Arizona Department of Insurance

Arizona Departm

Orders Filed: 1/1

Healthcare Appe

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-002-INS
Consent Order Shull and Associates, LLC
Shull and Associates, LLC and
Shull, Bradley Ronald unlicensed /

Bradley Ronald Shull

Yes Licensing 875107 /

10A-003-INS Loss Ratio Standards Loss Ratio Standards and Prima Facie
and Prima Facie Rates
Loss Ratio Standards and /
Prima Facie Rates for Credit
Property Insurance and Credit No P&C
Unemployment Ins

10A-004-INS Consent Order Milbank Insurance Company
Milbank Insurance Company
(NAIC # 41653) / 41653

10A-006-INS Yes CAD
Citysure Western Insurance Consent Order
Center, LLC and Dinero Grace Citysure Western Insurance Center, L
aka James Damerro aka Dinero
James 949294 /

Yes Investigations Dinero Grace /
unlicensed

10A-005-INS Consent Order State Auto National Insurance Compa

State Auto National Insurance / 19530
Company (NAIC # 19530)

Yes CAD

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

ment of Insurance

1/2010 - 12/31/2010

eals not reported

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

1/5/2010 $500.00 Civil penalty of $500.
$0.00 Shull & Assoc. cease acting as adjuster.
Shull & Assoc to become licensed.

e Rates 1/6/2010 $0.00 Loss ratio standard shall remain 50%.
$0.00 Prima facie rates for credit prop unchanged.
Prima facie rates for credit unempl unchanged.
Insurers may file for higher deviated rates.
Order is effective 1/15/10.

1/11/2010 $8,000.00 Cease impermissible non-renewals.
$0.00 Civil penalty of $8,000.00.

LLC 1/11/2010 $0.00 Citysure license revoked immediately.

$5,375.00 Citysure restitution to UAIC - $5,375.00.
Grace cease unlicensed activity.

any 1/11/2010 $7,000.00 Cease impermissible non-renewals.

$0.00 Civil penalty of $7,000.00.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 1 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-007-INS Consent /
Gil, Harold Harold Gil
Consent Order 909311

10A-008-INS Yes Licensing Steven Ray Wilcox
Wilcox, Steven Ray Consent Order

851086 /

09A-126-INS Yes Investigations Rose Mary Cain /
152158
Cain, Rose Mary; EMD Summary Suspension
Brokerage Group, LLC; (Appealable Agency EMD Brokerage Group, LLC
International Casualty Writers, Action)
LLC 948393 /
Yes Investigations

International Casualty Writers, LLC

880674 /

10A-011-INS Release of Deposit Union Standard Insurance Company
Union Standard Insurance
Company (OK) (NAIC 38911) / 38911

10A-015-INS No FAD Agape Auto Service, LLC
Agape Auto Service, LLC and
Desert Moon Management Cease and Desist / unlicensed svc
(Appealable Agency
Action) Desert Moon Management

No Investigations / unlicensed - sv

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

1/12/2010 $0.00 May surrender license.

$0.00

1/14/2010 $0.00 License revoked immediately.
$0.00

1/14/2010 $0.00 Cain's license revoked immediately.
11/10/2009 $115,025.00 EMD's license revoked immediately.
ICW's license revoked immediately.
1/21/2010 Restitution to Rockwood $17,760.00.
Restitution to Prem Assign $54,118.00.
Restitution to NM Mutual $43,147.00.
Respondents jointly and severally liable.

$0.00 Release approximate deposit of $643,158.

$0.00

c con 1/27/2010 $0.00 Cease and desist issuing service contracts.
vc co $0.00 Pay all valid claims.
Order effective immediately.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 2 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-016-INS
Consent Order Scott Loring Maxwell
Maxwell, Scott Loring and
Legacy Insurance & Investment 4216 /
Group LLC
Legacy Insurance & Investment Group

Yes Investigations 208971 /

10A-014-INS Merger PMI Mortgage Assurance Co.
No
WMAC Credit Insurance / 18732
Corporation (NAIC 26786) into
PMI Mortgage Assurance Co. FAD
(NAIC 18732)

09A-104-INS Revocation Rhonda Ilene Odens
(Contested Case)
Odens, Rhonda Ilene (License # 918259 /
918259)

No Licensing

10A-017-INS Consent Order Carlie Kathleen McChesney

McChesney, Carlie Kathleen 884526 /
and Haize Insurance Group, LLC
Haize Insurance Group, LLC

Yes Investigations 884527 /

10A-012-INS Surrender of Farmers Alliance Mutual Insurance Co
Farmers Alliance Mutual Certificate of Authority
Insurance Company (NAIC / 19194
19194)
No FAD
10A-018-INS
Thomas, David C. Consent Order David C. Thomas

896731 /

Yes Investigations

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

1/28/2010 $1,000.00 Civil penalty of $1,000.00.

$0.00

p, LLC

2/2/2010 $0.00 Agreement & Plan of Merger is approved.
2/2/2010 $0.00 File Articles of Merger w/ Corp. Commission.
Provide certified copy of filed Articles of Merger

$0.00 License revoked immediately.
$0.00

2/2/2010 $0.00 Resitution to Digital Age - $11,265.46.
$11,265.46 McChesney's license revoked immediately.
Haize license suspended until McChesney removed.
Haize revoked if remains suspended for 12 months.

ompany 2/2/2010 $0.00 Surrender of CofA is accepted.
$0.00 File 2009 Annual Statement.
Refund $100 IERF deposit.

2/2/2010 $0.00 Non-resident license revoked immediately.
$0.00

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 3 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-028-INS
Consent Order Health Net Life Insurance Company
Health Net Life Insurance
Company (NAIC # 66141) / 66141

Yes Life and Health

10A-026-INS Consent Order Sheldon Fermin Sigala
Sigala, Sheldon Fermin
53072 /
10A-027-INS
Health Net of Arizona, Inc. Yes Licensing Health Net of Arizona, Inc.
(NAIC # 95206) Consent Order
/ 95206

Yes Life and Health

10A-025-INS Surrender of American Ambassador Casualty Com
Certificate of Authority
American Ambassador Casualty / 10073
Company (NAIC 10073)
Eldercare Mutual Ins. Co. RRG, Inc.
No FAD
/ 11816
10A-022-INS W ithdrawal
No
Eldercare Mutual Insurance
Company Risk Retention
Group, Inc. (NAIC 11816)

FAD

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

2/10/2010 $153,000.00 File Corrective Action Plan 1 w/in 90 days.
$0.00 File Corrective Action Plan 2 w/in 90 days.
File Corrective Action Plan 3 w/in 90 days.
After plans approved, monthly reporting.
Civil Penalty of $153,000.00
File Report of Examination.

2/10/2010 $0.00 License revoked immediately.

$0.00

2/10/2010 $83,500.00 Submit Corrective Action Plan 1 w/in 90 days.
2/12/2010 $0.00 Submit Corrective Action Plan 2 w/in 90 days.
Submit Corrective Action Plan 3 w/in 90 days.
Submit Corrective Action Plan 4 w/in 90 days.
Monthly progress reporting after Plan approved.
Civil Penalty of $83,500.
File Examination Report.

mpany $0.00 Surrender of Cert. of Authority is accepted.
$0.00 Refund $100 IERF deposit.

2/12/2010 $0.00 Request to terminate Cert of Authority is granted.
$0.00 File Art of Dissolution w/ ACC.
Provide certified copy of filed Articles.
Request to terminate Letter of Credit is granted.
Provide documentation of complaince w/ Texas.
Refund $100 IERF deposit.
Pay CofA renewal unless Articles filed by 3/31/10.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 4 of 30

Docket Number Type of Action Party Name
License #
Matter Name Settled by Source / NAIC #
Consent SBLI Re, LLC / AZ No 3279
10A-021-INS
Merger
SBLI Re, Inc. (AZ No. 3279)
into SBLI Re, LLC (AZ No 3279)

No FAD

10A-032-INS Acquisition HLIC Holdings, Inc.
No
Heritage Life Insurance / 64394
Company (NAIC # 64394) by
HLIC Holdings, Inc.

FAD

10A-036-INS Final Administrative Premier Access Insurance Company
Decision
Premier Access Insurance / 60237
Company (CA) (NAIC # 60237) No FAD

10A-030-INS Surrender of John Hancock Variable Life Insurance
John Hancock Variable Life Certificate of Authority
Insurance Company (NAIC # / 90204
90204) No FAD
Release of Deposit Kentucky National Insurance Compan
10A-037-INS
Kentucky National Insurance No FAD / 29149
Company (KY) (NAIC # 29149) Surrender of
Certificate of Authority Globe American Casualty Company
10A-033-INS
Globe American Casualty No FAD / 11312
Company (NAIC # 11312)

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

2/12/2010 $0.00 Agreement & Plan of Merger is approved.
$0.00 File Articles of Merger w/ ACC.
Proved certified copy of Art of Merger.
Provide Affidavit of Publication.

2/25/2010 $0.00 Acquisition approved subject to condition.
2/25/2010 $0.00 All documents are confidential.
2/25/2010 Advise of effective date of change of control.
Upon acquisition, file registration statement.
Failure to comply results in suspension/revocation

$1,000.00 Order is Final Administrative Decision.
$0.00 Pay 7/3/08 assessment immediately.
Pay 8/22/08 assessment immediately.
Pay 3/18/09 assessment immediately.
Pay 5/26/09 assessment immediately.
Civil penalty of $1,000.

e Compa $0.00 Surrender of CofA is accepted.
$0.00 Release $157,000 retaliatory deposit.
Refund $100 IERF deposit.

ny 2/25/2010 $0.00 Release $50,000 deposit.
$0.00

2/26/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 5 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-038-INS Consent
Grace, James-Dinero
Consent Order James-Dinero Grace

959281 /

10A-040-INS Yes Investigations Cheryl Ann Allred
Allred, Cheryl Ann Consent Order

9479 /

10A-041-INS Yes Investigations James William Meyers
Meyers, James William Consent Order

926591 /

10A-042-INS Yes Investigations Fox Insurance Company
Fox Insurance Company (NAIC
#10161) Summary Suspension / 10161
(Appealable Agency
10A-039-INS Action)
Vail, Thomas Guy
No FAD
Consent Order
Thomas Guy Vail

909238 /

10A-046-INS Yes Licensing Claudia Elizabeth Alcantar
Alcantar, Claudia Elizabeth Consent Order

923142 /

Yes Investigations

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

3/2/2010 $0.00 License revoked immediately.

$0.00

3/10/2010 $0.00 License revoked immediately.
$815,834.15 Restitution to Hatch Ins. Agency.

3/10/2010 $0.00 License revoked immediately.
$0.00

3/10/2010 $0.00 CofA is summarily suspended.
$0.00

3/10/2010 $0.00 License suspended immediately.
3/18/2010 $0.00 Notify of action taken in home state.
License reinstated if home state reinstates.
License revoked if revoked by home state.

$0.00 License revoked immediately.
$12,246.77 Restitution to Farmer's IC - $12,246.77.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 6 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-048-INS
Consent Order CSE Safeguard Insurance Company
CSE Safeguard Insurance
Company (NAIC 18953) / 18953

Yes MOD

10A-047-INS Consent Order Civil Service Employees Insurance Co

Civil Service Employees / 10693
Insurance Company (NAIC
10693)

Yes MOD

10A-045-INS Cease and Desist Devon Randall Clarke
Clarke, Devon Randall (Appealable Agency
Action) unlicensed /

10A-049-INS No Investigations Doyle William Deane McCurley
McCurley, Doyle William Deane Consent Order

50773 /

10A-043-INS Yes Investigations John Hancock Insurance Company
John Hancock Life Insurance
Company (NAIC 65099) Surrender of / 65099
Certificate of Authority
10A-044-INS
Healthy Alliance Life Insurance No FAD Healthy Alliance Life Insurance Comp
Company (NAIC 789720
Surrender of / 78972
Certificate of Authority

No FAD

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

3/19/2010 $55,000.00 Correct violaitons.
$0.00 Submit evidence of corrections w/in 90 days.
Dept shall verify corrections.
Civil penalty of $55,000.
File examnation and objection letter.

ompany 3/19/2010 $57,000.00 Correct violations.
$0.00 Submit evidence of corrections w/in 90 days.
Dept shall verify compliance.
Civil penalty of $57,000.
File examination and objection letter.

3/23/2010 $0.00 Cease and desist selling ins. in AZ.
$0.00 Order effective immediately.

3/24/2010 $250.00 Civil penalty of $250.
$0.00

3/24/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

pany 3/24/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 7 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-050-INS Consent
Chicago Title Insurance
Company (NAIC 50229) Consent Order Chicago Title Insurance Company

10A-001-INS / 50229
Kothe, Jeffrey Lee
Yes Licensing Jeffrey Lee Kothe

License Denial /
(Appealable Agency
Action)

09A-139-INS No Licensing Charles St. George Kirkland
Kirkland, Charles St. George
License Denial /
(Appealable Agency
Action)

10A-055-INS No Licensing Scottsdale Insurance Company
Consent Order
Scottsdale Insurance Company / 41297
(NAIC # 41297) Yes MOD

10A-054-INS Consent Order Tracy Mark Greiff
Yes Investigations
Greiff, Tracy Mark and Western 88187 /
Pacific Benefits Group, Inc.
Western Pacific Benefits Group, Inc.

128168 /

10A-053-INS Surrender of Catholic Family Life Insurance
Certificate of Authority
Catholic Family Life Insurance / 56022
(NAIC # 56022)

No FAD

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

3/31/2010 $10,000.00 Civil penalty of $10,000.

$0.00

4/7/2010 $0.00 License denial upheld.
$0.00

4/8/2010 $0.00 License denial upheld.
$0.00

4/9/2010 $37,500.00 Correct violations.
4/9/2010 $0.00 Submit evidence of corrections w/in 90 days.
Departrment shall verify compliance.
Civil penalty of $37,500.
Report and objection letter shall be filed.

$7,500.00 Cease and desist allowing unlicensed to sell ins.
$0.00 Cease and desist paying commission to unlicensed.
Cease and desist misrepresentations.
Civil penalty of $7,500.

4/14/2010 $0.00 Surrender of Certificate of Authority is accepted.
$0.00 Refund $100 IERF deposit.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 8 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-057-INS Consent
Shields, Teresa Teddy
Consent Order Teresa Teddy Shields

110089 /

Yes Investigations

10A-052-INS Summary Suspension Pioneer Management Systems, Inc.
(Appealable Agency
Pioneer Management Systems, Action) / AZ Cert. # 231
Inc.

No Life and Health

10A-059-INS Consent Order Stephen Vincent Gebhardt

Gebhardt, Stephen Vincent and 208375 /
Gebhardt Insurance Group, LLC
Gebhardt Insurance Group, LLC

Yes Investigations 928220 /

10A-060-INS Summary Suspension Medical Management Captive Insuran
(Appealable Agency
Medical Management Captive Action) / AZ No. 3233
Insurance Company (No. 3233)
No FAD

10A-061-INS Surrender of Commercial Risk Re-insurance Comp
Commercial Risk Re-insurance Certificate of Authority
Company (NAIC # 27955) / 27955
No FAD
10A-063-INS Release of Deposit Southwest Insurance Company
Southwest Insurance Company
(No. 3277) No FAD / Captive No. 32

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

4/14/2010 $0.00 License revoked immediately.

$0.00

$0.00 TPA registration summarily suspended.

17 4/15/2010 $0.00

4/15/2010 $2,500.00 Civil penalty of $2,500.
$0.00

nce Com $0.00 Suspending Arizona CofA effective immediately.
$0.00 Prohibiting issuance of new and renewal ins. bus.
4/16/2010 During suspension comply with Title 20.
$0.00 Evidence of captive mngr w/in 10 days.
pany 4/26/2010 $0.00 Amended business plan w/in 30 days.
Monthly reporting on the 10th of each month.

Surrender of CofA is accepted.
Release $110,837 worker's comp deposit.
Director has no personal liability for release.
Refund $100 IERF deposit.

4/27/2010 $0.00 Release $250,000 to Petitioner.
277 $0.00

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 9 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-064-INS
W ithdrawal Preferred Care Life Insurance Compa
Preferred Care Life Insurance
Company (NAIC 60072) / 60072

No FAD

10A-062-INS W ithdrawal Tapestry Insurance Corporation
No
Tapestry Insurance Corporation / AZ No. 3255
(AZ No. 3255)
FAD

10A-058-INS Merger Protective Life Insurance Company
No
Citizen's Accident & Health Ins. / 68136
Co. (NAIC 85960) into
Protective Life Ins. Co. (NAIC FAD
68136)

09A-086-INS Summary Suspension Katherine Anne Goulart
Goulart, Katherine Ann (Appealable Agency
Action) 905936 /
09A-089-INS
Ennis, Scott Alan No Licensing Scott Alan Ennis /
905937
Summary Suspension
(Appealable Agency
Action)

No Licensing

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

any 5/6/2010 $0.00 Request to term CofA is granted.
$0.00 File Art of Dissolution (Art) w/ ACC.
Release $100,000 stat deposit if cond. met.
File 2010 Ann Stmnt if Art not filed by 12/31/2010
Pay CofA renewal if Art not filed by 3/31/2011.
Refund $100 IERF deposit.

5/6/2010 $0.00 Request to terminate CofA is granted.
$0.00 File Art of Dissolution (Art) w/ ACC.
Provide certified copy from ACC.
File 2010 Ann Stmnt unles Art filed by 12/31/10.
Pay CofA renewal if Art not filed by 3/31/2011.
Refund $100 IERF deposit.

5/6/2010 $0.00 Agreement and Plan of Merger is approved.
$0.00 My file Art of Merger (Art) w/ ACC.
Shall file Tenn DOI approval of merger.
File Ann Stmnt unless Art filed by 12/31/10.
Pay CofA renewal unless Art filed by 3/31/11.
Release $100,000 dep if docs provided.
Refund $100 IERF deposit.

5/14/2010 $0.00 License reinstated.

8/13/2009 $0.00

5/14/2010 $0.00 License reinstated.
8/13/2009 $0.00

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 10 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-066-INS Consent
Redland Insurance Company
(NAIC 37303) Surrender of Redland Insurance Company
Certificate of Authority
10A-072-INS / 37303
Ryland Insurance Services, Inc.
No FAD
Consent Order
Ryland Insurance Services, Inc.

88980 /

09A-094-INS Yes Licensing Joann Moffitt /
Moffitt, Joann (License 876006
#876006)(NPN 2082932) Revocation
(Contested Case)
10A-071-INS
Avomark Insurance Company No Licensing Avomark Insurance Company
(NAIC # 10792)
Surrender of / 10792
09A-153-INS Certificate of Authority
Behrens, Bryan Scott
No FAD Bryan Scott Behrens

Revocation 76119 /
(Contested Case)

10A-070-INS No Licensing Truck Insurance Exchange
Consent Order
Truck Insurance Exchange / 21709
(NAIC #21709)

Yes P&C

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

5/14/2010 $0.00 Surrender of CofA is accepted.
$0.00 Transfer w/c deposit to Praetorian account.
Refund $100 IERF deposit.

5/19/2010 $1,750.00 Civil penalty of $1,750.
$0.00 Late renew license.

5/24/2010 $0.00 Non-resident license revoked immediately.
$0.00

5/24/2010 $0.00 Surrender of CofA is accepted.
5/24/2010 $0.00 Transfer w/c deposit to WAIC w/c account.
Refund $100 IERF deposit.

$0.00 Non-resident license revoked immediately.
$0.00

5/25/2010 $8,500.00 Cease and desist using rates.
$0.00 Adhere to correct rates upon renewal.
Ensure procedure in place.
Civil penalty of $6,000.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 11 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-074-INS
Consent Order Get Out Bail Bonds, LLC
Get Out Bail Bonds, LLC and
Roossin, Kristin Marie 965627 /

Kristin Marie Roossin

Yes Investigations 964544 /

10A-075-INS Consent Order Western United Insurance Company

Western United Insurance / 37770
Company (NAIC 37770)

Yes MOD

10A-076-INS Consent Order ACA Insurance Company

ACA Insurance Company (NAIC / 10921
10921)

Yes MOD

10A-068-INS Consent Order Southwest Risk Assurance Company,

Southwest Risk Assurance / AZ No. 3256
Company, Inc. (No. 3256)

Yes FAD

10A-077-INS Consent Order Auto Now Financial Services, Inc.

Auto Now Financial Services, Unlicensed /
Inc. and Jackson, Brian Edwin
Brian Edwin Jackson

Yes Investigations Unlicensed /

10A-024-INS Civil Money Penalty Libra Bail Bonds /
Libra Bail Bonds Yes Investigations 898441

Joel Clifford McPhaill

883184 /

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

5/25/2010 $1,000.00 Civil Penalty of $1,000.

$0.00

5/27/2010 $25,000.00 Correct violations.
5/27/2010 $0.00 Dept. can verify compliance.
6/1/2010 Civil penalty of $25,000.
Exam and objection letter to be filed.

$20,500.00 Correct violations.
$0.00 Department shall verify compliance.
Civil penalty of $20,500.
File Exam and objection letter.

, Inc. $0.00 CofA is revoked immediately.
$0.00

6/4/2010 $1,000.00 Cease and desist unitl licensed.
$0.00 Civil penalty of $1,000.

6/4/2010 $500.00 Civil penalty of $500.
$0.00

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 12 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-079-INS Consent
Nationwide Life Insurance
Company of America (NAIC Surrender of Nationwide Life Insurance Company o
68225) Certificate of Authority
/ 68225
10A-078-INS
Nationwide Life and Annuity No FAD Nationwide Life and Annuity Company
Company of America (NAIC
70750) Surrender of / 70750
Certificate of Authority
10A-080-INS
Ability Bonding Company, Inc.; No FAD
Carrillo, Lucas Joseph dba Consent Order
Ability Bail Bonds Ability Bonding Company, Inc.

952441 /

Lucas Joseph Carrillo

Yes Investigations 943876 /

10A-029-INS Revocation Jeffrie Blaine Harper
Harper, Jeffrie Blaine (Contested Case)
32160 /

10A-087-INS No Licensing Phico Insurance Company in Liquidati
Phico Insurance Company in Release of Deposit
Liquidation (NAIC 35718) / 35718

10A-034-INS No FAD Lumber Mutual Insurance Company
Lumber Mutual Insurance
Company (NAIC 14435) Surrender of / 14435
Certificate of Authority

No FAD

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

of Americ 6/15/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

y of Ame 6/15/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

6/16/2010 $500.00 Immediately begin using a dailiy bond register.
$0.00 Civil penalty of $500.

6/22/2010 $0.00 Arizona license #32160 revoked immediately.
ion 6/29/2010 $0.00

7/20/2010 $0.00 Release PHICO WC Deposit of $136,000.
$0.00 Release $33,020 to ICA.
Release balance (after fees) to Liquidator.

$0.00 Petitioner's surrender of CofA is accepted.
$0.00

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 13 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-088-INS
W ithdrawal National Healthcare Reinsurance Com
National Healthcare
Reinsurance Company (NAIC / 60080
60080)

No FAD

10A-096-INS Consent Order Titan Indemnity Company
Titan Indemnity Company
(NAIC 13242) / 13242

10A-095-INS Yes MOD
Victoria Specialty Insurance
Company (NAIC 10777) Consent Order Victoria Specialty Insurance Company

10A-067-INS / 10777
Wright & Co. (AZ Cert. No.
2307) Yes MOD

10A-109-INS Summary Suspension Wright & Co.
Chamberlain, Elizabeth Ann (Appealable Agency
Action) / AZ Cert No 230

No Life and Health Elizabeth Ann Chamberlain
Consent Order

668511 /

Yes Investigations

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

mpany 7/20/2010 $0.00 Request to terminate CofA is granted.
$0.00 May file Art of Dissolution w/ ACC.
y Release $100,000 stat dep if conditions met.
07 File 2010 Ann Stmt unless Art filed by 12/31/2010.
Pay CofA renewal if Art not filed by 3/31/2011.
Refund $100 IERF deposit.

7/21/2010 $20,000.00 Correct violations.
$0.00 Submit evidence of corrections w/in 90 days.
Dept may verify compliance.
Civil penalty of $20,000.
Examination and objection letter to be filed.

7/21/2010 $22,000.00 Correct violations.
$0.00 Submit evidence of corrections w/in 90 days.
Dept may verify compliance.
Civil penalty of $22,000.
Examination and objection letter to be filed.

7/28/2010 $0.00 Bond requirement met - Registration reinstated.

5/11/2010 $0.00

8/3/2010 $0.00 License revoked immediately.
$69,525.60 Restitution to Cincinnati IC - $12,695.55.
Restitution to Central IC - $56,830.05.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 14 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-111-INS Consent
Health Agencies of the West,
Inc. (CA) (Ariz. No. 2355) Consent Order Health Agencies of the West, Inc.

10A-108-INS / AZ No. 2355
Midwest Insurance Group, Inc.
A Risk Retention Group (NAIC Yes Life and Health Midwest Insurance Group, Inc. A Risk
11999) W ithdrawal
/ 11999

No FAD

10A-065-INS Refuse to Renew Gene Raymond Monteleone
Monteleone, Gene Raymond (Appealable Agency
Action) /
10A-086-INS
Thomas, Marlene Martha Yes Licensing Marlene Martha Thomas

10A-082-INS Revocation 927967 /
Gupta, Tamara Elaine (Contested Case)

Yes Licensing Tamara Elaine Gupta

Revocation 927533 /
(Contested Case)

No Licensing

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

8/5/2010 $0.00 Certificate of registration is surrendered.
$0.00 Complete Affidavit of Lost Cert of Registration.

k Retenti 8/10/2010 $0.00 File Art of Redomestication w/ VT.
$0.00 Provide certified copies:
8/10/2010 VT Articles of Restatement.
8/24/2010 VT SOS Cert of Re-domestication.
Revised VT CofA.
Refund $100 IERF deposit.
Request to terminate CofA is approved.
Effective date is date of Restatement in VT.

$500.00 Civil penalty of $500.
$0.00 License renewed on filing date.
License suspended for 6 months on filing date.
Hearing vacated.

$0.00 License may be surrendered.
$0.00 Hearing vacated.

8/24/2010 $0.00 Respondent is in default.
$0.00 License is revoked.
Hearing vacated.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 15 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-116-INS
Consent Order United Automobile Insurance Compan
United Automobile Insurance
Company (NAIC 35319) / 35319

Yes MOD

10A-112-INS W ithdrawal Captiva Assurance Company, Inc.
No
Captiva Assurance Company, / AZ # 3289
Inc. (AZ # 3289)
FAD

10A-113-INS W ithdrawal Educators Life Insurance Company of
No
Educators Life Insurance / 75892
Company of America (NAIC
75892)

10A-115-INS W ithdrawal 84 Indemnity Company

84 Indemnity Company (AZ # / AZ # 3251
3251)
FAD
No American Property & Liability Insuranc

10A-114-INS W ithdrawal / AZ # 3218

American Property & Liability FAD
Insurance Company (AZ # 3218)

No

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

ny 8/25/2010 $23,000.00 Correct violations.
f Americ $0.00 Submit corrections w/in 90 days.
Dept may verify compliance.
Civil penalty of $23,000.
Exam and objection letter shall be filed.

8/25/2010 $0.00 Request to teminate CofA is granted.
$0.00 Request to teminate LOC is granted.
File Art of Dissolution (Art) w/ ACC.
Provide certified copy of filed Art.
File 2010 Ann Rpt unless Art filed by 12/31/10.
Pay CofA renewal if Art not filed by 3/31/11.
Refund $100 IERF deposit.

8/25/2010 $0.00 Request to terminate CofA is granted.
$0.00 File Art of Dissolution (Art) w/ ACC.
Release $100,000 stat dep if cond met.
File 2010 Ann Stmnt unless Art filed by 12/31/10.
Pay CofA renewall unless Art filed by 3/31/2011.
Refund $100 IERF deposit.

8/26/2010 $0.00 Request to teminate CofA is approved.
$0.00 Provide certified copy of DE CofA.
Refund $100 IERF deposit.

ce Comp 8/26/2010 $0.00 Request to teminate CofA is granted.
$0.00 File Art of Amend (Art) w/ ACC.
Provide Dept w/ certified copy of Art.
File 2010 Ann Rpt if Art not filed by 12/31/2010.
Pay CofA renewal if Art not filed by 3/31/2011.
Refund $100 IERF deposit.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 16 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-102-INS Consent
Fennell, Victoria Rose
Revocation Victoria Rose Fennell
10A-119-INS (Contested Case)
Mamsi Life and Health 941027 /
Insurance Company (NAIC
60321) Yes Licensing Mamsi Life and Health Insurance Com

10A-120-INS Surrender of / 60321
Eastern Life and Health Certificate of Authority
Insurance Company (NAIC
62804) No FAD Eastern Life and Health Insurance Co

10A-122-INS Surrender of / 62804
East Arkansas Gem Life Certificate of Authority
Insurance Company (AZ No.
5625) No FAD East Arkansas Gem Life Insurance Co

10A-105-INS Summary Suspension / AZ No. 5625
Holland Zangari, Nancy Iris (Appealable Agency
Action)

No FAD Nancy Iris Holland Zangari

Revocation 935974 /
(Contested Case)

Yes Licensing

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

8/30/2010 $0.00 Respondent may surrender license.
$0.00 Hearing is vacated.

mpany 9/1/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

ompany 9/2/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

ompany $0.00 CofA suspended effective immediately.
$0.00 New and renewal ins bus prohibited.
9/3/2010

9/15/2010 $0.00 Respondent may surrender license.
$0.00 Hearing is vacated.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 17 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-125-INS
Acquisition Prosperity Life Insurance Group, Inc.
Advanta Life Ins. Co. (NAIC
80055) by Prosperity Life Ins. /
Grp, Inc. et al
Black Diamond Capital Partners I, LP
No FAD
/

Black Diamond Holdings, LLC

/

Reservoir Capital Group, LLC

/

10A-131-INS Consent Order Unigard Insurance Company
Unigard Insurance Company
(NAIC 25747) Yes MOD / 25747
Consent Order
10A-130-INS Boyd Kimball Perkins
Perkins, Boyd Kimball, Security Yes Investigations
Insurance, LLC 902591 /

Security Insurance, LLC

914769 /

10A-129-INS Release of Deposit Mid America Insurance Company
Mid America Insurance
Company (AZ) (AZ # 5651) / AZ No. 5651

10A-133-INS No FAD
QBE Insurance Corporation
(NAIC 39217) Consent Order QBE Insurance Corporation

/ 39217

Yes MOD

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

9/27/2010 $0.00 Acquisition approved subject to express condition.
$0.00 All documents are confidential.
Advise of effective date of change of control.
File registration statement.
Failure to comply w/ terms results in suspension.

9/27/2010 $16,000.00 Correct violations.
9/27/2010 $0.00 Provide evidence of corrections w/in 90 days.
Civil penalty of $16,000.
Exam and objection letter shall be filed.

$2,500.00 Licenses suspended for 30 days.
$0.00 Civil penalty of $2,500.

9/27/2010 $0.00 Release $7500 deposit.
$0.00

10/1/2010 $40,000.00 Correct violations
$0.00 Submit evidence of compliance w/in 90 days.
Department will verify compliance.
Civil Penalty of $40,000.
Exam and objection letter shall be filed.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 18 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-134-INS Consent
Great Divide Insurance
Company (NAIC 25224) Release of Workers' Great Divide Insurance Company
Comp Deposit
10A-126-INS / 25224
Conseco Health Insurance
Company (NAIC 78174) into No FAD
Washington National Insurance Merger
Company (NAIC 70319 Washington National Insurance Comp

/ 70319

No FAD

10A-135-INS W ithdrawal Arizona Professional Insurance Co.
No
Arizona Professional Insurance / AZ No. 3228
Co. (AZ No. 3228)
FAD

10A-132-INS Merger CST Insurance Company (Nevada)
No
CST Insurance Company (AZ # /
3288) into CST Insurance
Company (Nevada) FAD

10A-104-INS Revocation Corrina Diane Halter
Halter, Corrina Diane (Contested Case)
931736 /

Yes Licensing

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

10/1/2010 $0.00 Release approx $100,000 W/C deposit.

$0.00

pany 10/5/2010 $0.00 Plan and Agreement of Merger is approved.
$0.00 File Art of Merger (Art) w/ ACC.
File ACC certified Art w/ Department.
File IN DOI certified approval of merger.
File Ann stmnt unless Art filed w/ ACC by 12/31/10
Pay CofA renewl unless Art filed w/ ACC by 3/31/11
Transfer $5,090,000 stat dep to Pet acct.
Refund insurer $100 IERF deposit.

10/5/2010 $0.00 Request to terminate CofA is granted.
10/5/2010 $0.00 File Art of Dissolution (Art) w/ ACC.
10/13/2010 File ACC certified Art w/ Department.
File Ann stmnt unless Art filed w/ ACC by 12/31/10
Pay CofA renewl unless Art filed w/ ACC by 3/31/11
Refund $100 IERF deposit.

$0.00 Plan and Agreement of Merger is approved.
$0.00 File Art of Merger (Art) w/ ACC.
File ACC certified Art w/ Department.
File Ann stmnt unless Art filed w/ ACC by 12/31/10
Pay CofA renewl unless Art filed w/ ACC by 3/31/11
Refund insurer $100 IERF deposit.

$0.00 Respondent may surrender license.
$0.00 Hearing is vacated.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 19 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-137-INS Consent
Crouse, Dustin Eli
Summary Suspension Dustin Eli Crouse
10A-139-INS (Appealable Agency
Maynard, Robert Emmett Action) 910852 /

No Investigations Robert Emmett Maynard
Consent Order

908027 /

10A-140-INS Yes Investigations AssuranceAmerica Insurance Compa
AssuranceAmerica Insurance Consent Order
Company (NAIC 11558) / 11558

10A-141-INS Yes MOD 2nd Chance Bail Bonds, LLC
2nd Chance Bail Bonds, LLC Consent Order
and Seashore, Todd Aaron 972680 /
Yes Investigations
Todd Aaron Seashore

972680 /

10A-138-INS Surrender of Conseco Insurance Company
Conseco Insurance Company Certificate of Authority
(NAIC 60682) / 60682

10A-099-INS No FAD Lourdes Julieta Carvajal
Carvajal, Lourdes Julieta
Revocation 938029 /
(Contested Case)

Yes Licensing

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

$0.00 License summarily suspended.

10/13/2010 $0.00

10/14/2010 $1,000.00 Cease and desist misrep.
$0.00 Cease and desist statement.
Civil penalty of $1,000.

any 10/15/2010 $16,000.00 Costs of $16,000.

$0.00

10/15/2010 $250.00 Civil penalty of $250.
$0.00 Respondents jointly and severally responsible.

10/18/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

10/19/2010 $250.00 Submit set of fingerprints and Illegible FP Form.
$0.00 Civil penalty of $250.
Hearing is vacated.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 20 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-101-INS Consent
Cox-Stockwell, Crystal Rose
Revocation Crystal Rose Cox-Stockwell
(Contested Case)
931226 /

10A-142-INS Yes Licensing Boston National Title Agency
Boston National Title Agency, Consent Order
LLC /
Yes Licensing
10A-999-INS Summary Suspension Great American Life Assurance Comp
Great American Life Assurance Vacated
Company (NAIC 62200) Docket / 62200
# 7507 No FAD
Release of Deposit Ullico Life Insurance Company
10A-144-INS
Ullico Life Insurance Company No FAD / 86371
(TX) (NAIC 86371) Revocation
(Contested Case) Ruth Ann Morgan
10A-083-INS
Morgan, Ruth Ann 929931 /

10A-084-INS No Licensing Justin Brett Scott
Scott, Justin Brett
Revocation 920751 /
(Contested Case)

No Licensing

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

10/19/2010 $0.00 Respondent may surrender license.
$0.00 Hearing is vacated.

10/28/2010 $500.00 License granted and immediately suspended.
$0.00 Civil penalty of $500.
Reinstate license upon payment of civil penalty.

pany 11/2/2010 $0.00 8/22/1991 Suspension Order is vacated.
$0.00 CofA is reinstated.

11/4/2010 $0.00 Release $975,000 excess deposit.
$0.00

11/4/2010 $0.00 License revoked immediately.
$0.00

11/4/2010 $0.00 License revoked immediately.
$0.00

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 21 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-092-INS Consent
McKinnon, Thomas Patrick
Revocation Thomas Patrick McKinnon
(Contested Case)
944122 /

10A-085-INS No Licensing Sarita Elizabeth Sobalvarro
Sobalvarro, Sarita Elizabeth
Revocation 928071 /
(Contested Case)

10A-152-INS No Licensing Lincoln Memorial Life Insurance Comp
Lincoln Memorial Life Insurance Release of Deposit
Company in Liquidation (TX) / 69833
(NAIC 69833) No FAD
Revocation Marie Elizabeth Kayser
10A-090-INS (Contested Case)
Kayser, Marie Elizabeth 936511 /

10A-148-INS Yes Licensing Yvette Estrada Reyes
Reyes, Yvette Estrada
Summary Suspension 947585 /
10A-147-INS (Appealable Agency
Hope, Charles Douglas Henry Action)

No Licensing Charles Douglas Henry Hope

Summary Suspension 957597 /
(Appealable Agency
Action)

No Licensing

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

11/4/2010 $0.00 License revoked immediately.
$0.00 Hearing is vacated.

11/4/2010 $0.00 License revoked immediately.
$0.00

pany in L 11/4/2010 $0.00 Release $100,000 CD.
$0.00 Release approx. $113,324 accrued interest.

11/4/2010 $0.00 Respondent may surrender license.
$0.00 Hearing is vacated.

11/5/2010 $0.00 License summarily suspended immediately.
$0.00

11/5/2010 $0.00 License summarily suspended immediately.
$0.00

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 22 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-151-INS Consent
World Access Service
Corporation Summary Suspension World Access Service Corporation
(Appealable Agency
10A-149-INS Action) AZ # 22177 /
Reyes, Reynaldo Manuel
No Licensing Reynaldo Manueal Reyes

Summary Suspension 194019 /
(Appealable Agency
Action)

10A-145-INS No Licensing Collin Eachan Bass
Bass, Collin Eachan
Summary Suspension 947577 /
(Appealable Agency
Action)

10A-146-INS No Licensing Jonathan Garabed Hassessian
Hassessian, Jonathan Garabed
Summary Suspension 865728 /
(Appealable Agency
Action)

10A-154-INS No Licensing Security Union Title Insurance Compa
Security Union Title Insurance
Company (NAIC 50857) Surrender of / 50857
Certificate of Authority
10A-157-INS
United Capital Title Insurance No FAD United Capital Title Insurance Compan
Company (NAIC 50041)
Surrender of / 50041
Certificate of Authority

No FAD

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

11/5/2010 $0.00 MGA lines of authority summarily suspended.
$0.00 Producer lines of authority remain in force.

11/5/2010 $0.00 Bail bond agent line of authority suspended.
$0.00

11/8/2010 $0.00 License summarily suspended immediately.
$0.00

11/8/2010 $0.00 License summarily suspended immediately.
$0.00

any 11/9/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

any 11/9/2010 $0.00 Surrender of CofA is accepted.
$0.00 Release $600,000 stat deposit.
Refund $100 IERF deposit.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 23 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-156-INS Consent
Ticor Title Insurance Company
of Florida (NAIC 51535) Surrender of Ticor Title Insurance Company of Flor
Certificate of Authority
10A-155-INS / 51535
Ticor Title Insurance Company
(NAIC 50067) No FAD Ticor Title Insurance Company

10A-106-INS Surrender of / 50067
Hurtado, Cynthia Louise Certificate of Authority

No FAD Cynthia Louise Hurtado

Revocation 938531 /
(Contested Case)

Yes Licensing

10A-009-INS Revocation Ajax Bail Bonds, Inc.
(Contested Case)
Ajax Bail Bonds, Inc., Irving 938374 /
James Andrew, Agopa, Inc. dba Yes Investigations
Ajax Bail Bonds, Salgado, James Andrew Irving
Isabel Gloria
59234 /

Agopa, Inc. /
947576

Isabel Gloria Salgado

893410 /

10A-153-INS Surrender of Lawyers Title Insurance Corporation
Certificate of Authority
Lawyers Title Insurance / 50024
Corporation (NAIC 50024)

No FAD

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

rida 11/9/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

11/9/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

11/10/2010 $0.00 Respondent may surrender her license.
$0.00

11/10/2010 $0.00 Irving agrees to surrender license.
$4,826.00 Ajax Bail Bonds, Inc. agrees to surrender license.
Salgado agrees to surrender license.
Restitution w/in 30 days.
Vilencia to replace Salgado as DRLP.

11/10/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 24 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-097-INS Consent
Allison, Rebecca Louise
Revocation Rebecca Louise Allison
(Contested Case)
940955 /

10A-098-INS No Licensing Isabel Brambila /
Brambila, Isabel 940775
Revocation
(Contested Case)

10A-158-INS No Licensing ProSight Specialty Insurance Holdings
Acquisition
Southwest Marine and General /
Insurance Co. (NAIC12294) by No FAD
ProSight Specialty Insurance
Holdings, Inc

10A-169-INS Consent Order Fidelity National Insurance Company

Fidelity National Insurance / 25180
Company (NAIC 25180)

Yes MOD

10A-100-INS Revocation Marion Elizabeth Courtis
Courtis, Marion Elizabeth (Contested Case)
946889 /
10A-103-INS
Frazer, Belinda Jean No Licensing Belinda Jean Frazer

Revocation 943617 /
(Contested Case)

No Licensing

Report Key: SS or CD: Summary Suspension or Cease and Desist
Source Codes: CAD - Consumer Affairs Division; FAD - Financial Affairs Division; MOD - Market Conduc

Friday, January 21, 2011

Dates: Fines:

Order Civil Penalty

SS or CD Restitution Ordered*

11/18/2010 $0.00 License revoked immediately.

$0.00

11/18/2010 $0.00 License revoked immediately.
$0.00

s, Inc. 11/18/2010 $0.00 Acquisition is approved subject to conditions.
11/18/2010 $0.00 All documents received are confidential.
11/19/2010 Advise of effective date of control.
Upon acquisition, file registration statement.
Failure to comply results in susp or rev of CofA.

$25,000.00 Correct violations.
$0.00 Within 90 days submit evidence of corrections.
Department shall verify compliance.
Civil penalty of $25,000.
Examination and objection letter shall be filed.

$0.00 License revoked immediately.

$0.00

11/19/2010 $0.00 License revoked immediately.
$0.00

*For complete details on an Order - please request a paper copy from the Department of Insurance
ct Exam; PC - Property and Casualty Division

Page 25 of 30