| Department File Number : | M201885292 |
| Claim Number : | 00444909 |
| Date Submitted : | 5/14/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MT. HAWLEY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 37-1072999 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Brett | Cleveland | |||
| Street Address | |||||
| 9025 N. Lindbergh Dr | |||||
| City | State | Zip | |||
| Peoria | IL | 61615 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (309) 692 - 1000 | 5214 | brett.cleveland@rlicorp.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Langdon | G | Morrison | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 240 the Rialto | ||||
| City | State | Zip Code | County | ||
| Venice | FL | 34233 | Sarasota | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MME0000051 | $500,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME112883 | Emergency Medicine - Including Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Sarasota | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Venice Regional Medical Center | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/16/2016 | 9/7/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| obstructing stone with evidence of infection on urinalysis | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Failure to properly treat resulting in amputation of toes | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| amputation of all toes on left foot, behind the knuckles, and the tips of 3 toes on the right foot | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/31/2018 | 2018-CA-000550-NC | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Sarasota | 5/11/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within 90 days of suit being filed. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 5/11/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $471,500 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $8,873 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $10,000 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. LANGDON G MORRISON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LANGDON G MORRISON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).