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Administrative Orders - 2005

Enforcement Orders

Company - Marketplace Violations

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American Family Life Assurance Company of Columbus
Columbus, Georgia
Violation: Terminated agents without sufficient notice.
Penalty: $1,400 fine
Date of Order: 03/08/2005
Final
American General Assurance Company
Schaumburg, Illinois
Violation: Terminated agents without sufficient notice.
Penalty: $1,800 fine
Date of Order: 08/09/2005
Final
Farmers Insurance Company of Oregon
Tigard, Oregon
Violation: A follow-up market conduct examination found that Farmers in 29 instances failed to comply with Oregon law governing uninsured motorist coverage limits for automobile insurance policies.
Penalty: Farmers was fined $10,000. However, the fine is suspended until the Insurance Division conducts another follow-up market conduct examination. The fine will be withdrawn if the exam finds that Farmers complied with ORS 742.502(2) during the period examined, or reinstated if the exam shows the company didn't comply with the statute.
Date of Order: 07/05/2005
Final
Market Conduct Examination
Farmers Insurance Company of Oregon
Tigard, Oregon
Violation: Failed to timely reply to claim communications.
Penalty: $11,000 fine
Date of Order: 08/10/2005
Final
Market Conduct Examination
Global Healings Society (The)
Puyallup, Washington
Violation: Transacted insurance in Oregon as an insurer without a license.
Penalty: Ordered to cease and desist from transacting insurance in Oregon without a license
Date of Order: 05/05/2005
Cease & Desist
Great American Insurance Company of New York
Cincinnati, Ohi
Violation: Compensated an unlicensed person for transacting insurance in Oregon.
Penalty: $5,000 fine
Date of Order: 07/20/2005
Final
Great-West Life & Annuity Insurance Company
Greenwood Village, Colorado
Violation: Failed to provide an explanation of portability rights to employees losing group health insurance coverage.
Penalty: $20,000 fine
Date of Order: 04/12/2005
Final
Health Net Health Plan of Oregon, Inc.
Tigard, Oregon
Violation: Denied applications for individual health insurance without informing applicants of the existence of the Oregon Medical Insurance Pool (OMIP).
Penalty: $10,000 fine
Date of Order: 05/23/2005
Final
Heritage Foundation (The)
Washington, D.C.
Violation: Issued charitable gift annuities in Oregon without a license.
Penalty: $115 fine
Date of Order: 08/30/2005
Final
Interstate Indemnity Company
Chicago, Illinois
Violation: Terminated an agent without sufficient notice.
Penalty: $1,000 fine
Date of Order: 03/01/2005
Final
Mid-Century Insurance Company
Los Angeles, California
Violation: A follow-up market conduct examination found that Mid-Century in 51 instances failed to comply with Oregon law governing uninsured motorist coverage limits for automobile insurance policies.
Penalty: Mid-Century was fined $10,000. However, the fine is suspended until the Insurance Division conducts another follow-up market conduct examination. The fine will be withdrawn if the exam finds that Mid-Century complied with ORS 742.502(2) during the period examined, or reinstated if the exam shows the company didn't comply with the statute.
Date of Order: 07/05/2005
Final
Market Conduct Examination
National Jewish Medical and Research Center
Denver, Colorado
Violation: Issued charitable gift annuities in Oregon without a license.
Penalty: $1,000 fine
Date of Order: 03/08/2005
Final
Oberlin College
Oberlin, Ohio
Violation: Issued charitable gift annuities in Oregon without a license.
Penalty: $1,000 fine
Date of Order: 07/19/2005
Final
Pacific Hospital Association dba PacificSource Health Plans
Eugene, Oregon
Violation: A follow-up market conduct examination found that PacificSource refused to pay 16 claims without conducting a reasonable investigation.
Penalty: PacificSource was fined $10,000. However, the fine is suspended until the Insurance Division conducts another follow-up market conduct examination. The fine will be withdrawn if the exam finds that PacificSource complied with ORS 746.230(1)(d) during the period examined, or reinstated if the exam shows the company didn't comply with the statute.
Date of Order: 05/23/2005
Final
Letter to Company
Market Conduct Examination
PacifiCare Life Assurance Company
Santa Ana, California
Violation: Failed to provide an explanation of portability rights to employees losing group health insurance coverage.
Penalty: $40,000 fine
Date of Order: 04/12/2005
Final
Progressive Classic Insurance Company
Mayfield Village, Ohio
Violation: Failed to acknowledge and act promptly on claim communications. Failed to timely respond to an inquiry from the DCBS director.
Penalty: $8,000 fine
Date of Order: 10/12/2005
Final
Regence Blue Cross Blue Shield of Oregon
Portland, Oregon
Violation: Failed to timely respond to an inquiry from the DCBS director.
Penalty: $2,000 fine
Date of Order: 08/29/2005
Final
Timber Products Manufacturers Trust
Spokane, Washington
Violation: Transacted insurance as an insurer in Oregon without a license.
Penalty: $12,400 fine
Date of Order: 01/20/2005
Final
United of Omaha Life Insurance Company
Omaha, Nebraska
Violation: Failed to provide an explanation of portability rights to employees losing group health insurance coverage.
Penalty: $25,000 fine
Date of Order: 06/27/2005
Final