Dr. JACK CLINE, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JACK CLINE, MD

1200 Yamato Rd., Suite A-4

Indemnity Paid: $80,000.00

Insurer Information

Insurer Name				Coverage Type
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA				Primary
Insurer FEIN		Professional License Number
25-0687550
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Connie		L	Peters
Street Address
PO Box52810
City				State	Zip
Bellevue				WA	98015
Phone	Ext	Fax	E-Mail Address
(425) 636 - 1000	1012	(916) 781 - 5795	cpeters@intercareins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jack			Cline
Insurer Type		Street Address of Practice
Licensed		1200 Yamato Rd., Suite A-4
City		State	Zip Code	County
Boca Raton		FL	33431	Palm Beach
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DNU 060250202		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN8037		Dental General Practice - NOC		80211

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
Other		Dental Office
Date of Occurrence		Date Reported to Insurer
9/2/2008		10/23/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with multiple dental problems, including loose teeth and broken fillings.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured restored implants that were placed bu co-defendant
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis was made
Principal Injury Giving Rise To The Claim
Patient alleged that the crownsplaced needed to be removed and replaced.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
1/20/2010			502010CA001455 MB
County Suit Filed in			Date of Final Disposition
Palm Beach			2/6/2013
Other Defendants Involved in this Claim
Ziegler, Neal Levine, Lawrence
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
Disposed of by Court
Court Decision			Other
Other			Dismissed by Court
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/6/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$80,000

Loss Adjust Expense Paid to Defense Counsel

$47,455

All Other Loss Adjustment Expense Paid

$11,967

Injured Person's Total Non-Economic Loss

$15,000

Deductible

Injured Person's Total Economic Loss

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

No safety management steps taken

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Does Dr. JACK CLINE, MD have any medical malpractice cases, lawsuits, or complaints?

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