M200430292

Insurer Information

Insurer Name				Coverage Type
TRUCK INSURANCE EXCHANGE				Primary
Insurer FEIN		Professional License Number
95-2575892
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	JULIE		L	BICKNELL
Street Address
P.O. BOX 4999
City				State	Zip
LOS ANGELES				CA	90051-4999
Phone	Ext	Fax	E-Mail Address
(323) 964 - 8271(323) 964 - 8271		(323) 937 - 1919(323) 937 - 1919

Insured Information

Type	First Name		MI	Last Name
Individual	HERNDON		P	HARDING, JR.
Insurer Type		Street Address of Practice
Licensed		2828 CASA ALOMA WAY, SUITE 200
City		State	Zip Code	County
WINTER PARK		FL	32792	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0118089880000		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME74794		Physciatry - Including Child		273583239

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
Patient's Home
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
9/5/2000		8/29/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Depression.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose and treat patient's depression, resulting in an early discharge from the hospital.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Depression.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit	Circuit Court Case Number
1/11/2002	CIO0110322 DIV 40
County Suit Filed in	Date of Final Disposition
Orange	3/11/2004
Other Defendants Involved in this Claim
FARMER, M.D., SCOTT D FLORIDA PHYSICIANS MEDICAL GROUP, INC ADVENTIST HEALTH SYSTEM /SUNBERT, INC., CENTER FOR BEHAVIORAL HEALTH
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

$250,000

Loss Adjust Expense Paid to Defense Counsel

$24,836

All Other Loss Adjustment Expense Paid

$74,899

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

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

More in-depth review of patient's symptoms and discussion with staff and family members, as well as having a discharge interview with the patient.

Updates

No updates found.