Justin Zimmerman, Acting Commissioner, Etc. v. Michael Patrick Diviney

New Jersey Superior Court Appellate Division·Decided September 26, 2023·No. A-3422-21/A-3664-21·Published

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION

DOCKET NO. A-3422-21

A-3664-21

JUSTIN ZIMMERMAN, ACTING COMMISSIONER, APPROVED FOR PUBLICATION

NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE, 1 September 26, 2023 APPELLATE DIVISION

Petitioner-Respondent,

v.

MICHAEL PATRICK DIVINEY and PROPERTY DAMAGE ADJUSTERS, INC.,

Respondents-Appellants.

JUSTIN ZIMMERMAN, ACTING COMMISSIONER, NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE,

Petitioner-Respondent, v.

DIVERSIFIED PUBLIC ADJUSTERS, LLC and

1 The caption has been updated in accordance with Rule 4:34-4 to reflect the current commissioner of the New Jersey Department of Banking and Insurance.

JOSEPH VULPIS,

Respondents-Appellants.

Argued September 11, 2023 — Decided September 26, 2023 Before Judges Mawla, Marczyk, and Chase.

On appeal from the New Jersey Department of Banking and Insurance.

Thomas E. Maloney, Jr., argued the cause for appellants.

Nicholas Kant, Deputy Attorney General, argued the cause for respondent (Matthew J. Platkin, Attorney General, attorney; Donna Arons, Assistant Attorney General, of counsel; Nicholas Kant, and Dakar Ross, Deputy Attorney General, on the briefs).

Dennis Patterson, attorney for amicus curiae American Association of Public Insurance Adjusters in Docket No. A-3422-21.

The opinion of the court was delivered by MAWLA, J.A.D.

In A-3422-21, defendants Michael Patrick Diviney and Property Damage Adjusters, Inc. (PDA) appeal from a June 8, 2022 final agency decision by the New Jersey Department of Banking and Insurance (DOBI), finding defendants violated the New Jersey Public Adjuster's Licensing Act (PALA), N.J.S.A. 17:22B-1 to -20. In A-3664-21, defendants Joseph Vulpis and Diversified Public Adjusters LLC (DPA) appeal from a June 20, 2022 final decision by A-3422-21

DOBI, finding defendants in violation of PALA. The two appeals raise overlapping issues and therefore were argued together. We affirm in part, and reverse and remand in part for the reasons expressed in this opinion.

I.

The Legislature passed PALA to regulate public adjusters, or "any individual, firm, association or corporation who, or which, for money . . . aids in any manner on behalf of an insured in negotiating for . . . the settlement of claims for loss of damage . . . ." N.J.S.A. 17:22B-2. Licenses are granted to those who are "trustworthy and competent to act as an adjuster in a manner as to safeguard the interests of the people . . . ." N.J.S.A. 17:22B-5.

PALA proscribes the conduct of licensees as follows:

No individual, firm, association or corporation licensed under this act shall:

a. solicit the adjustment of a loss or damage occurring in this State from an insured . . .

between the hours of six p.m. and eight a.m.

during the [twenty-four] hours after the loss has occurred;

b. enter into any agreement, oral or written, with an insured to negotiate or settle claims for loss or damage occurring in this State between the hours of six p.m. and eight a.m. during the [twenty- four] hours after the loss has occurred;

c. have any right to compensation from any insured for or on account of services rendered to

A-3422-21

an insured as a public adjuster unless the right to compensation is based upon a written memorandum, signed by the party to be charged and by the adjuster, and specifying or clearly defining the services to be rendered and the amount or extent of the compensation on a form and with such language as the [DOBI]

commissioner may prescribe . . . .

[N.J.S.A. 17:22B-13.]

N.J.S.A. 17:22B-20 authorizes the commissioner to "promulgate any rules and regulations as may be necessary to effectuate the purposes of [PALA] pursuant to the 'Administrative Procedure Act[ (APA), N.J.S.A. 52:14B-1 to -15] . . . .'" Pursuant to this authority, the commissioner enacted N.J.A.C. 11:1-37.1 to -37.19 to "establish procedures for the examination, licensing, continuing education, and conduct of persons acting as public adjusters in this State." N.J.A.C. 11:1-37.1.

The regulations delineate the required content of public adjuster contracts. N.J.A.C. 11:1-37.13. Pertaining to these appeals, the regulations state each contract:

3. Shall contain the following:

i. The signatures of the insured and the public adjuster;

ii. A list of services to be rendered and the maximum fees to be charged, which fees shall be reasonably related to services rendered; and

A-3422-21

iii. The time and date of execution of the contract (day, month, year) by each party;

....

5. Shall prominently include a section which specifies:

i. The procedures to be followed by the insured if [they] seek[] to cancel the contract, including any requirement for a written notice;

ii. The rights and obligations of the parties if the contract is cancelled at any time; and

iii. The costs to the insured or the formula for the calculation of costs to the insured for services rendered in whole or in part.

[N.J.A.C. 11:1-37.13(b)(3), (5).]

N.J.A.C. 11:1-37.14 governs violations and penalties and states:

(a) The Commissioner may deny, suspend, revoke, or refuse to renew a public adjuster's license based on any violation of [PALA] or this subchapter, or for the commission or omission of any act by a public adjuster which demonstrates that the applicant or licensee is not competent or trustworthy to act as a public adjuster, or where the person has:

1. Violated any provision of this State's insurance laws, including any rules promulgated thereunder;

....

4. Demonstrated the applicant's or licensee's lack of integrity, incompetency, bad faith,

A-3422-21

dishonesty, financial irresponsibility, or untrustworthiness to act as a public adjuster;

....

(b) Any person which violates any provision of this subchapter shall, in addition to any other penalties provided by law, be liable for a civil penalty of not more than $2,500 for a first offense and not more than $5,000 for the second and each subsequent offense.

Each transaction or statutory violation shall constitute a separate offense.

[N.J.A.C. 11:1-37.14(a) to (b).]

II.

Diviney has been a licensed public adjuster since 2011. He is the sole owner, officer, and public adjuster for PDA, which was licensed as a business entity public adjuster in 2013.

In 2017, DOBI opened an investigation of Diviney and PDA in response to a complaint and requested "all of the public adjusting contracts [Diviney] had from the start of [his] business until the date of [the] request." Diviney complied and provided DOBI eighty identical contracts he entered with clients. The contracts contained the following language:

[PDA], or their representative is hereby retained to advise and assist in the adjustment of the insurance claim arising from loss by [CAUSE] which occurred on [DATE] . . . . The insured agrees to pay [PDA] for such services a contingent fee of [X]% of the amount paid by the insurance companies in settlement of this loss or a contingent fee of $[X] hereby assigning to

A-3422-21

the Public Adjuster all monies due or to become due from the insurance companies. The fee shall be due after proofs of loss are sworn to and/or first proceeds issued. The fee of [PDA] shall be due after each draft collected and in the percentage listed in the contract.

....

Notice of Right to Cancel

You, the insured, may cancel this contract at any time prior to midnight on the fourth calendar day after the execution date of this contract. If you exercise your right to cancel this contract, you will be liable to [PDA] for reasonable and necessary emergency out-

of-pocket expenses or services which were paid for or incurred by [PDA] to protect the interests of the insured during the preceding cancellation.

If you cancel this contract, anything of value given by you under the contract will be returned to you within [fifteen] business days following the receipt by [PDA] of your cancellation notice, and any security interest arising out of the contract will be cancelled.

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Justin Zimmerman, Acting Commissioner, Etc. v. Michael Patrick Diviney, (N.J. Ct. App. 2023).

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