Dr. TRAVIS M THOMPSON, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. TRAVIS M THOMPSON, MD

1025 MILITARY TRAIL

Indemnity Paid: $400,000.00

Insurer Information

Insurer Name				Coverage Type
OMSNIC				Primary
Insurer FEIN		Professional License Number
36-3571664		50035
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Herling
Street Address
6133 N. River Road
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8748		(847) 653 - 8750	lynn.herling@omsnic.com

Insured Information

Type	First Name		MI	Last Name
Individual	TRAVIS		M	THOMPSON
Insurer Type		Street Address of Practice
Self-Insurer		1025 MILITARY TRAIL
City		State	Zip Code	County
JUPITER		FL	33458	Palm Beach
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
23999		$2,000,000		$6,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN14670		Oral and Maxillofacial Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Palm Beach
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
9/10/2003		3/29/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MULTIPLE PAINFUL AND PERIODONTALLY INVOLVED TEETH WHICH REQUIRED EXTRACTION
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXTRACTION OF FULL BONY IMPACTED TOOTH #17 AND PARTIALLY BONY IMPACTED TOOTH #32
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
INFERIOR ALVEOLAR NERVE INJURY
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
9/22/2005			052005CA009027
County Suit Filed in			Date of Final Disposition
Palm Beach			4/27/2007
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
4/27/2007

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$400,000

Loss Adjust Expense Paid to Defense Counsel

$191,000

All Other Loss Adjustment Expense Paid

$56,000

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

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

CONTINUED RISK MANAGEMENT SEMINARS AND BULLETINS

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. TRAVIS M THOMPSON, MD have any medical malpractice cases, lawsuits, or complaints?

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