Department File Number : | M201990421 |
Claim Number : | 237862 |
Date Submitted : | 12/13/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE SPECIALTY INSURANCE COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-3990058 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lauren | Archer | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 439 - 7921 | larcher@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lydia | K | Marsham | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 460 East Altamonte Drive, Suite 2200 | ||||
City | State | Zip Code | County | ||
Altamonte Springs | FL | 32701 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
ES2005 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | Physician Assistant | ||||
License Number | Specialty Code & Classification | Certification Number | |||
PA9103622 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Mid FLorida Adult Medicine LLC | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/31/2018 | 4/19/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Gastro-esophageal reflux, chest pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
No description of the operation, diagnostic, or treatment procedure rendered causing the injury | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Cardiac pain diagnosed as gastro-esophageal reflux | |||||
Principal Injury Giving Rise To The Claim | |||||
Failure to send the patient to the ER resulting in cardiac arrest and death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 10/24/2019 | ||||
Other Defendants Involved in this Claim | |||||
Mid Florida Adult Medicne LLC | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
9/23/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $25,000,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,576 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,320 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $25,000,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel and medical experts. |
Updates | |
No updates found. |
Does Dr. LYDIA K MARSHAM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LYDIA K MARSHAM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).