Administrative Actions March 2014

Last Updated: April 2, 2014

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

Meagan M. Achenbach, 127 N. Main St., Eastman, WI 54626, 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 retake a required examination.

Lisa C. Adcock, W1903 Potter Rd., Burlington, WI 53105, 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 complete the required background check.

Erik Mathew Anderson, 2335 Woodbridge St., Apt. 157, Saint Paul, MN 55113, had his application for an insurance license denied. This action was taken based on allegations of having a criminal conviction which may be substantially related to insurance marketing type conduct; failing to report the criminal conviction to OCI while a licensed intermediary; failing to report an administrative action taken by the state of Minnesota on a licensing application; failing to report the administrative action to OCI while a licensed intermediary; and failing to respond promptly to inquiries from OCI.

Erik Mathew Anderson, 2335 Woodbridge St., Apt. 157, Saint Paul, MN 55113, had his application for an insurance license denied. This action was taken based on allegations of having a criminal conviction which may be substantially related to insurance marketing type conduct, having an administrative action taken by the state of Minnesota, and submitting a duplicate application.

Matthew Baldauf, 216 W. Winneconne Ave., Neenah, WI 54956, 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 prelicensing education.

Nancy Lee Barrette, 28201 Harwich Dr., Farmington Hills, MI 48334, 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 resident surplus lines licensure.

Tracy L. Baumgart, 4188 S. 61st St., Unit 2, Milwaukee, WI 53220, 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 having unpaid civil money judgments.

Rosette Francesca Berban, 105 Salem Dr. Sanford, FL 32771, agreed to surrender her insurance license. This action was based on allegations of failing to disclose an administrative action taken by the state of Florida on a licensing application and displaying evidence of untrustworthiness.

Kellen Joel Burgos, 1109 West Ave. S., La Crosse, WI 54601, 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 demonstrating financial irresponsibility.

Jeffrey L. Burrey, 665 Old Pond Ln., Powell, OH 43065, had his application for an insurance license denied. This action was taken based on allegations of having an administrative action taken by the state of Ohio, exhibiting evidence of untrustworthiness, and failing to respond promptly to inquiries from OCI.

Ashley Anna Colline, 725 Saunders Rd., Apt. 5, Kaukauna, WI 54130, 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 complete the required criminal background check.

Lucio Fuentez, 2318 S. 8th St., Sheboygan, WI 53081, had his application for an individual navigator license denied for 31 days. This action was taken based on allegations of failing to disclose criminal convictions on a licensing application.

Shannon R. Fuerstenberg, 104 Court St., Neillsville, WI 54456, had his application for an insurance license denied. This action was taken based on allegations of having an unpaid civil money judgment.

Nicholas Scott Gaspard, 1190 W. 18th Ave., Oshkosh, WI 54902, 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 disclose a criminal conviction on a licensing application.

Kathy Denise Habron, 11267 Linderwood Dr., Mechanicsville, VA 23116, 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 licensure.

Mark S. Helfrich, 5 E. Copper Cir., Madison, WI 53717, agreed to pay a forfeiture of $250.00 and agreed to cease and desist from misrepresenting dividend guarantees. This action was taken based on allegations of using property and casualty advertising not in compliance with Wisconsin insurance law.

Craig J. Holder, 150 Tyler Ct., Lake Zurich, IL 60047, 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.

Katherine R. Johnson, 3605 Sandy Ln., Schofield, WI 54476, 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 complete the required criminal background check.

Souksomphone Sou Keosoukanh, 736 Jamie Way N.E., Woodstock, GA 30188, 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 resident surplus lines licensure.

Diana E. Kostal, 2835 S. Superior St., Milwaukee, WI 53207, was ordered to pay a forfeiture of $500.00 and was ordered to cease and desist using the services of an unlicensed agent. This action was taken based on allegations of utilizing the services of an unlicensed agent to conduct insurance business.

Bonnie L. Koth, 37350 N. Shirley Dr., Gurnee, IL 60031, agreed to cease and desist acting as an intermediary in the state of Wisconsin unless or until proper licensure is obtained. This action was taken based on allegations of conducting insurance business without proper authority.

Jamason Lennox, 2932 3rd Ave. S., Apt. 2, Minneapolis, MN 55408, 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 owing delinquent child support.

Mark Andrew Pate, 2713 Bristol Ct., Waukesha, WI 53188, was ordered to pay a forfeiture of $1,000.00, was ordered to provide requested information, and was ordered to respond promptly in writing to all requests from OCI. This action was taken based on allegations of failing to respond promptly to inquiries from OCI.

Nonce Perrier, 2042 Gallagher Ave., Deltona, FL 32725, 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 owing delinquent child support.

Andrena Phillips, 148 State Rd., New Albany, IN 47150, 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 accurately complete a licensing application.

Thomas J. Pickett, 106 Jenna Dr., Verona, WI 53593, was issued a modified insurance license, was ordered not to handle other people's money, and was ordered to continue to make payments as scheduled to the Internal Revenue Service and the Wisconsin Department of Revenue. These actions were taken based on allegations of owing delinquent state and federal taxes and having unpaid civil money judgments.

Matthew S. Pope, 15 1/2 W. Central St., Apt. 5, Chippewa Falls, WI 54729, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose administrative actions taken by the state of Wisconsin on a licensing application.

Paul C. Schuelke, 10551 N. O'Connell Ln., Mequon, WI 53097, had his application for an insurance license denied. This action was taken based on allegations of failing to disclose criminal charges on a licensing application, having unpaid civil money judgments, having unresolved lawsuits at the time of application, and failing to complete prelicensing and examination requirements.

Mackenzie Forrest Scott, 6460 Crescent Way, Apt. 302, Norfolk, VA 23513, 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 owing delinquent child support.

Amos P. Soung, 1229 Park St., Green Bay, WI 54303, had his application for an insurance license denied. This action was taken based on allegations of having a criminal conviction which may be substantially related to insurance marketing type conduct and having unpaid civil money judgments.

Lee A. Westphal, 2110 Carstensen Ln., Apt. P, Green Bay, WI 54304, had her application for an insurance license denied. This action was taken based on allegations of having unpaid civil money judgments.

Robert P. Witt, 5772 Lexington St., McFarland, WI 53558, had his insurance license suspended. This action was taken based on allegations of owing delinquent child support.

Allegations and Actions Against Companies

American Family Mutual Insurance Company, 6000 American Pkwy., Madison, WI 53783, was ordered to pay a forfeiture of $500.00 and was ordered to cease and desist from issuing improper nonrenewal notices. This action was taken based on allegations of issuing an improper nonrenewal notice that was not reasonably precise.

Capson Physicians Insurance Company, 221 W. 6th St., Ste. 301, Austin, TX 78701, was ordered to pay a forfeiture of $500.00, was ordered to reply promptly in writing to all inquiries from OCI, and was ordered to pay all fees when due. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to pay annual appointment billing fees.

Liberty Insurance Corporation, 175 Berkeley St., Boston, MA 02117, was ordered to pay a forfeiture of $1,000.00 and was ordered to cease and desist failing to provide at least 60 days' notice to insureds when raising premiums 25% or more at renewal. This action was taken based on allegations of failing to provide adequate notice of a premium increase.

Occidental Fire & Casualty Company of North Carolina, P.O. Box 10800, 702 Oberlin Rd., Raleigh, NC 27605, was ordered to pay a forfeiture of $500.00, was ordered to reply promptly in writing to all inquiries from OCI, and was ordered to pay all fees when due. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to pay annual appointment billing fees.

Racine County Mutual Insurance Company, 10502 Northwestern Ave., Franksville, WI 53126, was ordered to pay a forfeiture of $500.00 and was ordered to cease and desist accepting applications from agents unless and until the agents have proper authority. These actions were taken based on allegations of allowing an agent to submit applications prior to appointment and accepting applications from a non-appointed agent.

Secura Insurance, a Mutual Company, 2401 S. Memorial Dr., P.O. Box 819, Appleton, WI 54912, agreed to implement procedures to confirm that the correct mailing addresses of insureds are updated to ensure consumers receive adequate statutory notices. This action was taken based on allegations of issuing an improper mid-term cancellation or nonrenewal of an insurance policy.

Sentry Insurance, a Mutual Company, 1800 N. Point Dr., Stevens Point, WI 54481, was ordered to pay a forfeiture of $500.00 and was ordered to cease and desist issuing improper nonrenewal notices. This action was taken based on allegations of issuing an improper nonrenewal of an insurance policy.

U.S. Immigration Bonds & Insurance Services, Inc., 1756 N.E. 34th St., Oakland Park, FL 33334, had its application for an insurance license denied. This action was taken based on allegations of using a misleading entity name.

Wadena Insurance Company, P.O. Box 1336, West Des Moines, IA 50306, was ordered to pay a forfeiture of $2,500.00 and was ordered to cease and desist using nonrenewal notices that do not provide adequate instructions for applying for the Wisconsin Automobile Insurance Plan (WAIP). These actions were taken based on allegations of issuing improper nonrenewal notices.

Copies of Administrative Actions