Vincent Alexander v. Louisiana Department of Insurance ( 2023 )


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  •                         NOT DESIGNATED FOR PUBLICATION
    STATE OF LOUISIANA
    COURT OF APPEAL
    FIRST CIRCUIT
    2022 CA 0769
    VINCENT ALEXANDER
    r
    p                              VERSUS
    LOUISIANA DEPARTMENT OF INSURANCE
    Judgment Rendered.
    I
    U"
    FEB 2 4 2023
    Appealed from the 19th Judicial District Court
    In and for the Parish of East Baton Rouge
    State of Louisiana
    Case No. C706938
    The Honorable Timothy E. Kelley, Judge Presiding
    Robert E. Torian                    Counsel for Plaintiff/Appellant
    James L. Pate                       Vincent Alexander
    Lafayette, Louisiana
    Dominique Jones                     Counsel for Defendant/Appellee
    Sonceree Smith Clark                Louisiana Department of Insurance
    Baton Rouge, Louisiana
    BEFORE: WELCH, PENZATO AND LANIER, JJ.
    LANIER, J.
    The appellant, Vincent Alexander, appeals the judgment of the Nineteenth
    Judicial District Court, which affirmed the March 23,        2021   decision of the
    Louisiana Division of Administrative Law.     For the following reasons, we affirm
    the judgment of the district court.
    FACTS AND PROCEDURAL HISTORY
    Mr. Alexander was an insurance agent licensed by the State of Louisiana,
    doing business as Vincent Alexander Insurance Agency ( the agency).        He was
    married to Tacey Ann Tolliver, who was also an insurance agent licensed at one
    time by the State of Louisiana and worked with him at the agency.    Ms. Tolliver' s
    insurance license expired on August 31, 2018. On August 28, 2019, she attempted
    to reinstate her license, but the check she wrote to pay the reinstatement fee was
    returned for non -sufficient funds. Ms. Tolliver' s insurance license was suspended
    on December 10, 2019.
    In June of 2019, the Louisiana Department of Insurance ( LDI)      received a
    complaint from Kendall Lewis, one of the agency' s customers, that was filed
    against Progressive Insurance Company (      Progressive).   In the complaint, Mr.
    Lewis stated he had paid premiums to the agency on a policy that went into effect
    December 7, 2018, but the policy was cancelled on January 22, 2019.      Mr. Lewis
    provided premium receipts as proof of payment, dated from January 2019 to May
    2019, of which were signed " T. Alexander." Progressive informed Mr. Lewis that
    the policy was cancelled due to non- payment, but he was not made aware of the
    cancellation until he was involved in a motor vehicle accident.
    On June 1,    2019, LD1 directed Mr. Alexander to respond to Mr. Lewis' s
    complaint and to explain why Mr. Lewis' s policy was cancelled despite his
    payment of premiums, but Mr. Alexander failed to respond.     On July 8, 2019, LDI
    again directed Mr. Alexander to respond via certified mail, but Mr. Alexander
    2
    failed to respond.    On July 19, 2020, LDI sent notice to Mr. Alexander that he was
    fined $ 250 for his failure to respond, and he was directed to remit both the fine
    payment and his response to LDI immediately. Mr. Alexander responded on July
    21,   20191 but LDI alleged the response was inadequate and requested additional
    information and documentation regarding the complaint.          LDI alleged that Mr.
    Alexander did not comply with the order.
    On August 16, 2019, representatives from Progressive met Ms. Tolliver at
    the agency, but Mr. Alexander was not present.         Ms. Tolliver explained to the
    representatives that she began working there in 1997,         and that she and Mr.
    Alexander were the only two employees of the agency.           When the Progressive
    representatives asked Ms. Tolliver about her expired insurance license, she stated
    she was not aware that it had expired.
    On August 23,      2019,   a representative from Progressive   spoke to Mr.
    Alexander via telephone.      Mr. Alexander explained that he was generally in the
    office four to five hours a day and that he was undergoing physical therapy for a
    recent surgery.      He confirmed that he and Ms.    Tolliver were Alexander' s only
    employees.     He stated that he was not aware of the previous visit by the
    Progressive employees to his office or of the issues with Mr. Lewis' s premium
    payments.    Mr. Alexander also stated that he was not aware that Ms. Tolliver' s
    insurance license had expired.      He also admitted that the activities of the agency
    were ultimately his responsibility since he was the business owner.    On September
    17, 2019, Progressive terminated its producer' s agreement with the agency, and the
    agency refunded to Mr. Lewis his premium payments and paid his reinstatement
    fees to the Office of Motor Vehicles ( OMV) for not having vehicle insurance.
    On September 27, 2019, LDI informed Mr. Alexander that the $ 250 fine
    remained    unpaid.    On February 19,     2020, LDI mailed a Notice of Proposed
    Regulatory Action and Wrongful Conduct via certified mail to Mr. Alexander
    3
    regarding Mr. Lewis" s complaint and the failure to pay the fine. On the same date,
    LDI mailed its intent to suspend and revoke Mr. Alexander' s license.
    In a letter dated February 28, 2020 written to LDI, Mr. Alexander claimed
    that he did not receive LDI' s requests for responses to Mr. Lewis' s complaint or
    LDI' s notice of the fine but enclosed payment of the fine along with his request.
    Mr. Alexander also stated in his request that he questioned Ms. Tolliver about the
    complaint and the fine and that she explained that she had made a mistake and
    attempted to cover it up.
    On May 8, 2020, LDI received a complaint from Tawna Casey, another of
    the agency' s customers, in which she alleged she had made a premium payment on
    February 7, 2020 on her homeowner' s policy to Ms. Tolliver. Despite her repeated
    requests between February and April of that year for a copy of her policy, Ms.
    Casey never received one. Ms. Casey then contacted the underwriting company
    and discovered that her policy has been cancelled on March 31, 2019 for non-
    payment.    Notice of cancellation was mailed to both Mr. Alexander and Ms.
    Tolliver on March 1, 2019.   Mr. Alexander called the underwriter on May 27, 2020
    concerning Ms. Casey' s policy, and during their conversation,        Mr. Alexander
    admitted that he had not been working in the office for quite some time and that
    Ms. Tolliver was running the office. LDI mailed notice of Ms. Casey' s complaint
    to Mr.   Alexander on July 9,      2020. Although Mr. Alexander responded to the
    complaint, LDI found the response to be inadequate.
    On June 11,    2020, LDI received a consumer complaint from contracting
    company Tara O Design, alleging that Ms. Tolliver had provided fraudulent
    certificates of insurance ( COI)   on behalf of sub -contractor Tony' s Electric, who
    was one of the agency' s customers. The COI indicated that Tony' s Electric had
    general liability and workers' compensation insurance coverage.     As a result of the
    fraudulent COI, Tara O Design alleged it was assessed $ 1, 373 in adjusted workers'
    4
    compensation premiums because of the lack of coverage for Tony' s Electric.       In a
    sworn statement dated September 10, 2020, given to LDI, Mr. Alexander claimed
    that he had no knowledge of the COI, that he never personally dealt with Tony' s
    Electric, and that Tony' s Electric had only done business with Ms. Tolliver.
    On August 31,     2020, LDI received a consumer complaint from Rachel
    Dugas, one of the agency' s customers. Ms. Dugas alleged that she had submitted
    premium payments to Ms. Tolliver for a Progressive vehicle insurance policy, but
    that the policy had been cancelled for non-payment.         Ms. Dugas claimed that she
    was   assessed $   1, 060 in fines by the Office of Motor Vehicles for not having
    vehicle insurance.   Ms. Dugas alleged that she brought to Ms. Tolliver every notice
    she received from Progressive stating that she did not have insurance,        but Ms.
    Tolliver would tell her that the notices were incorrect. Ms. Dugas claimed that she
    and her husband did not have insurance on their vehicles from September 2019
    through May 2020. Mr. Dugas went to Mr. Alexander' s home to inform him that
    he and Ms. Dugas did not have coverage.         Mr. Alexander allegedly purchased
    another policy for Mr. Dugas and paid the premium, but Mr. Dugas claimed that
    policy was cancelled the following week.
    On September 16, 2020, LDI notified Mr. Alexander of violations pursuant
    to La. R.S. 22: 1554( A)(4), which provides for the suspension or revocation of an
    insurance license for "[   ulsing fraudulent,   coercive,    or dishonest practices or
    misrepresentation, or demonstrating incompetence, untrustworthiness, or financial
    irresponsibility in the conduct of business such as might endanger the public."
    LDI' s proposed actions were to immediately suspend Mr. Alexander' s license, to
    revoke his license 30 days from the date of the notice, and to order Mr. Alexander
    to cease and desist in conducting insurance business in the State of Louisiana.
    The Louisiana Division of Administrative Law ( LDA) reviewed LDI' s
    decision, and, on March 23, 2021, signed an order affirming the revocation of Mr.
    9
    Alexander' s insurance license.     LDA stated in its reasons that Mr. Alexander did
    not prove that LDI acted arbitrarily or capriciously, or abused its discretion in
    revoking his license.    Rather, LDA found that LD1 proved that Mr. Alexander
    committed      a   violation   of    La.   R. S.   22: 1554( A)(4)   by   demonstrating
    untrustworthiness and financial irresponsibility in the conduct of business such as
    might endanger the public."         Specifically, LDA found that Mr. Alexander was
    particularly irresponsible in allowing Ms. Tolliver to run the business after he had
    been made aware of Mr. Lewis' s complaint, which then led to other consumer
    complaints being filed against the agency.
    On April 20, 2021, Mr. Alexander filed a petition for judicial review of
    LDA' s adjudication.    In the petition, Mr. Alexander alleged that all the violations
    committed by his business were committed solely by Ms. Tolliver, that he took no
    part in her actions, and that he immediately took actions to resolve the problems
    Ms. Tolliver created.    Mr. Alexander further alleged that on January 22, 2021, he
    filed for divorce from Ms.     Tolliver. He also forbade her from returning to the
    office and changed the locks, apparently so that Ms. Tolliver would be separated
    from the business and could do no further harm.
    After a hearing, and after considering briefs submitted by Mr. Alexander and
    LDI, the district court signed a judgment on November 16, 2021, affirming LDA' s
    decision. Mr. Alexander has appealed this judgment.
    ASSIGNMENTS OF ERROR
    Mr. Alexander has submitted two assignments of error:
    1.   The district court erred in affirming the decision of LDA, which upheld
    the revocation of Mr. Alexander' s insurance agent' s license, when the
    alleged underlying acts leading to the revocation were all committed by
    Ms. Tolliver, without Mr. Alexander' s knowledge or approval.
    2.    The district court erred in not ruling a punishment less than a revocation
    of Mr. Alexander' s insurance license, such as suspension, probation, or
    fine, was warranted under the facts established at the administrative
    hearing.
    G
    STANDARD OF REVIEW
    The Louisiana Administrative Procedure Act provides for judicial review
    over administrative adjudications.          At the pertinent time herein, La. R.S.
    49: 964( G)``     provided:
    The court may reverse or modify the decision if substantial rights of
    the    appellant   have    been   prejudiced   because    the    administrative
    findings, inferences, conclusions, or decisions are:
    1) In violation of constitutional or statutory provisions;
    2) In excess of the statutory authority of the agency;
    3) Made upon unlawful procedure;
    4) Affected by other error of law;
    5) Arbitrary or capricious or characterized by abuse of discretion or
    clearly unwarranted exercise of discretion; or
    6) Not supported and sustainable by a preponderance of evidence as
    determined by the reviewing court. In the application of this rule,
    the court shall make its own determination and conclusions of fact
    by a preponderance of evidence based upon its own evaluation of
    the record reviewed in its entirety upon judicial review. In the
    application of the rule, where the agency has the opportunity to
    judge the credibility of witnesses by first-hand observation of
    demeanor on the witness stand and the reviewing court does not,
    due regard shall be given to the agency' s determination of
    credibility issues.
    Carpenter v. State, Dept. of Health and Hospitals, 2005- 1904 ( La. App. 1 Cir.
    9/ 20/ 06), 
    944 So. 2d 604
    , 607- 608, writ denied, 2006- 2804 ( La. 1126/ 07), 
    948 So. 2d 174
    .
    When reviewing an administrative final decision, the district court functions
    as   an   appellate    court.   Mid -City Automotive, LLC v. Louisiana Department of
    Public Safety, 2019- 1219 ( La. App.          1 Cir. 5/ 11/ 20), 
    304 So. 3d 457
    , 461.        Once a
    final judgment is rendered by the district court,             an aggrieved party may seek
    1 Louisiana Revised Statutes 49:964 was re -designated La.          R.S.   49: 975. 1,   without   any
    substantive change, pursuant to 2022 La. Acts, No. 663 §   1, eff. Aug. 1, 2022.
    7
    review by appeal to the appropriate appellate court.          La. R.S. 49: 979. On review of
    the district court' s judgment, no deference is owed by the court of appeal to the
    factual findings or legal conclusions of the district court, just as no deference is
    owed by the Louisiana Supreme Court to factual findings or legal conclusions of
    the court of appeal.    Mid -City Automotive, LLC, 304 So. 3d at 461.                 Thus,   an
    appellate court sitting in review of an administrative agency reviews findings and
    decisions of the administrative agency and not the decision of the district court. Id.
    Consequently, this Court will conduct its own independent review of the record in
    accordance with the standards provided in La. R.S. 49: 964( G).
    DISCUSSION
    In his first assignment of error, Mr. Alexander argues that the decision to
    revoke his insurance license should be reversed because all the violating actions
    were committed by Ms. Tolliver without his knowledge or approval.                      After a
    complete    review   of the   appellate   record,      we disagree with Mr. Alexander' s
    argument.   Extensive evidence was submitted to LDA not only by LDI, but also by
    Mr. Alexander      himself which has shown he was in violation of La. R.S.
    22: 1554( A)(4).
    The record indicated that Mr. Alexander was made aware that Ms. Tolliver
    was conducting business without an insurance license on August 23, 2019, when
    Progressive informed him of such.               Progressive     alleged that Mr. Alexander
    admitted in their discussion that he, and not Ms. Tolliver, was responsible for the
    insurance agency. In his live testimony before LDA, Mr. Alexander stated he was
    first informed about Ms. Tolliver' s expired license by LDI. LDI' s February 19,
    2020 letter to Mr. Alexander indicated that he was contacted by LD1 about Mr.
    Lewis' s   complaint   on   June   1,   2019.       Despite   these   notices,   Mr. Alexander
    continued to conduct insurance business with Ms. Tolliver as his employee,
    without his supervision.
    8
    Consequently, LDI received consumer complaints from Ms. Casey on May
    8, 2020, from Tara O Design on June 11, 2020, and from Ms. Dugas on August 31,
    2020.      These complaints were filed while Ms.               Tolliver was employed by Mr.
    Alexander and while she conducted insurance business without an insurance
    license.   According to the petition for divorce filed by Mr. Alexander, he and Ms.
    Tolliver separated on July 15, 2020. While Ms. Dugas' s complaint was filed after
    the date of separation, she alleges in her complaint that she gave premium
    payments to Ms. Tolliver.         LDI submitted evidence of a money order signed by
    Ms. Dugas payable to Progressive dated June 9, 2020.
    From our review of the record,                we find that LDA was not arbitrary,
    capricious,    or abusive in its discretion in finding that Mr.                Alexander was in
    violation of La. R.S. 22: 1554( A)(4).         Specifically, we find that Mr. Alexander' s
    actions     have    demonstrated "    incompetence,            untrustworthiness,    or   financial
    irresponsibility in the conduct of business such as might endanger the public."
    Thus, Mr. Alexander' s first assignment of error is without merit.
    In his second assignment of error, Mr. Alexander argues that should LDI' s
    finding that he violated La.         R. S.   22: 1554( A)(4)         be affirmed, the penalty of
    revoking his license was not supported by the facts of the case, and a lesser penalty
    would be more          suitable   under those         facts.    Again,    we   disagree   with   Mr.
    Alexander' s       argument.      Pursuant   to       the   facts,   revocation   of licensure    is
    commensurate with Mr. Alexander' s actions.
    If the evidence, as reasonably interpreted, supports the determination of the
    administrative agency, its orders will be accorded great weight and will not be
    reversed or modified in the absence of a clear showing that the administrative
    action is arbitrary and capricious. The test for determining whether the action is
    arbitrary and capricious is " whether the action taken is reasonable under the
    circumstances."       Stated differently, the question is whether the action taken was
    9
    without reason."      Matter of Supplemental Fuels, Inc.,          94- 1. 596 (   La. App.   I Cir.
    519195), 
    656 So. 2d 29
    , 39.
    Mr. Alexander pointed to the district court characterizing the revocation of
    his license as " harsh." The district court went on to state that:
    under these factual circumstances I find that [ LDI] could have found
    Mr. Alexander' s actions] so unsettling that they would determine that
    a fine in an[ d] of itself was insufficient to meet the hazard to the
    public in this particular case.         Irrespective to whether I would have
    found differently I do not find that their decision was arbitrary and
    capricious or overextending their authority in any way[.]
    We   agree     with   the   district court.     Louisiana Revised         Statutes     22: 1554( A)
    authorizes LDI to take a number of actions, including revocation of license, upon
    anyone who holds an insurance license issued by LDI, who commits any of a
    number    of   enumerated      actions,   which      include "   demonstrating incompetence,
    untrustworthiness, or financial irresponsibility in conduct of such business as might
    endanger the public."       LDI characterized Mr. Alexander' s actions as such, and we
    must give great weight to LDI' s findings. See Matter ofSupplemental Fuels, Inc.,
    656 So. 2d at 39.     Since the facts support the finding that Mr. Alexander violated
    La. R.S. 22: 1554( A)( 4),   a penalty authorized by La. A.S. 22: 1554 is, therefore, not
    without reason and is not arbitrary or capricious.                   Mr. Alexander' s         second
    assignment of error is without merit.
    DECREE
    The judgment of the Nineteenth Judicial District Court, which affirmed the
    March 23, 2021 decision of the Louisiana Division of Administrative Law, thereby
    revoking the insurance license of the appellant, Vincent Alexander, is affirmed.
    All costs of this appeal are assessed to the appellant, Vincent Alexander.
    AFFIRMED.
    10
    

Document Info

Docket Number: 2022CA0769

Filed Date: 2/24/2023

Precedential Status: Precedential

Modified Date: 2/24/2023