Dyer v. Superintendent of Ins.

Superior Court of Maine·Decided January 18, 2012·No. CUMap-11-11·Unpublished

Opinion

STATE OF MAINE BUSINESS AND CONSUMER COURT CUMBERLAND, ss Location: Portland Docket No.: BCD-AP-11-11 , ·' f'i,

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PAULA. DYER, )

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Petitioner, )

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SUPERINTENDENT OF INSURANCE, )

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Respondent )

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DECISION ON RULE soC APPEAL Petitioner Paul A. Dyer appeals from a decision of Respondent Superintendent of Insurance in which the Superintendent found that Dyer violated numerous provisions of the Insurance Code in the course of an annuity transaction with Joan Van Horn. (Administrative Record (hereinafter, "A.R.") 205-06.) As a result, the Superintendent revoked Dyer's insurance producer license and insurance consultant license and ordered him to pay restitution to Van Horn and a fine of$5500. (A.R. 198.)

FACTUAL BACKGROUND

Dyer has been licensed by the Bureau ofinsurance since 1982 and, at the time of these proceedings, held a Resident Insurance Producer License and a Resident Insurance Consultant License. (A.R. 198.) Dyer met Van Horn in the fall of 2004 after Dyer gave a speech on long term care protection at the Augusta Civic Center. (A.R. 198.) Dyer and Van Horn had several meetings and Van Horn decided to apply for long-term care insurance, but she was denied coverage on a medical basis. (A.R. .198.) After the denial of coverage, Van Horn signed a

Consultant Agreement with Dyer on January 18, 2005, engaging Dyer to review her insurance, financial, and estate plans and advise her on her current plans or needs. (A.R. 199.)

According to Dyer, he created a four-part plan to guarantee Van Horn an mcome stream so that she could safely reinvest her assets in other tools with a higher yield and pass her estate to her heirs. (A.R. 199.) The plan, however, was never reduced to a single document and was only communicated to Van horn orally; the Superintendent concluded that the full four-part plan was not adequately documented or explained to Van Horn. (A.R. 199-200.) The only part of the alleged four-part plan that was completed was the purchase of a single-premium immediate annuity (SPIA) from Old Mutual Financial Network 1 (Old Mutual)

through a section 1035 tax-free partial exchange. See 26 U.S.C.S. § 1035(a)(3) (LexisNexis 2011). (A.R. 200.)

When Dyer and Van Horn met, Van Horn held an annuity through Modern Woodmen of America with a value of $143,818.58; a base interest rate of 5.45%; a guaranteed rate of 4.00%; and additional credited interest rate of 0.25% on balances over $100,000. (A.R. 200.)

Van Horn received a monthly withdrawal of $550. (A.R. 200.) On Dyer's advice, Van Horn surrendered a portion of the Modern Woodmen annuity and applied for a SPIA. (A.R. 200.) Dyer did not review the application with Van Horn personally, and Van Horn did not know or understand what a SPIA or a section 1035 exchange was. (A.R. 200.)

There was conflicting testimony regarding the SPIA. Van Horn testified that Dyer told her the SPIA would have an interest rate of6% to 7% (A.R. 201.) Dyer testified that the SPIA quote he received from Old Mutual had a 2% to 3% interest rate, but he did not retain a copy of the quote. (A.R. 200.) Dyer also testified that he warned Van Horn that the SPIA would have a low yield of only 2%-3%, but the remainder of the four-part plan would make up for the loss

1Fidelity and Guaranty Life Insurance Company issued the policy; Old Mutual Financial Network purchased Fidelity and Guaranty Life Insurance Company shortly after the transaction. (A.R. 200.)

in interest rate as part of a Medicaid impoverishment strategy. (A.R. ~W0-01.) Van Horn, however, testified that Dyer did not warn her about the lower yield, did not discuss the importance a low-yielding SPIA to a Medicaid impoverishment strategy, and did not discuss the advantages and disadvantages of gifting money to her children prior to her death. (A.R. 201.) The Superintendent credited Van Horn's testimony over Dyer's testimony and found that Dyer "consistently failed to explain his plans to [Van Horn] in writing or to maintain adequate records of his planning activities and his conversations." (A.R. 202.)

The SPIA Van Horn purchased ended up yielding a negative interest rate. (A.R. 202.)

The Old Mutual SPIA issued on June 20, 2005, for a premium of $S9,S26.50. (A.R. 202.) The SPIA had a fixed monthly payment of $648.2S for a five-year period. (A.R. 202.) At that rate, only $S8,89S.80 would be repaid at the end of the term, $4S2.70 less than Van Horn paid for the annuity. (A.R. 202.) The lower payments were due in part to the lower premium amount, the inclusion of a 2% premium tax, and Dyer's commission, the latter two of which were not discussed with Van Horn. (A.R. 202.) Old Mutual eventually increased the monthly payments to $662.65. (A.R. 202.)

Dyer attempted to remedy the problem on Van Horn's behalf (A.R. 202.) At some point in October or November of 2007, Dyer testified that Old Mutual left a message on his answering machine promising to refund Van Horn her SPIA premium payment. (A.R. 202.) Dyer testified that he did not save the message because it was recorded on his digital answering machine, but that he played the message to Van Horn twice over the phone. (A.R. 202.) Van Horn testified that she had no memory of hearing the message and that she would have remembered if Old Mutual had made such a promise. (A.R. 202.) Dyer also told both Old Mutual and Bureau of Insurance staff that the company had left the message on his answering machine. (A.R. 20S.) Old Mutual, however, had no record of such a call and Dyer offered no

documentation other than his own e-mails to Old Mutual to support any such message. (A.R. 203.) The Superintendent found that these e-mails were "part of a pattern of deception designed to persuade Old Mutual to compensate [Van Horn] so that [Dyer] would not be responsible for her losses." (A.R. 203.)

On April 24, 2008, Dyer and Van Horn filed a complaint against Old Mutual with the Bureau of Insurance regarding the SPIA that alleged, among other things, that Old Mutual was unresponsive to the problem with the SPIA. (A.R. 203.) Old Mutual contacted Dyer on June 27, 2008, seeking information about the purpose of the annuity, its suitability for Van Horn in comparison to the Modern Woodman annuity, whether Dyer considered annuitizing the Modern Woodman policy, any quotes Dyer received, and any promises made by Old Mutual. (A.R. 203.) When Dyer did not respond, Old Mutual contacted Dyer's attorney on September 3, 2008, seeking the same information. (A.R. 203.) In response, Dyer's attorney sent Old Mutual documents gathered during the purchase of the SPIA with a statement that the documents were self-explanatory. (A.R. 203.) Old Mutual terminated Dyer's appointment for failing to cooperate with a regulatory investigation and also determined that he violated certain Old Mutual sales practices by selling an improper replacement product to Van Horn. (A.R. 203.)

On December 16, 2009, the Bureau filed a petition of enforcement against Dyer alleging numerous violations of the Insurance Code. (A.R. 198.) A public adjudicatory hearing was held on December 2 and 3, 2010. (A.R. 198.) The administrative record closed on January S I, 2011, and the Superintendent issued a written decision on March 7, 2011. (A.R. 198, 207.)

In her written decision, the Superintendent concluded that in "his dealings with Van Horn, and in his subsequent responses to inquiries by the Bureau oflnsurance and Old Mutual, Dyer committed serious violations of the Insurance Code," which demonstrated "incompetence

and untrustworthiness." (A.R. 205.) The Superintendent penalized Dyer for eleven acts that constituted, in most instances, multiple violations of the following sections of Title 24-A, the Insurance Code:

• Breaching his Consultant Agreement with Van Horn by 1420K( 1)(H)

failing to make a proper evaluation of her plans and needs in 1467 violation of sections ... 2152 • Selling Van Horn an annuity product that caused her 1420K( 1)(H)

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