Enforcement

The Division of Insurance pursues allegations of misconduct by licensees including insurance producers, insurance advisors, public adjusters, reinsurance intermediaries, viatical loan brokers and providers, viatical settlement brokers and providers, insurance companies, health maintenance organizations and self-insurance groups.

 These investigations entail interviewing witnesses, questioning suspected perpetrators and reviewing documentary evidence supporting allegations of unfair methods of competition, unfair or deceptive acts or trade practices and other violations of insurance laws and regulations. When warranted, enforcement counsel prosecute matters following investigative efforts. Enforcement actions include, but may not be limited to, the following through negotiated settlements or administrative hearings: cease and desist orders; the establishment of compliance programs; license sanctions, including revocation or suspension; restitution and/or the imposition of financial penalties

Administrative Actions

Enforcement Terms and Definitions

Primary Allegation(s) - The violations of the insurance laws allegedly committed by the licensee. In some instances, not every alleged violation may be listed.
 

Dispositions  

Settlement Agreement - The licensee agreed to an informal resolution of the case under the listed terms and/or penalty.

Consent Agreement - The Division filed a formal administrative complaint against the licensee, but the case was resolved before an administrative hearing under the listed terms and/or penalty.

Administrative Decision - The Division filed a formal administrative complaint against the licensee, an administrative hearing was held and a Division hearing officer issued a formal decision containing the listed terms and/or penalty.

Cease and Desist - Licensee agrees to discontinue the alleged violation(s) of the insurance law(s).

Fine - Licensee agrees to pay a monetary penalty for the alleged violation(s) of the insurance laws(s).

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