Disciplinary Orders Published for 2016 Disciplinary Orders Published for 2015 Disciplinary Orders Published for 2014 Disciplinary Orders Published for 2013 Disciplinary Orders Published for 2012

The Texas Department of Insurance has issued the next disciplinary orders. Only final orders are listed. A Commissioner of Insurance order imposing disciplinary measures becomes final 20 days following the agent or insurance provider has gotten notice from the order unless of course a motion for rehearing is filed within the period. A motion for rehearing stays the finality of the order before the Commissioner of Insurance functions upon the motion or upon the whole process of law. Commissioner of Insurance orders are susceptible to attract condition district court.

A Commissioner of Workers’ Compensation consent order (settlement) imposing sanctions becomes final upon signature from the Commissioner of Workers’ Compensation. System participants are titled to some hearing in the Condition Office of Administrative Proceedings (SOAH) if they don’t desire to settle the enforcement matter. If there’s a hearing with an enforcement matter at SOAH, the SOAH Administrative Law Judge will issue an offer for Decision (PFD). The Commissioner of Workers’ Compensation will think about the situation, and shall issue a choice or order that could become final. The choice or order that could become final will end up final in compliance with Government Code chapter 2001, subchapters F and G.

Copies of Commissioner of Insurance as well as Commissioner of Workers’ Compensation orders might be acquired only by a wide open records request. Your request could be sent by email, fax, mail, or personally.

Find out more about how you can request information .

Baker, Nancy Jae of Spring
Order Number: 4443
Date of Order: 5/6/2016
Action Taken: Fined $800
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Cabrera, Marie Yvonne of Lubbock
Order Number: 4432
Date of Order: 5/4/2016
Action Taken: (SOAH Docket No. 454-16-3327.C) Application for any county mutual license denied
Breach: Criminal conviction

Cove Programs Insurance Services, L.L.C. of La, CA
Order Number: 4445
Date of Order: 5/6/2016
Action Taken: Fined $3,500
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Edmonson, Amber Catrice of los angeles Marque
Order Number: 4433
Date of Order: 5/4/2016
Action Taken: (SOAH Docket No. 454-16-3328.C) Application for any navigator individual registration denied
Breach: Legal conviction

Frenkel Benefits, L.L.C. of recent You are able to, NY
Order Number: 4464
Date of Order: 5/16/2016
Action Taken: Fined $4,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Griffin Underwriting Services A Division of Cochrane, Griffin & Company, Corporation. of Bellevue, WA
Order Number: 4440
Date of Order: 5/6/2016
Action Taken: Fined $4,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Howden Insurance Services, Corporation. of Kennesaw, GA
Order Number: 4434
Date of Order: 5/4/2016
Action Taken: Fined $600
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Macchia General Agency, L.L.C. of Benbrook
Order Number: 4447
Date of Order: 5/9/2016
Action Taken: Fined $5,100
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Morton, Rodney Kemp of Longwood, FL
Order Number: 4439
Date of Order: 5/6/2016
Action Taken: Fined $4,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Muhlnickel, Marcella Joan of Frisco
Order Number: 4455
Date of Order: 5/9/2016
Action Taken: Fined $1,000
Breach: Involved in fraudulent or dishonest functions or practices

National E&S Insurance Brokers, Corporation. of Palmdale, CA
Order Number: 4446
Date of Order: 5/9/2016
Action Taken: Fined $20,500
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

RSC Insurance Brokerage, Corporation. of Boston, MA
Order Number: 4444
Date of Order: 5/6/2016
Action Taken: Fined $2,700
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Safehold Special Risk Corporation. of Chicago, IL
Order Number: 4442
Date of Order: 5/6/2016
Action Taken: Fined $3,500
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Sloan Mason The United States, Corporation. of North Park, CA
Order Number: 4435
Date of Order: 5/4/2016
Action Taken: Fined $7,500
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Turk, Frank Seubold of Porter
Order Number: 4465
Date of Order: 5/16/2016
Action Taken: Fined $5,500
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

TWFG General Agency, Corporation. from the Woodlands
Order Number: 4467
Date of Order: 5/16/2016
Action Taken: Fined $17,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Wilbanks, Harry Erwin of ?
Order Number: 4456
Date of Order: 5/9/2016
Action Taken: SOAH Docket No. 454-15-4127.C) Fined $20,000 be forced to pay restitution escrow officer license revoked
Breach: Fraudulent and dishonest practices unlawfully withheld money owned by someone else

Willis of recent You are able to, Corporation. of recent You are able to, NY
Order Number: 4441
Date of Order: 5/6/2016
Action Taken: Fined $5,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Aguilar, Michael Anthony, Sr. of Lubbock
Order Number: 4424
Date of Order: 4/28/2016
Action Taken: (SOAH Docket No. 454-16-1480.C) Fined $750 be forced to pay restitution of $4,444 county mutual license and general lines existence, accident and health licenses revoked
Breach: Misappropriated, transformed into own use or unlawfully withheld money owned by some insurance company unsuccessful to conform with ongoing education needs

American Guarantee and Insurance Company of Schaumburg, IL
Order Number: 4417
Date of Order: 4/28/2016
Action Taken: Fined $528
Breach: Unsuccessful to pay for accurate dying advantages to legal beneficiaries

Beecher Carlson Insurance Services, L.L.C. of Atlanta, GA
Order Number: 4418
Date of Order: 4/28/2016
Action Taken: Fined $7,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Berkley National Insurance Provider of Naperville, IL
Order Number: 4427
Date of Order: 4/29/2016
Action Taken: Fined $8,000
Breach: Unsuccessful to timely pay earnings advantages to hurt worker according to opinion of designated physician during pendency of the dispute

Commerce and Industry Insurance Provider of recent You are able to, NY
Order Number: 4397
Date of Order: 4/7/2016
Action Taken: Fined $12,500
Breach: Unsuccessful to timely act upon a correctly completed medical expense unsuccessful to submit accurate medical EDI records to TDI-DWC

FedEx Ground Package System, Corporation. of Pittsburgh, PA
Order Number: 4402
Date of Order: 4/14/2016
Action Taken: Fined $8,500
Breach: Unsuccessful to timely pay earnings advantages to hurt employees unsuccessful to precisely inform TDI-DWC and hurt worker of actions adopted claims

Fireman’s Fund Insurance Provider of Novato, CA
Order Number: 4387
Date of Order: 4/1/2016
Action Taken: Fined $15,000 be forced to pay restitution to policyholders
Breach: Used a rating arrange for car insurance that assigned different rates for non-chargeable traffic violations

Galbraith, James W. M.D. of Dallas
Order Number: 4428
Date of Order: 4/29/2016
Action Taken: Fined $4,800 must complete permanent medical record documentation course must cease and desist from referring, ordering, supervising or performing functional capacity examinations of hurt employees without documented justification of medical necessity
Breach: Incorrectly purchased functional capacity evaluations which were uncommon or medically necessary unsuccessful to document evaluation in medical records

Grapevine Colleyville I.S.D. of Grapevine
Order Number: 4403
Date of Order: 4/14/2016
Action Taken: Fined $14,000
Breach: Unsuccessful to timely process hospital bills unsuccessful to submit accurate medical EDI records to TDI-DWC

Hardin, David L. D.C. of Zoysia, Texas
Order Number: 4395
Date of Order: 4/7/2016
Action Taken: Fined $10,000 suspended from designated physician list for 240 days
Breach: Unsuccessful to timely file and/or precisely complete TDI-DWC forms, reports or records unsuccessful to look at designated physician examination purchased by commissioner

Hylant Group Corporation. of Toledo, OH
Order Number: 4421
Date of Order: 4/28/2016
Action Taken: Fined $10,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Indemnity Insurance Provider of The United States of Philadelphia, PA
Order Number: 4405
Date of Order: 4/15/2016
Action Taken: Fined $2,000
Breach: Unsuccessful to conform by having an to pay attorney’s charges unsuccessful to timely pay attorney’s charges

Liberty Mutual Fire Insurance Provider of Boston, MA
Order Number: 4401
Date of Order: 4/13/2016
Action Taken: Fined $8,000
Breach: Unsuccessful to timely pay earnings advantages to hurt employees

Liberty Mutual Fire Insurance Provider of Boston, MA
Order Number: 4393
Date of Order: 4/7/2016
Action Taken: Fined $21,500
Breach: Unsuccessful to timely pay earnings advantages to hurt employees unsuccessful to precisely inform TDI-DWC and hurt employees of actions adopted claims unsuccessful to timely inform TDI-DWC of initial payment of advantages

Marsh USA, Corporation. of recent You are able to, NY
Order Number: 4419
Date of Order: 4/28/2016
Action Taken: Fined $3,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

McDorman, Robert Lyndall of Vidor
Order Number: 4400
Date of Order: 4/8/2016
Action Taken: Public insurer license granted suspension of public insurer license probated for 2 years
Breach: Criminal conviction

National Interstate Insurance Provider of Richfield, OH
Order Number: 4429
Date of Order: 4/29/2016
Action Taken: Fined $17,000
Breach: Unsuccessful to timely pay earnings advantages to hurt worker unsuccessful to precisely inform TDI-DWC and hurt worker of actions adopted claims

National Surety Corporation of Novato, CA
Order Number: 4388
Date of Order: 4/1/2016
Action Taken: Fined $10,000 be forced to pay restitution to policyholders
Breach: Used a rating arrange for car insurance that assigned different rates for non-chargeable traffic violations

Neuburger, Scott Gary, D.C. of Houston
Order Number: 4414
Date of Order: 4/28/2016
Action Taken: Fined $5,600 must complete permanent medical record documentation course must cease and desist from referring, ordering, supervising or performing functional capacity examinations of hurt employees without documented justification of medical necessity
Breach: Unsuccessful to document or incorporate outcomes of functional capacity examination in medical records unsuccessful to document within the medical records any reasonable rationale or medical necessity requiring FCEs for that hurt employees unsuccessful to make use of outcomes of examination to expedite situation management and go back to work

Povolo, Luis Marcelo of Lengthy Beach, CA
Order Number: 4422
Date of Order: 4/28/2016
Action Taken: Fined $650
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Ranaldson, Shelecia of Richardson
Order Number: 4423
Date of Order: 4/28/2016
Action Taken: (SOAH Docket No. 454-16-2032.C) Adjuster all lines license revoked
Breach: Unsuccessful to conform with commissioner order

Sentry Insurance A Mutual Company of Stevens Point, WI
Order Number: 4396
Date of Order: 4/7/2016
Action Taken: Fined $12,000
Breach: Unsuccessful to timely pay earnings advantages to hurt employees

Tarrant County Hospital District of Fort Worth
Order Number: 4415
Date of Order: 4/28/2016
Action Taken: Fined $24,000
Breach: Unsuccessful to consider timely action on the correctly completed medical expense unsuccessful to submit accurate medical EDI records to TDI-DWC

The Insurer from the Condition of Pennsylvania of recent You are able to, NY
Order Number: 4394
Date of Order: 4/7/2016
Action Taken: Fined $18,000
Breach: Unsuccessful to timely act upon a correctly completed medical expense unsuccessful to submit accurate medical EDI records to TDI-DWC

Tran, Minh Quang of Spring
Order Number: 4409
Date of Order: 4/21/2016
Action Taken: General lines license with property and casualty and existence, accident and health qualifications granted suspension of license probated for 2 years
Breach: Criminal conviction

Trinh, Tuan Anh, D.O. of Dallas
Order Number: 4411
Date of Order: 4/26/2016
Action Taken: Fined $4,800 must complete permanent medical record documentation course must cease and desist from referring, ordering, supervising or performing functional capacity examinations of hurt employees without documented justification of medical necessity
Breach: Incorrectly purchased functional capacity evaluations which were uncommon or medically necessary unsuccessful to document evaluation in medical records

Zes Insurance Company, L.L.C. of Scottsdale, AZ
Order Number: 4420
Date of Order: 4/28/2016
Action Taken: Fined $5,000
Breach: Unsuccessful to timely file new or renewal surplus lines policies and related documents

Zurich American Insurance Provider of Schaumburg, IL
Order Number: 4416
Date of Order: 4/28/2016
Action Taken: Fined $35,012
Breach: Unsuccessful to pay for accurate dying advantages to legal beneficiaries unsuccessful to pay for accurate lifetime earnings advantages to hurt employees

American Zurich Insurance Provider of Schaumburg, IL
Order Number: 4378
Date of Order: 3/28/2016
Action Taken: Fined $13,571
Breach: Unsuccessful to precisely pay dying advantages to legal beneficiaries unsuccessful to pay for accurate lifetime earnings advantages to hurt worker unsuccessful to timely adhere to TDI-DWC order

Arrowood Indemnity Company of Charlotte now, NC
Order Number: 4352
Date of Order: 3/15/2016
Action Taken: Fined $3,796
Breach: Unsuccessful to incorporate needed increases in lifetime earnings advantages to hurt employees

Babb, James A. P.E. of Friendswood
Order Number: 4348
Date of Order: 3/10/2016
Action Taken: (SOAH Docket No. 454-15-3902.C) Appointment like a qualified inspector revoked
Breach: Unsuccessful to supply timely an sufficient substantiating information for inspections

Bryan I.S.D. of Bryan
Order Number: 4379
Date of Order: 3/28/2016
Action Taken: Fined $12,000
Breach: Unsuccessful to timely process and take final action on the correctly completed medical expense unsuccessful to submit accurate medical electronic data interchange records