Department File Number :	M200324968
Claim Number :	501304B
Date Submitted :	6/6/2003

Insurer Information
Insurer Name				Coverage Type
AMERICAN HEALTHCARE INDEMNITY COMPANY				Primary
Insurer FEIN		Professional License Number
59-2048400
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	DOUGLAS		R	LEDER
Street Address
500 Northpoint Parkway, Suite #100
City				State	Zip
West Palm Beach				FL	33407
Phone	Ext	Fax	E-Mail Address
(561) 686 - 2020		(561) 686 - 6204	unknown

Insured Information
Type	First Name		MI	Last Name
Individual	WILLIAM			ELSTEIN
Insurer Type		Street Address of Practice
Licensed		3920 BEE BRIDGE ROAD, BLDG "H", SUITE K
City		State	Zip Code	County
SARASOTA		FL	34233	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0024822364		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME 26682		Dermatology - Minor Surgery		UNK

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
Prison		Physician's Office
Name of Institution		Code
Location of Institutional Injury		Other Location of Institutional Injury
Date of Occurrence		Date Reported to Insurer
3/11/1999		9/10/2001

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Basal cell carcinoma
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to confirm biopsy specimen margins were free of malignant cells.
Diagnostic Code :	UNK
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None
Principal Injury Giving Rise To The Claim
Re-occurrence of basal cell carcinoma
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information
Date of Suit	Circuit Court Case Number
1/7/2001	2002 CA 535
County Suit Filed in	Date of Final Disposition
Sarasota	5/14/2003
Other Defendants Involved in this Claim
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
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

$300,000

Loss Adjust Expense Paid to Defense Counsel

$20,857

All Other Loss Adjustment Expense Paid

$6,429

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

Interview with investigators and defense attorney; answer interrogatiories, review expert opinions, etc.

Updates

No updates found.