Medical Malpractice Cases
Dr. Mason Long Medical Malpractice Cases
Court Case # CA06-447 55
Indemnity Paid:
$250,000.00
Medical Malpractice Closed Claims Report
Department File Number :
M200955378
Claim Number :
33402-01
Date Submitted :
11/10/2009
Insurer Information
Insurer Name
Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC
Primary
Insurer FEIN
Professional License Number
59-6614702
Insurer Contact Information
Type
First Name
MI
Last Name
Individual
Odessa
Choice
Street Address
1000 Riverside Avenue, Suite 800
City
State
Zip
Jacksonville
FL
32204
Phone
Ext
Fax
E-Mail Address
(800) 741 - 3742
3045
(904) 358 - 6728
odessa.choice@fpic.com
Insured Information
Type
First Name
MI
Last Name
Individual
Mason
Long
Insurer Type
Street Address of Practice
Licensed
301 Health Park Blvd., Ste 325
City
State
Zip Code
County
Saint Augustine
FL
32086
St. Johns
Policy Number
Per Claim Policy Limits
Aggregate Policy Limits
19954
$500,000
$1,500,000
Profession or Business
Other Profession or Business
Medical Doctor
License Number
Specialty Code & Classification
Certification Number
ME55529
Internal Medicine - No Surgery
80257
Medical Malpractice Closed Claims Report
Injured Person Information
First Name
MI
Last Name
Date of Birth
Street Address
Gender
County where Injury Occurred
M
St. Johns
City
State
Zip Code
Location where injury occured
Other location where injury occured
Physician's Office
Name of Institution
Code
Location of Institutional Injury
Other Location of Institutional Injury
Date of Occurrence
Date Reported to Insurer
5/12/2005
11/21/2005
Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Urinary frequency and dysuria.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Urinalysis-positive for white blood cells and trace blood.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient developed bladder cancer.Loss of bladder.
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 Suit
Circuit Court Case Number
6/19/2006
CA06-447 55
County Suit Filed in
Date of Final Disposition
St. Johns
10/20/2009
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 not subject to Arbitration.
Date of Payment
10/20/2009
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
$21,826
All Other Loss Adjustment Expense Paid
$21,253
Injured Person's Total Non-Economic Loss
$250,000
Deductible
$0
Injured Person's Total Economic Loss
Incurred to Date
Anticipated
Medical Expense
$0
$0
Wage Loss
$0
$0
Other Expenses
$0
$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
Updates
No updates found.
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