Department File Number : | M201782547 |
Claim Number : | 2012033122 |
Date Submitted : | 7/13/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ALLIED WORLD SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
56-0997452 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joyce | M | Palmisano | ||
Street Address | |||||
1690 New Britain Ave. Suite 101 | |||||
City | State | Zip | |||
Farmington | CT | 06032 | |||
Phone | Ext | Fax | E-Mail Address | ||
(860) 284 - 1382 | 1382 | (860) 284 - 1383 | Joyce.Palmisano@awac.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Gonzalo | F | Quesada | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2000 S. Dixie highway, Suite 103 | ||||
City | State | Zip Code | County | ||
Miami | FL | 33133 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0001-3223 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME84185 | Psychiatry - All Other |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Evaluation for Academic Program | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Breach of Confidentiality | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/29/2007 | 11/5/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Evaluation for academic program at Miller School of Medicine at the University of Miami | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Evaluation | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Attention Deficit and Hyperactivity Disorder and other perceived mental conditions | |||||
Principal Injury Giving Rise To The Claim | |||||
Claimant was dismissed from medical school, not for academic or disciplinary reasons, but based on the perception that the claimant was behaviorally disabled from Attention Deficit and Hyperactivity Disorder and other perceived mental conditions. | |||||
Severity Of Injury | |||||
Emotional Only - Fright, no physical damage |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/5/2012 | 12-21899 CA 32 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 6/20/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After court verdict and prior to filing of notice of appeal. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Judgment for the defendant. | |||||
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 | $253,080 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Worked closed with defense counsel to resolve claim. Matter dismissed, all appellate avenues exhausted, final billing complete. |
Updates | |
No updates found. |
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Does Dr. GONZALO F QUESADA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GONZALO F QUESADA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).