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DALTON AND AMBER CAMPBELL, ON BEHALF OF AND AS PARENTS AND NATURAL GUARDIANS OF CLAIRISSA CAMPBELL, A MINOR vs FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION, 16-000939N (2016)

Court: Division of Administrative Hearings, Florida Number: 16-000939N Visitors: 35
Petitioner: DALTON AND AMBER CAMPBELL, ON BEHALF OF AND AS PARENTS AND NATURAL GUARDIANS OF CLAIRISSA CAMPBELL, A MINOR
Respondent: FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION
Judges: BARBARA J. STAROS
Agency: Florida Birth-Related Neurological Injury Compensation Association
Locations: Pensacola, Florida
Filed: Feb. 12, 2016
Status: Closed
DOAH Final Order on Friday, October 28, 2016.

Latest Update: Nov. 09, 2016
Summary: This cause came on for consideration pursuant to sections 766.304 and 766.305(7), Florida Statutes, upon the Stipulation and Joint Petition for Compensation of Claim Arising Out of Florida Birth-Related Neurological Injury Pursuant to Chapter 766, Florida Statutes (Stipulation and Joint Petition), filed with the Division of Administrative Hearings on October 27, 2016, for the entry of an order approving the resolution of a claim for compensation benefits filed in accordance with the provisions o
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STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS


DALTON AND AMBER CAMPBELL, on

behalf of and as parents and natural guardians of CLAIRISSA CAMPBELL, a minor,



vs.

Petitioners,


Case No. 16-0939N


FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION,


Respondent,


and


WEST FLORIDA REGIONAL MEDICAL CENTER; GINA-MARIE PEARCE, ARNP; AND JENNIFER PAYNE, M.D.,


Intervenors.

/


FINAL ORDER APPROVING STIPULATION FOR ENTRY OF AWARD


This cause came on for consideration pursuant to sections


766.304 and 766.305(7), Florida Statutes, upon the Stipulation and Joint Petition for Compensation of Claim Arising Out of Florida Birth-Related Neurological Injury Pursuant to Chapter 766, Florida Statutes (Stipulation and Joint Petition), filed with the Division of Administrative Hearings on October 27, 2016, for the entry of an order approving the resolution of a claim for compensation benefits filed in accordance with the provisions of


chapter 766 and a resolution of the exclusive remedy otherwise available as outlined in chapter 766.

By the terms of their stipulation, Petitioners, Dalton and Amber Campbell, as parents and natural guardians of Clairissa Campbell, a minor, and Respondent, the Florida Birth-Related Neurological Injury Compensation Association (NICA), have agreed that Dalton and Amber Campbell are the parents and legal guardians of Clairissa Campbell (Clairissa), a minor; that Clairissa was born a live infant on or about May 8, 2015, at West Florida Regional Medical Center, a “hospital” as defined by section 766.302(6) located in Pensacola, Florida; and that Clairissa’s birth weight exceeded 2,500 grams. The Parties have further agreed that Jennifer Payne, M.D., and Gina-Marie Pearce, ARNP, provided obstetrical services at Clairissa's delivery and were “participating physicians” in the Florida Birth-Related Neurological Injury Compensation Plan, as defined by section 766.302(7). The Parties have agreed that Clairissa suffered a “birth-related neurological injury,” as that term is defined by section 766.302(2), which was the sole and proximate cause of Clairissa's current medical condition.

It is ORDERED:


  1. The Stipulation and Joint Petition filed on October 27, 2016, is hereby approved, and the Parties are directed to comply with the provisions of the Stipulation and Joint Petition.


  2. Petitioners, Dalton and Amber Campbell, as the parents and legal guardians of Clairissa, a minor, are awarded one hundred thousand dollars ($100,000.00), pursuant to section 766.31(1)(b)1., to be paid as lump sum to the parents; payment of benefits up to and including the effective date of the Stipulation and Joint Petition pursuant to section 766.31(1)(a), subject to the provisions of paragraph 19 of the Stipulation and Joint Petition; and payments of future expenses, as incurred.

  3. NICA will reimburse John Rogers, Esquire, attorney for Petitioners, an agreed-upon attorney’s fee of $4,350.50 and expenses of $1,381.32, totaling $5,731.82 in full for services rendered in the filing of this claim.

  4. Upon the payment of the award of $100,000.00, past benefit/expenses, and $5,731.82 for attorney’s fees and costs, the claims of Petitioners shall be deemed fully satisfied and extinguished, except for Respondent's continuing obligation under section 766.31(2) to pay future expenses, as incurred.

  5. The Division of Administrative Hearings retains jurisdiction over this matter to resolve any disputes, should they arise, regarding the Parties’ compliance with the terms of this Order.


DONE AND ORDERED this 28th day of October, 2016, in Tallahassee, Leon County, Florida.

S

BARBARA J. STAROS

Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060

(850) 488-9675

Fax Filing (850) 921-6847 www.doah.state.fl.us


Filed with the Clerk of the Division of Administrative Hearings this 28th day of October, 2016.


COPIES FURNISHED:

(via certified mail)


Kenney Shipley, Executive Director Florida Birth Related Neurological

Injury Compensation Association

2360 Christopher Place, Suite 1

Tallahassee, Florida 32308

(eServed)


(Certified Mail No. 7012 3050 0001

0080

3402)

John Rogers, Esquire Michles & Booth, P.A.

501 Brent Lane

Pensacola, Florida 32503

(Certified Mail No. 7012 3050 0001


0080


3419)

David P. Ferrainolo, Esquire Hall Prangel & Schoonveld, LLC Suite 301

4532 West Kennedy Boulevard Tampa, Florida 33609 (eServed)

(Certified Mail No. 7012 3050 0001


0080


3426)


Amie Rice, Investigation Manager Consumer Services Unit Department of Health

4052 Bald Cypress Way, Bin C-75 Tallahassee, Florida 32399-3275

(Certified Mail No. 7012 3050 0001 0080 3433)


Justin Senior, Interim Secretary Health Quality Assurance

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 1

Tallahassee, Florida 32308 (eServed)

(Certified Mail No. 7012 3050 0001 0080 3440)


Laura Barber, M.D.

2120 East Johnson Avenue, Suite 103

Pensacola, Florida 32514

(Certified Mail No. 7012 3050 0001 0080 3457)


NOTICE OF RIGHT TO JUDICIAL REVIEW


Review of a final order of an administrative law judge shall be by appeal to the District Court of Appeal pursuant to section 766.311(1), Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings are commenced by filing the original notice of administrative appeal with the agency clerk of the Division of Administrative Hearings within 30 days of rendition of the order to be reviewed, and a copy, accompanied by filing fees prescribed by law, with the clerk of the appropriate District Court of Appeal. See

§ 766.311(1), Fla. Stat., and Fla. Birth-Related Neurological Injury Comp. Ass'n v. Carreras, 598 So. 2d 299 (Fla. 1st DCA 1992).


Docket for Case No: 16-000939N
Issue Date Proceedings
Nov. 09, 2016 Certified Mail Receipts stamped this date by the U.S. Postal Service.
Nov. 02, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Nov. 02, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Nov. 01, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Oct. 28, 2016 Certified Mail Receipts stamped this date by the U.S. Postal Service.
Oct. 28, 2016 Final Order Approving Stipulation for Entry of Award. CASE CLOSED.
Oct. 27, 2016 Notice of Filing and Stipulation and Joint Petition for Compensation of Claim Arising Out of florida Birth-Related Neurological Injury Pursuant to Chapter 766, Florida Statutes filed.
Jul. 25, 2016 Motion for Entry of Protective Order Regarding Confidential Documents Related to Petitioner's Medical Records filed.
Jul. 25, 2016 Notice of Filing Medical Reports filed. 
 Confidential document; not available for viewing.
Jul. 25, 2016 Letter to J. Rogers from K. Shipley Regarding Compensability filed.
Jun. 07, 2016 Order Granting Extension of Time.
Jun. 03, 2016 Motion for Extension of Time in Which to Respond to Petition filed.
May 03, 2016 Order Granting Extension of Time.
Apr. 25, 2016 Confidential Information Enclosed.
Apr. 18, 2016 Motion for Extension of Time in Which to Respond to Petition filed.
Mar. 23, 2016 Order Granting Motions to Intervene.
Mar. 21, 2016 Order Granting Motion to Intervene.
Mar. 15, 2016 Dr. Jennifer Payne's Petition to Intervene filed.
Mar. 15, 2016 Order (Motion to accept K. Shipley as qualified representative granted).
Mar. 11, 2016 Gina Marie Pearce's Petition to Intervene filed.
Mar. 11, 2016 West Florida Regional Medical Center's Petition to Intervene filed.
Mar. 07, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Mar. 02, 2016 Motion to Act As a Qualified Representative Before the Division of Administrative Hearings filed.
Mar. 02, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Feb. 29, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Feb. 26, 2016 Certified Return Receipt received this date from the U.S. Postal Service.
Feb. 18, 2016 Certified Mail Receipts stamped this date by the U.S. Postal Service.
Feb. 18, 2016 Letter to Kenney Shipley from Claudia Llado enclosing NICA claim for compensation.
Feb. 18, 2016 Initial Order.
Feb. 12, 2016 NICA filing fee $15.00: Check No. 34894 filed (not available for viewing).
Feb. 12, 2016 Petition for Benefits Pursuant to Florida Statute Section 766.301 et seq. filed.

Orders for Case No: 16-000939N
Issue Date Document Summary
Oct. 28, 2016 DOAH Final Order Final Order approving Stipulation on compensation.
Source:  Florida - Division of Administrative Hearings

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