Medical Malpractice Cases

Dr. Michael J Andersen Medical Malpractice Cases

Court Case #

Indemnity Paid: $50,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885219
Claim Number : 2644325
Date Submitted : 4/30/2018
 
Insurer Information
 
Insurer Name Coverage Type
THE CINCINNATI INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
31-0542366  
Insurer Contact Information
Type First Name MI Last Name
Individual Amanda   Stout
Street Address
6200 South Gilmore Road
City State Zip
Fairfield OH 45014
Phone Ext Fax E-Mail Address
(513) 973 - 3088     amanda_stout@cinfin.com
 
Insured Information
 
Type First Name MI Last Name
Individual Michael J Andersen
Insurer Type Street Address of Practice
Licensed 5245 Big Pine Way Ste 103
City State Zip Code County
Fort Myers FL 33907 Lee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
EDN1479695 $500,000 $1,000,000
Profession or Business Other Profession or Business
Dentistry  
License Number Specialty Code & Classification Certification Number
DN11923 Dentists  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
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
   
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
6/25/2014 4/8/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tooth decay under crown abutments
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Teeth were removed and implants were placed. The area was sutured.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient claims tingling and slight burning of the lip
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
  *NR
County Suit Filed in Date of Final Disposition
*NR 4/18/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Settlement Reached Prior to Pre-Suit Period
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Settled in mediation
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/18/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $50,000
Loss Adjust Expense Paid to Defense Counsel $31,882
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
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
none given
 
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.

Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade Desoto Dixie Duval Escambia Flagler Franklin Gadsden Hamilton Hardee Hendry Hernando Highlands Hillsborough Indian River Jackson Lake Lee Leon Levy Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Out of state Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Volusia Walton