Department File Number : | M201576591 |
Claim Number : | 2012034485 |
Date Submitted : | 12/17/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ALLIED WORLD SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
56-0997452 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joyce | M | Palmisano | ||
Street Address | |||||
1690 New Britain Ave. Suite 101 | |||||
City | State | Zip | |||
Farmington | CT | 06032 | |||
Phone | Ext | Fax | E-Mail Address | ||
(860) 284 - 1382 | 1382 | (860) 284 - 1383 | Joyce.Palmisano@awac.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Marc | Weinbaum | |||
Insurer Type | Street Address of Practice | ||||
Licensed | P.O. Box 773698 | ||||
City | State | Zip Code | County | ||
Ocala | FL | 34477 | Marion | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
000-000016150 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME53120 | Psychiatry - All Other |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Marion | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | Comprehensive Behavioral Health Facility | ||||
Name of Institution | Code | ||||
THE VINES HOSPITAL | 23960073 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/30/2012 | 12/3/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Claimant was Baker Acted and admitted to the Vines Hospital for treatment of his dementia on November 28, 2012. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Psychiatric care | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Medical negligence and resulting death | |||||
Principal Injury Giving Rise To The Claim | |||||
Attacked by another inpatient (roommate). Sexually assaulted, beaten and suffocated with a mattress. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/9/2015 | 42-2014-1312-CA-B | ||||
County Suit Filed in | Date of Final Disposition | ||||
Marion | 12/6/2015 | ||||
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 | |||||
12/6/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $462,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $20,723 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $462,500 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Worked Closely with Defense Counsel to resolve claim. |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. MARC WEINBAUM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARC WEINBAUM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).