Medical Malpractice Cases

Dr. Marilyn C Moss Medical Malpractice Cases

Court Case # 05-2003-CA44388

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747345
Claim Number :267260
Date Submitted :2/5/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMary Osborn
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(800) 463 - 37766604(260) 486 - 0785Mary.Osborn@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARILYNCMOSS
Insurer TypeStreet Address of Practice
Licensed3210 N WICKHAM RD STE 1
CityStateZip CodeCounty
MELBOURNEFL32935-2342Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
617408$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME22466Family Physicians or General Practitioners - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MBrevard
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/27/20002/8/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PAIN IN LOWER LEFT BACK
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EMERGENCY ROOM EVALUATION & OFFICE VISITS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAIL TO OBTAIN TIMELY DIAGNOSTIC STUDIES
Principal Injury Giving Rise To The Claim
PERMANENET CARDIAC DISABILITIES
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/2/200205-2003-CA44388
County Suit Filed inDate of Final Disposition
Brevard10/1/2007
Other Defendants Involved in this Claim
BLACKMAN, KEITH
AVETA HEALTH INC
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
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/10/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$125,497
All Other Loss Adjustment Expense Paid$68,995
Injured Person's Total Non-Economic Loss$0
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
N/A
 
Updates
 
 
Date of Change:2/5/2009 3:18:54 PM
Reason for Change:Updated ALE
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel89396125497
All Other Loss Adjustment Expense Paid6744268995

 

 

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Court Case # 06-CA-006448

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848620
Claim Number :129875
Date Submitted :4/14/2010
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarilynCMoss
Insurer TypeStreet Address of Practice
Licensed3210 North Wickham Road, Suite 1
CityStateZip CodeCounty
MelbourneFL32935Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP48658$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME22466Family Physicians or General Practitioners - No Surgery000000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBrevard
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HOLMES REGIONAL MEDICAL CENTER100019
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
3/17/20044/1/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain, dyspnea and vertigo.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient hospitalized for evaluation and tests.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Patient subsequently expired due to a pulmonary embolis.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/18/200606-CA-006448
County Suit Filed inDate of Final Disposition
Brevard1/30/2008
Other Defendants Involved in this Claim
Holmes Regional Medical Center, Inc.
Alvarez, Lucy
Jervis, Christian
Good, Shellie
Gearhart, Patricia
Juliano, Laurie
Kammerdener, Kelly
Leather, Teres
Reed, Ruey
Stanley, Amy
Burstein, Bruce
Choudhary, Navin
Brevard Emergency Services, P.A.
Ware, Vonda R
Melbourne Internal Medicine Associates, P.A.
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
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/5/2008
 
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$36,140
All Other Loss Adjustment Expense Paid$19,653
Injured Person's Total Non-Economic Loss$250,000
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
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:4/14/2010 2:44:52 PM
Reason for Change:Reported updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel2890736140
All Other Loss Adjustment Expense Paid1932019653

 

 

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