Dr. SAMANTHA KWON, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SAMANTHA KWON, MD

2815 S. Seacrest Blvd.

Indemnity Paid: $250,000.00

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Samantha			Kwon
Insurer Type		Street Address of Practice
Licensed		2815 S. Seacrest Blvd.
City		State	Zip Code	County
Boynton Beach		FL	33435	Palm Beach
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
99591		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME96761		Surgery - Cardiovascular Disease		80150

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Palm Beach
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BETHESDA MEMORIAL HOSPITAL		100002
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
6/9/2009		9/1/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was diagnosed with severe aortic insufficiency and left ventricular dysfunction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Complex aortic valve reconstruction and repair.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to timely interpret STAT transthoracic echocardiogram.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
6/23/2011			502011CA008009xxxxmb
County Suit Filed in			Date of Final Disposition
Palm Beach			9/16/2013
Other Defendants Involved in this Claim
Sullivan, D.O., Daniel Bethesda Memorial Hospital Metzger, M.D., Michael Carmichael, M.D., Michael Verma, M.D., Anil Kwon, M.D., Samantha Lynn, M.D., Geoffrey
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
9/16/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$20,949

All Other Loss Adjustment Expense Paid

$7,809

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

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Does Dr. SAMANTHA KWON, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SAMANTHA KWON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).