Dr. Raymond F Barnes Medical Malpractice Cases

Indemnity Paid: $200,000.00

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Raymond		F	Barnes
Insurer Type		Street Address of Practice
Licensed		1350 East Main Street
City		State	Zip Code	County
Bartow		FL	33830	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
4444		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME26643		Surgery - Opthalmology		80114

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Polk
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
1/11/2002		9/2/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pseudomotor cerebri.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose pseudomotor cerebri on detailed eye exam.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged misdiagnosis made of viral blepharoconjunctivitis associated with a cold, when actual condition was pseudomotor cerebri.
Principal Injury Giving Rise To The Claim
Blindness in right eye and decrease in visual acuity and visual field in left eye.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Legal Information

Date of Suit			Circuit Court Case Number
3/4/2004			S3-2004-CA 00 1004-0
County Suit Filed in			Date of Final Disposition
Polk			8/12/2005
Other Defendants Involved in this Claim
Ijewere, M.D., Patrick
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
8/12/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$200,000

Loss Adjust Expense Paid to Defense Counsel

$15,435

All Other Loss Adjustment Expense Paid

$37,708

Injured Person's Total Non-Economic Loss

$200,000

Deductible

Injured Person's Total Economic Loss

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

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