Dr. LUIS F ALICEA, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. LUIS F ALICEA, MD

1502 Saint Edmunds Place

Lake Mary, FL

32746

Seminole

Court Case # 2016-CA-004352

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201783412
Claim Number :	6012229
Date Submitted :	10/19/2017

Insurer Information

Insurer Name				Coverage Type
OMS NATIONAL INSURANCE COMPANY, RISK RETENTION GROUP				Primary
Insurer FEIN		Professional License Number
36-3571664
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Janet		L	Meyer
Street Address
6133 North River Road, Suite 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(800) 522 - 6670		(847) 653 - 8486	janet.meyer@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Luis		F	Alicea
Insurer Type		Street Address of Practice
Licensed		7352 Stonerock Circle, Suite A
City		State	Zip Code	County
Orlando		FL	32819	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
2000450		$2,000,000		$6,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN16121		Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Orange
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
2/14/2014		1/8/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was referred for a consultation regarding the extraction of her wisdom teeth.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured extracted wisdom teeth #s 1, 17 and 32.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged lingual nerve injury post extraction of tooth #17.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
5/19/2016			2016-CA-004352
County Suit Filed in			Date of Final Disposition
Orange			9/28/2017
Other Defendants Involved in this Claim

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
9/1/2017

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$28,466

All Other Loss Adjustment Expense Paid

$24,783

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Unknown

Updates

No updates found.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Court Case # 08-CA7589-11-G

Indemnity Paid: $24,999.00

Medical Malpractice Closed Claims Report

Department File Number :	M201058982
Claim Number :	2008-104550
Date Submitted :	11/3/2010

Insurer Information

Insurer Name				Coverage Type
AMERICAN INSURANCE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
22-0731810
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Connie		L	Peters
Street Address
PO Box52810
City				State	Zip
Bellevue				WA	98015
Phone	Ext	Fax	E-Mail Address
(425) 636 - 1000	1012	(916) 781 - 5795	cpeters@intercareins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Luis		F	Alicea
Insurer Type		Street Address of Practice
Licensed		1502 Saint Edmunds Place
City		State	Zip Code	County
Lake Mary		FL	32746	Seminole
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
ABC 80769907		$2,000,000		$6,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN16121		Dentists - N.O.C.		80221

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Seminole
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
Other		Dental Office
Date of Occurrence		Date Reported to Insurer
5/3/2006		10/2/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented with complete bony impaction of teeth #'s 17 and 32.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured extracted teeth #'s 17 and 32.
Diagnostic Code :		No diagn
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis was made
Principal Injury Giving Rise To The Claim
Patient alleges pain and tingling in her tongue, semi-numbness of her front loser lip, shooting pain in her lower jaw, difficulty eating and diminished sense of tast.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/22/2008			08-CA7589-11-G
County Suit Filed in			Date of Final Disposition
Seminole			10/29/2010
Other Defendants Involved in this Claim

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
Other			Settled in mediation
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/14/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$24,999

Loss Adjust Expense Paid to Defense Counsel

$24,928

All Other Loss Adjustment Expense Paid

$7,385

Injured Person's Total Non-Economic Loss

$24,999

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

No satety management steps taken.

Updates

No updates found.

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Frequently Asked Questions

Does Dr. LUIS F ALICEA, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. LUIS F ALICEA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases