Department File Number :

Insurer Information

Insurer Name				Coverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATION				Primary
Insurer FEIN		Professional License Number
38-2102867
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	MICHAEL			TUNGATE
Street Address
1301 North Hagadorn Rd.
City				State	Zip
East Lansing				MI	48826
Phone	Ext	Fax	E-Mail Address
(517) 324 - 6555		(517) 333 - 2806	mtungate@apassurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	ALVARO			LACAYO, MD
Insurer Type		Street Address of Practice
Licensed		1551 SAN REMO AVE
City		State	Zip Code	County
CORAL GABLES		FL	33146-3008	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
125022		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME0062278		Neurology - Including Child - No Surgery		N/A

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
Other Location
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
12/12/1998		10/24/2000

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PATIENT SEEN FOR CEREBRAL VASCULAR EVENT OF AN ISCHEMIC NATURE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
IT IS ALLEGED THAT INSURED FAILED TO INITIATE IN A TIMELY FASHION, TPA IN THE FACE OF STROKE SYMPTOMS IN A 66 YEAR OLD MAN LEADING TO SOME DISABILITY.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
LACK OF MOBILITY , SLOW AND SLURRED SPEECH.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Legal Information

Date of Suit	Circuit Court Case Number
2/1/2001	012456CA25
County Suit Filed in	Date of Final Disposition
Dade	7/31/2003
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

$100,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$100,000

Deductible

Injured Person's Total Economic Loss

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

INSURED CONSULTED WITH DEFENSE COUNSEL AND CLAIMS PERSONNEL REGARDING THIS MATTER.

Updates

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