a large extent elderly policyholders, whose retirement nest-eggs were
larger, since such values would build over the years. The Department has
compiled a random, preliminary profile of victimized PRUDENTIAL Florida
policyholders/complainants:
successful, as policyholders were misled by PRUDENTIAL and its agents
into believing that they would be receiving additional coverage for little
or no future out-of-pocket premium.
25. PRUDENTIAL agents misused forms entitled "Disbursement Request
Forms" to accomplish these illegal transactions. These forms were
printed by PRUDENTIAL and distributed to PRUDENTIAL agents throughout the
country. The form is a multi-purpose one which can be used to make policy
loans, dividend option changes, dividend withdrawal changes and cash surrenders.
PRUDENTIAL agents routinely manipulated the customer into signing blank
disbursement forms, which permitted the agent to subsequently fill in any
one of the sections on the Disbursement Request Form. This practice operated
to conceal the nature of the transaction from the insured. Furthermore,
customer signatures on disbursement forms were on occasion forged by PRUDENTIAL
agents. This practice permitted PRUDENTIAL agents to mislead policyholders
into believing they had purchased increased death benefits with little
or no additional premiums. However, when the accumulated values of the
existing policy (which sometimes represented a significant portion of the
customer's retirement savings) had been exhausted as a result of the withdrawals
from those policies, the insured would be notified that they would have
to begin paying significant additional premiums or their policies would
lapse.
26. In furtherance of this scheme, PRUDENTIAL agents made numerous deceptive
omissions and misrepresentations. For example, customers were not adequately
informed or were deliberately misled regarding, but not limited to, such
facts as:
a. That the dividend stream on their existing policies could and/or
would be insufficient to pay all of the premiums and significant charges
(such as agent and management commissions) on their new policies. Moreover,
PRUDENTIAL agents often failed to disclose the actual amount of the premium
and other charges required to purchase the new policies and that the premiums
on the new policy would be higher, since the customer had grown older or
was now elderly.
b. That the net accumulated value of their existing policies would decrease.
c. That the loans placed against the cash value of their existing policies
would deplete the cash value of their existing policies.
d. That their new policies would lapse when the accumulated value of
their existing policies were insufficient to pay the premiums on the new
policies unless they began paying premium payments on the new policies,
in addition to premiums already being paid on the existing policies.
e. That when the existing policy's loan value became fully encumbered,
the policyholder would be required to pay not just premium on the existing
policy, but also interest on the loans themselves, or face the lapse of
the policy.
Additionally, PRUDENTIAL agents and field managers were placed under
significant pressure by PRUDENTIAL to increase such sales.
28. As a material part of the general fraudulent marketing scheme, unrelated
to the churning or twisting transactions, PRUDENTIAL and its agents misrepresented
the very nature of the product they were selling to their customers. PRUDENTIAL,
through the use of standardized presentations and materials, routinely
misrepresented that their life insurance policies (including VALs) were;
investment or retirement plans, savings accounts, pension plans, mutual
funds or other types of specialized investment products PRUDENTIAL's sales
presentations assiduously avoided the term "life insurance" in
the sale of life insurance products and referred to life insurance premiums
by such terms as "payments", "deposits", "contributions",
"savings" or "investments''.
29. As a result of these unfair and deceptive sales practices, PRUDENTIAL
customers were materially misled as to the nature of the transaction and
the product they were purchasing. PRUDENTIAL either knew or should have
known of, or did actively participate in, these illegal and deceptive sales
practices. Certainly, PRUDENTIAL encouraged such practices by permitting
PRUDENTIAL agents to be trained to use these deceptive sales techniques
and by supplying PRUDENTIAL agents and their customers with deceptive sales
materials.
30. To protect against such illegal churning practices, the State of
Florida requires insurers and their agents to provide
consumers with a replacement notice when replacement policies are sold.
This notice helps the DEPARTMENT to track and monitor replacement sales
and operates to reveal and discourage overreliance upon the sale of replacement
policies, which generally work to the detriment of policyholders. The replacement
notice also warns consumers of the potential pitfalls of replacing their
current policy. A replacement policy generally is financed through the
use of the accumulated value from an existing policy. The sale of a new
or non-replacement policy only occurs when its purchase does not significantly
affect the value of the existing life insurance policy. PRUDENTIAL's marketing
scheme, which involved the financing of a new policy from values in an
existing policy, clearly and profoundly affected the values of existing
policies and PRUDENTIAL agents were thus required to provide replacement
warning forms to the policyholders and to retain copies for inspection
by the DEPARTMENT.
31. PRUDENTIAL agents regularly and routinely failed to provide replacement
forms, which would have alerted consumers to the actual nature of the transaction
and would have permitted the Department to monitor such illegal and deceptive
sales practices. Again, PRUDENTIAL either knew or should have known of,
or actively encouraged or participated in, the failure to provide and retain
replacement forms as required by Florida law.
PRUDENTIAL's DESTRUCTION OF RECORDS
Incident 1
19
32. During 1993, PRUDENTIAL approved for use by its sales staff misleading
sales materials that mischaracterized their life insurance policies as
"private pension plans," or by other misleading terms, These
so-called "pension plans" were, in fact, just life insurance
in disguise.
33. In late 1993, a series of newspaper articles appeared in various
newspapers around the nation, publicizing that the MetLife Insurance Company
was under intense scrutiny for its use of similar sales materials, and
indicating that Florida regulatory authorities might investigate PRUDENTIAL's
sales practices on a similar basis.
34. On January 5, 1994, Sally Edwards, a mid-level staff member employed
by Prudential in its Jacksonville, Florida regional offices, sent an e-mail
message to all PRUDENTIAL sales offices in Florida, and throughout the
region, as follows:
We just learned this morning that one state is looking into possible
violations regarding our "private pension" materials. You must
destroy all private pension letters other than the approved versions I
referred to in my earlier Focus message today...Again, destroy and discard
any other letters. I remind you that we're mailing you copies of the approved
versions today. "Life insurance" now appears in both.
35. The instruction to Ms. Edwards to send the 1-5-94 e-mail, including
specific instructions to use the word "destroy," came from Mr.
David Fastenberg, the top ranking Prudential officer in the Jacksonville
Regional Office, and was conveyed through Mr. Dennis Shaver, Ms. Edwards'
immediate supervisor. Mr. Shaver reported directly to Mr. Fastenberg.
36. The designated materials (and other materials) were ultimately destroyed
as ordered by PRUDENTIAL,
20
Incident 2
37. In or about May 1995, the Florida Insurance Department issued an
investigative subpoena to PRUDENTIAL, requiring the production of, among
other things, relevant advertising and sales materials.
38. In the Summer of 1996, while said subpoena and the investigation
was pending, PRUDENTIAL destroy the original records of unapproved sales
materials maintained in two file cabinets in PRUDENTIAL's Jacksonville
Regional Of f ice .
Incident 3
39. In or about May 1995, the Florida Insurance Department issued its
above-referenced investigative subpoena to PRUDENTIAL requiring the production
of, among other things, PRUDENTIAL CORE reports, sales and training material,
financed business training and reports, securities training, disciplinary
listings, complaint logs and records, NASD investigations, internal investigations,
audits, anti-replacement policy papers, ethics complaints and investigative
procedures papers
40. In or about early June 1996, while said subpoena was still pending,
PRUDENTIAL destroyed approximately nine more file drawers, consisting of
approximately 320 files, of the original files and records of David Fastenberg,
the senior PRUDENTIAL of f icer in the Jacksonville region. The destroyed
subpoenaed tiles were labeled as follows:
- Audits Business Practices Investigations
21
- Complaint Report
- Compliance Meeting
- Core Report
- Misappropriation
- Marketing Practices Cases (stats & Lit)
- Law Department memos
- Replacements
- Financed Insurance
- Abbreviated Pay
- APP
- Ohio Insurance Dept
- Pending Legal Cases
- NASD-Compliance Review
- NASD-Quarterly Audits
- 1992 Regional Files
- 1993 Regional Files
- Southwell, Don Strategy
- VAL/AL
41. The negligent or intentional destruction of these subpoenaed documents
in the incidents referenced above may have hampered or obstructed this
DEPARTMENT' s lawful investigation of PRUDENTIAL's illegal marketing scheme.
IT IS THEREFORE CHARGED that PRUDENTIAL, in the conduct of business
as an authorized foreign insurer in Florida, is accountable under the following
statutes and rules:
(a) Is using and has used methods and practices in the conduct of its
business as to render its further transaction of insurance in this state
hazardous or injurious to its policyholders or the public. [Section 624.418
(1) (b), Florida statutes]
(b) Has violated any lawful order or rule of the department or any provision
of this code. [Section 624.418(2)(a), Florida Statutes]
22
(c) Has engaged in this state in any trade practice which is defined
in this part as, or determined pursuant to s. 626.9561 to be, an unfair
method of competition or an unfair or deceptive act or practice involving
the business of insurance. Any person who violates any provision of this
part shall be subject to the penalties provided in s. 627.381. [Section
626.9521, Florida Statutes]
(d) Has knowingly made, issued, circulated, or caused to be made, issued,
or circulated, any estimate, illustration, circular, statement, sales presentation,
omission, or comparison which misrepresented the benefits, advantages,
conditions, or terms of any insurance policy. [Section 626.9541(1)(a)1.,
Florida Statutes]
(e) Has knowingly made, published, disseminated, circulated, or placed
before the public, or caused, directly or indirectly, to be made, published,
disseminated, circulated, or placed before the public:
1. In a newspaper, magazine, or other publication,
2. In the form of a notice, circular, pamphlet, letter, or poster,
3. Over any radio or television station, or
4. In any other way, an advertisement, announcement, or statement containing
any assertion, representation, or statement with respect to the business
of insurance, which is untrue, deceptive, or misleading. [Section 626.9541(1)(b),
Florida Statutes]
(f) Knowingly:
1. Filed with any supervisory or other public official,
2. Made, published, disseminated, circulated,
23
3. Delivered to any person,
4. Placed before the public,
5. Caused, directly or indirectly, to be made, published, disseminated,
circulated, delivered to any person, or placed before the public, any false
material statement, [Section 626.954l(l)(e) l., Florida Statutes]
(g) Failed to establish and at all times maintain a system of control
over the content, form and method of dissemination of all its Life Insurance
and Annuity Contract advertisements. All such advertisements, regardless
of by whom written, created, designed or presented, shall be the responsibility
of the insurer(s) benefiting directly or indirectly from their dissemination;
provided the insurer shall not be responsible for advertisements that are
published in violation of written procedures or guidelines of the insurer.
[Rule 4-150.102(2), Florida Administrative Code]
(h) The form and content of a Life Insurance and Annuity Contracts advertisement
were not sufficiently complete and clear to avoid deception or the capacity
or tendency to mislead or deceive. Whether an advertisement has a capacity
or tendency to mislead or deceive shall be determined by the Commissioner
of Insurance from the overall impression that the advertisement may be
reasonably expected to create upon a person of average education or intelligence,
within the segment of the public to which it is directed. [Rule 4-150.105(1),
Florida Administrative Code]
(i) Advertisements were not truthful and were misleading in fact or
in implication. Words or phrases, whose meanings are clear
24
only by implication or by the consumer's familiarity with insurance
terminology, shall not be used, [Rule 4-150.105(2), Florida Administrative
Code]
(j) Has failed to clearly identify its Life Insurance and Annuity Contract
as an insurance policy. With respect to any product first filed to be offered
to Florida residents on or after the effective date of these rules, a policy
trade name must be followed by the words "Insurance Policy" or
similar words clearly identifying the fact that an insurance policy is
being offered. [Rule 4-150.105(3), Florida Administrative Code]
(k) Has solicited a resident of this State for the purchase of Life
Insurance and Annuity Contracts in connection with or as the result of
the use of any advertisement which;
1. Contains any misleading representations, misrepresentations, or is
otherwise untrue, deceptive or misleading with regard to the information
imparted, the status, character or representative capacity of such person
or the true purpose of the advertisement; or
2. Otherwise violates the provisions of these rules; or
3. Otherwise violates the provisions of the Florida Insurance Code.
[Rule 4-150.105(4), Florida Administrative Code]
(1) Has solicited residents of this State for the purchase of Life Insurance
and Annuity Contracts through the use of a true or fictitious name which
is deceptive or misleading with regard to the status, character, or proprietary
or representative capacity of such
25
person or the true purpose of the advertisement. [Rule 4-150.105(5),
Florida Administrative code]
(m) The contents of all advertisements, regardless of by whom prepared,
created, designed or presented, shall be the responsibility of the insurers
benefiting directly or indirectly from its use, if the insurer either requested
the preparation of, or reasonably should have known of the content of the
advertisement lead generating device or list of prospective insureds. [Rule
4 - 150.105(7), Florida Administrative Code]
(n) Advertisements omitted information or used words, phrases, statements,
references or illustrations that had the capacity, tendency or effect of
misleading or deceiving purchasers or prospective purchasers as to the
nature or extent of any policy or contract benefit payable, loss covered
or premium payable. The fact that the policy or contract offered is made
available to a prospective insured for inspection prior to consummation
of the sale or an offer is made to refund the premium if the purchaser
is not satisfied, does not remedy the misleading statement. [Rule 4 - 150.107(1)(a),
Florida Administrative Code]
(o) Certificate of Compliance. Each insurer required to file an Annual
Statement which is now or which hereafter becomes subject to the provisions
of these rules must file with this Department with its Annual Statement
a Certificate of Compliance executed by an authorized officer of the insurer
wherein it is stated that to the best of his knowledge, information and
belief the advertisements which were disseminated by the insurer during
the
26
preceding statement year complied or were made to comply in all respects
with the provisions of these rules and the Insurance Laws of this State
as implemented and interpreted by these rules. [Rule 4 - 150.119(2), Florida
Administrative Code]
(p) Failed to comply with all applicable Replacement notice requirements.
[Rule sections 4-151.006, 4-151.007 and 4 - 151.011, Florida Administrative
Code]
(q) Failed to maintain a complete file containing every printed, published,
or prepared advertisement of its policies, as advertisement is defined
in Rule Section 4-150.003, Florida Administrative Code, for a period of
four years or until the filing of the next regular report or examination
of the insurer, whichever is the longer period of time. [Rule 4-150.119(1),
Florida Administrative Code]
(r) Failed to make freely available to the DEPARTMENT the records, documents,
files, information and matters in its possession or control relating to
the subject of the investigation. [Section 624.318(2), Florida Statutes]
(a) Has for any line of business, with such frequency as to indicate
its general business practice in this state, without just cause compelled
insureds to accept less than the amount due them. [624.318 (2), Florida
Statutes]
(t) Has refused to produce its records for examination when required
by the DEPARTMENT. [Section 624.418(b), Florida statutes]
27
(u) Churning - Has deceptively sold policies whereby policy values in
an existing life insurance policy or annuity contract, including but not
limited to, cash, loan values, or dividend values, and in any riders to
that policy or contract are used to purchase another insurance policy or
annuity contract with that same insurer for the purpose of earning additional
premiums, fees, commissions, or other compensation:
1. without an objectively reasonable basis for believing that the replacement
or extraction will result in an actual and demonstrable benefit to the
policyholder;
2. in a fashion that is fraudulent, deceptive, or otherwise misleading
or that involves a deceptive omission:
3. when the applicant is not informed that the policy values and other
assets of the existing policy or contract will be reduced, forfeited, or
utilized in the purchase of the replacing or additional policy or contract,
if that is the case:
4. without informing the applicant that the replacing or additional
policy or contract will not be a paid-up policy or that additional premiums
will be due, if that is the case. [Section 626.9541(1)(aa), Florida Statutes]
(v) Twisting - Knowingly making any misleading representations or incomplete
or fraudulent comparisons or fraudulent material omissions of or with respect
to any insurance policies for the purpose of inducing, or tending to induce,
any person to lapse, forfeit,surrender, terminate, retain, pledge, assign,
borrow on, or convert any insurance policy.
28
[Section 626.9541 (1) (1), Florida Statutes]
(w) Possessing management which has been found by the DEPARTMENT to
be incompetent or untrustworthy; or which the DEPARTMENT has good reason
to believe are affiliated directly or indirectly through ownership, control
or other insurance or business relations, with any persons whose business
operations are or have been marked, to the detriment of policyholders or
the public by bad faith. [Section 624.404(3) (a), Florida statutes]
(x) Has engaged in conduct that is:
1. An act that demonstrates a lack of fitness or trustworthiness to
engage in business of insurance, is hazardous to the insurance buying public,
or constitutes business operations that are a detriment to policyholders,
stockholders, investors, creditors, or the public.
2. A violation of any provision of the Florida Insurance Code.
3. A violation of any rule of the department. [Section 624.310 (3),
Florida Statutes.
WHEREFORE you, PRUDENTIAL , are notified pursuant to Sections 624.310,
624.404, 624.418, 626.9541 and Section 120.57, Florida statutes, to show
cause as to why the DEPARTMENT should not enter a permanent final order
revoking or suspending your Certificate of Authority to do business in
Florida, imposing a Cease and Desist Order pursuant to sections 624.310
and 626.9581, Florida Statutes, and/or to impose other penalties as set
forth in Section 624.4211,
29
Florida Statutes, or to take such other administrative actions as the
Treasurer and Insurance Commissioner may deem appropriate as provided by
law.
(Bill Nelson signature)
BILL NELSON
Treasurer and Insurance Commissioner
NOTICE OF RIGHTS
Pursuant to Sections 120.569 and 120.57, Florida Statutes and Rule Chapters
4-121 and 28-5, Florida Administrative Code (F.A.C.), you have the right
to request a proceeding to contest this action by the Department. You may
elect a proceeding by completing the attached Election of Rights form or
filing a Petition. Your Petition or Election of a proceeding must be in
writing and must be filed with the General Counsel acting as the Agency
Clerk, Department of Insurance. If served by U.S. Mail the Petition or
Election should be addressed to the Florida Department of Insurance at
612 Larson Building, Tallahassee, Florida 32399-0333. If Express Mail or
hand delivery is utilized, the Petition or Election should be delivered
to 612 Larson Building, 200 East Gaines Street, Tallahassee, Florida 32399-0333.
The Petition or Election must be received by, and filed in the Department
within twenty-one (21) days of the date of your receipt of this notice,
YOUR FAILURE TO RESPOND TO THIS ADMINISTRATIVE COMPLAINT WITHIN TWENTY-ONE
30
(21) DAYS WILL CONSTITUTE A WAIVER OF YOUR RIGHT TO REQUEST A PROCEEDING
ON THE MATTERS ALLEGED HEREIN AND A DEFAULT ORDER OF REVOCATION WILL BE
ENTERED AGAINST YOU.
If a proceeding is requested and there is no dispute of fact the provisions
of Section 120.57(2), Florida Statutes would apply. In this regard you
may submit oral or written evidence in opposition to the action taken by
this agency or a written statement challenging the grounds upon which the
agency has relied. While a hearing is normally not required in the absence
of a dispute of fact, if you feel that a hearing is necessary one will
be conducted in Tallahassee, Florida or by telephonic conference call upon
your request.
If you dispute material facts which are the basis for this agency's
action you may request a formal adversarial proceeding pursuant to Sections
120.569 and 120.57(1), Florida Statutes. If you request this type of proceeding,
the request must comply with all of the requirements of Rule Chapters 4-121
and 28-5, F.A.C. and contain
a) A statement identifying with particularity the allegations of the
Department which you dispute and the nature of the dispute;
b) An explanation of what relief you are seeking and believe you are
entitled to;
c) Any other information which you contend is material.
These proceedings are held before a State administrative law judge of
the Division of Administrative Hearings. Unless the
31
majority of witnesses are located elsewhere the Department will request
that the hearing be conducted in Tallahassee.
If you request a hearing, you have the right to be represented by counsel,
or other qualified representative, to take testimony, to call and cross-examine
witnesses, and to have subpoena and subpoena duces tecum issued on your
behalf.
Pursuant to Section 120.573, Florida Statutes, you are hereby notified
that mediation under Section l20.573, Florida Statutes, is not available;
however, the Department's attorney of record will discuss the possibility
of settlement of this matter upon your request.
Failure to follow the procedure outlined with regard to your response
to this notice may result in the request being denied. All prior correspondence
in this matter shall be considered freeform agency action, and no such
correspondence shall operate as a valid request for an administrative proceeding.
Any request for administrative proceeding received prior to the date of
this notice shall be deemed abandoned unless timely renewed in compliance
with the guidelines as set out above.
32
STATE OF FLORIDA
DEPARTMENT OF INSURANCE
IN THE MATTER OF:
THE PRUDENTIAL INSURANCE
COMPANY OF AMERICA
CASE No: 17608-96-C
ELECTION OF RIGHTS
I have received and have road the Administrative Complaint filed against
me including the Notice of Rights contained therein and I understand my
options. I am requesting disposition of this matter as indicated below.
(Choose one)
1. [ ] I do not desire a proceeding. The Department may enter a final
order revoking my license(s),
2. I do not dispute any of the Department's factual allegations and
I hereby elect an informal proceeding to be conducted in accordance with
section 120.57(2), Florida Statutes. In this regard I desire to (Choose
one):
[ ] submit a written statement and documentary evidence
[ ] attend an informal hearing to be held in Tallahassee; or
[ ]attend an informal hearing by way of a telephone conference call.
3. [ ] I do dispute the Department's factual allegations. I have attached
to this form a statement indicating the specific issues of fact which are
disputed and other required information indicated in the Notice of Rights.
I hereby request a formal adversarial proceeding pursuant to Sections 120.569
and 120.57(1), Florida Statutes to be held before the Division of Administrative
Hearings.
DATE:
Signature of Petitioner
Name:
Address:
Phone:
33
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing Order
to Show Cause has been furnished by Certified Mail to: Arthur F. Ryan,
Chairman & CEO, The Prudential Insurance Company of America, 761 Broad
street, Newark, New Jersey 07102; this 9 day of December, 1996.
DOUGLAS A. SHROPSHIRE,ESQUIRE
S. MARC HERSKOVITZ, ESQUIRE
Division of Legal services
612 Larson Building
Tallahassee, FL
32399-0333
(904) 922-3110
Attorneys for the Department
34