Medical Malpractice Cases

Dr. Jon Anderson Medical Malpractice Cases

Court Case # 03-1057A

Indemnity Paid: $940,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433401
Claim Number :16376
Date Submitted :11/10/2004
 
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
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJon Anderson
Insurer TypeStreet Address of Practice
Licensed511 W. Bay St., Suite 301
CityStateZip CodeCounty
TampaFL33606Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PRF 1400628 00$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75253Radiology - Diagnostic - No Surgery05104

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
TAMPA GENERAL HOSPITAL100128
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/2/20019/30/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ruptured Spleen
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
X-rays
Diagnostic Code :865.03
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosing a ruptured spleen
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
2/3/200303-1057A
County Suit Filed inDate of Final Disposition
Hillsborough10/28/2004
Other Defendants Involved in this Claim
Richards MD, Ferdinand
Paula MD, Richard L
Tampa General Hospital
Fl. Board of Regents
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
10/28/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$940,000
Loss Adjust Expense Paid to Defense Counsel$92,000
All Other Loss Adjustment Expense Paid$42,000
Injured Person's Total Non-Economic Loss$940,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$5,000$0
Wage Loss$0$500,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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