Dr. RASSEL ELHAMARNAH, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. RASSEL ELHAMARNAH, MD

1020 5th Street S.E.

Indemnity Paid: $92,500.00

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	RASSEL			ELHAMARNAH
Insurer Type		Street Address of Practice
Licensed		1020 5th Street S.E.
City		State	Zip Code	County
Winter Haven		FL	33880	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
IN073981		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17171		Dental General Practice - NOC

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Polk
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
8/14/2011		12/28/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for extraction of damaged upper four front teeth. (#7, 8, 9 & 10)
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of all remaining upper teeth. (#1, 7, 8, 9, 10, 11, 12, 13 & 15)
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Extraction of all upper teeth.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Legal Information

Date of Suit			Circuit Court Case Number
1/19/2013			12CA19226
County Suit Filed in			Date of Final Disposition
Orange			6/6/2014
Other Defendants Involved in this Claim
Drew Dental, P.A. Winter Haven Dental
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
6/13/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$92,500

Loss Adjust Expense Paid to Defense Counsel

$32,621

All Other Loss Adjustment Expense Paid

$11,870

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

This page is not displaying certain sensitive information.

Does Dr. RASSEL ELHAMARNAH, MD have any medical malpractice cases, lawsuits, or complaints?

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