Department File Number : | M201887339 |
Claim Number : | 2005-08-221-001 |
Date Submitted : | 12/18/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-114949 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kaye | Monello | |||
Street Address | |||||
2985 Drew Street | |||||
City | State | Zip | |||
Clearwater | FL | 33759 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 754 - 9268 | (727) 519 - 1276 | kaye.monello@baycare.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Erwin | Shartz | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 4902 Eisenhower Blvd | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33634 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
163-8713 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME13093 | Pediatrics - No 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 | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
8/2/2004 | 8/2/2004 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Congenital aortic valve disease with stenosis and dysplasia of the aortic valve with hypertrophy of the myocardium | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
17 year old with cardiac history requested clearance to play baseball from Dr. Schartz. Dr. Scharz did provide the requested clearance. The following day, Dr. Schartz attempted contact with the patient¿s parents several times (without success) and sent letter to parents via certified mail and regular mail, advising the parent¿s that the patient could not any sports until he was cleared by his cardiologist. Patient later collapsed to a congenital aortic valve disease with stenosis and dysplasia of the aortic valve with hypertrophy of the myocardium. Case was won on appeal due to plaintiff failing to prove causation. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Death/ congenital aortic valve disease with stenosis and dysplasia of the aortic valve with hypertrophy of the myocardium | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/7/2007 | 07-9030/DIV J | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 5/11/2015 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After appeal. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Judgment for the defendant after the appeal ... | |||||
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 | $129,396 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Any risk issues have been addressed. |
Updates | |
No updates found. |
Does Dr. ERWIN SHARTZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ERWIN SHARTZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).