Department File Number : | M201781537 |
Claim Number : | F15-0081-A-14 |
Date Submitted : | 3/24/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sasha | Yamamoto | |||
Street Address | |||||
506 Davis Street | |||||
City | State | Zip | |||
San Francscio | CA | 94111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(415) 735 - 2135 | syamamoto@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mardelle | DeLight | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1304 SE 8th Terrace | ||||
City | State | Zip Code | County | ||
Cape Coral | FL | 33990 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
GL01000019 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME103322 | General Preventative Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Physicians Office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
6/17/2014 | 4/17/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented on 6/17/2014 for a transition into care to establish Dr. DeLight as his primary care physician following a visit to the ER department at Cape Coral Hospital for chest pains on 6/4/2014l | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
No procedure was performed | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Plaintiff alleged that Dr. DeLight failed to document the patients past cardiac incident on 6/24/2014 and therefore, failed to appropriately treat the patient during her initial evaluation of the patient on 6/17/2014 | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient expired on 7/9/2014 due to cardiac event | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 1/18/2017 | ||||
Other Defendants Involved in this Claim | |||||
Cintron, Elizabeth | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $137,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $25,074 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Discussed with insured and Risk Management |
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. MARDELLE DELIGHT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARDELLE DELIGHT, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).