Dr. MAHAJABIN S ALI Medical Malpractice Cases

Indemnity Paid: $395,000.00

Insurer Information

Insurer Name				Coverage Type
CONTINENTAL CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
36-2114545
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kathy		A	Stockton
Street Address
9821 Katy Freeway
City				State	Zip
Houston				TX	77024
Phone	Ext	Fax	E-Mail Address
(713) 935 - 2404		(713) 461 - 8130	kathy_stockton@westernlitigation.com

Insured Information

Type	First Name		MI	Last Name
Individual	MAHAJABIN		S	ALI
Insurer Type		Street Address of Practice
Licensed		1725 HUTCHINSON LANE
City		State	Zip Code	County
SILVER SPRING		MD	20906	Out of state
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HAZ1040025381-9		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME81267		Emergency Medicine - No Major Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Out of state
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
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
9/17/2008		11/11/2011

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
CHEST X-RAY AND HEAD CT WERE TAKEN.LP WAS DONE.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
DIAGNOSIS OF VIRAL ILLNESS
Principal Injury Giving Rise To The Claim
THREE DAYS LATER ADMITTED WITH SEPSIS/SEPTIC SHOCK, LIKELY DUE TO PNEUMONIA, ARDS AND HYPOXEMIA.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Legal Information

Date of Suit			Circuit Court Case Number
1/23/2012			24-C-11-007333
County Suit Filed in			Date of Final Disposition
Out of state			4/3/2013
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
3/5/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$395,000

Loss Adjust Expense Paid to Defense Counsel

$32,467

All Other Loss Adjustment Expense Paid

$19,403

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

UNKNOWN

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