| Department File Number : | M201783637 |
| Claim Number : | SM272558 |
| Date Submitted : | 11/14/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| EVANSTON INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 36-2950161 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | CRYSTAL | L | ALSTONBAYTON | ||
| Street Address | |||||
| 4600 COX ROAD | |||||
| City | State | Zip | |||
| GLEN ALLEN | VA | 23060 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (804) 864 - 3731 | (855) 662 - 7535 | CALSTONBAYTON@MARKELCORP.COM | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | FRANTZ | SIMEON | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 4960 SW 72ND AVE; STE 400 | ||||
| City | State | Zip Code | County | ||
| MIAMI | FL | 33155 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| SM897682 | $1,000,000 | $5,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Other | MEDICAL DENTAL BEHAVIORAL SERVICES TO CORRECTIONAL FACILITY | ||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ACN323 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Sarasota | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | SARASOTA COUNTY JAIL CELL | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | INMATE CELL | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/17/2014 | 5/27/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| CLMT ALLEGES FAILURE TO TREAT BACK CONDITION RESULTING IN L2-3 LAMINECTOMY AND MICRODISKECTOMY | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| DELAYED DIAGNOSIS S/P PERMANENT NEUROLOGICAL INJURIES INCLUDING BUT NOT LIMITED TO BLADDER DYSFUNCTION LOSS OF SENSATION IN HIS SADDLE AREA, INABILITY TO OBTAIN AN ERECTION SEVERE PAIN AND DIMINISHED STRENGTH AND MOTOR FUNCTION IN HIS LEGS | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| NO MISDIAGNOSIS | |||||
| Principal Injury Giving Rise To The Claim | |||||
| CLMT PRESENT TO JAIL WITH HISTORY OF STENOSIS AND DEGENERATIVE DISK DISEASE IN HIS LOWER BACK. WALKED WITH NO ASSISTANCE OTHER THAN KNEE BRACE. ALLEGES RE-INJ AROUND 04172014 AND CAME UNDER ARMOR'S CARE. ALLEGES SHOOTING PAINS IN LEGS AND REQ'D WHEELCHAIR D/T INABILITY TO WALK. ALLEGES PAIN PERSISTED AND HE WAS REFUSED REQUEST TO GO TO ER. ON 04112014 HE WAS PUT IN MEDICAL UNITY WITH FULL BRACE NOTING STRESS FRACTURE. RELEASED TO GEN POP ON 04142014. GIVEN LOWER BUNK ADVISED NO WEIGHT BEARING FOR 5-6 WEEKS. ALLEGES CONDITION WORSENED UPON RELEASE ON 04232014 HE WAS RELEASED FROM JAIL. HE CALLED 911, WAS TRANSPORTED FROM JAIL. REMAINED IN HOSPITAL UNTIL RELEASED ON 06012014. ALLEGES DUE TO DELAYED DIAGNOSIS, HE NOW HAS PERMANENT INJURY. | |||||
| 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 | ||||
| 2/17/2015 | 2015CA000872NC | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Sarasota | 4/30/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| ENNIS, LAURA A ATKINSON, JAMES E BURK, LISA B CARSTENS, SONJA K | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 4/30/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $1,000,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $60,568 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $49,328 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $50,000 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| NONE | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. FRANTZ SIMEON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FRANTZ SIMEON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).