Dyer v. Superintendent of Ins.

CourtSuperior Court of Maine
DecidedJanuary 18, 2012
DocketCUMap-11-11
StatusUnpublished

This text of Dyer v. Superintendent of Ins. (Dyer v. Superintendent of Ins.) is published on Counsel Stack Legal Research, covering Superior Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dyer v. Superintendent of Ins., (Me. Super. Ct. 2012).

Opinion

STATE OF MAINE BUSINESS AND CONSUMER COURT CUMBERLAND, ss Location: Portland Docket No.: BCD-AP-11-11 , ·' f'i, .,- " , .~ - L "'"' \J 'v\ .\ ~ I ;I :~ ' ' '<

) PAULA. DYER, ) ) Petitioner, ) ) v. ) ) SUPERINTENDENT OF INSURANCE, ) ) Respondent ) )

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

1 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.)

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