M200323592

Insurer Information

Insurer Name				Coverage Type
DOCTORS' COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type		Entity Name
Entity		THE DOCTORS COMPANY
Street Address
13450 W. Sunrise Boulevard, Suite 160
City				State	Zip
Sunrise				FL	33323
Phone	Ext	Fax	E-Mail Address
(954) 858 - 0213		(954) 838 - 7480	ahinkson@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	JAMES		A	HALIKAS
Insurer Type		Street Address of Practice
Licensed		2335 TAMIAMI TRL N STE 205
City		State	Zip Code	County
NAPLES		FL	34103-4457	Collier
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
16798		$2,000,000		$5,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME0069324		Physciatry - Including Child		0000000000

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
Hospital Inpatient Facility
Name of Institution		Code
NAPLES COMM. HOSPITAL (N. COLLIER)		100018
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
10/25/2000		2/5/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic alcoholism.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured telephoned order of Methotrexate 2.5 mg six per week. The admitting R.N. incorrectly documented the order as Methotrexate 2.5 mg six per day. The insured cosigned the order.
Diagnostic Code :	315
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None
Principal Injury Giving Rise To The Claim
Death due to Methotrexate toxicity super-imposed on diabetes, hypertension, and chronic ethanolism.
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit	Circuit Court Case Number
	*NR
County Suit Filed in	Date of Final Disposition
*NR	12/2/2002
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Settled by parties
Court Decision	Other
No Court Proceedings.
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$158,000

Loss Adjust Expense Paid to Defense Counsel

$2,303

All Other Loss Adjustment Expense Paid

$3,625

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

Unknown.

Updates

No updates found.