Department File Number : | M202093047 |
Claim Number : | 821576-1 |
Date Submitted : | 7/21/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LONE STAR ALLIANCE, INC., A RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
46-3209483 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | D | King | ||
Street Address | |||||
901 south mopac Blvd V ste 400 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | A | R | VANDER HEYDEN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1317 Mandarin Isle | ||||
City | State | Zip Code | County | ||
Hialeah | FL | 33016 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
4-454511 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME45975 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Patient's Home | |||||
Name of Institution | Code | ||||
PALMETTO GENERAL HOSPITAL | 100187 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/22/2017 | 5/13/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient was transported via EMS to emergency department after sustained spinal injury at home. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Reporting physician was the attending in the ED. Physician recognized the spinal injury and ordered a STAT neurosurgery consult and MRI and had patient admitted to hospital | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
After the patient was admitted from the emergency department, Plaintiffs alleged there were delays before the patient was transferred to another hospital for higher level of care. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient underwent spinal decompression surgery but remained quadriplegic | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/26/2019 | 2019-025355 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 5/12/2020 | ||||
Other Defendants Involved in this Claim | |||||
Labrada, Ariol Valerio , Jose Paragon Contracting Services, LLC Palmetto General Hospital Novela , Isabel | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/25/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $15,345 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,233 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
none. |
Updates | |
No updates found. |
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Department File Number : | M201472542 |
Claim Number : | MM261338 |
Date Submitted : | 11/5/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EVANSTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2950161 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kimberly | C | Stokes | ||
Street Address | |||||
4600 Cox Road | |||||
City | State | Zip | |||
Glen Allen | VA | 23060 | |||
Phone | Ext | Fax | E-Mail Address | ||
(804) 287 - 6965 | kimberly.stokes@gmail.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | A | R | VANDER HEYDEN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2001 W. 68th St. | ||||
City | State | Zip Code | County | ||
Hialeah | FL | 33016 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MM820047 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME45975 | Physicians - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Patient's Home | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
7/26/2011 | 10/19/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient's x-rays came back as negative for any facture. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
X-rays were performed on the right tibia/fibula and foot. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
It is alleged that the distal femoral fracture was not diagnosed | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient fell while being removed from the bath chair. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/6/2012 | 12-26289CA15 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 8/29/2013 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/25/2013 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $52,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $11,103 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $5,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
none |
Updates | |
No updates found. |
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Does Dr. A R VANDER HEYDEN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. A R VANDER HEYDEN, MD has at least 4 medical malpractice case(s), lawsuit(s), or complaint(s).