From the Department of Insurance:

Insured's Name DBPR License Number Zip Code Primary Policy Limits Excess Policy Limits Health Care Provider Primary Insurer Name Excess Insurer Name Insurance Claim Number Date of Occurrence Severity Code Date Reported Date of Disposition Disposition Code Settlement Code Indemnity paid By You Deductible Paid by Defendant Indemnity Paid by Excess Loss Adjustment Expense Days Wage Loss Paid Future Days Loss Paid Economic Loss Incurred - Medical Economic Loss Incurred - Wage Economic Loss Incurred - Other Economic Loss Estimate - Medical Economic Loss Estimate - Wage Economic Loss Estimate - Other Non-Economic Loss Present Value of Payments Cost of Payments Total Expected Payment Damage Limit Code Modified Limit Amount Percentage Recovery - Health Percentage Recovery - Disability Percentage Recovery - Workers Comp Percentage Recovery - Auto Percentage Recovery - Medicare Percentage Recovery - Other Other Loss Adjustment Expense Annuity Code Gross Weekly Income Court Code Verdict Code Settlement Code Date of Suit Court Case Number Attorney Code County Code of Suit Arbitration Code Department Number Receipt Date County Code Graduate Code Country Code Profession Code Specialty Code Board Certification Code Institution Code Location Code Occurence Code Age Sex

From the Medical Quality Assurance Board:

Complaint Number Subject's Occupation Number Subject's License Number Current Status of Complaint Date of Current Status Final Order Number Closure Code Closure Date Receive Date Primary Violation Code Secondary Violation Code Source Subject's Name Subject's Date of Birth Subject's Address Line 1 Subject's Address Line 2 Subject's City Subject's State Subject's Zip Code

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