Department File Number :

M200010612

Claim Number :

96-24069-039

Date Submitted :

3/29/2000

 

Insurer Information

 

Insurer Name

Coverage Type

PRONATIONAL INSURANCE COMPANY

Primary

Insurer FEIN

Professional License Number

38-2317569

 

Insurer Contact Information

Type

First Name

MI

Last Name

Individual

BETH

 

ROMINGER

Street Address

2901 W. Busch Blvd., Suite 503

City

State

Zip

Tampa

FL

33618

Phone

Ext

Fax

E-Mail Address

(813) 933 - 8517

 

(813) 931 - 5474

BRominger@ProNational.com

 

Insured Information

 

Type

First Name

MI

Last Name

Individual

JOSEPH

C

WILLIAMS, M.D.

Insurer Type

Street Address of Practice

Licensed

3510 Mariner Boulevard

City

State

Zip Code

County

Spring Hill

FL

34609

Hernando

Policy Number

Per Claim Policy Limits

Aggregate Policy Limits

1002455

$1,000,000

$3,000,000

Profession or Business

Other Profession or Business

Medical Doctor

 

License Number

Specialty Code & Classification

Certification Number

0040691

Neurology - Including Child - No Surgery

0000000

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

 

M

*NR

City

State

Zip Code

 

 

 

Location where injury occured

Other location where injury occured

Hospital Inpatient Facility

 

Name of Institution

Code

*NR

 

Location of Institutional Injury

Other Location of Institutional Injury

Patients' Room

 

Date of Occurrence

Date Reported to Insurer

1/26/1995

1/10/1996

 

Diagnostic Information

 

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

CVA

Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury

Insured called second day of admission to see CVA patient. Patient at time of call was having seizures and suffered severe second right sided CVA.

Diagnostic Code :

 

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

N/A

Principal Injury Giving Rise To The Claim

57 year old male with severe neurologic damage, asphasia and quadraparesis following bilateral CVAs.

Severity Of Injury

Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information

 

Date of Suit

Circuit Court Case Number

5/20/1997

97-1087-CA-01

County Suit Filed in

Date of Final Disposition

Hernando

3/20/2000

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

$1,000,000

Loss Adjust Expense Paid to Defense Counsel

$32,418

All Other Loss Adjustment Expense Paid

$40,865

Injured Person's Total Non-Economic Loss

$1,000,000

Deductible

$0

Injured Person's Total Economic Loss

 

Incurred to Date

Anticipated

Medical Expense

$340,000

$1,000,000

Wage Loss

$0

$0

Other Expenses

$0

$300,000

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

Insured has discussed case with insurance company personnel, medical experts and defense counsel.

 

Updates

 

No updates found.