Dr. CLYDE BANNER, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. CLYDE BANNER, MD

18907 SE LOXAHATCHEE RIVER ROAD

Indemnity Paid: $50,000.00

Insurer Information

Insurer Name				Coverage Type
TRUCK INSURANCE EXCHANGE				Primary
Insurer FEIN		Professional License Number
95-2575892
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Deanon			Davis
Street Address
4601 Wilshire Blvd., Suite 100
City				State	Zip
Los Angeles				CA	90010
Phone	Ext	Fax	E-Mail Address
(323) 930 - 6346			deanon.davis@farmersinsurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	CLYDE			BANNER
Insurer Type		Street Address of Practice
Licensed		18907 SE LOXAHATCHEE RIVER ROAD
City		State	Zip Code	County
JUPITER		FL	33458	Palm Beach
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0117772100000		$1,000,000		$1,000,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS5811		Physicians or Surgeons		1

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
Hospital Inpatient Facility
Name of Institution		Code
JUPITER MEDICAL CENTER		100253
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
11/24/2000		4/9/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
AORTIC DISSECTION.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED DELAY IN DIAGNOSIS OF AORTIC DISSECTION.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
CARDIAC CONDITION
Principal Injury Giving Rise To The Claim
WRONGFUL DEATH.
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
9/17/2002			CA0211343AJ
County Suit Filed in			Date of Final Disposition
Palm Beach			9/10/2004
Other Defendants Involved in this Claim
VARGUS, AGUSTIN BREUER, BABRIEL MANFREDONIA, SERAPHIN
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
9/10/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$50,000

Loss Adjust Expense Paid to Defense Counsel

$155,968

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$5,000

Deductible

$5,000

Injured Person's Total Economic Loss

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

N/A

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Does Dr. CLYDE BANNER, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. CLYDE BANNER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).