Department of Insurance & Treasurer v. National Benefit Life Insurance

32 Fla. Supp. 2d 179
CourtState of Florida Division of Administrative Hearings
DecidedAugust 12, 1988
DocketCase No. 87-5436
StatusPublished

This text of 32 Fla. Supp. 2d 179 (Department of Insurance & Treasurer v. National Benefit Life Insurance) is published on Counsel Stack Legal Research, covering State of Florida Division of Administrative Hearings primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Department of Insurance & Treasurer v. National Benefit Life Insurance, 32 Fla. Supp. 2d 179 (Fla. Super. Ct. 1988).

Opinion

OPINION OF THE COURT

DIANE K. KIESLING, Hearing Officer.

RECOMMENDED ORDER

Pursuant to notice, a formal hearing was held in Tallahassee, [180]*180Florida, on May 4 and 5, 1988, before the Division of Administrative Hearings, by its designated Hearing Officer, Diane K. Kiesling.

The issues are 1) whether Respondent’s certificate of authority should be revoked or otherwise penalized based on the acts and violations alleged in the Notice to Show Cause; and 2) whether a cease and desist order should be entered as asserted in the Notice to Show Cause.

Petitioner, Department of Insurance (Department), presented the testimony of Gail Connell and Richard W. Mizerski, an expert in advertising in the areas of deceptive and misleading advertising and promotional materials. Petitioner’s Exhibits 2-5, 6A-6D, and 7 were admitted into evidence. Respondent, National Benefit Life Insurance Company (National Benefit), presented the testimony of Kenneth M. Beck, Joseph H. Plante, Donald Lee Nettles, Sr., Johnny Luten, and Phillip E. Downs, an expert in deceptive and misleading advertising. Petitioner called Joseph H. Plante as a rebuttal witness and Respondent recalled Kenneth M. Beck on surrebuttal. Respondent’s Exhibits 1-11, 13-18, 27, 36, 49-41, and 43 were admitted into evidence, but was withdrawn by Respondent in the course of the hearing. Respondent’s Exhibits 44 and 45 and Supplemental Exhibits 8, 10 and 11 are admitted after the hearing by agreement of the parties.

The transcript of the proceedings was filed on June 27, 1988. By agreement of the parties, the proposed findings of law and conclusions of law were to be filed on July 8, 1988, eleven days following the filing of the transcript, thereby waiving the requirements of Rule 28-5.402, Florida Administrative Code, pursuant to Rule 221-6.031(2), Florida Administrative Code. Petitioner timely filed same, but Respondent filed its proposed findings of fact and conclusions of law on July 11, 1988. Because Petitioner has not objected to the untimely filing, Respondent’s proposed findings of fact have been considered. All proposed findings of fact and conclusions of law have been considered. Specific rulings have been made on each proposed finding of fact in the Appendix attached hereto and made a part of this Recommended Order.

FINDINGS OF FACT

1. National Benefit is a foreign corporation incorporated under the laws of the District of Columbia, organized for profit, and doing business in several states, including the State of Florida.

2. National Benefit is authorized to write insurance in the State of Florida.

3. Insurance Marketing Corporation (IMC) operates as the market[181]*181ing arm for Associated Direct Marketing Services (ADMS), which in turn is an affiliate of National Benefit and functions as the marketing company for National Benefit. IMC prepares all of National Benefit’s direct response marketing, including the advertisement at issue in this case.

4. National Benefit is fully responsible for advertisements prepared by IMC.

5. National Benefit has advertised and is currently advertising insurance products, through the television medium, which are received by residents of the State of Florida. One such product is known as “Security Life TM.”

6. The television advertising at issue in this case is referred to as IMC-103 and is a television commercial featuring Dick Van Dyke as the compensated spokesperson.

7. Van Dyke states: “that National Benefit Life has found a way for you to get the protection you need ... at a price you really can afford. Just $3.95 a month. . . .” At this point in the advertisement, superimposed on the screen are the words: “$3.95 a month (per unit)”

8. At no time during this advertisement is there either an explanation of the use of units in which a common premium is specified or a description of varying benefit amounts according to age.

9. During the advertisement, Van Dyke states that a forty-five (45) year old male consumer can obtain forty thousand dollars ($40,000.00) of coverage for just sixty-five cents ($.65) a day. However, the implication is that such coverage can be obtained for a monthly premium of three dollars and ninety-five cents ($3.95) because this figure is prominently displayed twice on the screen and Van Dyke mentions this figure twice within a 120-second period.

10. In reality, the consumer must purchase five (5) units of insurance at a monthly premium of nineteen dollars and seventy-five cents ($19.75) to be eligible for the forty thousand dollars ($40,000) benefit advertised.

11. At the advertised premium of three dollars and ninety-five cents ($3.95) (one unit) per month, a forty-five (45) year old male consumer would receive benefits of only six hundred ($600.00) in Term Life benefits if he dies a natural death of age seventy (70) while having paid in seven hundred eleven dollars ($711.00).

12. A forty-five year old consumer purchasing five (5) units would obtain a forty thousand dollars ($40,000.00) benefit only if the consum[182]*182er’s death was caused by a covered accidental bodily injury and only after the first tow years of coverage.

13. The amount of coverage decreases as the policyholder’s age increases.

14. Death benefits are limited to premiums paid during the first two (2) years of coverage if death is caused by other than accidental bodily injury.

15. The advertisement contains a 14-word superimposed summary of limitations on benefits which appear on the screen for approximately two (2) seconds. At the same time that the summary of limitation appears on the screen, Van Dyke is discussing something unrelated to the summary of limitations. There is no other explanation of these terms.

16. A person of average education or intelligence cannot be expected to read or comprehend the aforementioned summary within the two (2) second period in which the summary appears on the screen. In fact, the undersigned was able to read only the first five words when the advertisement was shown.

17. Van Dyke also states during the aforementioned advertisement, “Big Dollars Benefits.”

18. Using Van Dyke’s example given in the advertisement, i.e., forty thousand dollars ($40,000.00) of coverage, a forty-five (45) year old male would have to purchase five (5) units of insurance, keep the policy in force, die before age forty-nine (49), and die as a result from all other causes, within ninety (90) days of the accident. None of these factors are mentioned in the advertisement.

19. Likewise, a forty-five (45) year old male could purchase five (5) units of insurance, keep the policy in force until his natural death at age sixty (60), and have paid National Benefit a total premium of three thousand five hundred fifty-five dollars ($3,555.00), yet the policy would pay, because of decreasing benefits, a total benefit of only three thousand dollars ($3,000.00).

20. The advertisement indicates “guaranteed acceptance” by superimposition and spoken text without explaining the limitations on benefits in a manner contiguous to and as prominent as the term.

21. Taken as a whole, IMC-103 is deceptive and misleading advertising and has the capacity or tendency to mislead or deceive either by fact or implication.

22.

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Bluebook (online)
32 Fla. Supp. 2d 179, Counsel Stack Legal Research, https://law.counselstack.com/opinion/department-of-insurance-treasurer-v-national-benefit-life-insurance-fladivadminhrg-1988.