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
Khoonthai T. Baccam, 2405 Apache Dr., Madison, WI 53711, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI.
Martin Badyna, 16114 Muirfield Dr., Odessa, FL 33556, agreed to pay a forfeiture of $1,000.00, report administrative actions within 30 days, and not submit insurance applications that contain misrepresentations to the insurer. This action was taken based on allegations of failing to report an administrative action taken by the state of Flordia.
Thomas E. Behling, W5673 Roberts Rd., Tomahawk, WI 54487, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.
Alicia M. Cantalupo, 415 Lawe St., Green Bay, WI 54301, 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 displaying financial irresponsibility as evidenced by unpaid small claims judgments.
Valencia J. Clay, 2938 N. 61st St., Milwaukee, WI 53210, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.
Emma Costilla, 700 N. 10th St., Apt. 16, Oostburg, WI 53070, had her application for an insurance license denied for 15 days. This action was taken based on allegations of failing to report an administrative action taken by the state of Wisconsin on a licensing application.
Anthony C. Delia, 600 Broadhollow Rd., Ste. 200, Melville, NY 11747, had his application for an insurance license denied. This action was taken based on an administrative action taken by the state of New York.
Christopher Shane Dorman, 200 Heidi Rae Ct., Goldsby, OK 73093, had his insurance license revoked and was ordered to pay a forfeiture of $100. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to report an administrative action taken by the state of West Virginia.
Tonya M. Griffin, 301 9th St., Brodhead, WI 53520, was ordered to notify OCI within 30 days of any future money judgments or bankruptcies, notify OCI within 30 days of any future administrative actions, and to have her employment supervised for one year. This action was taken based on allegations of displaying financial irresponsibility.
Keith D. Hill, 2440 Mint Thistle Ct., Charlotte, NC 28269, had his insurance license revoked and was ordered to pay a forfeiture of $100. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to disclose a criminal conviction on a licensing application.
Natasha A. Johnson, N5547 170th St., Elmwood, WI 54740, had her application for an insurance license denied for 15 days. This action was taken based on allegations of failing to report an administrative action taken by the state of Wisconsin on a licensing application.
Tania M. Kundinger, 10388 County Rd. N, Marshfield, WI 54449, had her application for an insurance license denied for 15 days. This action was taken based on allegations of failing to disclose criminal convictions on a licensing application.
John Walter Lawson III, 3446 Alabama St., San Diego, CA 92104, had his application for an insurance license denied. This action was taken based on allegations of failing to report administrative actions taken by the states of Missouri and Virginia on a licensing application and failing to respond promptly to inquiries from OCI.
Michael C. Leonard, Metlife, 102 Clouter Creek Dr., Charleston, SC 29492, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to report administrative actions taken by the states of Illinois and South Carolina on a licensing application.
Donnie Earl Leverette, Jr., 1822 N. Harriman St., Appleton, WI 54911, had his application for an insurance license denied. This action was taken based on allegations of failing to disclose administrative actions taken by the state of Wisconsin on a licensing application, having child support arrearages, having a criminal conviction which may be related to insurance marketing type activities, and failing to respond promptly to inquiries from OCI.
Yeleiny V. Luna, 339 Belle Plaine Ave., Gurnee, IL 60031, 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 required proof of equivalent resident state licensing.
Kevin M. McLellan, 10 Woodridge Ct., Apt. 4, Madison, WI 53704, 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 having a criminal conviction which may be substantially related to insurance marketing type conduct.
Alden L. Moe, 2600 Stonehaven Dr., P.O. Box 309, Sun Prairie, WI 53590, had his application for an insurance license denied. This action was taken based on allegations of failing to report an administrative action taken by the state of Wisconsin on a licensing application, providing false information on a licensing application, having a termination for cause from an insurance agency, and exhibiting methods and practices in the conduct of business that endanger the public interest.
Tahjood H. Mohieldin, 3670 E. Squire Ave., Apt. 4, Cudahy, WI 53110, agreed to a seven-day denial of her insurance license application and agreed to respond promptly to inquiries from OCI. These actions were taken based on allegations of failing to respond promptly to inquiries from OCI.
Daryl Craig Ostrander, Sr., 3543 Fortingale Dr., Wesley Chapel, FL 33543, had his application for an insurance license denied. This action was taken based on allegations of failing to disclose a termination for cause from an insurance company on a licensing application and making material misrepresentations on a licensing application.
Joshua James Ostrowski, 4019 Towne Lakes Ave., Apt. 4116, Appleton, WI 54913, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.
Wendy A. Reeves, 833 S. 75th St., West Allis, WI 53214, had her application for an insurance license denied. This action was taken based on allegations of unpaid civil money judgments, a history of delinquent taxes, and other evidence of financial irresponsibility.
Mary T. Rehberg, 2630 Dollar Rd., Green Bay, WI 54311, had her application for an insurance license denied. This action was taken based on allegations of a being involved in a lawsuit involving a business, having a delinquent tax obligation, and failing to respond to inquiries from OCI.
David Michael Roasa, 1942 W. Busoni Pl., Phoenix, AZ 85023, 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 required proof of equivalent resident state licensing.
David Michael Roasa, 1942 W. Busoni Pl., Phoenix, AZ 85023, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI.
Christine A. Rodriguez, 123 S. Highland Ave., Apt. 1D6, Ossining, NY 10562, 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 proof of equivalent resident state licensing.
Amy S. Sarbacker, 6519 County Rd. DD, Mineral Point, WI 53565, had her application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI.
Darin J. Schubring, P.O. Box 2624, Madison, WI 53701, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.
Theresa A. Tainter, 11615 W. County Rd. CC, Couderay, WI 54828, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.
Naly Thao, 1718 Bopf St., Wausau, WI 54401, had her applications for an insurance license denied. These actions were taken based on allegations of failing to report an administrative action taken by the state of Wisconsin on a licensing application, failing to report an income tax delinquency on a licensing application, and providing materially untrue information regarding citizenship on licensing applications.
Casey J. Tomten, 921 Birch St., La Crescent, MN 55947, had her application for an insurance license denied. This action was taken based on allegations of failing to report an administrative action taken by the state of Wisconsin on a licensing application and failing to respond promptly to inquiries from OCI.
Reginald L. York, 1934 N. 22nd St., Milwaukee, WI 53205, had his application for an insurance license denied. This action was taken based on allegations of failing to disclose criminal convictions on a licensing application, failing to submit to a required background check, having a child support arrearage, and failing to respond promptly to inquiries from OCI.
Allegations and Actions Against Companies
Administrators for the Professions of Delaware, Inc., One Hollow Ln., Ste. 204, Lake Success, NY 11042, had its insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.
American Fidelity Services, LLC, 10480 Little Patuxent Pkwy., Ste. 400-463, Columbia, MD 21044, was ordered to pay a forfeiture of $1,000.00, was ordered to provide information to OCI, was ordered to reply promptly to all OCI inquiries, and was ordered to cease and desist acting as an unauthorized warranty plan administrator/warrantor. These actions were taken based on allegations of failing to respond promptly to inquiries from OCI and conducting business without proper authority.
Assurance Group, Inc., 5035 Prospect St., High Point, NC 27263, had its insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.
Brown & Riding Insurance Services Inc., 317 Heritage Dr., Ste. 2, Oxford, MS 38655, has had its application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI.
Everspan Financial Guarantee Corp., One State St. Plaza, 15th Floor, New York, NY 10004, paid a forfeiture of $1,000.00. This action was taken based on allegations of failing to comply with a previous examination order.
Germantown Mutual Insurance Company, P.O. Box 1020, Germantown, WI 53022, paid a forfeiture of $1,000.00 and was ordered to cease and desist from issuing improper mid-term cancellations of worker's compensation policies. This action was taken based on allegations of issuing an improper mid-term cancellation or nonrenewal of an insurance policy.
Health Exchange Marketplace Agency Corp., 4151 Executive Pkwy., Ste. 210, Westerville, OH 43081, had its application for an insurance license denied. This action was taken based on allegations that the agency name is misleading.
Old Republic Insurance Company, P.O. Box 789, Greensburg, PA 15601, paid a forfeiture of $3,000.00. This action was taken based on allegations of failing to file endorsements with OCI.
Pekin Insurance Company, 2505 Court St., Pekin, IL 61558, paid a forfeiture of $1,000.00 and was ordered to cease and desist issuing renewal notices with altered terms. These actions were taken based on allegations of failing to deliver a renewal notice with altered terms at least 60 days prior to the renewal date and failing to include a statement of the policyholder's right to cancel in the renewal notice.
Wilson Mutual Insurance Company, P.O. Box 1340, Sheboygan, WI 53082, paid a forfeiture of $5,000.00. This action was taken based on allegations of basing worker's compensation policy dividend distributions on the continuation of the policy.
Copies of Administrative Actions