| Department File Number : | M201885811 |
| Claim Number : | NEWSPC000131859a |
| Date Submitted : | 7/5/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LIBERTY SURPLUS INSURANCE CORPORATION | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 04-3390891 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Julie | Hamilton | |||
| Street Address | |||||
| 615 Crescent Executive Court, Suite 212 | |||||
| City | State | Zip | |||
| Lake Mary | FL | 32746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (321) 972 - 0121 | juliehamilton@hamlinandburton.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Marsha | Key | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 31330 Schoolcraft Road, Suite 200 | ||||
| City | State | Zip Code | County | ||
| Livonia | MI | 48150 | Out of state | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| NEWSPC000131859a | $1,000,000 | $5,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Registered Nurse | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| RN900412 | General Preventative Medicine - No Surgery | ||||
| 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 | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| PALMETTO GENERAL HOSPITAL | 100187 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 12/11/2013 | 4/29/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Clot in the ascending aortic artery. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Cardiac bypass surgery | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Failure to initiate an appropriate cool down period prior to circulatory arrest. | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/1/2016 | 2016-019843-CA-01 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 10/20/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Palmetto General Hospital Tenet Healthcare Corporation Comprehensive Care of Florida, LLC Comprehensive Care Services, Inc. GARCIA, LESTER Palmetto Anesthesia Specialists, LLC TEAM HEALTH, INC. SEGUROLA, ROMUALDO South Florida Heart and Lung Institute | |||||
| 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 | |||||
| 10/30/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $316,667 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $398 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $216,667 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| None | |||||||||||||||||||||
| 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. MARSHA KEY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARSHA KEY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).