Department File Number : | M201575542 |
Claim Number : | 5146608-01 |
Date Submitted : | 8/11/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Susan | K | Spielman | ||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Fort Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0340 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jonathan | M | Tuman | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1111 Kane Concourse, Ste 515 | ||||
City | State | Zip Code | County | ||
Bay Harbor Islands | FL | 33154 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
662198 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN12806 | Dentists - N.O.C. |
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 Inpatient Facility | |||||
Name of Institution | Code | ||||
MOUNT SINAI MEDICAL CENTER | 100034 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/19/2009 | 8/19/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Significant decay | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Multiple extractions at hospital | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to manage intra and post-operative bleeding | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/12/2012 | 12-001400-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 7/30/2015 | ||||
Other Defendants Involved in this Claim | |||||
Special Needs Dental Care of South Florida Inc Mount Sinai Medical Center of Florida Inc Jonathan Tuman DDS PA dba Bay Harbor Complete Dentistry Mount Sinai Medical Center Foundation Inc MOUNT SINAI MEDICAL 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 | |||||
7/29/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $25,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $28,568 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $14,949 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $15,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 1/28/2016 9:54:47 AM | |||||||||
Reason for Change: | ALE UPDATE 1/28/2016 | |||||||||
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Date of Change: | 8/11/2016 11:56:16 AM | |||||||||
Reason for Change: | ALE UPDATED 8/11/2016 | |||||||||
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Does Dr. JONATHAN M TUMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JONATHAN M TUMAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).