Department File Number : | M199702555 |
Claim Number : | SBH-0045-95 |
Date Submitted : | 10/31/1997 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
South Broward Hospital District | Excess | ||||
Insurer FEIN | Professional License Number | ||||
59-6014973 | UNKNOWN | ||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | |||||
Street Address | |||||
City | State | Zip | |||
FL | |||||
Phone | Ext | Fax | E-Mail Address | ||
Insured Information | |||||
Type | Entity Name | ||||
Entity | SOUTH BROWARD HOSPITAL DIST PHY PROF LIAB TRU | ||||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | *NR | ||||
City | State | Zip Code | County | ||
*NR | FL | 33021 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
*NR | $1,000,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
0061689 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | *NR | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
*NR | |||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/14/1994 | 12/13/1995 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
*NR | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
*NR | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
*NR | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/20/1996 | 096-006468CA 02 | ||||
County Suit Filed in | Date of Final Disposition | ||||
9/16/1997 | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $197,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $54,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
*NR |
Updates | |
No updates found. |
Does Dr. SOUTH BROWARD HOSPITAL DIST PHY PROF LIAB TRU, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SOUTH BROWARD HOSPITAL DIST PHY PROF LIAB TRU, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).