Department File Number : | M201987636 |
Claim Number : | 38-01-2017-0043B |
Date Submitted : | 1/17/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MOUNT SINAI MEDICAL CENTER | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-0624424 | 4066 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | NANCY | CARR | |||
Street Address | |||||
11440 SW 88th STREET | |||||
City | State | Zip | |||
MIAMI | FL | 33176 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Nicole | Henry | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 4300 Alton Road | ||||
City | State | Zip Code | County | ||
Miami Beach | FL | 33140 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MSMC SIR1 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS13056 | Surgery - Obstetrics - Gynecology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MOUNT SINAI MEDICAL CENTER | 100034 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/9/2017 | 12/9/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient admitted to labor & delivery at 40 weeks gestation. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
None. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis made of this patient. | |||||
Principal Injury Giving Rise To The Claim | |||||
Claimant's attorney alleged a failure to appreciate complications with labor including a failure to descend, failure to progress with labor and fetal tachycardia resulting in an alleged delay in ordering and/or performing a Cesarean section allegedly resulting in the subsequent death of newborn and alleged foot drop of mother. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 11/13/2018 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/20/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $267,067 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $4,980 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,816 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $267,067 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Reviewed in accordance with hospital peer review policy and procedures. |
Updates | |
No updates found. |
Does Dr. NICOLE HENRY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. NICOLE HENRY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).