Coomes v. Maryland Insurance Administration

CourtCourt of Special Appeals of Maryland
DecidedMarch 30, 2017
Docket2158/15
StatusPublished

This text of Coomes v. Maryland Insurance Administration (Coomes v. Maryland Insurance Administration) is published on Counsel Stack Legal Research, covering Court of Special Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Coomes v. Maryland Insurance Administration, (Md. Ct. App. 2017).

Opinion

REPORTED

IN THE COURT OF SPECIAL APPEALS

OF MARYLAND

No. 2158

September Term, 2015

ELIZABETH HARING COOMES

v.

MARYLAND INSURANCE ADMINISTRATION

Berger, Reed, Salmon, James P. (Senior Judge, Specially Assigned, JJ.) _______________________________

Opinion by Berger, J.

Filed: March 30, 2017

*Judge Kevin F. Arthur did not participate in the Court’s decision to report this opinion pursuant to Rule 8-605.I. This appeal arises from several decisions of the Maryland Insurance Commissioner

(“Commissioner”), including the Commissioner’s decision to: (1) grant summary

disposition in favor of the Maryland Insurance Administration (“MIA”) against Elizabeth

Coomes (“Coomes”); (2) affirm the MIA’s Amended Order revoking Coomes’s producer’s

license for violations of various provisions of the Insurance Article; and (3) assess an

administrative penalty of $1,250.00. The relevant facts in this case surround Coomes’s

“voluntary surrender” of her Virginia producer’s license and whether this “surrender”

constitutes an “adverse action” requiring Coomes to report the surrender to the MIA.

On appeal, Coomes presents five issues for our review, 1 which we rephrase as

follows:

1 Coomes presented the issues as follows:

1. Did the Hearing Officer commit reversible error when she failed to rule upon Appellant’s objections to jurisdiction and exercised jurisdiction over the Virginia matter?

2. Did the Hearing Officer violate petitioner’s procedural rights and thus commit reversible error when she granted the Agency’s Motion for Summary Disposition and summarily affirmed the Agency’s Amended Order summarily revoking Petitioner’s Maryland producer license, finding that Petitioner had committed fraud or other dishonest conduct, where the Commissioner made that finding without the benefit of an evidentiary hearing to determine whether Petitioner had the requisite intent to commit the fraud or dishonest conduct alleged by the Administration?

2 1. Whether the Commissioner erred as a matter of law by finding that Coomes’s voluntary surrender of her Virginia insurance producer’s license was an “adverse administrative action” requiring her to report it to the Maryland Insurance Administration.

2. Whether there is substantial evidence in the record to support the Commissioner’s conclusion as a matter of law that Coomes violated Md. Code (2002, 2011 Repl. Vol.), § 10-126(a)(1), (6), (12), (13), and (f) of the Insurance Article (“I.A.”).

3. Whether Double Jeopardy applies to shield Coomes from having her Maryland producer’s license revoked after previously voluntarily surrendering her Virginia producer’s license based on the same underlying set of facts.

4. Whether the circuit court abused its discretion under Md. Code (1984, 2014 Repl. Vol., 2016 Supp.), § 10-222(f)(2) of the State Government Article (“S.G.”) when it denied

3. Did the Hearing Officer commit reversible error when she found in a case of first impression, without citation of authority, that Petitioner’s voluntary surrender of her Virginia producer’s license was an “adverse administrative action,” despite the fact that the voluntary surrender was not the result of any formal or informal, final Virginia administrative agency proceeding that included fact finding or resolution of disputed facts, administrative charges, any action, admissions of guilt, findings of fact, conclusions of law or Order?

4. Did the Hearing Officer commit reversible error when she declined to apply the law of Double Jeopardy, the doctrine of Merger or the Rule of Lenity to the Administrative Proceeding?

5. Did the Circuit Court err when it denied the Appellant’s Motion for Leave to Offer Additional Evidence?

3 Coomes’s motion to offer additional evidence on the basis that the evidence was not material.

BACKGROUND

In 2004, Elizabeth Coomes became a licensed insurance producer in the

Commonwealth of Virginia. That same year, the State of Maryland issued a producer’s

license to Coomes as a nonresident producer. In September of 2011, the Virginia

Department of Insurance (“VDI”) began investigating Coomes for alleged acts of

misappropriating two checks sent to her in error by Anthem Blue Cross and Blue Shield of

Virginia (“Anthem”).

Prior to September 2011, Anthem mistakenly sent two checks totaling

approximately $20,000 to Coomes’s agency’s home office in Leesburg, Virginia. Both

checks were made out to “EBCA” (Employee Benefit Corporation of America). Coomes,

or a member of her staff, deposited the checks into her agency’s operating account. EBCA

and Anthem notified Coomes that the checks were sent to her agency in error on or around

August 18, 2011, and they requested the return of the money since the checks were

deposited.

Coomes testified at the hearing before the Commissioner that the agency routinely

received commission checks from Anthem and other insurers, and that by the time Anthem

demanded repayment for the checks sent in error, she had already spent the money on

various business expenses. She further testified that after she informed Anthem that she

was not able to repay the money in one lump sum, Anthem refused to take the money out

of her future commission payments. Thereafter, she and Anthem came to an agreement for 4 Coomes to repay Anthem immediately with approximately $6,000 to $10,000 cash on

hand, and the remainder with a small personal loan. A few days later, however, Anthem

filed a complaint with VDI and Coomes did not repay the money immediately.

The VDI began investigating Coomes’s conduct in September of 2011 based on

allegations that Coomes had misappropriated money through acts of fraud, deception, or

dishonesty. The investigation by the VDI addressed Anthem’s accusations that Coomes

had committed fraud, conversion and had forged endorsements on the checks. Thereafter,

Coomes repaid all but $2,000 of the money owed with a series of three checks sent in

February and March of 2012. Coomes, however, refused to repay the remaining $2,000,

averring that Anthem owed her the money for unrelated advertising co-op costs under her

contract with Anthem.

The VDI’s investigation ultimately was resolved without a hearing when Coomes

agreed to a “voluntary surrender” of her Virginia producer’s license. Coomes executed the

voluntary surrender agreement with the VDI on or around December 10, 2012, to be

effective March 11, 2013. 2 In the agreement, Coomes acknowledged that she voluntarily

surrendered her Virginia producer’s license “in lieu of a hearing before the State

Corporation Commission, which [Coomes] understand[s] may result in revocation or

suspension of [Coomes’s] authority as an insurance agent or consultant, as well as possible

2 The date on the “Voluntary Surrender of Insurance Agent or Consultant License Authority” agreement read “to be effective March 11, 2013.” Both parties agree that Coomes signed the agreement on December 10, 2012.

5 monetary penalty.” (Emphasis added). Coomes voluntarily surrendered “all authority . . .

to conduct the business of insurance or insurance consulting in the Commonwealth of

Virginia.” The agreement further provided that “[i]n consideration of the Commission’s

acceptance of [the] voluntary surrender of [her] license authority in lieu of a hearing before

the Commission . . .” Coomes agreed not to apply to “transact the business of insurance in

Virginia for a period of one year” from the date of the agreement, and only after she had

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