Department File Number : | M201886212 |
Claim Number : | SM277012 |
Date Submitted : | 8/22/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EVANSTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2950161 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CRYSTAL | L | ALSTON-BAYTON | ||
Street Address | |||||
4600 COX ROAD | |||||
City | State | Zip | |||
GLEN ALLEN | VA | 23060 | |||
Phone | Ext | Fax | E-Mail Address | ||
(804) 864 - 3731 | (855) 662 - 7535 | CALSTONBAYTON@MARKELCORP.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | PAMELA | Taylor | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 532 SAN MARCO DRIVE | ||||
City | State | Zip Code | County | ||
SEBRING | FL | 33876 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
SM896570 | $3,000,000 | $10,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Registered Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
RN461092 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hardee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Prison | |||||
Name of Institution | Code | ||||
Lakeland Regional Medical Center | 100157 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | EMERGENCY ROOM | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/23/2013 | 11/1/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Eleven (11) superficial blunt-force trauma abrasions throughout the body and eleven (11) sharp-force trauma abrasions to his head and neck, extremities, and most significantly, to his right lateral abdomen. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Eleven (11) superficial blunt-force trauma abrasions throughout the body and eleven (11) sharp-force trauma abrasions to his head and neck, extremities, and most significantly, to his right lateral abdomen. While most of the stab wounds were relatively superficial, the Medical Examiner determined the stab wound to the abdomen to be the ultimate cause of death. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Claimant alleges that the named medical providers failed to timely call for outside medical assistance; failed to check a pulse prior to EMS arrival; and failed to appropriately use bag-mask valve ventilation during CPR resuscitation efforts. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/24/2015 | 162015006820 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 7/13/2018 | ||||
Other Defendants Involved in this Claim | |||||
LAMB, TRAVIS | |||||
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 | |||||
8/15/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $450,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $39,638 | ||||||||||||||||||||
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. PAMELA TAYLOR, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PAMELA TAYLOR, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).