Administrative Actions September 2012

Last Updated: October 2, 2012

For more information, contact: J.P. Wieske
(608) 266-2493 or jp.wieske@wisconsin.gov

Madison, WI—OCI has taken the following administrative actions. In many of these cases the respondent denied the allegations but consented to the action taken. Any forfeitures paid in these administrative actions are deposited in the Common School Fund which is administered by the Board of Commissioners of Public Lands. The earnings from this fund are distributed to all public K-12 schools in Wisconsin and are used by school libraries to purchase books. Copies of the administrative action orders may be viewed online at https://ociaccess.oci.wi.gov/OrderInfo/OrdInfo.oci.

OCI is responsible for overseeing the operations and marketing of insurance companies and agents in Wisconsin. OCI encourages anyone with a question or a complaint regarding an insurance company or agent to contact the office at this toll-free telephone number: 1-800-236-8517.

Allegations and Actions Against Agents

Ana Aguila, 10395 SW 93rd St., Miami, FL 33176, had her application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Florida on a licensing application.

Douglas G. Bowring, 1627 N. 69th St., Wauwatosa, WI 53213, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Pamela Burzinski, 736 Capman St., Milton, WI 53563, had her application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Wisconsin on a licensing application.

Trisha Chavis, 1276 Southridge Cir., Rochester Hills, MI 48307, had her application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and a criminal conviction which may be substantially related to insurance marketing type conduct.

Richard Corbett, 2392 Rockminster Rd., Lexington, KY 40509, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide evidence of resident surplus lines licensure.

Broch Cotter, 622 E. Oak Grove St., Juneau, WI 53039, had his application for an insurance license denied. This action was taken based on allegations of a previous administrative action taken by the state of Wisconsin that included the permanent revocation of his Wisconsin insurance license.

Andrea J. Dudkiewicz, N11401 Sugar Bush Rd., Birnamwood, WI 54414, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Barbara Rose Fernandez, 7641 Cedar Elm Dr., Irving, TX 75063, had her application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide evidence of reciprocal legal expense licensure.

Roger M. Haecker, 414 Rogers St., Milton, WI 53563, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Jon Hatcher, 521 1/2 N. Washington St., Elkhorn, WI 53121, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Wisconsin on a licensing application and a criminal conviction which may be substantially related to insurance marketing type conduct.

Annette F. Howard, 3562 N. 10th St., Milwaukee, WI 53206, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Christopher Andrew Johnson, 4432 White Aspen Rd., Madison, WI 53704, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Mark A. Kottke, W9286 County TC, Oakfield, WI 53065, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Michael K. Leibham, 1908 N. 6th St., Sheboygan, WI 53081, was ordered to pay a forfeiture of $1,000.00 and was ordered to pay $1,048.00 in customer restitution. These actions were taken based on allegations of soliciting and receiving a personal loan from a customer and failing to respond promptly to inquiries from OCI.

Shana Mahlik, 124 Grant St., Valders, WI 54245, had her application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Wisconsin on a licensing application.

Matthew Andrea Malone, 2201 Snowbird Ave., Wausau, WI 54401, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Thomas William Mayer, 325 Cedar St., Ste. 800, St. Paul, MN 55101, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose an administrative action taken by the state of Nevada on a licensing application.

Kenneth J. McManus, 20 Wood Pond Rd., Amston, CT 06231, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide proof of resident state licensure.

Scott K. Palmer, 3292 Lost Meadows Ln., Buford, GA 30519, agreed to pay a forfeiture of $250.00 and agreed to respond promptly to OCI. This action was based on allegations of failing to respond promptly to inquiries from OCI.

Joshua P. Scherer, 5231 Blazingstar Ln., Fitchburg, WI 53711, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Gabriel Schwab, 1459 E. 26th St., Brooklyn, NY 11210, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide proof of resident state licensure.

Myron Smith, 3450 N. 9th St., Milwaukee, WI 53206, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Daniel A. Stafford, 5217 175th St., Chippewa Falls, WI 54729, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Thomas Gordon Ziglinski, 121 Emily Ct., Darien, WI 53114, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Allegations and Actions Against Companies

American General Life Insurance Company of Delaware, 405 King St., Wilmington DE 19801, agreed to pay a forfeiture of $40,000.00 and agreed to comply with Wisconsin insurance laws. These actions were taken based on allegations of insurance policy rating practices in violation of s. Ins 3.455 (9), Wis. Adm. Code.

Bankers Life and Casualty Company, 11825 N. Pennsylvania St., Carmel, IN 46032, agreed to pay a forfeiture of $40,000.00 and agreed to comply with Wisconsin insurance laws. These actions were taken based on allegations of using unfair claims settlement practices when it improperly denied skilled nursing care claims.

H B D C II, Inc., 150 N. Radnor Chester Rd., Ste. B101, Wayne, PA 19087, had its insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Hospitality Insurance Services, Inc., 100 Broadway St., Ste. 2D, Sterling, CO 80751, had its insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Insurance Brokers Network, Inc., P.O. Box 4536, Gettysburg, PA 17325, had its insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes due.

Prudential Insurance Company of America, The, 100 Mulberry St., Newark, NJ 07102, agreed to pay a forfeiture of $7,500.00 and agreed to comply with Wisconsin insurance laws. These actions were taken based on allegations of insurance policy rating practices in violation of s. Ins 3.455 (9), Wis. Adm. Code.

Copies of Administrative Actions