Department File Number : | M201680683 |
Claim Number : | 1019954 |
Date Submitted : | 8/16/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FLORIDA MEDICAL MALPRACTICE JUA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-1625412 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | (260) 486 - 0782 | Lynn.Louthan@MEDPRO.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | THOMAS | A | SCHOPLER | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 250 E Dania Beach Blvd | ||||
City | State | Zip Code | County | ||
Dania | FL | 33004 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL001978 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN5316 | Dental General Practice - NOC |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
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 | ||||
1/17/2014 | 7/7/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Poor dental health | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Dental implants | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
improper dental care over 4 years | |||||
Principal Injury Giving Rise To The Claim | |||||
issues with temporary bridge during implant healing period | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/14/2014 | 14-021786 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 12/12/2016 | ||||
Other Defendants Involved in this Claim | |||||
Atlantic Florida Dental Inc | |||||
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 | |||||
12/12/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $40,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $37,625 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $12,899 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | ||||||||||
Date of Change: | 2/16/2017 12:41:24 PM | |||||||||
Reason for Change: | ALR UPDATE 2/16/2017 | |||||||||
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Date of Change: | 8/16/2017 3:51:39 PM | |||||||||
Reason for Change: | ALE UP DATE COMPLETED FOR SCHOPLER 8/16/2017 | |||||||||
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Department File Number : | M201782800 |
Claim Number : | 1011480-01 |
Date Submitted : | 1/30/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FLORIDA MEDICAL MALPRACTICE JUA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-1625412 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | (260) 486 - 0782 | Lynn.Louthan@MEDPRO.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Thomas | A | Schopler | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 250 E Dania Beach Blvd | ||||
City | State | Zip Code | County | ||
Dania | FL | 33004 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL001978 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN5316 | Dentists - NOC classification. |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
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 | ||||
10/6/2010 | 12/21/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
TOOTH PAIN #15 | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
EXTRACTION WITH IMPLANTS | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
IMPROPER TREATMENT | |||||
Principal Injury Giving Rise To The Claim | |||||
IMPLANT FAILURE | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/16/2013 | CACE-13-010947 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 8/8/2017 | ||||
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 | |||||
8/8/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $15,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $31,842 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $7,934 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $7,500 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | ||||||||||
Date of Change: | 1/30/2018 1:17:51 PM | |||||||||
Reason for Change: | Updated the ALE | |||||||||
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Does Dr. THOMAS A SCHOPLER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. THOMAS A SCHOPLER, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).