Arizona Department of Insurance

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-167-INS
W ithdrawal Amherst Life Insurance Company
Amherst Life Insurance
Company (AZ No. 5600) / AZ No. 5600

No FAD

10A-171-INS Consent Order Old West Bonding Co., LLC
Yes Investigations
Old West Bonding Co., LLC dba 70119 /
Liberty Bail Bonds, Dana Lee
Schnell, Kaye Dee O'Neal Dana Lee Schnell

67761 /

Kaye Dee O'Neal

954212 /

10A-170-INS Surrender of American Professional Insurance Com
Certificate of Authority
American Professionals / 12094
Insurance Company (NAIC
12084) No FAD
Acquisition
10A-172-INS Western National Mutual Insurance C

Arizona Automobile Insurance / 15377
Co. (NAIC 11805) by Western
National Mutual Insurance Co. No FAD
(NAIC 15377)

10A-178-INS Release of Deposit Washington National Insurance Comp
No FAD
Washington National Insurance / 70319
Company (IN) (NAIC 70319)

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*

11/22/2010 $0.00 Request to terminate CofA is granted.
$0.00 Pet may file Art of Dissolution (Art) w/ ACC.
Release $100,000 stat dep if conditions met.
File 2010 Ann Stmnt if Art not filed by 12/31/10.
Pay CofA renewal if Art not filed by 8/1/11.
Refund $100 IERF deposit.

11/22/2010 $0.00 Provide evidence of repayment.
$0.00 Inform Director of change of officers.
Old West license suspended for 5 business days.
Schnell license suspended for 5 business days.
O'Neal license suspended for 5 business days.
Schnell to update addresses.
O'Neal to update addresses.

mpany 11/22/2010 $0.00 Surrender of CofA is accepted.

$0.00

Company 12/6/2010 $0.00 Acquisition approved subject to express condition.
$0.00 All documents are confidential and privileged.
Advise Dir of effective date of control.
Upon acquisition, file registration stmnt.
Failure to adhere to order - susp or rev of CofA.

pany 12/6/2010 $0.00 Release excess deposit of approx $5,000,000.

$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 26 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-093-INS Consent
Holguin, Jose Luis (Jr.)
Revocation Jose Luis Holguin, Jr.
10A-091-INS (Contested Case)
Kerback, Jerun Henry 948789 /

10A-094-INS No Licensing Jerun Henry Kerback
Barber, Samuel Issac
Revocation 941479 /
10A-069-INS (Contested Case)
Lastovica, Mark David
No Licensing Samuel Issac Barber
10A-180-INS
Redwood Fire & Casualty Revocation 957559 /
Insurance Company (NAIC (Contested Case)
11673)
No Licensing Mark David Lastovica
10A-181-INS
AquaGuardian Insurance Refuse to Renew /
Company, Inc. (NAIC 11845) (Appealable Agency
Action)

No Licensing Redwood Fire & Casualty Insurance C
Consent Order
/ 11673

Yes P&C
Multiple Orders
AquaGuardian Insurance Company, In

/ 11845

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*

12/6/2010 $0.00 License revoked immediately.

$0.00

12/6/2010 $0.00 License revoked immediately.
$0.00

12/6/2010 $0.00 License revoked immediately.
$0.00

12/7/2010 $0.00 Director refuses to renew license.
$0.00

Company 12/7/2010 $1,500.00 C&D applying deviation w/out effective dev filed.
nc. 12/7/2010 $0.00 Apply correct dev upon policy renewals.
Put compliance procedure in place.
Civil penalty of $1500.

$0.00 Request to convert to captive insurer is granted.
$0.00 Request to term worker's comp authority granted.
Release approx $400,000 WC deposit to Pet.
Release approx $518,904 Stat dep to Pet.
Director has no personal liability for releases.

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

Page 27 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-174-INS
W ithdrawal Key Bank Life Insurance, Ltd.
Key Bank Life Insurance, Ltd.
(NAIC 85324) / 85324

No FAD

10A-175-INS W ithdrawal Wachovia Life Insurance Company
No
Wachovia Life Insurance / 72559
Company (NAIC 72559)
FAD

10A-183-INS Release of Deposit American Labor Life Insurance Compa
American Labor Life Insurance
Company (AZ) (NAIC 89427) / 89427

10A-182-INS No FAD Title Resources Guaranty Company
Title Resources Guaranty Release of Deposit
Company (TX) (NAIC 50016) / 50016

10A-177-INS No FAD Memberselect Insurance Company
Memberselect Insurance
Company (NAIC 21229) Surrender of / 21229
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*

12/8/2010 $0.00 Request to teminate CofA is granted.
$0.00 File Art of Dissolution (Art) w/ ACC.
Release $100,000 stat dep if cond met.
File Ann Stmnt if Art not filed by 12/31/10.
Pay CofA renewal if Art not filed by 3/31/11.
Release $100 IERF deposit.

12/8/2010 $0.00 Request to teminate CofA is granted.
$0.00 File Art of Dissolution (Art) w/ ACC.
Release $100,000 stat dep if cond met.
File 2010 Ann Stmnt if Art not filed by 12/31/10.
Pay CofA renewal if Art not filed by 3/31/11.
Refund $100 IERF deposit.

any 12/8/2010 $0.00 Release $400,000 excess deposit to Petitioner.

$0.00

12/8/2010 $0.00 Release $100,000 excess deposit to Petitioner.
$0.00

12/9/2010 $0.00 Surrender of CofA is accpeted.
$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 28 of 30

Docket Number Type of Action Party Name
Matter Name
Settled by Source License # / NAIC #
10A-184-INS Consent
ShieldStar Home Warranty, LLC
Cease and Desist ShieldStar Home Warranty, LLC
(Appealable Agency
Action) / Unlicensed

10A-176-INS No Investigations Auto Club Property-Casualty Insuranc
Auto Club Property-Casualty
Insurance Company (NAIC Surrender of / 11983
11983) Certificate of Authority

10A-185-INS No FAD
Provident Insurance Company W ithdrawal
of Idaho, Inc. (AZ No. 3283) Provident Insurance Company of Idah

/ AZ No. 3283

No FAD

10A-189-INS Consent Order Steven Wallace Allen
Allen, Steven Wallace
51347 /

10A-190-INS Yes Licensing Susan Margaret Dorksen
Dorksen, Susan Margaret Consent Order

101727 /

10A-187-INS Yes Investigations Agrinational Insurance Company
Acquisition
Advanta Insurance Company / 10541
(NAIC 33987) by Agrinational
Insurance Company (NAIC No FAD
10541)

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

12/9/2010 $0.00

ce Comp 12/9/2010 $0.00 Surrender of CofA is accpeted.
$0.00 Refund $100 IERF deposit.

ho, Inc. 12/13/2010 $0.00 Request to terminate CofA is granted.
$0.00 File Art of Dissolution (Art) w/ ACC.
Provide certified copy of filed Art.
File 2010 Ann Rpt if Art not filed by 12/31/10.
Pay CofA Renewal fee if Art not filed by 3/31/2011
Refund $100 IERF Deposit.

12/15/2010 $0.00 License revoked immediately.

$0.00

12/16/2010 $0.00 License revoked immediately.
$67,112.00 Restitution to Farmer's Ins. of $57,298.
Resitution ot Avenir Construct. $9,814.

12/17/2010 $0.00 All documents are confidential and privileged.
$0.00 Advise of effective date of change of control.
Upon acquisition, file registration statement.
Failure to comply will result in revocation/susp.

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

Page 29 of 30

Docket Number Type of Action Party Name

Matter Name Settled by Source License # / NAIC #
Consent
10A-186-INS
Surrender of Global Surety & Insurance Company
Global Surety & Insurance Certificate of Authority
Company (NAIC 11304) / 11304

No FAD

10A-191-INS W ithdrawal Southeast Family Life Insurance Com

Southeast Family Life Insurance / 89281
Company (NAIC 89281)

No FAD

10A-194-INS Consent Order Krystal Kay Taylor
Taylor, Krystal Kay
920224 /

Yes Investigations

10A-192-INS Surrender of Heartland Lloyds Insurance Company
Certificate of Authority
Heartland Lloyds Insurance / 10590
Company (NAIC 10590)
Westward Financial Group, LLC
No FAD
/
10A-188-INS Acquisition
No
Westward Life Insurance
Company (NAIC 78301) by
Westward Financial Group, LLC

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*

12/20/2010 $0.00 Surrender of CofA is accepted.
$0.00 Refund $100 IERF deposit.

mpany 12/27/2010 $0.00 Request to teminate CofA is granted.
12/27/2010 $0.00 File Art of Dissolution (Art) w/ ACC.
Release $110,000 stat dep if cond met.
File 2010 Ann Stmnt if Art not filed by 12/31/2010
Pay CofA renewal if Art not filed by 3/31/11.
Refund $100 IERF deposit.

$0.00 License revoked immediately.
$4,500.00 Resitution to Country Financial $4,500.

y 12/29/2010 $0.00 Surrender of CofA is accepted.

$0.00 Release $1,600,000 retaliatory deposit.
Refund $100 IERF deposit.

12/29/2010 $0.00 Acquisition is approved subject to condition.
$0.00 All documents confidential.
Advise of effective date of control.
Upon consummation, file registration statement.
Failure to comply - susp or revocation.

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

Page 30 of 30