Medical Malpractice Cases

Dr. Sajana Allin Medical Malpractice Cases

Court Case # 2015-CA-0003857

Indemnity Paid: $85,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782212
Claim Number : 1026439-01
Date Submitted : 2/2/2018
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Sajana   Allin
Insurer Type Street Address of Practice
Licensed 1325 NE 42nd St
City State Zip Code County
Ocala FL 34479 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
702977 $2,000,000 $4,000,000
Profession or Business Other Profession or Business
Dentistry  
License Number Specialty Code & Classification Certification Number
DN16652 Dental General Practice - NOC  

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
  F Marion
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
   
Date of Occurrence Date Reported to Insurer
10/17/2014 6/17/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pressure from wisdom teeth
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of teeth #1,16,17, and 32
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper treatment
Principal Injury Giving Rise To The Claim
Bilateral nerve injury; numbness lower jaw and lip
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/23/2015 2015-CA-0003857
County Suit Filed in Date of Final Disposition
Alachua 5/24/2017
Other Defendants Involved in this Claim
Allin Family Dentistry PLLC
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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $85,000
Loss Adjust Expense Paid to Defense Counsel $43,964
All Other Loss Adjustment Expense Paid $23,452
Injured Person's Total Non-Economic Loss $77,000
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
n/a
 
Updates
 
 
Date of Change: 8/22/2017 9:53:14 AM
Reason for Change: ALE UPDATE 8/22/2017
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 5726 15526
Amount of Loss Adjustment Expense Paid to Defense Counsel 19906 39812
 
Date of Change: 2/2/2018 10:33:38 AM
Reason for Change: ALE UPDATE 2/2/2018
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 15526 23452
Amount of Loss Adjustment Expense Paid to Defense Counsel 39812 43964

 

 

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