M200428579

Insurer Information

Insurer Name				Coverage Type
AMERICAN CONTINENTAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
44-0648645
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	PAT			KANE
Street Address
3230 W. Commercial Blvd., Suite 390
City				State	Zip
Ft. Lauderdale				FL	33309
Phone	Ext	Fax	E-Mail Address
(954) 677 - 3324		(954) 735 - 9028

Insured Information

Type	First Name		MI	Last Name
Individual	KAREN		B	SCHICK, MD
Insurer Type		Street Address of Practice
Licensed		601 S. FLORIDA AVENUE
City		State	Zip Code	County
LAKELAND		FL	33801	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MM00071273		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
42239		Pediatrics - No Surgery		01

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
TAMPA GENERAL HOSPITAL		100128
Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
9/16/1996		6/20/1997

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged failure to monitor electrolytes of 26 week gestation twin w/multiple complications
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to monitor infant with multiple complications
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to monitor infant with multiple complications
Principal Injury Giving Rise To The Claim
Failure to monitor
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Legal Information

Date of Suit	Circuit Court Case Number
	*NR
County Suit Filed in	Date of Final Disposition
*NR	1/10/2001
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

$900,000

Loss Adjust Expense Paid to Defense Counsel

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

None known

Updates

No updates found.