Department File Number : |
M200221567 |
Claim Number : |
98M11299 |
Date Submitted : |
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Insurer Information |
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Insurer Name |
Coverage Type |
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FRONTIER INSURANCE COMPANY |
Primary |
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Insurer FEIN |
Professional License Number |
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13-2559805 |
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Insurer Contact Information |
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Type |
First Name |
MI |
Last Name |
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Individual |
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Street Address |
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City |
State |
Zip |
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NY |
12775 |
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Phone |
Ext |
Fax |
E-Mail Address |
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(914) 796 - 2300 |
5474 |
(914) 796 - 1801 |
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Insured Information |
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Type |
First Name |
MI |
Last Name |
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Individual |
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NAGID |
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Insurer Type |
Street Address of Practice |
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Licensed |
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City |
State |
Zip Code |
County |
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FT LAUDERDALE |
FL |
33312 |
Broward |
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Policy Number |
Per Claim Policy Limits |
Aggregate Policy Limits |
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CM0504376 |
$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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ME0031178 |
Physciatry - Including Child |
80249 |
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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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Prison |
Hotel Room |
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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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Diagnostic Information |
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Final Diagnosis For Which Treatment
Was Sought Including Patient's Actual Condition |
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Dysthemia |
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Operation, Diagnostic, Or Treatment
Procedure Rendered Causing The Injury |
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Alleged failure to treat suicidal
tendencies |
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Diagnostic Code : |
300.40 |
Misdiagnosis Made, If Any, Of
Patient's Actual Condition |
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Alleged failure to treat suicidal
threats |
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Principal Injury Giving Rise To The
Claim |
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45 y/o female committed suicide |
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Severity Of Injury |
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Permanent: Death. |
Legal Information |
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Date of Suit |
Circuit Court Case Number |
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98010122 |
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Date of Final Disposition |
Broward |
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Other Defendants Involved in this
Claim |
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Stage of Legal System at which
Settlement was Reached or Award Made |
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During trial, but before court
verdict. |
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Final Method of Claim Disposition |
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Settled by parties |
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Court Decision |
Other |
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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 |
$400,000 |
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Loss Adjust Expense Paid to Defense
Counsel |
$48,400 |
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All Other Loss Adjustment Expense
Paid |
$2,097 |
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Injured Person's Total Non-Economic
Loss |
$400,000 |
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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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The insured has consulted with
defense council, mediccall experts and claims personnel regarding this
matter. |
Updates |
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No updates found. |