Dr. JAN L ZIEGLER, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JAN L ZIEGLER, MD

13840 SW 56TH ST

Indemnity Paid: $45,000.00

Insurer Information

Insurer Name				Coverage Type
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD				Primary
Insurer FEIN		Professional License Number
06-0464510
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Carol		A	Lobacz, LHCRM
Street Address
352 Wildwood Lane East
City				State	Zip
Deerfield Beach				FL	33442
Phone	Ext	Fax	E-Mail Address
(954) 481 - 1989		(312) 894 - 3680	carol.lobacz@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	JAN		L	ZIEGLER
Insurer Type		Street Address of Practice
Licensed		13840 SW 56TH ST
City		State	Zip Code	County
MIAMI		FL	33175	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DNC 211293738		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN6482		Dentists

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Dade
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
5/22/1998		7/22/1999

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
DECAYED TOOTH #17.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXTRACTION OF TOOTH # 17 BY INDEPENDENT CONTRACTOR.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE & TX FRACTURE OF THE MANDIBLE ON THE PART OF THE INDEPENDENT CONTRACTOR.
Principal Injury Giving Rise To The Claim
PT SUSTAINED A FRACUTURE OF THE MANDIBLE DURING EXTRACTION OF TOOTH # 17 BY INDEPENDENT CONTRACTOR. PLTF ALLEGED VICARIOUS LIABILITY FOR THE INDEPENDENT CONTRACTOR.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
2/17/2000			00-04212 CA 10
County Suit Filed in			Date of Final Disposition
Dade			4/16/2004
Other Defendants Involved in this Claim
DECESPEDES, DDS, ADOLFO R SHARP, DDS, BRUNO MORALES, DMD, RONADL J KENDALL MEDICAL CENTER RAULERSON HOSPITAL
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
3/24/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$45,000

Loss Adjust Expense Paid to Defense Counsel

$62,570

All Other Loss Adjustment Expense Paid

$68,166

Injured Person's Total Non-Economic Loss

$45,000

Deductible

Injured Person's Total Economic Loss

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

INSURED DISCUSSED CASE WITH DEFENSE COUNSEL AND INSURANCE PERSONNEL.

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Does Dr. JAN L ZIEGLER, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JAN L ZIEGLER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).