Medical Malpractice Cases

Dr. ABDULAZIZ AL KHAFAJI Medical Malpractice Cases

Court Case # 412011CA0176WS

Indemnity Paid: $75,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679458
Claim Number : 136594
Date Submitted : 7/20/2017
 
Insurer Information
 
Insurer Name Coverage Type
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD Primary
Insurer FEIN Professional License Number
06-0464510  
Insurer Contact Information
Type First Name MI Last Name
Individual Teresa   Ross
Street Address
One Park Plaza P.O. Box 555
City State Zip
Nashville TN 37202
Phone Ext Fax E-Mail Address
(615) 344 - 5804     Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
Type First Name MI Last Name
Individual Abdulaziz   Al Khafaji
Insurer Type Street Address of Practice
Licensed 5411 Grand Blvd. Suite 109
City State Zip Code County
New Port Richey FL 34652 Pasco
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HAZ2075006282 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME50610 Surgery - General 01

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
MORTON PLANT HOSPITAL 100127
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
11/13/2008 11/14/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic calculous cholecystitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
During laparoscopic cholecystectomy, common bile duct was transected. Surgery was converted to open operation & Roux-en-Y hepaticojejunostomy was performed to repair common bile duct.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Transection of common bile duct.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/11/2011 412011CA0176WS
County Suit Filed in Date of Final Disposition
Pasco 8/9/2016
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
7/26/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $75,000
Loss Adjust Expense Paid to Defense Counsel $77,932
All Other Loss Adjustment Expense Paid $30,371
Injured Person's Total Non-Economic Loss $25,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $35,000 $0
Wage Loss $15,000 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
 
Date of Change: 7/20/2017 10:48:55 AM
Reason for Change: Additional LAE payments made.
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 77179 77932
All Other Loss Adjustment Expense Paid 30362 30371

 

 

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Court Case # 512011-CA-5739

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573669
Claim Number : 5148039-01
Date Submitted : 8/25/2015
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Susan K Spielman
Street Address
5814 Reed Road
City State Zip
Fort Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0340     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual ABDULAZIZ   AL KHAFAJI
Insurer Type Street Address of Practice
Licensed 5411 Grand Blvd, Ste 109
City State Zip Code County
New Port Richey FL 34652 Pasco
Policy Number Per Claim Policy Limits Aggregate Policy Limits
733258 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME50610 Surgery - Vascular  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
MORTON PLANT HOSPITAL 100127
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/27/2009 7/25/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Gallbladder
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Transected bile duct
Principal Injury Giving Rise To The Claim
Pain and suffering
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/1/2011 512011-CA-5739
County Suit Filed in Date of Final Disposition
Pasco 2/26/2015
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
Disposed of by Court
Court Decision Other
Directed verdict for defendant.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $78,645
All Other Loss Adjustment Expense Paid $42,217
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change: 8/25/2015 4:58:48 PM
Reason for Change: ALE UPDATE
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 54623 78645
All Other Loss Adjustment Expense Paid 29939 42217

 

 

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