Dr. WILLIAM J SHORACK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. WILLIAM J SHORACK, MD

6911 Deep Logan Lane

Indemnity Paid: $15,000.00

Insurer Information

Insurer Name				Coverage Type
CONTINENTAL CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
36-2114545
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Nancy			Pistilli-Hurst
Street Address
4631 Woodland Corporate Blvd
City				State	Zip
Tampa				FL	33614
Phone	Ext	Fax	E-Mail Address
(813) 880 - 5123		(866) 896 - 5250	Nancy.Pistilli-Hurst@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	William		J	Shorack
Insurer Type		Street Address of Practice
Licensed		6911 Deep Logan Lane
City		State	Zip Code	County
Fort Myers		FL	33919	Lee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DNC-0246118805		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN6456		Dental General Practice - NOC

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Lee
City			State	Zip Code

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
4/26/2007		4/3/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was to have #17 tooth extracted which was impacted by soft tissue.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of tooth #17
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
During extraction of tooth the tooth was elevated and popping sound was heard and the dentist immediately knew there had been a fracture.The patient was referred to an oral surgeon.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
6/12/2009			09-CA-002596
County Suit Filed in			Date of Final Disposition
Lee			1/29/2010
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

$15,000

Loss Adjust Expense Paid to Defense Counsel

$6,838

All Other Loss Adjustment Expense Paid

$1,369

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

Insured discussed case with defense counsel and insurance personnel.

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

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Does Dr. WILLIAM J SHORACK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. WILLIAM J SHORACK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).