Commissioner of Insurance v. Stryker

463 S.E.2d 163, 218 Ga. App. 716
CourtCourt of Appeals of Georgia
DecidedOctober 12, 1995
DocketA95A1185, A95A1186
StatusPublished
Cited by25 cases

This text of 463 S.E.2d 163 (Commissioner of Insurance v. Stryker) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commissioner of Insurance v. Stryker, 463 S.E.2d 163, 218 Ga. App. 716 (Ga. Ct. App. 1995).

Opinion

Johnson, Judge.

After investigating certain business practices of Guy Stryker, an insurance agent, the Commissioner of Insurance issued an order revoking Stryker’s license to transact insurance business in the State of Georgia. The revocation was to become effective the following month unless Stryker requested a hearing, which he did. An administrative hearing officer heard evidence and found that Stryker violated several provisions of the Georgia Insurance Code, namely: OCGA §§ 33-23-21 (4), (5), and (11) and 33-23-35 (b). OCGA § 33-23-21 (4), (5), and (11) provide that a license may be revoked if the license holder has misappropriated, converted to his own use, or illegally withheld money belonging to an insured; has committed fraudulent or dishonest prac *717 tices; or has shown a lack of trustworthiness or competence to act as a licensee. OCGA § 33-23-35 (b) provides that return premiums due the insured shall be accounted for, shall not be commingled with the licensee’s personal funds, and shall be promptly accounted for and paid to the insured. The hearing officer recommended that the Commissioner issue Stryker a probationary license for 12 months and further recommended that if Stryker failed to execute a probation agreement within 30 days, that his agent’s license be revoked. The Commissioner adopted the hearing officer’s recommendations. Stryker did not execute the probation agreement but instead appealed to superior court, where the case was heard by a part-time magistrate sitting by designation as a superior court judge. The Commissioner’s decision was reversed. We granted the Commissioner’s application for discretionary review. The Commissioner appeals in Case No. A95A1185. Stryker appeals in Case No. A95A1186.

Case No. A95A1185

1. The Commissioner argues that the superior court failed to apply the proper standard in reviewing the administrative decision. We agree and reverse the superior court’s judgment.

“Judicial review of an administrative decision shall be conducted by the court without a jury and shall be confined to the record. OCGA § 50-13-19 (g). The court shall not substitute its judgment for that of the agency as to the weight of the evidence on questions of fact. OCGA § 50-13-19 (h). . . . The clearly erroneous standard of review to be applied by the superior court prevents a de novo determination of evidentiary questions leaving only a determination of whether the facts found by the ALJ are supported by any evidence. [Cit.]” (Punctuation omitted.) Sawyer v. Reheis, 213 Ga. App. 727, 728-729 (1) (445 SE2d 837) (1994). As discussed below, it is clear that the superior court made a de novo determination of evidentiary questions and substituted its own judgment for that of the agency.

2. The administrative agency’s determination that Stryker failed to promptly refund his clients’ money was supported by the record. At the hearing, three of Stryker’s clients testified that they applied for insurance through him, paid him premiums, and then when their applications were rejected by the insurer or when the client cancelled within a free trial period, they encountered long delays before receiving refunds. The clients added that Stryker refused to return their phone calls and missed appointments with them and that they received no relief until they contacted the insurers directly and the Commissioner. The evidence showed that Stryker already received his clients’ refund checks from the insurer, but that he deposited the money into his business account and used it to pay operating ex *718 penses. He waited between 48 and 57 days after depositing the checks before sending the clients their refunds. An expert witness testifying on Stryker’s behalf stated that, in his opinion, a “prompt” refund was one made within 30 days and that 30 days is “pushing the limit” as to what is considered prompt. In her decision, the hearing officer acknowledged that “there is no bright line standard” as to what constitutes promptness in refunding payments as required by OCGA § 33-23-35 (b). However, the hearing officer, expressly referencing the testimony of Stryker’s own expert witness, found that 30 days was “at the outside limit of what is considered prompt” and that, based on industry standards, the premium refunds issued by Stryker were not promptly made. There being evidence that the refunds were not prompt, the superior court erred in reversing the Commissioner’s judgment on that issue.

3. Similarly, the administrative agency’s finding that Stryker violated OCGA § 33-23-21 (4) by misappropriating or illegally withholding money belonging to an insured was supported by evidence of record. As discussed in Division 2, testimony established that Stryker withheld return premiums sent by the insurer and then delayed payment to clients in order to pay his office expenses. This finding should have also been upheld.

4. The administrative agency’s determination that Stryker committed fraudulent or dishonest practices in violation of OCGA § 33-23-21 (5) is also supported in the record. Stryker’s use of client funds to pay office expenses, failure to inform clients of the status of their refunds, and failure to return clients’ calls or attend meetings with them as scheduled support the finding that Stryker acted dishonestly or fraudulently.

5. Finally, the Commissioner’s finding that Stryker exhibited a lack of trustworthiness or competence in violation of OCGA § 33-23-21 (11) is supported by testimony that he was not diligent in servicing his clients’ policies or in submitting their applications to the insurer, that he failed to respond to requests for information from the insurer, and that he failed to account for his clients’ money. This finding should have been upheld by the superior court as well.

“The interpretation of a statute by an administrative agency which has the duty of enforcing or administering it is to be given great weight and deference.” (Citations omitted.) Hosp. Auth. of Gwinnett County v. State Health Planning Agency, 211 Ga. App. 407, 408 (2) (438 SE2d 912) (1993). It is clear that the superior court judge failed to give the Commissioner’s interpretation of the statutes the deference to which it was entitled. Compare Butts County v. Pine Ridge Recycling, 213 Ga. App. 510, 512 (1) (445 SE2d 294) (1994).

*719 Case No. A95A1186

6.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Carolina Tobacco Co. v. Baker
670 S.E.2d 811 (Court of Appeals of Georgia, 2008)
Greene v. Department of Community Health
666 S.E.2d 590 (Court of Appeals of Georgia, 2008)
Piedmont Healthcare, Inc. v. Georgia Department of Human Resources
638 S.E.2d 447 (Court of Appeals of Georgia, 2006)
Gwinnett County v. Lake Lanier Ass'n
593 S.E.2d 678 (Court of Appeals of Georgia, 2004)
Hicks v. Florida State Board of Administration
594 S.E.2d 745 (Court of Appeals of Georgia, 2004)
United American Insurance v. Insurance Department
574 S.E.2d 830 (Court of Appeals of Georgia, 2002)
UNITED AMER. INS. v. Ins. Dept. of Ga.
574 S.E.2d 830 (Court of Appeals of Georgia, 2002)
Albany Surgical, P.C. v. Department of Community Health
572 S.E.2d 638 (Court of Appeals of Georgia, 2002)
Insurance Department v. St. Paul Fire & Casualty Insurance
559 S.E.2d 754 (Court of Appeals of Georgia, 2002)
In Re the Reinstatement of Wiederholt
24 P.3d 1219 (Alaska Supreme Court, 2001)
Blue Cross & Blue Shield of Georgia, Inc. v. Deal
536 S.E.2d 590 (Court of Appeals of Georgia, 2000)
Georgia Public Service Commission v. ALLTEL Georgia Communications Corp.
536 S.E.2d 542 (Court of Appeals of Georgia, 2000)
Georgia Public Service Commission v. Sawnee Electric Membership Corp.
529 S.E.2d 186 (Court of Appeals of Georgia, 2000)
Moreton Rolleston Living Trust v. Glynn County Bd.
523 S.E.2d 600 (Court of Appeals of Georgia, 1999)
Rogers v. Barnett
514 S.E.2d 443 (Court of Appeals of Georgia, 1999)
Bartram Environmental, Inc. v. Reheis
509 S.E.2d 114 (Court of Appeals of Georgia, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
463 S.E.2d 163, 218 Ga. App. 716, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commissioner-of-insurance-v-stryker-gactapp-1995.