Dr. JON M BAUMBAUER, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JON M BAUMBAUER, MD

751 East 3rd Avenue

Indemnity Paid: $10,000.00

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	Jon		M	Baumbauer
Insurer Type		Street Address of Practice
Licensed		751 East 3rd Avenue
City		State	Zip Code	County
New Smyrna Beach		FL	32169	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL002947		$250,000		$750,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN7084		Dental General Practice - NOC

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
11/7/2006		4/3/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Decayed teeth
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Dentures
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Unspecified negligence
Principal Injury Giving Rise To The Claim
Pain and suffering, possible need for corrective treatment
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
8/27/2009			2009-20990-CINS
County Suit Filed in			Date of Final Disposition
Volusia			3/22/2011
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
3/22/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$10,000

Loss Adjust Expense Paid to Defense Counsel

$21,493

All Other Loss Adjustment Expense Paid

$9,008

Injured Person's Total Non-Economic Loss

$6,000

Deductible

Injured Person's Total Economic Loss

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

N/A

Updates

Date of Change:

8/18/2011 10:34:53 AM

Reason for Change:

Update ALE

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	12659	21493
All Other Loss Adjustment Expense Paid	4568	9008

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Does Dr. JON M BAUMBAUER, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JON M BAUMBAUER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).