Department File Number : | M201885237 |
Claim Number : | 351134 |
Date Submitted : | 5/3/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Alison | J | McDonald | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 515 Wekiva Commons Circle | ||||
City | State | Zip Code | County | ||
Apopka | FL | 32712 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0944142 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME90148 | Hospitalists |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL - EAST ORLANDO | 100021 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/8/2016 | 1/5/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented with headache was found to have hydrocephalus. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient underwent a lumbar puncture and suffered a brain herniation. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/7/2017 | 2017-CA-6148 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 4/10/2018 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital | |||||
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 | |||||
4/10/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $31,826 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,108 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
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.
Department File Number : | M201780869 |
Claim Number : | 2013536829 |
Date Submitted : | 1/16/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
OCEANUS INSURANCE COMPANY, A RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1066914 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kerry-Anne | Roper | |||
Street Address | |||||
4600 Sheridan Street, Suite 200 | |||||
City | State | Zip | |||
Hollywood | FL | 33021 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 518 - 8008 | Kerry-Anne.Roper@sedgwickcms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ALISON | MCDONALD | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 515 WEKIVA COMMONS CIRCLE | ||||
City | State | Zip Code | County | ||
APOPKA | FL | 32712 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
01-2005-001 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME90148 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
TOWN & COUNTRY HOSPITAL | 100255 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/7/2012 | 3/1/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
LARGE LEFT EFFUSION AND SMALL ANTERIOR PNEUMOTHORAX SUGGESTIVE OF PNEUMONIA. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
INSERTION OF CHEST TUBE. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILURE TO ORDER APPROPRIATE TEST. | |||||
Principal Injury Giving Rise To The Claim | |||||
RESPIRATORY FAILURE, LEFT PLEURAL EFFISION, PARAPNEUMONIA, ARTIFICIAL KIDNEY UNIT. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/7/2012 | 13-CA-009729 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 3/16/2016 | ||||
Other Defendants Involved in this Claim | |||||
GIRALDO, HERNAN D MCDONALD, ALISON RODRIGUEZ, RAFAEL | |||||
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 | ||||
Judgment for the plaintiff. | |||||
Arbitration | |||||
Award for plaintiff. | |||||
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 | $70,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $41,122 | ||||||||||||||||||||
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 | |||||||||||||||||||||
TIMELY EXAMINE AND RECOMMEND A PLAN OF TREATMENT, TIMELY USE DIAGNOSTIC PROCEDURES TO ASCERTAIN PATIENT'S MEDICAL CONDITION. |
Updates | |
No updates found. |
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Department File Number : | M201574588 |
Claim Number : | TH-LLFL-55597 |
Date Submitted : | 5/11/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
TEAM HEALTH, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
62-1562558 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
9821 Katy Freeway | |||||
City | State | Zip | |||
Houston | TX | 77024 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ALISON | J | MCDONALD | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 7979 GLENBROOKE LANE | ||||
City | State | Zip Code | County | ||
Sarasota | FL | 34243 | Manatee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6801420 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME90148 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Manatee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MANATEE MEMORIAL HOSPITAL | 100035 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
7/25/2004 | 9/26/2006 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
BACK PAIN | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
EXAM DONE AND RELEASED WITH MEDICINE AND F/UP INSTRUCTIONS | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
BACK PAIN WITH SCIATRICA | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGED CAUDA EQUINA SYNDROME R/I PERM. NEURO DAMAGE | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/1/2007 | 07-CA680 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Manatee | 4/21/2015 | ||||
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 | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
2/26/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $143,986 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $22,777 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. ALISON J MCDONALD, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALISON J MCDONALD, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).