Department File Number : | M202092113 |
Claim Number : | 105-13-0462 |
Date Submitted : | 4/6/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-3333610 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Vanessa | Mejia | |||
Street Address | |||||
1401 Wilson Blvd., Ste. 700 | |||||
City | State | Zip | |||
Arlington | VA | 22209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(703) 907 - 3810 | 3810 | mejia@prms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jaime | Barker | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1808 Orchid St. | ||||
City | State | Zip Code | County | ||
Sarasota | FL | 34239 | Sarasota | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
IN-FCO00-033313583 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME47894 | Psychiatry - All Other |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Manatee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Interstate 75 | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/6/2012 | 6/11/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Post Traumatic Stress Disorder | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Consulting psychiatrist | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to monitor | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff alleges failure to monitor resulted in patient's elopement and being hit by car. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/29/2014 | 2014CA000048 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Manatee | 4/6/2020 | ||||
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 | |||||
12/4/2019 |
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 | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None |
Updates | |
No updates found. |
Does Dr. JAIME BARKER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAIME BARKER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).