Department File Number :

M200115881

Claim Number :

241924

Date Submitted :

4/10/2001

 

Insurer Information

 

Insurer Name

Coverage Type

MEDICAL PROTECTIVE COMPANY (THE)

Primary

Insurer FEIN

Professional License Number

35-0506406

 

Insurer Contact Information

Type

Entity Name

Entity

MEDICAL PROTECTIVE COMPANY

Street Address

300 International Parkway, Suite 200

City

State

Zip

Heathrow

FL

32746

Phone

Ext

Fax

E-Mail Address

(407) 333 - 4410

 

(407) 333 - 4413

 

 

Insured Information

 

Type

First Name

MI

Last Name

Individual

DAVID

A

OREA, MD

Insurer Type

Street Address of Practice

Licensed

4130 SALISBURY ROAD, SUITE 1200

City

State

Zip Code

County

JACKSONVILLE

FL

32216

Duval

Policy Number

Per Claim Policy Limits

Aggregate Policy Limits

612803

$3,000,000

$5,000,000

Profession or Business

Other Profession or Business

Medical Doctor

 

License Number

Specialty Code & Classification

Certification Number

ME0028781

Physciatry - Including Child

Unk

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

BAPTIST MEDICAL CENTER AND WOLFSON

100088

Location of Institutional Injury

Other Location of Institutional Injury

Patients' Room

 

Date of Occurrence

Date Reported to Insurer

7/16/1993

7/21/1995

 

Diagnostic Information

 

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

Emotional problems

Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury

Hospitalization and counseling

Diagnostic Code :

 

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

None

Principal Injury Giving Rise To The Claim

Death; alleged improper treatment resulting in patient stabbing father

Severity Of Injury

Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information

 

Date of Suit

Circuit Court Case Number

1/24/1996

96-00412 CA

County Suit Filed in

Date of Final Disposition

Duval

3/15/2001

Other Defendants Involved in this Claim

BAPTIST MEDICAL CENTER
JACKSONVILLE WOLFSON CHILDREN'S HOSPITAL

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

$185,000

Loss Adjust Expense Paid to Defense Counsel

$16,175

All Other Loss Adjustment Expense Paid

$8,056

Injured Person's Total Non-Economic Loss

$145,000

Deductible

$0

Injured Person's Total Economic Loss

 

Incurred to Date

Anticipated

Medical Expense

$0

$0

Wage Loss

$0

$40,000

Other Expenses

$0

$0

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

None

 

Updates

 

No updates found.