For more information, contact: J.P. Wieske
(608) 266-2493 or jp.wieske@wisconsin.gov

Madison, WIOCI has taken the following administrative actions. In many of these cases the respondent denied the allegations but consented to the action taken. Any forfeitures paid in these administrative actions are deposited in the Common School Fund which is administered by the Board of Commissioners of Public Lands. The earnings from this fund are distributed to all public K-12 schools in Wisconsin and are used by school libraries to purchase books. Copies of the administrative action orders may be viewed online at https://ociaccess.oci.wi.gov/OrderInfo/OrdInfo.oci.

OCI is responsible for overseeing the operations and marketing of insurance companies and agents in Wisconsin. OCI encourages anyone with a question or a complaint regarding an insurance company or agent to contact the office at this toll-free telephone number: 1-800-236-8517.

Allegations and Actions Against Agents

Hector Aguilar, 12237 Silicon Dr., Ste. 150, San Antonio, TX 78249, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and owing delinquent child support.

Eric John Bergstrom, 29 Sturges Rd., Reading, MA 01867, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide the documentation required for life settlement broker licensure.

E.J. Michael Bergum, 121 S. Main St., Lake Mills, WI 53551, agreed to pay a forfeiture of $500.00 and agreed to cease and desist from submitting insurance applications without customer authority. This action was taken based on allegations of submitting a term life insurance policy application without a customer's permission.

Sharon L. Boatwright, 17918 Saxonburg Rd., Two Rivers, WI 54241, had her application for an insurance license restricted for a period of 18 months. During this period, she may only work for her current employer and this restriction will be removed at the end of the 18-month period if she maintains a clean criminal and employment record. This action was taken based on allegations of failing to disclose criminal convictions on a licensing application, having unpaid money judgments, failing to provide a complete response to OCI inquiries, and having a criminal conviction which may be substantially related to insurance marketing type conduct.

Johnny C. Brown, 2041 S. 15th St., Milwaukee, WI 53204, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI, having a criminal conviction which may be substantially related to insurance marketing type conduct, and having unpaid civil money judgments.

Bradley J. Bryson, 225 N. Main St., Adams, WI 53910, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.

Terry Erskine Byrum, 4343 Morning Glory Rd., Colorado Springs, CO, agreed to pay a forfeiture of $500.00 and agreed to cease and desist from withholding complete information on licensing applications. These actions were taken based on allegations of failing to disclose a criminal conviction on licensing applications.

Ricardo Cardenas, 79-10 156th Ave., Howard Beach, NY 11414, had his insurance license revoked. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to timely report administrative actions taken by the states of California, Washington, Virginia and Kentucky.

Terry L. Castonguay, 21665 Sierra Dr., Brookfield, WI 53045, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and having unpaid civil money judgments.

Laurel J. Cruz, 6601 N.W. 14th St., Ste. 11, Plantation, FL 33313, had her application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide evidence of eligibility to work in the United States.

Amy J. Dahlquist, 3833 Welcome Ave. N., Crystal, MN 55422, had her insurance license revoked. This action was taken based on allegations of failing to respond promptly to inquiries from OCI, failing to report an administrative action taken by the state of Minnesota, and failing to notify OCI of an address change.

Daniel G. Davila, 1649 Arlyn Cir., Apt. G, Charlotte, NC 28213, had his insurance license revoked. This action was taken based on allegations of failing to respond promptly to inquiries from OCI related to a pending criminal charge.

Stephanie Decorah, N6216 Onondaga Dr., Oneida, WI 54155, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.

Jeffrey R. Dobrunz, 229 E. Roeland Ave., Appleton, WI 54915, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI, having a criminal conviction which may be substantially related to insurance marketing type conduct, failing to disclose an administrative action taken by the state of Wisconsin on a licensing application, and having unpaid civil money judgments.

Stephanie M. Eul, 23518 81st St., Salem, WI 53168, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.

Mitchell F. Fink, 811 N. Woods Ln., Waukon, IA 52172, agreed to surrender his Wisconsin insurance license and agreed not to reapply for Wisconsin licensure for a minimum of 5 years. These actions were taken based on allegations of failing to report criminal convictions on a licensing application, failing to timely report criminal charges and convictions to OCI, having criminal convictions that may be related to insurance marketing type conduct, making misrepresentations to insurance consumers, providing false information to the Iowa Insurance Division, failing to notify OCI of address changes, and having unpaid civil money judgments.

Matthew G. Gempeler, 1209 Downing Dr., Waukesha, WI 53186, had his application for an insurance license denied for 31 days. This action was taken based on allegations of failing to report a criminal conviction on a licensing application.

Daphney Ann Hilson, 2060 Fairview Ln., South Holland, IL 60473, had her application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI regarding license reinstatement.

Thomas J. Krause, 2145 Dickinson Rd., Apt. 13, De Pere, WI 54115, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.

Honor D. Lassiter, 5455 N. 75th St., Milwaukee, WI 53218, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.

Debra A. Latham, 33628 Territorial Dr., Mukwonago, WI 53149, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.

Eric B. Lewison, P.O. Box 528, Baraboo, WI 53913, was ordered to pay a forfeiture of $500.00 and was ordered to cease and desist from using advertising which does not clearly state that worker's compensation dividends cannot be guaranteed. This action was taken based on allegations of sending letters to consumers that failed to state worker's compensation dividends are not guaranteed.

Sammy L. Menton, Jr., 11617 W. Fooks Dr., Youngtown, AZ 85363, agreed to pay a $500.00 forfeiture and agreed to the suspension of his insurance license for 31 days. These actions were taken based on allegations of failing to respond promptly to OCI, failing to report an address change to OCI, failing to timely disclose a criminal conviction to OCI, and failing to disclose a criminal conviction on a licensing application.

Autumn F. Michalski, 222 Sturgeon Eddy Rd., Wausau, WI 54403, had her insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.

Linda L. Mulford, 1710 E. First St., Merrill, WI 54452, had her application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and having unpaid civil money judgments.

Mark A. Nelson, 4551 Acorn Ln., Rhinelander, WI, 54501, had his application for an insurance license denied. This action was taken based on allegations of failing to disclose criminal charges and convictions on a licensing application and having unpaid civil money penalties and court fees.

Cory C. Palmcook, W10746 Natures Tr., Crivitz, WI 54114, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and having unpaid civil money judgments.

Gary K. Pasek, 3010 W. American Dr., Milwaukee, WI 53221, had his insurance license revoked. This action was taken based on allegations of failing to pay Wisconsin delinquent taxes.

Jose Miguel Perez de Corcho, P.O. Box 141516, Coral Gables, FL 33114, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide evidence of resident surplus lines licensure.

Alvin M. Quiogue, 3800 Sonata Dr., Union, KY 41091, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide evidence of resident surplus lines licensure.

Shelly A. Samolinski, 1555 N. Joliet St., LaSalle, IL 61301, agreed to pay a forfeiture of $500.00 and agreed to timely report any administrative action taken by any state. These actions were taken based on allegations of failing to timely report an administrative action taken by the state of Illinois.

Amy S. Townsend, 2553 15th St. S., La Crosse, WI 54601, agreed to the denial of her application for an insurance license for 60 days; agreed to submit documentation of the successful completion of a deferred criminal prosecution agreement; agreed to be employed by a specific agency and to have her insurance activities supervised by a licensed agent until June 1, 2015; and agreed to notify OCI within 10 days of any probation, civil, or criminal violations before that date. These actions were taken based on allegations of having a criminal conviction which may be substantially related to insurance marketing type conduct and having an unsatisfied civil money judgment.

Willie Rodney Wesley, 8425 N. 46th St., Milwaukee, WI 53223, was ordered to pay a forfeiture of $500.00 and was ordered to cease and desist from issuing binders of insurance coverage for which he lacks the proper authority. These actions were taken based on allegations of issuing an insurance binder on behalf of the Wisconsin Insurance Plan (WIP) when he was not an agent or representative of WIP and did not have the authority to issue binders on its behalf.

Jawondee Whitney-Tuck, 4000 W. Rivers Edge Cir., Unit 22, Brown Deer, WI 53209, had her application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and having unpaid civil money judgments.

Tou Moua Yang, 7529 15th St. Ln. N., St. Paul, MN 55128, had his application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to requests from OCI and having a criminal conviction which may be substantially related to insurance marketing type activities.

Allegations and Actions Against Companies

Blue Cross Blue Shield of Wisconsin, N17 W24340 Riverwood Dr., Waukesha, WI 53188, agreed to cease and desist offering coverage with inadequate system functionality and agreed to provide a letter of acknowledgment of the issue, activate coverage for appropriate effective dates, issue premium notices for periods of coverage, and reprocess any claims that were denied as a result of the system error. It also agreed to verify that applications for coverage are properly activated in its enrollment and billing system and agreed to develop procedures to monitor the accuracy of its system consistent with offered products. These actions were taken based on allegations that the company's enrollment and billing system was not updated to reflect statewide coverage availability and premium billing.

E-Disability, Inc., 330 A St., San Diego, CA 92101, had its application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide evidence of resident state MGA licensure.

Group Health Cooperative of South Central Wisconsin, P.O. Box 44971, Madison WI 53711, agreed to pay a forfeiture of $500.00. This action was taken based on allegations of failing to file a required report by the due date.

Symmetry Financial Group LLC, 204 Whitson Ave., Ste. 2B, Swannanoa, NC 28778, had its application for an insurance license denied. This action was taken based on allegations of failing to respond promptly to inquiries from OCI and failing to provide evidence of resident state MGA licensure.

Copies of Administrative Actions