Department File Number : | M201678316 |
Claim Number : | 005-12-0371 |
Date Submitted : | 5/9/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-0687550 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Andrea | V | Bates | ||
Street Address | |||||
1401 Wilson Blvd., Ste. 700 | |||||
City | State | Zip | |||
Arlington | VA | 22209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(800) 245 - 3333 | 3810 | (703) 276 - 9419 | mejia@prms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Alan | D | Feldman | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 10333 Seminole Blve., Ste. 3 | ||||
City | State | Zip Code | County | ||
Largo | FL | 33778 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PSC10-000572738 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME73928 | Psychiatry - Child and Adolescent Psychiatry |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Florida Hospital Zephyhills | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Florida Hospital Zephyhills | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/4/2011 | 4/15/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Major Depression with Psychotic Features | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Attending psychiatrist during inpatient hospitalization | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff alleges failure to monitor thiamine level caused brain damage | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/9/2014 | 13-CA-013598 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 5/9/2016 | ||||
Other Defendants Involved in this Claim | |||||
Tampa General Hospital Florida Medical Center Florida Hospital Zephyrhills | |||||
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 | |||||
3/17/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $42,308,333 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
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. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ALAN D FELDMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALAN D FELDMAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).