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HOUDA CHARFI AND OMAR ELMOUKI, AS PARENTS AND NATURAL GUARDIANS OF MUNDIR ELMOUKI (DECEASED), A MINOR vs FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION, 19-004599N (2019)

Court: Division of Administrative Hearings, Florida Number: 19-004599N Visitors: 6
Petitioner: HOUDA CHARFI AND OMAR ELMOUKI, AS PARENTS AND NATURAL GUARDIANS OF MUNDIR ELMOUKI (DECEASED), A MINOR
Respondent: FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION
Judges: LISA SHEARER NELSON
Agency: Florida Birth-Related Neurological Injury Compensation Association
Locations: Jacksonville, Florida
Filed: Aug. 16, 2019
Status: Closed
DOAH Final Order on Monday, December 23, 2019.

Latest Update: Jan. 22, 2020
Summary: On December 11, 2019, the parties filed a 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). Petitioner and the Florida Birth-Related Neurological Injury Compensation Association (NICA) seek the entry of an order approving the resolution of the claim for benefits filed in accordance with the provisions of chapter 766, Florida Statutes.The parties' stipulation
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STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS


HOUDA CHARFI AND OMAR ELMOUKI,

as parents and natural guardians of MUNDIR ELMOUKI (deceased), a minor,


Petitioner,


Case No. 19-4599N


vs.


FLORIDA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION ASSOCIATION,


Respondent.

/


FINAL ORDER


On December 11, 2019, the parties filed a 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). Petitioner and the Florida Birth-Related Neurological Injury Compensation Association (NICA) seek the entry of an order approving the resolution of the claim for benefits filed in accordance with the provisions of chapter 766, Florida Statutes.

FINDINGS OF FACT


Based upon the stipulation of the parties, the following facts are found:


  1. Houda Charfi and Omar Elmouki (Petitioners) are the parents and legal guardians of Mundir Elmouki (Mundir), and are the “Claimants” as defined by section 766.302(3).

  2. Mundir incurred a “birth-related neurological injury” as that term is defined in section 766.302(2), on or about

    May 11, 2018, which was the sole and proximate cause of Mundir’s injury.

  3. At birth, Mundir weighed 3,390 grams.


  4. Luis Sanchez-Ramos, M.D., rendered obstetrical services in Mundir’s delivery, and, at all material times, was a “participating physician” as defined in section 766.3012(7).

  5. UF Health Jacksonville is a hospital located in Jacksonville, Florida, is the hospital where Mundir was born, and is the “hospital” as that term is defined in section 766.302(6).

  6. Mundir died on May 11, 2018.


  7. Petitioners filed a petition pursuant to section 766.305, seeking compensation from NICA, and that Petition is incorporated by reference in its entirety, including all attachments. Any reference made within this document to NICA encompasses, where appropriate, the Florida Birth-Related Neurological Injury Compensation Plan (the Plan).


    CONCLUSIONS OF LAW


  8. The Division of Administrative Hearings has jurisdiction over the subject matter and the parties to this proceeding pursuant to section 766.301.

  9. Section 766.305(7) requires the presiding administrative law judge to approve the settlement of any claim where NICA determines that the injury is compensable.

CONCLUSION


Based upon the Findings of Fact and Conclusions of Law, it


is


ORDERED:


  1. The Stipulation and Joint Petition filed December 11, 2019, is approved, and the parties are directed to comply with provisions of the Stipulation and Joint Petition.

  2. Petitioners, Houdi Charfi and Omar Elmouki, as the parents and legal guardians of Mundir Elmouki, are awarded one hundred thousand dollars ($100,000), to be paid as a lump sum to the parents, as authorized by section 766.31(1)(b).

  3. Petitioners are also awarded past benefits and the Ten Thousand Dollars ($10,000.00) death benefit authorized by section 766.31. Payment of past benefits under section 766.31(1)(a) shall be subject to the provisions of paragraph 20 of the Stipulation and Joint Petition.


  4. NICA will reimburse Teresa A. Arnold-Simmons, Esquire, attorney for Petitioners, an agreed-upon attorney’s fee of Ten Thousand Dollars ($10,000.00) and expenses of Five Thousand Nine Hundred Eighty-Eight Dollars and Seventy-Two Cents ($5,988.72), totaling Fifteen Thousand, Nine Hundred Eighty-Eight Dollars and Seventy-Two Cents ($15,988.72) in full, for services rendered with respect to this proceeding.

  5. Upon the payment of the award of $100,000; the death benefit of $10,000; past benefits/expenses; and payment of the attorney’s fee awarded to Petitioners’ counsel, Petitioners’ claims shall be deemed fully satisfied and extinguished.

  6. 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 23rd day of December, 2019, in Tallahassee, Leon County, Florida.

S

LISA SHEARER NELSON

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 23rd day of December, 2019.


COPIES FURNISHED:

(via certified mail)


Kenney Shipley, Executive Director Florida Birth-Related Neurological

Injury Compensation Association Suite 1

2360 Christopher Place

Tallahassee, Florida 32308

(eServed)

(Certified Mail No. 7018 3090 0000


2189


4642)

Teresa A. Arnold-Simmons, Esquire Morgan & Morgan

Suite 1100

76 South Laura Street Jacksonville, Florida 32202 (Certified Mail No. 7018 3090 0000


2189


4659)

Amie Rice, Investigation Manager Consumer Services Unit Department of Health

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

(Certified Mail No. 7018 3090 0000


2189


4666)


Mary C. Mayhew, Secretary

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

Tallahassee, Florida 32308 (eServed)

(Certified Mail No. 7018 3090 0000 2189 4673)


Louis Sanchez-Ramirez, M.D. OB/GYN

653-1 West 8th Street Jacksonville, Florida 32209

(Certified Mail No. 7018 3090 0000 2189 4680)



Kristin Tibavisky, M.D. Suite 200

6859 Southwest 18th Street Boca Raton, Florida 33433 (Certified Mail No. 7018 3090


0000


2189


4697)

Staci Biegner, M.D. OB/GYN

655 West 8th Street Jacksonville, Florida 32209

(Certified Mail No. 7018 3090


0000


2189


4703)

UF Health Jacksonville Attention: Risk Management 655 8th Street West Jacksonville, Florida 32209

(Certified Mail No. 7018 3090


0000


2189


4710)


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: 19-004599N
Issue Date Proceedings
Jan. 22, 2020 Certified Return Receipt received this date from the U.S. Postal Service.
Jan. 06, 2020 Certified Return Receipt received this date from the U.S. Postal Service.
Jan. 02, 2020 Certified Return Receipt received this date from the U.S. Postal Service.
Dec. 30, 2019 Certified Return Receipt received this date from the U.S. Postal Service.
Dec. 23, 2019 Certified Mail Receipts stamped this date by the U.S. Postal Service.
Dec. 23, 2019 Final Order. CASE CLOSED.
Dec. 11, 2019 Notice of Filing (Stipulation and Joint Petition) filed.
Dec. 11, 2019 Order Requiring Status Report.
Nov. 04, 2019 Joint Status Report filed.
Oct. 24, 2019 Certified Return Receipt received this date from the U.S. Postal Service.
Oct. 23, 2019 Order Requiring Status Report.
Oct. 22, 2019 Certified Return Receipt received this date from the U.S. Postal Service.
Oct. 14, 2019 Motion for Entry of Protective Order Regarding Confidential Documents Related to Petitioner's Medical Records (Motion to Determine Confidentiality of Document filed.
Oct. 14, 2019 Response to Petition for Benefits filed (medical records, not available for viewing). 
 Confidential document; not available for viewing.
Sep. 11, 2019 Certified Mail Receipts stamped this date by the U.S. Postal Service.
Sep. 11, 2019 Letter to Kenney Shipley from Claudia Llado enclosing NICA claim for compensation.
Sep. 09, 2019 Initial Order.
Aug. 30, 2019 Motion to Act as a Qualified Representative Before the Division of Administrative Hearings filed.
Aug. 16, 2019 NICA filing fee (Check No. 100770; $15.00 filed (not available for viewing).
Aug. 16, 2019 Petition for Determination of NICA Coverage filed under Protest filed.

Orders for Case No: 19-004599N
Issue Date Document Summary
Dec. 23, 2019 DOAH Final Order The parties' stipulation for award of benefits is approved.
Source:  Florida - Division of Administrative Hearings

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