M200010664

Insurer Information

Insurer Name				Coverage Type
LEGION INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
23-1892289
Insurer Contact Information
Type		Entity Name
Entity		PROFESSIONAL RISK MANAGEMENT SERVICES
Street Address
1515 Wilson Blvd., Suite 800
City				State	Zip
Arlington				VA	22309
Phone	Ext	Fax	E-Mail Address
(703) 907 - 3800		(703) 276 - 9419

Insured Information

Type	First Name		MI	Last Name
Individual	CHRISTINA			SMITH
Insurer Type		Street Address of Practice
Licensed		901 Progresson Drive, Suite U8
City		State	Zip Code	County
Ft. Lauderdale		FL	33304	Broward
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
GL3000001		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
006790		Physciatry - Including Child		84249

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
Hospital Inpatient Facility
Name of Institution		Code
FLORIDA MEDICAL CENTER		100210
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
4/19/1997		4/3/1998

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Major Depression and severe psychosis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
N/A
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat respiratory difficulties
Principal Injury Giving Rise To The Claim
Patient's Death
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit	Circuit Court Case Number
11/23/1998	98-018775 CA 14
County Suit Filed in	Date of Final Disposition
Broward	10/25/1999
Other Defendants Involved in this Claim
SWARTZ, AARON KALIDINDI, TAMMIRAJU FRANKEL, JOE LAMBERT, ALBERT
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

$150,000

Loss Adjust Expense Paid to Defense Counsel

$68,498

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

N/A

Updates

No updates found.