Medical Malpractice Cases

Dr. Jon M Baumbauer Medical Malpractice Cases

Court Case # 2009-20990-CINS

Indemnity Paid: $10,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160196
Claim Number :1005525
Date Submitted :8/18/2011
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA MEDICAL MALPRACTICE JUAPrimary
Insurer FEINProfessional License Number
59-1625412 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSUSAN SPIELMAN
Street Address
5814 Reed Street
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340 (260) 486 - 0782SUSAN.SPIELMAN@MEDPRO.COM
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJonMBaumbauer
Insurer TypeStreet Address of Practice
Licensed751 East 3rd Avenue
CityStateZip CodeCounty
New Smyrna BeachFL32169Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FL002947$250,000$750,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN7084Dental General Practice - NOC 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/7/20064/3/2009
 
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.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/27/20092009-20990-CINS
County Suit Filed inDate of Final Disposition
Volusia3/22/2011
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 DecisionOther
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$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
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 ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1265921493
All Other Loss Adjustment Expense Paid45689008

 

 

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