Administrative Actions January 2022

​Last Updated: February 8, 2022

For more information contact: Richard Wicka, Chief Legal Counsel
(608) 261-6018 or richard.wicka@wisconsin.gov


Madison, Wis. — The Office of the Commissioner of Insurance (OCI) is responsible for administering and enforcing the insurance laws of Wisconsin. This includes monitoring the financial and marketing practices of individuals and companies. Each month, OCI publishes the administrative actions it has taken against these entities. The actions are issued by OCI when licensing applicants, or licensed individuals or companies have violated Wisconsin insurance st​atutes or regulations. In some cases, the individual or company denied the stated allegations but consented to the action taken. OCI strives to ensure fair and honest business practices to protect Wisconsin insurance consumers through this type of transparency. Copies of the administrative orders may be viewed online at ociaccess.oci.wi.gov/OrderInfo/OrdInfo.oci.

Any forfeitures paid are deposited in Wisconsin's Common School Fund administered by the Board of Commissioners of Public Lands. Earnings from the Fund are distributed to all public K-12 schools in the state and are used by school libraries to purchase materials such as books, newspapers, and computers.

If you have a question or complaint regarding an insurance company or agent you can use the online complaint form on our website, oci.wi.gov, or contact OCI at 1-800-236-8517.

Allegations and Actions Against Agents

Mohammad Assad, 2020 W Layton Ave., Milwaukee, WI 53221, had his application for an insurance license denied for 60 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.

Stephen W. Brooks, 22335 La Garonne, Apt. 422, Southfield, MI 48075, had his application for an insurance license denied for 60 days. This action was taken based on allegations of failing to disclose administrative actions taken by the states of Arizona, California, and South Carolina on a licensing application and failing to timely respond to inquiries from OCI.

Andre Brown, 4764 N 35th St., Milwaukee, WI 53209, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose criminal convictions on a licensing application.

Zachary D. Brzezinski, 1515 Wickersham Ln., Apt. 326, Austin, TX 78741, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Mario A. Callejas, 4300 N University Dr., Ste B204, Sunrise, FL 33351, was ordered to pay a forfeiture of $500.00 and was ordered to fully respond to OCI complaint files. These actions were taken based on allegations of failing to timely respond to inquiries from OCI and failing to timely notify OCI of address changes.

Kevin S. Campisi, 1127 Engesser Ln., St. Peter, MN 56082, had his application for an insurance license denied for 60 days. This action was taken based on allegations of failing to disclose an administrative action taken by the State of Minnesota.

Gerald R. Chat, 911 W Main St., Stoughton, WI 53589, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Laura C. De Buhr, 704 Park Ave., Little Chute, WI 54140, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Tami Delong, 11850 Dr. Martin Luther King, Jr. St. N, Apt. 8108, St. Petersburg, FL 33716, had her insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Suzanne M. Dickinson, PO Box 852, Chetek, WI 54728, had her application for an insurance license denied for 60 days. This action was taken based on allegations of failing to disclose criminal convictions and providing misleading information on a licensing application.

Jason P. Dummer, 5678 W 109th Cir., Westminster, CO 80020, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

David E. Fischer, 401 Pinnacle Way, Unit 407, Eau Claire, WI 54701, agreed to pay a forfeiture of $500.00. This action was taken based on allegations of making an unsuitable annuity sale.

Ezekiel N. Flores, 4726 Tweedy Blvd., South Gate, CA 90280, had his application for an insurance license denied. This action was taken based on allegations of failing to disclose criminal convictions and an administrative action taken by the State of California on a licensing application, and failing to timely respond to inquiries from OCI.

James Grundy, 5971 Sawmill Rd., Doylestown, PA 18902, had his application for an insurance license denied for 90 days. This action was taken based on allegations of failing to disclose administrative actions taken by numerous other states on a licensing application.

Amanda Hoffman, 13725 N Moonglow Ln., Pocatello, ID 83202, had her insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Brandy Kabat, 2179 Luxury Dr., Suamico, WI 54313, had her application for an insurance license denied for 31 days. This action was taken based on allegations of having a criminal conviction that may be substantially related to insurance marketing type conduct.

Brandon A. Lewandowski, 13412 Thraves Ave., Garfield Heights, OH 44125, had his insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Christopher J. Monroe, 4023 W Misty Dr., Taylorsville, UT 84129, had his insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Loretta A. Morris, 908 E 100th Pl., Chicago, IL 60628, had her insurance license revoked. This action was taken based on allegations of failing to pay an ordered forfeiture.

Bryce Moss, 35 S 800 West, Lindon, UT 84042, had his insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Paula L. Norton, 7309 N Huntley Ave., Tampa, FL 33604, had her insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

David C. Osborn, 1133 E Wright Way, Sandy, UT 84094, had his insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

David M. Phillips, 5008 E Thomas Rd., Apt. 219, Phoenix, AZ 85018, had his insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Michael S. Pobiecke, 11710 26th Ave., Pleasant Prairie, WI 53158, agreed to the issuance of a two-year conditional insurance license having certain employment and reporting conditions. This action was taken based on allegations of failing to disclose criminal convictions on a licensing application; having criminal convictions that may be substantially related to insurance marketing type conduct; failing to timely apply for and obtain a federal crime waiver; and failing to timely respond to OCI.

Robert L. Stewart, 27 Grant St., New Salem, PA 15468, had his insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Taylor R. Tiner, 428 Hilton Dr., Madison, WI 53711, had his insurance license revoked. This action was taken based on allegations of providing false information on a licensing application and having a criminal conviction that may be substantially related to insurance type marketing.

Mack T. Wurtz, 517 Pottawatomie St., Leavenworth, KS 66048, had his insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Allegations and Actions Against Companies

AIG Claims, Inc., 1271 Avenue of the Americas, Fl. 37, New York, NY 10020, had its insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

American Financial Security Life Insurance Company, 150 E Palmetto Park Rd., Ste. 450, Boca Raton, FL 33432, was ordered to pay a forfeiture of $10,000.00, was ordered to cease and desist doing business in Wisconsin, and was ordered to establish an online account to provide responses to complaints. These actions were taken based on allegations of failing to timely respond to inquiries from OCI and demonstrating business practices contrary to the public interest.

Gagliardi Insurance Services, Inc., 1315 Walnut St., Ste. 1101, Philadelphia, PA 19107, had its insurance license revoked. This action was taken based on allegations of failing to timely pay an ordered forfeiture.

Illinois Farmers Insurance Company, 6301 Owensmouth Ave., Woodland Hills, CA 91367, was ordered to pay a forfeiture of $1,000.00 and was ordered to pay an administrative assessment to the Wisconsin Insurance Security Fund (WISF). This action was taken based on allegations of failing to timely pay an administrative fee.

Next Insurance Company, c/o Corporation Service Company, 251 Little Falls Dr., Wilmington, DE 19808, was ordered to pay a forfeiture of $1,000.00 and was ordered to pay an administrative assessment to the Wisconsin Insurance Security Fund (WISF). This action was taken based on allegations of failing to timely pay an administrative fee.

Root Property & Casualty Insurance Company, fka Catlin Indemnity Company, 80 E Rich St., Ste. 500, Columbus, OH 43215, was ordered to pay a forfeiture of $1,000.00 and was ordered to pay an administrative assessment to the Wisconsin Insurance Security Fund (WISF). This action was taken based on allegations of failing to timely pay an administrative fee.

Travelers Personal Insurance Company, One Tower Square, Hartford, CT 06183, was ordered to pay a forfeiture of $1,000.00 and was ordered to return premium on a pro rata basis using the original premium amount and returning any excess amount to a consumer. These actions were taken based on allegations making mid-term unilateral changes to an insurance policy and retroactively charging a higher premium amount without consumer consent.

Vivid Marketing, LLC, 428 Hilton Dr., Madison, WI 53711, had its insurance license revoked. This action was taken based on allegations of providing false information on a licensing application and its owner having a criminal conviction that may be substantially related to insurance type marketing.

Allegations and Actions Against Other Entities

Kiri M. Johnson, 1420 W 9th Ave., Oshkosh, WI 54902, had her application for a federal crime waiver denied. This action was taken based on allegations of having criminal convictions involving financial dishonesty.​​

Copies of Administrative Actions