Vincent Alexander v. Louisiana Department of Insurance

Louisiana Court of Appeal·Decided February 24, 2023·No. 2022CA0769·Unknown

Opinion

NOT DESIGNATED FOR PUBLICATION

STATE OF LOUISIANA

COURT OF APPEAL

FIRST CIRCUIT

2022 CA 0769

VINCENT ALEXANDER

r p VERSUS

LOUISIANA DEPARTMENT OF INSURANCE

Judgment Rendered.

I

U"

FEB 2 4 2023

Appealed from the 19th Judicial District Court In and for the Parish of East Baton Rouge State of Louisiana

Case No. C706938

The Honorable Timothy E. Kelley, Judge Presiding

Robert E. Torian Counsel for Plaintiff/Appellant James L. Pate Vincent Alexander

Lafayette, Louisiana

Dominique Jones Counsel for Defendant/Appellee Sonceree Smith Clark Louisiana Department of Insurance Baton Rouge, Louisiana

BEFORE: WELCH, PENZATO AND LANIER, JJ.

LANIER, J.

The appellant, Vincent Alexander, appeals the judgment of the Nineteenth

Judicial District Court, which affirmed the March 23, 2021 decision of the

Louisiana Division of Administrative Law. For the following reasons, we affirm the judgment of the district court.

FACTS AND PROCEDURAL HISTORY

Mr. Alexander was an insurance agent licensed by the State of Louisiana, doing business as Vincent Alexander Insurance Agency ( the agency). He was

married to Tacey Ann Tolliver, who was also an insurance agent licensed at one time by the State of Louisiana and worked with him at the agency. Ms. Tolliver' s

insurance license expired on August 31, 2018. On August 28, 2019, she attempted

to reinstate her license, but the check she wrote to pay the reinstatement fee was returned for non -sufficient funds. Ms. Tolliver' s insurance license was suspended

on December 10, 2019.

In June of 2019, the Louisiana Department of Insurance ( LDI) received a

complaint from Kendall Lewis, one of the agency' s customers, that was filed

against Progressive Insurance Company ( Progressive). In the complaint, Mr.

Lewis stated he had paid premiums to the agency on a policy that went into effect December 7, 2018, but the policy was cancelled on January 22, 2019. Mr. Lewis

provided premium receipts as proof of payment, dated from January 2019 to May 2019, of which were signed " T. Alexander." Progressive informed Mr. Lewis that

the policy was cancelled due to non- payment, but he was not made aware of the cancellation until he was involved in a motor vehicle accident.

On June 1, 2019, LD1 directed Mr. Alexander to respond to Mr. Lewis' s

complaint and to explain why Mr. Lewis' s policy was cancelled despite his payment of premiums, but Mr. Alexander failed to respond. On July 8, 2019, LDI again directed Mr. Alexander to respond via certified mail, but Mr. Alexander

failed to respond. On July 19, 2020, LDI sent notice to Mr. Alexander that he was fined $ 250 for his failure to respond, and he was directed to remit both the fine

payment and his response to LDI immediately. Mr. Alexander responded on July 21, 20191 but LDI alleged the response was inadequate and requested additional information and documentation regarding the complaint. LDI alleged that Mr.

Alexander did not comply with the order.

On August 16, 2019, representatives from Progressive met Ms. Tolliver at

the agency, but Mr. Alexander was not present. Ms. Tolliver explained to the

representatives that she began working there in 1997, and that she and Mr.

Alexander were the only two employees of the agency. When the Progressive

representatives asked Ms. Tolliver about her expired insurance license, she stated

she was not aware that it had expired.

On August 23, 2019, a representative from Progressive spoke to Mr.

Alexander via telephone. Mr. Alexander explained that he was generally in the office four to five hours a day and that he was undergoing physical therapy for a recent surgery. He confirmed that he and Ms. Tolliver were Alexander' s only employees. He stated that he was not aware of the previous visit by the Progressive employees to his office or of the issues with Mr. Lewis' s premium

payments. Mr. Alexander also stated that he was not aware that Ms. Tolliver' s

insurance license had expired. He also admitted that the activities of the agency were ultimately his responsibility since he was the business owner. On September

17, 2019, Progressive terminated its producer' s agreement with the agency, and the agency refunded to Mr. Lewis his premium payments and paid his reinstatement fees to the Office of Motor Vehicles ( OMV) for not having vehicle insurance.

On September 27, 2019, LDI informed Mr. Alexander that the $ 250 fine

remained unpaid. On February 19, 2020, LDI mailed a Notice of Proposed

Regulatory Action and Wrongful Conduct via certified mail to Mr. Alexander

regarding Mr. Lewis" s complaint and the failure to pay the fine. On the same date, LDI mailed its intent to suspend and revoke Mr. Alexander' s license.

In a letter dated February 28, 2020 written to LDI, Mr. Alexander claimed that he did not receive LDI' s requests for responses to Mr. Lewis' s complaint or

LDI' s notice of the fine but enclosed payment of the fine along with his request. Mr. Alexander also stated in his request that he questioned Ms. Tolliver about the complaint and the fine and that she explained that she had made a mistake and

attempted to cover it up.

On May 8, 2020, LDI received a complaint from Tawna Casey, another of the agency' s customers, in which she alleged she had made a premium payment on February 7, 2020 on her homeowner' s policy to Ms. Tolliver. Despite her repeated requests between February and April of that year for a copy of her policy, Ms. Casey never received one. Ms. Casey then contacted the underwriting company and discovered that her policy has been cancelled on March 31, 2019 for non- payment. Notice of cancellation was mailed to both Mr. Alexander and Ms.

Tolliver on March 1, 2019. Mr. Alexander called the underwriter on May 27, 2020 concerning Ms. Casey' s policy, and during their conversation, Mr. Alexander

admitted that he had not been working in the office for quite some time and that Ms. Tolliver was running the office. LDI mailed notice of Ms. Casey' s complaint to Mr. Alexander on July 9, 2020. Although Mr. Alexander responded to the

complaint, LDI found the response to be inadequate.

On June 11, 2020, LDI received a consumer complaint from contracting company Tara O Design, alleging that Ms. Tolliver had provided fraudulent certificates of insurance ( COI) on behalf of sub -contractor Tony' s Electric, who was one of the agency' s customers. The COI indicated that Tony' s Electric had general liability and workers' compensation insurance coverage. As a result of the

fraudulent COI, Tara O Design alleged it was assessed $ 1, 373 in adjusted workers'

compensation premiums because of the lack of coverage for Tony' s Electric. In a

sworn statement dated September 10, 2020, given to LDI, Mr. Alexander claimed

that he had no knowledge of the COI, that he never personally dealt with Tony' s Electric, and that Tony' s Electric had only done business with Ms. Tolliver.

On August 31, 2020, LDI received a consumer complaint from Rachel

Dugas, one of the agency' s customers. Ms. Dugas alleged that she had submitted premium payments to Ms. Tolliver for a Progressive vehicle insurance policy, but that the policy had been cancelled for non-payment. Ms. Dugas claimed that she

was assessed $ 1, 060 in fines by the Office of Motor Vehicles for not having vehicle insurance. Ms. Dugas alleged that she brought to Ms. Tolliver every notice she received from Progressive stating that she did not have insurance, but Ms.

Tolliver would tell her that the notices were incorrect. Ms. Dugas claimed that she

and her husband did not have insurance on their vehicles from September 2019

through May 2020. Mr. Dugas went to Mr. Alexander' s home to inform him that he and Ms. Dugas did not have coverage. Mr. Alexander allegedly purchased another policy for Mr. Dugas and paid the premium, but Mr. Dugas claimed that policy was cancelled the following week.

On September 16, 2020, LDI notified Mr. Alexander of violations pursuant

to La. R.S. 22: 1554( A)(4), which provides for the suspension or revocation of an

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