Department File Number :	M200327209
Claim Number :	A99-20083-82
Date Submitted :	10/30/2003

Insurer Information
Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	CHERI		M	MONTAGUE
Street Address
1000 Riverside Ave., Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(904) 354 - 5910	3043	(904) 358 - 6728	montague@FPIC.com

Insured Information
Type	First Name		MI	Last Name
Individual	GEORGE		W	LOSE, M.D.
Insurer Type		Street Address of Practice
Licensed		1463 TANGIER WAY
City		State	Zip Code	County
SARASOTA		FL	34239	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
3633		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
20180		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
			M	*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
1/1/1982		4/12/1999

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition

Anxiety Disorder.

Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury

Prescription of Trilafon.

Diagnostic Code :

Misdiagnosis Made, If Any, Of Patient's Actual Condition

None.

Principal Injury Giving Rise To The Claim

Plaintiff developed tardive dyskinesia allegedly as the result of long term use of Trilafon.

Severity Of Injury

Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information
Date of Suit	Circuit Court Case Number
8/27/1999	9910489-CA
County Suit Filed in	Date of Final Disposition
Sarasota	9/30/2003
Other Defendants Involved in this Claim
NEGROSKI, M.D., DONALD BOLTON, ARNP, ALICE H
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
Disposed of by Court
Court Decision	Other
Summary judgment for the defendant.
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

No

Indemnity Paid by Insurer on behalf of Insured

$0

Loss Adjust Expense Paid to Defense Counsel

$57,475

All Other Loss Adjustment Expense Paid

$56,414

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

The insured was dismissed on the basis of the statute of limitations. His alleged vicarious liability for the actions of Alice Bolton, ARNP was resolved by settlement by that party.

Updates

No updates found.