Medical Malpractice Cases

Dr. Komala N Bhushan Medical Malpractice Cases

Court Case # 2005-CA-3806

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848768
Claim Number :20340
Date Submitted :8/12/2008
 
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
IndividualKomalaNBhushan
Insurer TypeStreet Address of Practice
LicensedHighway 491 Suite 512
CityStateZip CodeCounty
LecantoFL34461Citrus
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600582 03$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME68580Pediatrics - Minor Surgery49533

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/2/20037/8/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Flu symptoms
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :130.3
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly manage patient
Principal Injury Giving Rise To The Claim
Myocarditis
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/6/20052005-CA-3806
County Suit Filed inDate of Final Disposition
Citrus6/12/2008
Other Defendants Involved in this Claim
Fredrick, MD, Bryan D
Citrus Memorial Hospital
Nature Coast Pediatrics
Citrus Emergency 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
2/26/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$58,762
All Other Loss Adjustment Expense Paid$25,402
Injured Person's Total Non-Economic Loss$350,000
Deductible$0
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:8/12/2008 1:48:50 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 06/12/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition07-FEB-0812-JUN-08

 

 

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