Medical Malpractice Cases

Dr. Joelle M Innocent-Simon Medical Malpractice Cases

Court Case # 07-CA-257

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747474
Claim Number :25190
Date Submitted :1/28/2008
 
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
IndividualJoelleMInnocent-Simon
Insurer TypeStreet Address of Practice
Licensed1210 Andrews Circle
CityStateZip CodeCounty
StarkeFL32091Bradford
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600460 05$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6902Family Physicians or General Practitioners - No Surgery1175

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBradford
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Nursing Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/15/20062/26/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Thromboembolic event of bilateral lower extremities
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :747.64
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely and appropriately conduct tests, order consults, and transfer patient to the hospital
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/1/200707-CA-257
County Suit Filed inDate of Final Disposition
Bradford11/28/2007
Other Defendants Involved in this Claim
E&M Medical Services
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
10/24/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$10,024
All Other Loss Adjustment Expense Paid$2,790
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$79,339$0
Wage Loss$0$0
Other Expenses$5,700$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:1/28/2008 3:31:38 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 11/28/07
 
Field ChangedFormer ValueNew Value
Date of Final Disposition12-OCT-0728-NOV-07

 

 

This page is not displaying certain sensitive information.

Court Case # 04-2003-CH-0461

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953125
Claim Number :18387
Date Submitted :5/13/2009
 
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
IndividualJoelleMInnocent-Simon
Insurer TypeStreet Address of Practice
Licensed1550 S. Water St.
CityStateZip CodeCounty
StarkeFL32091Bradford
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600460 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6902Family Physicians or General Practitioners - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBradford
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SHANDS HOSPITAL100113
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
6/26/20029/8/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Myocardial Infarction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Catheterization
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose MI
Principal Injury Giving Rise To The Claim
Myocardial infarction
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/13/200304-2003-CH-0461
County Suit Filed inDate of Final Disposition
Bradford5/4/2009
Other Defendants Involved in this Claim
Shands Teaching Hospital
Gros, MD, Bernard
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
3/30/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$125,000
Loss Adjust Expense Paid to Defense Counsel$174,316
All Other Loss Adjustment Expense Paid$68,355
Injured Person's Total Non-Economic Loss$125,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$41,000$0
Wage Loss$100,000$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:5/13/2009 3:48:46 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 05/04/09
 
Field ChangedFormer ValueNew Value
Date of Final Disposition26-MAR-0904-MAY-09

 

 

This page is not displaying certain sensitive information.

Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade Desoto Dixie Duval Escambia Flagler Franklin Gadsden Hamilton Hardee Hendry Hernando Highlands Hillsborough Indian River Jackson Lake Lee Leon Levy Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Out of state Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Volusia Walton