M200011060

Insurer Information

Insurer Name				Coverage Type
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD				Primary
Insurer FEIN		Professional License Number
06-0464510
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	JACKIE		L	HANNA
Street Address
26 Century Blvd Ste 210
City				State	Zip
Nasvhille				TN	37214
Phone	Ext	Fax	E-Mail Address
(615) 902 - 6230		(800) 526 - 1773	jacqueline.hanna@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	ROBERT			KIRKLAND
Insurer Type		Street Address of Practice
Licensed		2309 Bedford Road
City		State	Zip Code	County
Orlando		FL	32803	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
ccp3004317646		$5,000,000		$5,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME6072		Physciatry - Including Child		01

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
Prison		Prison
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
2/13/1991		2/9/1993

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Serious psychological problems
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Pscyh treatment
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to prevent claimant from gouging his eyes out
Principal Injury Giving Rise To The Claim
gouged eyes
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Legal Information

Date of Suit	Circuit Court Case Number
2/1/1993	93-591
County Suit Filed in	Date of Final Disposition
Orange	2/29/2000
Other Defendants Involved in this Claim
ORANGE COUNTY
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

$9,999

Loss Adjust Expense Paid to Defense Counsel

$118,000

All Other Loss Adjustment Expense Paid

$15,000

Injured Person's Total Non-Economic Loss

$9,999

Deductible

Injured Person's Total Economic Loss

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

None

Updates

No updates found.