Department File Number : | M199801853 |
Claim Number : | 97261260102003 |
Date Submitted : | 8/19/1998 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS PROTECTIVE TRUST FUND | Excess | ||||
Insurer FEIN | Professional License Number | ||||
59-6589378 | |||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | |||||
Street Address | |||||
City | State | Zip | |||
FL | |||||
Phone | Ext | Fax | E-Mail Address | ||
Insured Information | |||||
Type | Entity Name | ||||
Entity | SAME AS 3A. AND NEIL M. KOREMAN AND DOROTHY G | ||||
Insurer Type | Street Address of Practice | ||||
Licensed | *NR | ||||
City | State | Zip Code | County | ||
*NR | FL | 33016 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
*NR | $250,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
0016113 | Dermatology - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | *NR | ||||
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 | ||||
No Response | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/27/1996 | 7/14/1997 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
*NR | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
*NR | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
*NR | |||||
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 | ||||
2/24/1998 | 0098-4108 CA 27 | ||||
County Suit Filed in | Date of Final Disposition | ||||
8/11/1998 | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $25,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,787 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
*NR |
Updates | |
No updates found. |
Does Dr. SAME AS 3A. AND NEIL M. KOREMAN AND DOROTHY G, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SAME AS 3A. AND NEIL M. KOREMAN AND DOROTHY G, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).