Department File Number : | M201680249 |
Claim Number : | PPLRRG-BR-16-346960 |
Date Submitted : | 11/9/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS PROFESSIONAL LIABILITY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
33-1010508 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ANTHONY | J | ARCIOLA | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 6801 US 27 NORTH, SUITE C-2 | ||||
City | State | Zip Code | County | ||
SEBRING | FL | 33870 | Highlands | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
102139 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME49361 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Highlands | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | PHYSICIAN OFFICE | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | OFFICE | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/1/2012 | 7/22/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
HIV INFECTION | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
FAILURE TO DIAGNOSE AND TREAT | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILURE TO DIAGNOSE | |||||
Principal Injury Giving Rise To The Claim | |||||
HIV INFECTION | |||||
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 | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 11/9/2016 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/4/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $5,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $7,759 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $150 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ANTHONY J ARCIOLA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANTHONY J ARCIOLA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).