Department File Number :	M200218987
Claim Number :	99M17118
Date Submitted :	2/1/2002

Insurer Information
Insurer Name				Coverage Type
FRONTIER INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
13-2559805
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SHARON			LOCH
Street Address
195 Lake Louise Marie Road
City				State	Zip
Rock Hill				NY	12775
Phone	Ext	Fax	E-Mail Address
(914) 796 - 2300	5474	(914) 796 - 1801

Insured Information
Type	First Name		MI	Last Name
Individual	HEATHER			ROHRER
Insurer Type		Street Address of Practice
Licensed		12012 BOYETTE ROAD
City		State	Zip Code	County
RIVERVIEW		FL	33569	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
WM7002036		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME0063465		Physciatry - Including Child		80249

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
			F	*NR
City			State	Zip Code
Location where injury occured		Other location where injury occured
Other Outpatient Facility
Name of Institution		Code
Location of Institutional Injury		Other Location of Institutional Injury
Date of Occurrence		Date Reported to Insurer
6/1/1996		6/24/1999

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Failure to protect minor from abuse of third party.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to protect minor from abuse by third party
Diagnostic Code :	300.4
Misdiagnosis Made, If Any, Of Patient's Actual Condition
failure to protect minor from abuse by third party
Principal Injury Giving Rise To The Claim
failure to protect minor from abuse by third party
Severity Of Injury
Emotional Only - Fright, no physical damage

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information
Date of Suit	Circuit Court Case Number
6/4/1999	994685
County Suit Filed in	Date of Final Disposition
Hillsborough	8/16/2001
Other Defendants Involved in this Claim
TAMPA BAY ACADEMY
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
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

$15,000

Loss Adjust Expense Paid to Defense Counsel

$31,774

All Other Loss Adjustment Expense Paid

$599

Injured Person's Total Non-Economic Loss

$0

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 has consulted with claims personnel, medical experts and legal counsel regarding this matter.

Updates

No updates found.