Medical Malpractice Cases

Dr. CLIFFORD C ARN Medical Malpractice Cases

Court Case # 2004-CA-002145

Indemnity Paid: $5,550,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641929
Claim Number :122592
Date Submitted :4/4/2008
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProNational Insurance Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCLIFFORDCARN
Insurer TypeStreet Address of Practice
Licensed5500 Blanding Blvd., Suite 1
CityStateZip CodeCounty
JacksonvilleFL32244Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP35921$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55583Family Physicians or General Practitioners - No Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
2/21/20035/6/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Leukopenia with fever, malaise, sore throat and cough.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Symptomatic care and cough medicine for flu type symptoms.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose pneumococcal pneumonia.
Principal Injury Giving Rise To The Claim
Patient who was diagnosed with pneumococcal pneumonia developed septic shock and died.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/19/20042004-CA-002145
County Suit Filed inDate of Final Disposition
Duval4/10/2006
Other Defendants Involved in this Claim
Arn & Aston, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/13/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$5,550,000
Loss Adjust Expense Paid to Defense Counsel$162,756
All Other Loss Adjustment Expense Paid$135,229
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has dicussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:1/5/2007 4:13:59 PM
Reason for Change:Settlement check was cut on 12/13/06.Also updating expense information.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid82033216496
Indemnity Paid04850000
Settlement Reached01
Amount of Loss Adjustment Expense Paid to Defense Counsel126882160899
 
Date of Change:3/15/2007 11:46:21 AM
Reason for Change:Update to reflect change in status and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid216496221136
Indemnity Paid48500005550000
Legal System StageAfter court verdict and prior to filing of notice of appeal.During appeal.
Amount of Loss Adjustment Expense Paid to Defense Counsel160899161281
 
Date of Change:5/24/2007 4:01:55 PM
Reason for Change:Update to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid221136221529
Amount of Loss Adjustment Expense Paid to Defense Counsel161281162704
 
Date of Change:9/6/2007 12:00:42 PM
Reason for Change:Update to reflect reimburse of expenses by reinsurers.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid221529135229
 
Date of Change:4/4/2008 11:15:23 AM
Reason for Change:Report updated to reflect additional legal fees paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel162704162756

 

 

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