Department File Number :

M200010063

Claim Number :

A96-17502-95

Date Submitted :

2/21/2000

 

Insurer Information

 

Insurer Name

Coverage Type

FIRST PROFESSIONALS INSURANCE COMPANY, INC

Primary

Insurer FEIN

Professional License Number

59-6614702

 

Insurer Contact Information

Type

First Name

MI

Last Name

Individual

LINDA

D

COLLINS

Street Address

1000 Riverside Avenue

City

State

Zip

Jacksonville

FL

32204

Phone

Ext

Fax

E-Mail Address

(904) 354 - 5910

3047

(904) 358 - 6728

collins@fpic.com

 

Insured Information

 

Type

First Name

MI

Last Name

Individual

LOWELL

K

CUNNINGHAM

Insurer Type

Street Address of Practice

Licensed

1029 W. Main Street, Suite B

City

State

Zip Code

County

Leesburg

FL

34748

Lake

Policy Number

Per Claim Policy Limits

Aggregate Policy Limits

2444

$1,000,000

$3,000,000

Profession or Business

Other Profession or Business

Medical Doctor

 

License Number

Specialty Code & Classification

Certification Number

11433

Physciatry - Including Child

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

Physician's Office

 

Name of Institution

Code

 

 

Location of Institutional Injury

Other Location of Institutional Injury

 

 

Date of Occurrence

Date Reported to Insurer

3/1/1995

7/30/1996

 

Diagnostic Information

 

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

Psychiatric treatment

Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury

N/A

Diagnostic Code :

 

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

N/A

Principal Injury Giving Rise To The Claim

Alleged addiction to medication prescribed.

Severity Of Injury

Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information

 

Date of Suit

Circuit Court Case Number

1/22/1998

98-46-CA

County Suit Filed in

Date of Final Disposition

Lake

1/13/2000

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

$75,000

Loss Adjust Expense Paid to Defense Counsel

$18,014

All Other Loss Adjustment Expense Paid

$4,183

Injured Person's Total Non-Economic Loss

$75,000

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

As the current treating psychiatrist is using the same or similar medications to treat the patient, no risk management is necessary.

 

Updates

 

No updates found.