Department File Number : |
M200116679 |
Claim Number : |
99-28210-02-045 |
Date Submitted : |
6/29/2001 |
Insurer Information |
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Insurer Name |
Coverage Type |
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PRONATIONAL INSURANCE COMPANY |
Primary |
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Insurer FEIN |
Professional License Number |
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38-2317569 |
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Insurer Contact Information |
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Type |
First Name |
MI |
Last Name |
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Individual |
FREDERICK |
M |
SCHERIFF |
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Street Address |
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6365 NW 6th Way, Suite 300 |
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City |
State |
Zip |
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Ft. Lauderdale |
FL |
33309 |
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Phone |
Ext |
Fax |
E-Mail Address |
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(954) 491 - 5667 |
8382 |
(954) 493 - 8170 |
fscheriff@pronational.com |
Insured Information |
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Type |
First Name |
MI |
Last Name |
|
Individual |
STEVEN |
R |
HONIG |
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Insurer Type |
Street Address of Practice |
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Licensed |
7710 NW 71ST COURT, SUITE 101 |
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City |
State |
Zip Code |
County |
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TAMARAC |
FL |
33321 |
Broward |
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Policy Number |
Per Claim Policy Limits |
Aggregate Policy Limits |
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0124100 |
$1,000,000 |
$3,000,000 |
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Profession or Business |
Other Profession or Business |
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Medical Doctor |
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License Number |
Specialty Code & Classification |
Certification Number |
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ME0027705 |
Radiology - Diagnostic - No Surgery |
0 |
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Injured Person Information |
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First Name |
MI |
Last Name |
Date of Birth |
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Street Address |
Gender |
County where Injury Occurred |
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|
F |
*NR |
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City |
State |
Zip Code |
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Location where injury occured |
Other location where injury occured |
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Other Outpatient Facility |
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Name of Institution |
Code |
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Location of Institutional Injury |
Other Location of Institutional
Injury |
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Date of Occurrence |
Date Reported to Insurer |
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4/24/1997 |
6/10/1999 |
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Diagnostic Information |
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Final Diagnosis For Which Treatment
Was Sought Including Patient's Actual Condition |
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Ovarian cancer. |
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Operation, Diagnostic, Or Treatment
Procedure Rendered Causing The Injury |
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None. |
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Diagnostic Code : |
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Misdiagnosis Made, If Any, Of
Patient's Actual Condition |
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Ovarian cancer. |
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Principal Injury Giving Rise To The
Claim |
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Ovarian cancer. |
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Severity Of Injury |
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Permanent: Minor - Loss of fingers,
loss or damage to organs. Includes non-disabling injuries. |
Legal Information |
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Date of Suit |
Circuit Court Case Number |
3/3/2000 |
00-1322CA21 |
County Suit Filed in |
Date of Final Disposition |
Broward |
6/19/2001 |
Other Defendants Involved in this
Claim |
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REAL, MARTIN |
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Stage of Legal System at which
Settlement was Reached or Award Made |
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More than 90 days, after suit filed
and prior to or during the course of mandatory settlement conference. |
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Final Method of Claim Disposition |
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Settled by parties |
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Court Decision |
Other |
No Court Proceedings. |
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Arbitration |
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Claim not subject to Arbitration. |
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Date of Payment |
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Financial Information |
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Was there a settlement Resulting in
payment to the Plaintiff? |
Yes |
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Indemnity Paid by Insurer on behalf
of Insured |
$450,000 |
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Loss Adjust Expense Paid to Defense
Counsel |
$18,820 |
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All Other Loss Adjustment Expense
Paid |
$12,915 |
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Injured Person's Total Non-Economic
Loss |
$0 |
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Deductible |
$0 |
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Injured Person's Total Economic Loss |
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Safety Management Steps Taken by
Insured to Make Similar Occurrence Less Likely |
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Insured's P.A. has discussed case
with insurance company personnel, medical experts and defense counsel.
(Insured is deceased). 99-28210-02-045 |
Updates |
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No updates found. |