Department File Number :	M200115943
Claim Number :	98-27587-01-059
Date Submitted :	4/13/2001

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	LUIS		A	REINA, M.D.
Insurer Type		Street Address of Practice
Licensed		POST OFFICE BOX 431287
City		State	Zip Code	County
SOUTH MIAMI		FL	33243-1287	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
M-1001571		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME 0046560		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
Hospital Inpatient Facility
Name of Institution		Code
CORAL GABLES HOSPITAL		100183
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
5/12/1998		10/27/1998

Diagnostic Information

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

Cerebral vascular accident.

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 evolving stroke.

Principal Injury Giving Rise To The Claim

Death

Severity Of Injury

Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information
Date of Suit	Circuit Court Case Number
3/26/1999	9907428CA25
County Suit Filed in	Date of Final Disposition
Dade	4/5/2001
Other Defendants Involved in this Claim
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

$200,000

Loss Adjust Expense Paid to Defense Counsel

$26,170

All Other Loss Adjustment Expense Paid

$21,436

Injured Person's Total Non-Economic Loss

$200,000

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

Insured discussed claim with insurance personnel and medical experts.

Updates

No updates found.