Department File Number : | M201680230 |
Claim Number : | FL0389 |
Date Submitted : | 11/8/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTHCARE UNDERWRITERS GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
74-3129288 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Yvette | de la Morena | |||
Street Address | |||||
1250 S. Pine Island Road Suite 300 | |||||
City | State | Zip | |||
Plantation | FL | 33324 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 923 - 1900 | ymorena@hugroups.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Hector | I | Colom | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 5959 NW 7th Street | ||||
City | State | Zip Code | County | ||
Miami | FL | 33126 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
241-002 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME63703 | Pathology - 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 | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
PALMETTO SURGERY CENTER, THE | 14960330 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Surgery Center | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/8/2010 | 5/29/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Treatment was sought for a biopsy of the esophageal. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Estate of patient alleges failure to properly review pathology slides from patients esophageal biopsy. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Estate of patient alleges failure to properly review pathology slides from patients esophageal biopsy led to esophageal cancer and death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/9/2014 | 2014-12321-CA-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 10/24/2016 | ||||
Other Defendants Involved in this Claim | |||||
Vella, MD, Sandra P Padilla, MD, Victor M Digestive Medicine Histology Lab Digestive Medicine Assoc, LLP Digestive Medicine Associates The Palmetto ASC, LLP dba The Palmetto Surgery Center | |||||
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 | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/3/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $85,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $232,432 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Discussed with insured. |
Updates | |||||||
Date of Change: | 11/8/2016 8:48:59 AM | ||||||
Reason for Change: | Updated with correct claim number | ||||||
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Does Dr. HECTOR I COLOM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HECTOR I COLOM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).