M200326853

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 West Sunrise Boulevard, Suite 160
City				State	Zip
Sunrise				FL	33323
Phone	Ext	Fax	E-Mail Address
(954) 858 - 0480		(954) 838 - 7480	JMaldonado@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	STEVEN		P	DOHENY
Insurer Type		Street Address of Practice
Licensed		906 A MAR WALT DRIVE
City		State	Zip Code	County
FORT WALTON BEACH		FL	32547	Okaloosa
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
15144		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME50311		Physciatry - Including Child		N/A

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	*NR
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
*NR
Location of Institutional Injury		Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
4/3/2000		11/15/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MAJOR DEPRESSION & POST-TRAUMATIC STRESS DISORDER
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PRESCRIBED INCORRECT COMBINATION OF MEDICATIONS
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
MALIGNANT HYPERTHERMIA
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit	Circuit Court Case Number
	*NR
County Suit Filed in	Date of Final Disposition
*NR	9/3/2003
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

$205,000

Loss Adjust Expense Paid to Defense Counsel

$20,840

All Other Loss Adjustment Expense Paid

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.