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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M199801612
Claim Number :	97-26587-00-039
Date Submitted :	7/6/1998

 

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	First Name		MI	Last Name
Individual	DAVID		I	MINKOFF, MD
Insurer Type		Street Address of Practice
Licensed		*NR
City		State	Zip Code	County
*NR		FL	34615	Pinellas
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
0056777		Family Physicians or General Practitioners - No Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

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
Emergency Room
Name of Institution			Code
*NR
Location of Institutional Injury			Other Location of Institutional Injury
Other
Date of Occurrence			Date Reported to Insurer
12/5/1995			12/4/1997

 

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
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
9/5/1997			000000097-01235
County Suit Filed in			Date of Final Disposition
			6/26/1998
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					$50,000
Loss Adjust Expense Paid to Defense Counsel					$10,595
All Other Loss Adjustment Expense Paid					$0
Injured Person's Total Non-Economic Loss					$50,000
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
*NR

 

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

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