Sanctions:  Restitution - $3,510.81; Fine - $4,000. 
    F. Roger Strandskov, Towaco, NJ 
          Eastern Insurance  Agency, Inc., Towaco, NJ 
          Final Decision and Order #E09-07, February 4, 2009; Strandskov  is unworthy of continued licensure as a result of his conviction of the second  degree crime of Theft-Illegal Retention for which he was sentenced to  imprisonment and payment of restitution totaling more than $610,000; each act  of misappropriation underlying the criminal conviction, which acts pertain to  premium owed to insurers, constitutes a separate administrative violation by  Strandskov and his agency, Eastern.  Sanctions:  Revocation of licenses; Fine - $60,000. 
    Consent Orders 
    Manuela C. Bolat, West Collingswood,   NJ  
  Consent Order E09-10, February  25, 2009; Producer failed to forward required documentation to an insurer in  conjunction with an application, resulting in cancellation of the policy; and  failed to timely respond to Department inquiries.  Sanction: Fine - $1,500.  | 
 
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      Consent Orders 
Dennis J. Gaggini, Bridgeton,   NJ 
  Consent Order #E09-01, January  7, 2009; Producer issued a check to the Department for payment of a licensing  fee which was dishonored for insufficient funds.  Sanction:   Fine - $500. 
Barton C. Harris, Valley    Stream, NY 
  Consent Order #E09-02, January  7, 2009; Producer issued a check to the Department for payment of a licensing  fee which was dishonored for insufficient funds, and failed to timely notify  the Department of a change of address.  Sanction:  Fine - $750. 
Van C. Kirchhoff, Weston,   FL 
  Consent Order #E09-05, January  30, 2009; Producer failed to timely notify the Department of an NASD action and  determination, and failed to disclose these matters in subsequent producer  renewal applications.  Sanction:  Revocation of license. 
Robert A. Mogil, New York,   NY 
Alvin Mogil Agency, Inc., d/b/a The Mogil Organization, New York, NY 
Consent Order #E09-03, January  7, 2009; An unlicensed person transacted the business of insurance and was paid  commissions by the Mogil Agency (Robert Mogil being the designated responsible  producer for the agency).  Sanction:  Fine - $7,500. 
Arthur S. Pellechio, Jr., Wharton,   NJ 
  Consent Order #E09-06, January  30, 2009; Pellechio completed an application on behalf of a client to purchase  an annuity from an insurer even though he was not an authorized agent of that  insurer.  Sanction:  Fine - $2,500. 
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