PHX-#10539805-v1-MANNS_RFH_22A-029-INS.pdf

22A-029-INS · Department of Insurance and Financial Institutions - Insurance · 2022-07-28

CLEAR SUBMIT

OFFICE OF ADMINISTRATIVE HEARINGS REQUEST FOR HEARING

DATE: 07/25/2022 CAPTION (REQUIRED) TO: [email redacted] In the Matter of: FROM: Susan Hack Adrian Manns EMAIL (REQUIRED): [email redacted] (National Producer License No. 15760350) DOCKET NO.: 22A-029-INS

Respondent

Hearing Type _____________________________________________________________________ Contested Case (agency action not taken pending hearing Date of Request _______________ *Purposed Date/Time _____________________________ 09/22/2022 1:00 pm * The date MUST be within 60 days of an appealable agency action hearing request, or within 60 days of this contested case hearing request UNLESS at least one of the following factors are true: ☐ All parties agree to a date beyond 60 days ☐ OAH to set case for intervening prehearing within 60 days BY CHECKING A BOX, THE AGENCY IS CERTIFYING TO THE OAH THAT THE FACTORS ARE TRUE.

(REQUIRED) NAME AND ADDRESS Respondent Counsel *

Adrian Manns James Rolstead 8016 S 5th Lane 2005 N. Central Ave. Phoenix, AZ 85041 Phoenix, AZ 85004 Phone: (602) 377-9995 Phone: (602) 542-7720 Phone: Email: [email redacted] Email: [email redacted] Email:

OAH USE ONLY: Assigned ALJ: Velva Moses-Thompson

ASSIGNED AS HEARING PREHEARING (if applicable) DATE: 9/22/2022 DATE: TIME: 1:00 TIME: LOCATION: LOCATION:

SPECIAL ADVISEMENT FROM OAH FROM AGENCY