W. Va. Code R. § 115-7-3 - Definitions
3.1. For purposes
of this rule, the following words or terms shall have the same meanings as set
forth in W. Va. Code §
55-7B-2:
"collateral source", "emergency condition", "health care", "health care
facility", "health care provider", "medical injury", "medical professional
liability", "medical professional liability insurance", "non-economic loss",
"patient", "plaintiff" and "representative".
3.2. "Act" means W. Va. Code §
29-12D-1
et seq.,W. Va. Code establishing the patient injury
compensation fund.
3.3.
"Actuarially sound" means funding sufficient to pay those claims for economic
damages and all administrative or operational costs of the fund which are known
or which are projected from analyses of claims, loss experience and other
relevant factors.
3.4. "Agency"
means the state board of risk and insurance management.
3.5. "Applicable Insurance" means all
insurance available to provide indemnity coverage for all tortfeasors pursued
in the underlying medical malpractice claim._
3.6. "Application for compensation" means the
written request to the fund for payment of economic damages.
3.7. "Board" means the governing body of the
state board of risk and insurance management as provided in W. Va. Code §
29-12-3.
3.8. "Claimant" means the person submitting
an application for compensation to the fund.
3.9. "Code" means the Code of West Virginia
of 1931, as amended.
3.10.
"Director" means the executive director of the state board of risk and
insurance management.
3.11.
"Economic damages" means those special damages which are reduced to an actual
dollar amount that can be presented to a jury in an action brought under the
medical professional liability act to compensate a plaintiff for the monetary
costs of a medical injury, such as lost earnings, past and future medical care
and rehabilitation services. Economic damages do not include non-economic
damages, such as pain and suffering, or hedonic damages, court costs,
post-judgment interest, attorneys' fees, extra-contractual damages, or punitive
damages.
3.12. "Fund" means the
West Virginia Patient Injury Compensation Fund created by W. Va. Code §
29-12D-1(a).
3.13. "Medical professional liability act"
means the provisions of Article 7B, Chapter 55 of the Code.
3.14. "Occurrence" means any act, series of
acts, failure to act, or series of failures to act arising out of the rendering
or failure to render medical professional services to any person within West
Virginia by a health care provider resulting in a medical injury or
injuries.
3.15. "Qualified
claimant" means a claimant that is both a "patient" and a "plaintiff" as those
terms are defined in the medical professional liability insurance
act.
3.16. "Statutory limitations
on the recovery of economic damages" means the limitations on recovery of
economic damages in a medical malpractice action due to negligent treatment of
emergency conditions at a designated trauma care center pursuant to W. Va. Code
§
55-7B-9c
or by operation of the joint and several liability principles and standards set
out in W. Va. Code §
55-7B-9.
3.17. "Uncollectible economic damages" means
any portion of an economic damages award or settlement in a medical malpractice
action that a qualified claimant is unable to collect from the defendant due to
statutory limitations on recovery of economic damages.
3.18. "Year" or "fiscal year" means the
twelve (12) consecutive month period beginning the first day of July and ending
the last day of June.
Notes
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