Department File Number :

M200533966

Claim Number :

233422

Date Submitted :

1/12/2005

 

Insurer Information

 

Insurer Name

Coverage Type

DOCTORS' COMPANY, AN INTERINSURANCE EXCHANGE (THE)

Primary

Insurer FEIN

Professional License Number

95-3014772

 

Insurer Contact Information

Type

First Name

MI

Last Name

Individual

Janet

 

Blankenship

Street Address

13450 West Sunrise Boulevard, Suite 160

City

State

Zip

Sunrise

FL

33323

Phone

Ext

Fax

E-Mail Address

(954) 858 - 0213

 

(954) 838 - 7480

jblankenship@thedoctors.com

 

Insured Information

 

Type

First Name

MI

Last Name

Individual

Sherwood

 

Cantor

Insurer Type

Street Address of Practice

Licensed

9275 SW 152ND ST STE 105

City

State

Zip Code

County

Miami

FL

33157

Dade

Policy Number

Per Claim Policy Limits

Aggregate Policy Limits

17365

$500,000

$1,500,000

Profession or Business

Other Profession or Business

Medical Doctor

 

License Number

Specialty Code & Classification

Certification Number

ME17641

Psychiatry - All Other

1

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

Dade

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

Other

Patient's Home

Date of Occurrence

Date Reported to Insurer

7/2/2003

10/29/2003

 

Diagnostic Information

 

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

Depression

Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury

The 57-year-old male was being treated by our insured for depression. He was placed on Lexapro and then switched to Prozac. He committed suicide 2 months after his first visit.

Diagnostic Code :

 

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

*NR

Principal Injury Giving Rise To The Claim

Suicide

Severity Of Injury

Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information

 

Date of Suit

Circuit Court Case Number

5/10/2004

04-10711 CA 02

County Suit Filed in

Date of Final Disposition

Dade

1/5/2005

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

1/5/2005

 

Financial Information

 

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$225,000

Loss Adjust Expense Paid to Defense Counsel

$35,000

All Other Loss Adjustment Expense Paid

$0

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

Unknown

 

Updates

 

No updates found.