| Department File Number : | M201473035 |
| Claim Number : | 59138301 |
| Date Submitted : | 12/19/2014 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-4235490 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Becky | Sanders | |||
| Street Address | |||||
| 361 E. Hillsboro Blvd. | |||||
| City | State | Zip | |||
| Deerfield Beach | FL | 33441 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 788 - 5610 | (954) 788 - 5367 | bsanders@picinsurance.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kaneez | Agha | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 199 S. Wickham Road | ||||
| City | State | Zip Code | County | ||
| Melbourne | FL | 32904 | Brevard | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 132097 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME70871 | Pediatrics - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Brevard | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/9/2005 | 7/16/2007 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient was seen after experiencing seizures. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient was seen in ER for seizures. An Abnormal EKG was not reported to the physicians showing a prolonged QT wave. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Neurological source for the seizure was treated without consideration of a cardiac source. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient died 9 months after she first experienced a seizure from a heart arrhythmia. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 10/18/2007 | 052007CA67896 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Brevard | 11/21/2014 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| After court verdict and prior to filing of notice of appeal. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 11/17/2014 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $3,000,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $204,149 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $124,929 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $3,000,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| not applicable. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. KANEEZ AGHA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KANEEZ AGHA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).