Administrative Actions December 2017

​Last Updated: January, 9 2018

For more information contact: Elizabeth Hizmi, Public Information Officer
(608) 267-9460 or elizabeth.hizmi@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

Jeremy Amstadt, N71 W23321 Good Hope Rd., Sussex, WI 53089, 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.

Ramie L. Behrens (aka Ramie L. Kamenick), 1830 Babcock St., Eau Claire, WI 54703, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Seth M. Bork, 10620 W. River Rd., Brooklyn Park, MN 55443, 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 Minnesota on a licensing application.

Josiah Brendemuehl, 1319 W. Main St., Watertown, WI 53094, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Toron A. Brown, 2239 W. Roosevelt Dr., Milwaukee, WI 53209, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Kyle R. Buehner, 2842 N. Weil St., Milwaukee, WI 53212, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Paula J. Bunnell, N3102 Ledge Hill Rd., Hortonville, WI 54944, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Rachael A. Bush, 6873 Crocus Ct., Apt. 1, Greendale, WI 53129, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Charles L. Bussman, 416 E St., Eureka, CA 95501, was ordered to pay a forfeiture of $2,000.00 and was ordered to timely and fully report all matters required to be disclosed to OCI. This action was taken based on allegations of failing to timely report administrative actions taken by the states of Florida, Louisiana, and Oklahoma to OCI and failing to disclose the administrative actions on a licensing renewal application.

Donny Charpentier, S12 W31642 Glacier Pass, Delafield, WI 53018, had his application for an insurance license denied for 90 days. This action was taken based on allegations of failing to disclose criminal convictions on three licensing applications.

David E. Chessmore, 14815 61st Ave. N.W., Cass Lake, MN 56633, had his application for an insurance license denied. This action was taken based on allegations of having a criminal conviction that may be substantially related to insurance marketing type conduct.

Lois A. Christensen, P.O. Box 145, Adams, WI 53910, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Courtney V. Cook, 3639 E. Allerton Ave., Cudahy, WI 53110, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Michele L. Curry, 515 Harrison St., Apt. 11, North Fond du Lac, WI 54937, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Jolin Damask, 2652 S. 65th St., Milwaukee, WI 53219, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Oleg P. Derlyuk, 12913 N.E. 55th St., Vancouver, WA 98682, 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 Washington on a licensing application.

Lisa Dominguez, 9490 S. 300 W, Ste. 400, Sandy, UT 84070, was ordered to pay a forfeiture of $1,000.00 and was ordered to timely and fully disclose all administrative actions as required by Wisconsin insurance law. These actions were taken based on allegations of failing to timely report an administrative action taken by the state of California and providing a false answer on a licensing reinstatement application.

Nicholas P. Emerson, 118 E. North Ave., Luck, WI 54853, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Carlos A. Ferrer, Jr., 2465 N. Frederick Ave., Apt. 101, Milwaukee, WI 53211, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Blake Handrick, 2123 Folsom St., Eau Claire, WI 54703, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

George Harbison, 2142 W. Lupine Ave., Phoenix, AZ 85029, 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 Arizona on a licensing application.

Joshua G. Hemphill, 543 Lemon St. N., Hudson, WI 54016, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Penny L. Higley, N6809 Leicht Rd., Black River Falls, WI 54615, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Marisa S. Kohler, 509 9th Ave., Antigo, WI 54409, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Curtis J. Lindsley, 55323 Stoney Point Rd., Gays Mills, WI 54631, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose a criminal conviction on a licensing application.

Ryan A. Logan, 400 Loma Terr., Apt. A, Laguna Beach, CA 92651, had his application for an insurance license denied. This action was taken based on allegations of having criminal convictions that may be substantially related to insurance marketing type conduct and having administrative actions taken by the state of California and FINRA.

Vicente Lozano, Jr., 3301 S. 100th St., Apt. 34, Milwaukee, WI 53227, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Robert Luedtke, 1214 Milwaukee St., Delafield, WI 53018, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

John T. Mills, 1008 N. 5th St., Unit 207, Sanger, TX 76266, 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 Oklahoma on a licensing application.

Xochitl Morales-Zamudio, 2542A N. Holton St., Milwaukee, WI 53212, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Bilal K. Muhammad, 2976 N. 18th St., Milwaukee, WI 53206, 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 and a criminal conviction on a licensing application.

Matthew M. Newett, 5031 E. 69th St., Indianapolis, IN 46220, 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 state of Indiana on a licensing application and failing to timely provide requested documentation to OCI.

Chad E. Nicholls, 1222 2nd St., Hudson, WI 54016, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Matthew Niederbaumer, 1025 Beach Cir. N.E., Huron, SD 57350, was ordered to pay a forfeiture of $500.00 and was ordered to timely and completely report all matters required to be disclosed to OCI. These actions were taken based on allegations of failing to timely report an administrative action taken by the state of South Dakota.

Jeffrey D. Noard, N48 W14336 Hampton Rd., Menomonee Falls, WI 53051, was ordered to pay a forfeiture of $500.00 and was ordered to timely and completely report all matters required to be disclosed to OCI. These actions were taken based on allegations of failing to disclose an administrative action taken by FINRA.

Sandra Nunez, 911 S.E. 31st St., Cape Coral, FL 33904, had her 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 Florida and New York on a licensing application.

Joseph R. O'Brien, Jr., 17 Velmere Dr., Simpsonville, SC 29681, had his application for an insurance license denied. This action was taken based on allegations of having pending criminal charges that may be substantially related to insurance marketing type conduct, failing to complete a licensing application, and owing delinquent Florida and Kansas taxes.

Ryan T. Pahl, 2009 Scheuring Rd., Apt. 5, De Pere, WI 54115, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Joel S. Randazzo, 405 Pottowatamie Ct., Oswego, IL 60543, 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 Illinois and Missouri on a licensing application and failing to timely provide requested documentation to OCI.

Rebecca Rekward, S6540 Cty. Hwy. T, Readstown, WI 54652, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Ben J. Salutz, 815 E. Johnson St., Apt. 3, Madison, WI 53703, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Oscar Sauceda, 2514 14th Pl., Apt. 18, Kenosha, WI 53140, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Tracy A. Schiltz (aka Tracy A. Fischer), W1338 Lake Geneva Hwy., Lake Geneva, WI 53147, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Patty S. Schultz, 4722 S. Hunter Ln., New Berlin, WI 53151, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Michael A. Slater, 1639 Barlow St., La Crosse, WI 54601, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

James P. Stewart, II, 717 Lincoln Dr., Sun Prairie, WI 53590, had his application for an insurance license denied for 60 days. This action was taken based on allegations of failing to disclose pending criminal charges on a licensing application.

Matthew Thomas, 2828 Manchester Dr., Janesville, WI 53545, 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.

Jonathan E. Timm, P.O. Box 367, New Richmond, WI 54017, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to disclose a criminal conviction on a licensing application.

Chris L. Ulwelling, 4344 W. Loomis Rd., Apt. 31, Greenfield, WI 53220, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Jeff P. Vondracek, 1900 Parkwood Dr., Kaukauna, WI 54130, was ordered to pay a forfeiture of $500.00 and was ordered to timely and completely disclose all administrative actions, criminal proceedings, and lawsuits to OCI. These actions were taken based on allegations of failing to timely report criminal charges to OCI.

La-Tica D. Watson, 3013 Woodland Ave., Apt. 202, Des Moines, IA 50312, had her application for an insurance license denied. This action was taken based on allegations of having criminal convictions that may be substantially related to insurance marketing type conduct, having a conditional criminal waiver from her state of domicile, and exhibiting evidence of financial irresponsibility.

Penny D. Weber, N53 W37144 E. Washington St., Oconomowoc, WI 53066, had her insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

William V. Werner, 195 Center Dr., Ste. 101, Luxemburg, WI 54217, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Darrell E. Wilcox, 120 28th St. S., La Crosse, WI 54601, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Jaseng Xiong, 4929 100th St., Chippewa Falls, WI 54729, had his insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Allegations and Actions Against Companies

Independence American Insurance Company, 485 Madison Ave., Fl. 14, New York, NY 10022, was ordered to pay a forfeiture of $500.00 and was ordered to provide requested information to OCI within 10 days. These actions were taken based on allegations of failing to respond promptly to inquiries from OCI.

Reed Group Management, LLC, 10355 Westmoor Dr., Westminster, CO 80021, had its insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Tavernini Agency, Inc., P.O. Box 98, Norway, MI 49870, had its insurance license revoked. This action was taken based on allegations of owing delinquent Wisconsin taxes.

Copies of Administrative Actions