Medical Malpractice Cases

Dr. Luis F Alicea Medical Malpractice Cases

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 $0
Deductible $0
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 NameCoverage Type
AMERICAN INSURANCE COMPANY (THE)Primary
Insurer FEINProfessional License Number
22-0731810 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualConnieLPeters
Street Address
PO Box52810
CityStateZip
BellevueWA98015
PhoneExtFaxE-Mail Address
(425) 636 - 10001012(916) 781 - 5795cpeters@intercareins.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLuisFAlicea
Insurer TypeStreet Address of Practice
Licensed1502 Saint Edmunds Place
CityStateZip CodeCounty
Lake MaryFL32746Seminole
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
ABC 80769907$2,000,000$6,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN16121Dentists - N.O.C.80221

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSeminole
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherDental Office
Date of OccurrenceDate Reported to Insurer
5/3/200610/2/2006
 
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 SuitCircuit Court Case Number
12/22/200808-CA7589-11-G
County Suit Filed inDate of Final Disposition
Seminole10/29/2010
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 DecisionOther
OtherSettled 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$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
No satety management steps taken.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

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