Department File Number : | M202090998 |
Claim Number : | FLO493 |
Date Submitted : | 1/2/2020 |
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 | Maxine | A | Gutman | ||
Street Address | |||||
1250 South Pine Island Road, Suite 300 | |||||
City | State | Zip | |||
Plantation | FL | 33442 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 335 - 8231 | mgutman@hugroupinc.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Alfredo | D | Dally | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 7650 W Flagler Street | ||||
City | State | Zip Code | County | ||
Miami | FL | 33144 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
308-000 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME88433 | Family Physicians or General Practitioners - Minor 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 | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
HIALEAH HOSPITAL | 100053 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/5/2017 | 4/25/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Intra-abdominal infection | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to diagnose intra-abdominal infection | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to diagnose intra-abdominal infection | |||||
Principal Injury Giving Rise To The Claim | |||||
Intra-abdominal infection | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/27/2018 | 2018-024788-CA-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 12/27/2019 | ||||
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 | |||||
12/27/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $82,773 | ||||||||||||||||||||
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. |
Does Dr. ALFREDO D DALLY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALFREDO D DALLY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).