Medical Malpractice Cases

Dr. CLYDE BANNER Medical Malpractice Cases

Court Case # CA0211343AJ

Indemnity Paid: $50,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433396
Claim Number :40-006172
Date Submitted :11/9/2004
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDeanon Davis
Street Address
4601 Wilshire Blvd., Suite 100
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 6346  deanon.davis@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCLYDE BANNER
Insurer TypeStreet Address of Practice
Licensed18907 SE LOXAHATCHEE RIVER ROAD
CityStateZip CodeCounty
JUPITERFL33458Palm Beach
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0117772100000$1,000,000$1,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS5811Physicians or Surgeons1

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPalm Beach
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
JUPITER MEDICAL CENTER100253
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
11/24/20004/9/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
AORTIC DISSECTION.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED DELAY IN DIAGNOSIS OF AORTIC DISSECTION.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
CARDIAC CONDITION
Principal Injury Giving Rise To The Claim
WRONGFUL DEATH.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/17/2002CA0211343AJ
County Suit Filed inDate of Final Disposition
Palm Beach9/10/2004
Other Defendants Involved in this Claim
VARGUS, AGUSTIN
BREUER, BABRIEL
MANFREDONIA, SERAPHIN
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/10/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$50,000
Loss Adjust Expense Paid to Defense Counsel$155,968
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$5,000
Deductible$5,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$3,000$0
Wage Loss$63,000$63,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
No updates found.

 

 

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