Medical Malpractice Cases

Dr. Jack L Berger Medical Malpractice Cases

Court Case # 05-CA-7430

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641933
Claim Number :21811
Date Submitted :8/14/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJackLBerger
Insurer TypeStreet Address of Practice
Licensed631 Palm Springs Drive, Suite 111
CityStateZip CodeCounty
Altamonte SpringsFL32701Seminole
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 103694 05$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME41413Radiology - interventional3605

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/2/20033/24/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epithelial Thymoma Type A
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :164.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of Epithelial Thymoma Type A
Principal Injury Giving Rise To The Claim
Tumor
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/29/200505-CA-7430
County Suit Filed inDate of Final Disposition
Orange8/9/2006
Other Defendants Involved in this Claim
Land MD, Thomas R
Floyd MD, Henry B
Florida Radiology Assoc.
Physician Associates of Florida
The Imaging Center of Orlando
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/21/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$30,026
All Other Loss Adjustment Expense Paid$6,699
Injured Person's Total Non-Economic Loss$100,000
Deductible$100,000
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
Risk management has counseled insured
 
Updates
 
 
Date of Change:8/14/2006 12:41:16 PM
Reason for Change:Report updated to reflect Court document of Final Order of Dismissal dated 08/09/06.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition06-JUL-0609-AUG-06

 

 

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