Mark S. Diamond v. Office of the Commissioner of Insurance

CourtCourt of Appeals of Wisconsin
DecidedNovember 19, 2020
Docket2020AP000099
StatusUnpublished

This text of Mark S. Diamond v. Office of the Commissioner of Insurance (Mark S. Diamond v. Office of the Commissioner of Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mark S. Diamond v. Office of the Commissioner of Insurance, (Wis. Ct. App. 2020).

Opinion

COURT OF APPEALS DECISION NOTICE DATED AND FILED This opinion is subject to further editing. If published, the official version will appear in the bound volume of the Official Reports. November 19, 2020 A party may file with the Supreme Court a Sheila T. Reiff petition to review an adverse decision by the Clerk of Court of Appeals Court of Appeals. See WIS. STAT. § 808.10 and RULE 809.62.

Appeal No. 2020AP99 Cir. Ct. No. 2018CV3366

STATE OF WISCONSIN IN COURT OF APPEALS DISTRICT IV

MARK S. DIAMOND,

PETITIONER-APPELLANT,

V.

OFFICE OF THE COMMISSIONER OF INSURANCE,

RESPONDENT-RESPONDENT.

APPEAL from an order of the circuit court for Dane County: JOSANN M. REYNOLDS, Judge. Affirmed.

Before Blanchard, Kloppenburg, and Graham, JJ. No. 2020AP99

¶1 KLOPPENBURG, J. Mark Diamond appeals an order affirming a decision of the Wisconsin Office of the Commissioner of Insurance.1 The Commissioner determined that Diamond violated various statutory and regulatory provisions that govern the conduct of insurance intermediaries.2 Specifically, as pertinent to the issues raised on appeal, the Commissioner determined that Diamond, an insurance intermediary: (1) advertised a free retirement workshop that misled Wisconsin consumers by implication and omission in violation of WIS. STAT. § 628.34(1)(a) (2017-18) and WIS. ADMIN. CODE § Ins 2.16(5)(a) (through October 2020);3 and (2) recommended an insurance product transaction without “reasonable grounds to believe that the recommendation [was] suitable for the consumer” in violation of WIS. STAT. § 628.347(2)(a). As sanctions, the Commissioner ordered that Diamond pay a forfeiture and restitution and revoked his nonresident insurance agent license. The circuit court affirmed the Commissioner’s decision except that it reduced the forfeiture imposed.

¶2 On appeal, Diamond argues that the Commissioner erred in determining that the advertisement was misleading and that Diamond made an unsuitable recommendation, that the Commissioner improperly imposed the

1 We will refer to the Wisconsin Office of the Commissioner of Insurance as OCI when referencing actions taken by that agency prior to the issuance of the decision at issue, and as the Commissioner when referencing the decision issued by the individual who heads the agency. 2 An “insurance intermediary,” commonly referred to as an agent, is a person who engages or assists another in “[s]olicit[ing], negotiat[ing] or plac[ing] insurance or annuities on behalf of an insurer or a person seeking insurance or annuities” or who “[a]dvises other persons about insurance needs and coverages.” WIS. STAT. § 628.02(1)(a) (2017-18). Diamond does not dispute that he at pertinent times was an insurance intermediary covered by the statutes and regulations at issue. 3 All references to the Wisconsin Statutes are to the 2017-18 version unless otherwise noted. All references to the Wisconsin Administrative Code are to the August 2020 version unless otherwise noted.

2 No. 2020AP99

forfeiture even as reduced by the circuit court, and that the Commissioner’s calculation of restitution was not supported by substantial evidence in the record.4 We conclude that substantial evidence supports the Commissioner’s determinations of violations consistent with the applicable statutes and that Diamond fails to show that the Commissioner or the circuit court improperly imposed the reduced forfeiture or that substantial evidence does not support the Commissioner’s calculation of restitution. Accordingly, we affirm.

BACKGROUND

¶3 The following facts are not disputed.

¶4 At all pertinent times, Diamond was an independent insurance agent, operating as Mark Diamond & Associates. Diamond held a Wisconsin nonresident insurance intermediary license from September 2014 until it was revoked in November 2018.

¶5 In October 2015, Diamond placed an advertisement for “educational workshops” in local Wisconsin newspapers. The advertisement promoted a “SENIOR RETIREMENT WORKSHOP” presented by “Senior Education Counsel.” Senior Education Counsel is the name of a non-profit corporation operated by Diamond. A separate for-profit corporation, Retirement Planning Services, Inc., owned and operated by Diamond’s wife, paid the expenses of

4 The Commissioner also determined that Diamond did not timely report administrative actions taken against him by regulatory agencies in three other states, in violation of WIS. ADMIN. CODE § Ins 6.61(16)(a). However, Diamond makes no argument that the Commissioner erred with respect to the failure to timely report violations. Further, Diamond does not advance any argument challenging the revocation of his license. Diamond concludes by asking that we reverse the revocation, but he makes no argument in his briefing about the revocation. Accordingly, we do not further address those aspects of the Commissioner’s decision.

3 No. 2020AP99

presenting the workshops. As promoted in the advertisement, the topics to be discussed included, but were not limited to, protecting assets from catastrophic illness and nursing homes, reducing taxes, getting “guaranteed returns” in an unstable market, passing more retirement savings to heirs, and avoiding probate. The advertisement stated “Nothing will be sold at this seminar.”

¶6 Diamond held two of the advertised “educational workshops” in Neenah, Wisconsin. Diamond did not directly sell any products at the workshops but gave participants evaluation forms that asked whether the participants were interested in free consultations to learn more about the topics presented at the workshops. Diamond subsequently met with participants who requested free consultations; during the consultations he recommended and sold financial products, for which he received commissions. Diamond has no clients in Wisconsin to whom he sold insurance products aside from clients whom he met at one of his workshops.

¶7 Helen and Clarence Lotzer attended Diamond’s workshop on October 26, 2015. They completed the offered evaluation form and indicated that they were interested in a free consultation. The Lotzers were in their seventies at the time and were particularly interested in protecting their assets from nursing homes because Clarence had begun to show signs of difficulty processing information and of significant memory loss.

¶8 On October 29, 2015, Diamond met with the Lotzers at their home for the consultation. At that time, the Lotzers owned three variable annuities with a company called Voya, the largest of which was issued to Clarence. Clarence’s Voya annuity had a value of approximately $350,000 and provided a benefit of approximately $480,000 upon his death. Diamond recommended that the Lotzers

4 No. 2020AP99

“transfer” funds from Voya variable annuities and use those funds to purchase fixed annuities with a company called Forethought.5 Diamond advised the Lotzers that such a transfer made sense because the value of the Forethought annuities would be less susceptible to losses associated with the stock market.

¶9 Before his “consultation” with the Lotzers, Diamond had never sold a variable annuity. He had never worked with and was unfamiliar with annuities, like the Voya ones that the Lotzers held, that have enhanced death benefits.

¶10 To clarify the terms of the Voya death benefits, Diamond called Voya during his “consultation” with the Lotzers and spoke with a representative on speakerphone about Clarence’s annuity. A recording of the call made by Voya reflects that Diamond was informed by a Voya representative that “the minimum required balance” to maintain the death benefit on that annuity was $2,500. The representative further informed Diamond that “any withdrawal done reduces the death benefit amount…proportionately, not dollar per dollar.”

Free access — add to your briefcase to read the full text and ask questions with AI

Related

State v. Pettit
492 N.W.2d 633 (Court of Appeals of Wisconsin, 1992)
In the Matter of Disciplinary Proceedings Against Edgar
2003 WI 49 (Wisconsin Supreme Court, 2003)
A.O. Smith Corp. v. Allstate Insurance
588 N.W.2d 285 (Court of Appeals of Wisconsin, 1998)
State v. McMorris
2007 WI App 231 (Court of Appeals of Wisconsin, 2007)
Forman v. McPherson
2004 WI App 145 (Court of Appeals of Wisconsin, 2004)
State v. Holmgren
599 N.W.2d 876 (Court of Appeals of Wisconsin, 1999)
Orion Flight Services, Inc. v. Basler Flight Service
2006 WI 51 (Wisconsin Supreme Court, 2006)
Tetra Tech EC, Inc. v. Wisconsin Department of Revenue
2018 WI 75 (Wisconsin Supreme Court, 2018)
Ellis v. State
2011 WI App 67 (Court of Appeals of Wisconsin, 2011)
DOR v. Microsoft Corporation
2019 WI App 62 (Court of Appeals of Wisconsin, 2019)

Cite This Page — Counsel Stack

Bluebook (online)
Mark S. Diamond v. Office of the Commissioner of Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mark-s-diamond-v-office-of-the-commissioner-of-insurance-wisctapp-2020.