Department File Number :	M19991618
Claim Number :	A97-18654-95
Date Submitted :	2/10/2000

Insurer Information
Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type		Entity Name
Entity		FLORIDA PHYSICIANS INSURANCE COMPANY
Street Address
1000 Riverside Avenue
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(904) 354 - 5910	3038	(904) 358 - 6728	kandrews@fpic.com

Insured Information
Type	First Name		MI	Last Name
Individual	RAJANI		K	RAVINDRA
Insurer Type		Street Address of Practice
Licensed		4030 U.S. 90 West
City		State	Zip Code	County
Lake City		FL	32055	Columbia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
6726		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
40806				0000

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information
First Name	MI	Last Name		Date of Birth
Street Address			Gender	County where Injury Occurred
			F	*NR
City			State	Zip Code
Location where injury occured		Other location where injury occured
Other Location
Name of Institution		Code
Location of Institutional Injury		Other Location of Institutional Injury
Date of Occurrence		Date Reported to Insurer
11/1/1995		9/15/1997

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition

Depression, nuerosis.

Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury

None

Diagnostic Code :

Misdiagnosis Made, If Any, Of Patient's Actual Condition

None

Principal Injury Giving Rise To The Claim

Patient committed suicide with a shotgun.

Severity Of Injury

Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information
Date of Suit	Circuit Court Case Number
1/15/1998	97-517-CA
County Suit Filed in	Date of Final Disposition
Columbia	12/8/1999
Other Defendants Involved in this Claim
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision	Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$10,000

Loss Adjust Expense Paid to Defense Counsel

$37,847

All Other Loss Adjustment Expense Paid

$13,372

Injured Person's Total Non-Economic Loss

$10,000

Deductible

$0

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

None. Claim settled solely for economic reasons to avoid cost of trial and eliminate any chance of a sympathetic verdict for plaintiffs survivor. Case was probably defensible.

Updates

No updates found.