Department File Number : | M201990231 |
Claim Number : | CLA0410472 |
Date Submitted : | 10/10/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Diane | M | McNab | ||
Street Address | |||||
5555 Gate Parkway, Suite 150 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 439 - 0580 | dmcnab@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Nasim | S | Khan | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 919 Mall Ring Road | ||||
City | State | Zip Code | County | ||
Sebring | FL | 33372 | Highlands | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
728461N | $250,000 | $500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME94450 | Surgery - Obstetrics - Gynecology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Highlands | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR. | 100109 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/30/2016 | 4/11/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to the hospital for an induction of labor. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Vaginal Delivery was attempted by this health care provider. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis. The patient's full term vaginal delivery was complicated by a shoulder dystocia. The patient alleged that she was never offered a Cesarean section prior to labor in a patient that was high risk. This allegation was highly disputed since the records reflected that a cesarean section was offered and refused by the patient. | |||||
Principal Injury Giving Rise To The Claim | |||||
During delivery, the male infant developed a shoulder dystocia resulting in a fracture of the left humerus and right arm brachial plexus injury. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/30/2018 | 10th Judicial | ||||
County Suit Filed in | Date of Final Disposition | ||||
Highlands | 10/1/2019 | ||||
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 | |||||
10/1/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insured conferenced and met with defense attorney and claims specialist. |
Updates | |
No updates found. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*NR:Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information. |
Does Dr. NASIM S KHAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. NASIM S KHAN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).