Department File Number : | M201886470 |
Claim Number : | FL0388 |
Date Submitted : | 9/18/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTHCARE UNDERWRITERS GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
74-3129288 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Yvette | de la Morena | |||
Street Address | |||||
1250 S. Pine Island Road Suite 300 | |||||
City | State | Zip | |||
Plantation | FL | 33324 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 923 - 1900 | ymorena@hugroups.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ajaib | S | Mann | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3000 North University Drive | ||||
City | State | Zip Code | County | ||
Coral Springs | FL | 33065 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
302-001 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME66835 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
NORTHWEST MEDICAL CENTER | 100189 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/9/2012 | 3/6/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient sought treatment for severe weakness and anemia, recently diagnosed with myelodysplastic disorder. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to timely diagnose and treat Guillain-Barre syndrome | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to timely diagnose and treat Guillain-Barre syndrome led to the death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/18/2014 | 14-013975 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 9/11/2018 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital Medicine Services Inc North Broward Hospitalist Inc Hospital Medicine Associates LLC Alayoubi, Muhammed H Gajraj, Mohammed Mohammed Gajraj MD PA Ghanavati, Habibollah Bobby Ghanavati MD PLLC Ajaib S. Mann Hospitalist Inc | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After appeal. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
Judgment for the plaintiff. | |||||
Arbitration | |||||
Award for plaintiff. | |||||
Date of Payment | |||||
9/14/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $2,592,032 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $682,445 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Discussed with insured |
Updates | |
No updates found. |
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. AJAIB S MANN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AJAIB S MANN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).