Department File Number :

M200012820

Claim Number :

95-22340-042

Date Submitted :

8/28/2000

 

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

JAMES

M

RACHAL

Street Address

2121 Ponce de Leon Boulevard, Suite 350

City

State

Zip

Coral Gables

FL

33134

Phone

Ext

Fax

E-Mail Address

(305) 442 - 4001

7220

(305) 444 - 5427

JRachal@ProNational.com

 

Insured Information

 

Type

First Name

MI

Last Name

Individual

THOMAS

J

GOLDSCHMIDT, M.D.

Insurer Type

Street Address of Practice

Licensed

1801 N UNIVERSITY DR STE 209

City

State

Zip Code

County

CORAL SPRINGS

FL

33071-6078

Broward

Policy Number

Per Claim Policy Limits

Aggregate Policy Limits

M-1003678

$250,000

$750,000

Profession or Business

Other Profession or Business

Medical Doctor

 

License Number

Specialty Code & Classification

Certification Number

ME 0048497

Neurology - Including Child - No Surgery

0

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

Patient's Home

 

Name of Institution

Code

 

 

Location of Institutional Injury

Other Location of Institutional Injury

 

 

Date of Occurrence

Date Reported to Insurer

2/25/1993

1/31/1995

 

Diagnostic Information

 

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

Major Depression

Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury

Failure to properly evaluate and recognize this patient's suicidal risk.

Diagnostic Code :

 

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

None.

Principal Injury Giving Rise To The Claim

Death by suicide.

Severity Of Injury

Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information

 

Date of Suit

Circuit Court Case Number

7/17/1995

95-8987 (25)

County Suit Filed in

Date of Final Disposition

Broward

8/4/2000

Other Defendants Involved in this Claim

CARE UNIT OF FLORIDA, INC.

Stage of Legal System at which Settlement was Reached or Award Made

During trial, but before court verdict.

Final Method of Claim Disposition

Settled by parties

Court Decision

Other

Other

 

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

$250,000

Loss Adjust Expense Paid to Defense Counsel

$59,459

All Other Loss Adjustment Expense Paid

$96,313

Injured Person's Total Non-Economic Loss

$250,000

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

Member discussed claim with insurance company personnel, and medical experts.

 

Updates

 

No updates found.