Department File Number : | M201576211 |
Claim Number : | 13-0123-A-13 |
Date Submitted : | 10/29/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Tamla | Lloyd | |||
Street Address | |||||
4651 Salisbury Road, Suite 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 296 - 2887 | 212 | (904) 296 - 1245 | tlloyd@fdinsurancecompany.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Andrew | Daigle | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4266 Sunbeam Road | ||||
City | State | Zip Code | County | ||
Jacksonville | FL | 32257 | Duval | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG000250 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME61517 | Physicians - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Duval | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/11/2012 | 6/3/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
On 3/11/12, the patient was transported to Baptist Medical Center's ER for chest pain and abdominal pain. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The insured underwent a CT scan of the abdomen and pelvis while in the ER. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
A misdiagnosis was not made. | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient was evaluated and treated by many physicians in the Baptist Hospital ER. The patient was then transferred to another hospital and was diagnosed with gangrenous small bowel & aortic dissection. Patient died of organ failure, sepsis and aortic dissection. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/10/2014 | 16-2014-CA-000448 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 10/13/2015 | ||||
Other Defendants Involved in this Claim | |||||
Southern Baptist Hospital of Florida, Inc. d/b/a Baptist Med Leu, Shannon T Rodriguez-Baez, Gerson El-Shazali, Gasim Dargon, Doreen Lee, Raymond Gupta, Ananda IPC The Hospitalist Co., Inc. Comm Hospice Of NE FL, Inc., d/b/a Comm Palliative Consultan Southern Heart Grp, PA d/b/a Diag Card Assoc & St. Vincent's Neurology Care Consultants, LLC | |||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
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 | $83,620 | ||||||||||||||||||||
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 | |||||||||||||||||||||
The circumstances of this case were discussed with the insured and risk management was notified. Risk management discussed the case with the insured. |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. ANDREW DAIGLE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANDREW DAIGLE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).