Department File Number : | M201575325 |
Claim Number : | 14-0042-A-13 |
Date Submitted : | 2/1/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Tamla | Lloyd | |||
Street Address | |||||
4651 Salisbury Road, Suite 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 296 - 2887 | 212 | (904) 296 - 1245 | tlloyd@fdinsurancecompany.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ROSS | MORGAN | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1814 Lucerne Terr., Suite A | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32806 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG000232 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME57951 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
ARNOLD PALMER HOSPITAL | 120001 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/8/2013 | 2/24/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
On June 8, 2013 a two year old patient was presented to Arnold Palmer Hospital with complaint of abdominal pain, fever and tachycardia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
None shown | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
None made | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to take the patient to surgery for acute appendicitis on June 8, 2013. | |||||
Severity Of Injury | |||||
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/18/2014 | 2014-CA-10305-O | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 6/23/2015 | ||||
Other Defendants Involved in this Claim | |||||
Children's Surgical Associates, PA And Orlando Health, Inc. | |||||
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 | |||||
6/23/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $75,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $18,470 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Circumstances of this case have been discussed with the insured and risk management was notified. Risk management has discussed case with the insured. |
Updates | |||||||
Date of Change: | 2/1/2016 3:26:32 PM | ||||||
Reason for Change: | Updated LAE amount. | ||||||
|
This page is not displaying certain sensitive information.
Does Dr. ROSS MORGAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROSS MORGAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).