MEDICAL MALPRACTICE SETTLEMENT AGREEMENT

(Illinois – Governed by Illinois Medical Malpractice Law)

[// GUIDANCE: This template is drafted for Illinois matters. Replace all bracketed placeholders, adjust optional provisions, and attach exhibits as necessary. Confirm all statutory citations before final execution.]

TABLE OF CONTENTS

1. Document Header
2. Definitions
3. Operative Provisions
4. Representations & Warranties
5. Covenants & Restrictions
6. Default & Remedies
7. Risk Allocation
8. Dispute Resolution
9. General Provisions
10. Execution Block

1. DOCUMENT HEADER

1.1 Title & Parties
This Medical Malpractice Settlement Agreement and Mutual Release (the “Agreement”) is made and entered into as of [EFFECTIVE DATE] (the “Effective Date”) by and between:

a. [PATIENT NAME], an individual, residing at [ADDRESS] (“Claimant”); and
b. [PROVIDER NAME], a [TYPE OF ENTITY – e.g., Illinois professional corporation] with principal place of business at [ADDRESS] (“Provider”); and
c. [INSURER NAME], an insurer authorized to transact insurance in Illinois, NAIC No. [•] (“Insurer”) (collectively, the “Parties,” and each a “Party”).

1.2 Recitals
A. Claimant alleges that on or about [DATE OF INCIDENT], Provider rendered medical services resulting in alleged injuries (the “Incident”).
B. A civil action styled [CAPTION], Case No. [•], is pending in the [CIRCUIT COURT] of [COUNTY], Illinois (the “Litigation”).
C. The Parties desire to fully and finally settle all claims arising from the Incident on the terms set forth herein, with no admission of liability.
NOW, THEREFORE, in consideration of the mutual covenants herein and other good and valuable consideration, the receipt and sufficiency of which are acknowledged, the Parties agree as follows.

2. DEFINITIONS

“Agreement” has the meaning set forth in §1.1.
“Arbitration Election” means the Parties’ election in §8.3.
“Claim(s)” means any and all past, present, or future causes of action, demands, damages, costs, losses, expenses, attorneys’ fees, or liabilities arising from or related to the Incident.
“Confidential Information” has the meaning set forth in §5.2.
“Effective Date” has the meaning set forth in §1.1.
“Incident” has the meaning set forth in Recital A.
“Litigation” has the meaning set forth in Recital B.
“Payment Schedule” means the consideration described in §3.1.
“Releasees” has the meaning set forth in §3.3.
“Reporting Requirements” has the meaning set forth in §3.5.
“Structured Settlement” has the meaning set forth in §3.2(c).

[// GUIDANCE: Definitions are alphabetical and cross-referenced.]

3. OPERATIVE PROVISIONS

3.1 Consideration; Payment Terms
a. Lump-Sum Option. Provider and/or Insurer shall pay Claimant $[SETTLEMENT AMOUNT] (the “Settlement Amount”) within ten (10) business days after the later of (i) execution of this Agreement by all Parties, and (ii) receipt of completed IRS Form W-9 from Claimant.
b. Allocation. Unless otherwise required by law, the Settlement Amount is inclusive of all compensatory damages, costs, interest, attorneys’ fees, liens, and subrogation claims.
c. Default Interest. Any amount not paid when due shall accrue interest at the lesser of ten percent (10%) per annum or the maximum rate permitted by Illinois law.

3.2 Structured Settlement (Optional)
a. Election. [CHECK ONE] ☐ Not Applicable ☐ Applicable (see Exhibit A – Structured Settlement Terms).
b. Compliance. Any Structured Settlement shall comply with Illinois Structured Settlement laws and 26 U.S.C. § 130.

3.3 Mutual Release
a. Claimant, for himself/herself and for all heirs, successors, and assigns, irrevocably releases Provider, Insurer, and their respective officers, directors, employees, agents, and insurers (“Releasees”) from any and all Claims.
b. Provider and Insurer likewise release Claimant from all Claims arising from or related to the Incident.
c. The releases in this §3.3 are conditioned solely upon full payment under §3.1.

3.4 Dismissal of Litigation
Within three (3) business days after receipt of the Settlement Amount, Claimant shall file a stipulation of dismissal with prejudice in the Litigation, each Party to bear its own costs.

3.5 Reporting Requirements
a. Provider/Insurer shall timely file all mandatory reports of this settlement with (i) the Illinois Department of Insurance Medical Professional Liability Closed Claim database, and (ii) the National Practitioner Data Bank, as applicable.
b. Claimant shall cooperate reasonably in providing information necessary for statutory reporting (collectively, the “Reporting Requirements”).

3.6 Conditions Precedent
The obligations of Provider and Insurer to pay, and of Claimant to release, are mutual conditions precedent.

4. REPRESENTATIONS & WARRANTIES

4.1 Authority
Each Party represents that it has full authority to execute, deliver, and perform this Agreement and that no further approvals are required.

4.2 No Assignment
Each Party represents that it has not assigned, pledged, or otherwise transferred any Claim released herein.

4.3 Enforceability
This Agreement constitutes the legal, valid, and binding obligation of each Party, enforceable in accordance with its terms.

4.4 Survival
The representations and warranties in this §4 survive the Effective Date for a period of two (2) years.

5. COVENANTS & RESTRICTIONS

5.1 Confidentiality
a. The terms of this Agreement, and all negotiations, are confidential (“Confidential Information”).
b. Exceptions. Disclosure is permitted (i) as required by law, court order, or Reporting Requirements; (ii) to tax or legal advisors; or (iii) to immediate family members who agree to be bound by this §5.1.

5.2 Non-Disparagement
Each Party covenants not to make any statement, written or oral, that disparages another Party regarding the Incident or the Litigation.

5.3 Cooperation
The Parties shall execute any additional documents and take any further actions reasonably necessary to carry out the intent of this Agreement.

6. DEFAULT & REMEDIES

6.1 Events of Default
a. Provider/Insurer’s failure to timely pay the Settlement Amount.
b. Claimant’s failure to file dismissal under §3.4.

6.2 Notice & Cure
The non-defaulting Party shall deliver written notice of default; the defaulting Party shall have five (5) business days to cure.

6.3 Remedies
a. If Provider/Insurer defaults, Claimant may (i) enter judgment for the Settlement Amount plus accrued interest and reasonable attorneys’ fees, or (ii) reinstate the Litigation.
b. If Claimant defaults, Provider/Insurer may seek specific performance and recovery of attorneys’ fees.

6.4 Attorneys’ Fees
The prevailing Party in any action to enforce this Agreement is entitled to reasonable attorneys’ fees and costs.

7. RISK ALLOCATION

7.1 Indemnification for Third-Party Claims
Each Party (“Indemnifying Party”) shall indemnify and hold harmless the other Parties (“Indemnified Parties”) from any third-party claim arising from a breach of the Indemnifying Party’s representations, warranties, or covenants herein.

7.2 Limitation of Liability
The aggregate liability of any Party under this Agreement shall not exceed the Settlement Amount.

7.3 Insurance
Provider represents that, as of the Effective Date, it maintains professional liability insurance covering the Incident.

7.4 Force Majeure
No Party is liable for failure to perform due to causes beyond its reasonable control, excluding payment obligations.

8. DISPUTE RESOLUTION

8.1 Governing Law
This Agreement shall be governed by and construed in accordance with the laws of the State of Illinois, without regard to conflicts-of-law principles.

8.2 Forum Selection
Subject to §8.3, the Parties consent to exclusive jurisdiction in the state courts located in [COUNTY], Illinois.

8.3 Arbitration (Optional)
a. Election. [CHECK ONE] ☐ Arbitration Elected ☐ Arbitration Not Elected
b. If elected, any dispute shall be finally settled by binding arbitration administered by the American Arbitration Association in [CITY], Illinois, under its Health Care Claims rules.
c. Judgment on the arbitral award may be entered in any court of competent jurisdiction.

8.4 Jury Waiver (Optional)
To the extent permitted by law, each Party knowingly and voluntarily waives the right to a trial by jury.

[// GUIDANCE: Illinois enforces contractual jury waivers when knowing and voluntary, but consider removing if risk-averse.]

9. GENERAL PROVISIONS

9.1 Amendments; Waivers
No amendment or waiver is effective unless in writing and signed by the Party against whom enforcement is sought.

9.2 Assignment
No Party may assign its rights or delegate its duties without prior written consent of the other Parties.

9.3 Successors & Assigns
This Agreement binds and benefits the Parties and their respective successors and permitted assigns.

9.4 Severability
If any provision is held invalid, the remaining provisions shall remain in full force, and the invalid provision shall be reformed to the minimum extent necessary.

9.5 Entire Agreement
This Agreement constitutes the entire agreement among the Parties concerning the subject matter and supersedes all prior negotiations.

9.6 Counterparts; Electronic Signatures
This Agreement may be executed in counterparts, each of which is deemed an original. Signatures transmitted electronically or by facsimile are binding.

9.7 Headings
Headings are for reference only and do not affect interpretation.

10. EXECUTION BLOCK

IN WITNESS WHEREOF, the Parties have executed this Agreement as of the Effective Date.

[Notary Acknowledgment – Attach if required by local practice]

Exhibit A

Structured Settlement Terms (complete if applicable)

1. Periodic Payment Schedule: $[•] commencing [•] and continuing [frequency] until [•].
2. Qualified Assignment Company: [NAME].
3. Annuity Issuer: [NAME]; AM Best Rating: [•].
4. Guaranteed Period and Life-Contingent Provisions: [DETAILS].

[// GUIDANCE: Structured settlements must comply with Illinois Structured Settlement law and I.R.C. §§104 & 130. Provide disclosures required under 215 ILCS 5/155.34 et seq.]

[// GUIDANCE: Before finalizing, confirm (i) Medicare Secondary Payer compliance, (ii) lien resolution, and (iii) minor/incompetent approvals if applicable under 755 ILCS 5/11-1 et seq.]