M200010061

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	LINDA		D	COLLINS
Street Address
1000 Riverside Avenue
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(904) 354 - 5910	3047	(904) 358 - 6728	collins@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	LOWELL		K	CUNNINGHAM
Insurer Type		Street Address of Practice
Licensed		1029 W. Main Street, Suite B
City		State	Zip Code	County
Leesburg		FL	34748	Lake
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
2444		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
11433		Physciatry - Including Child		0000

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	*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

Date of Occurrence		Date Reported to Insurer
2/22/1996		8/13/1996

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Psychiatric treatment.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
N/A
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
Alleged addiction to medication prescribed.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit	Circuit Court Case Number
6/4/1998	98-1295-CA01
County Suit Filed in	Date of Final Disposition
Lake	1/13/2000
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

$37,500

Loss Adjust Expense Paid to Defense Counsel

$20,519

All Other Loss Adjustment Expense Paid

$20,519

Injured Person's Total Non-Economic Loss

$37,500

Deductible

Injured Person's Total Economic Loss

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

As the current treating psychiatrist is using the same or similar medication, no risk management is necessary.

Updates

No updates found.