Department File Number : | M201781186 |
Claim Number : | 61911 |
Date Submitted : | 2/10/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NCMIC INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
42-0635534 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Michelle | R | Gould | ||
Street Address | |||||
14001 University Avenue | |||||
City | State | Zip | |||
Clive | IA | 50325 | |||
Phone | Ext | Fax | E-Mail Address | ||
(515) 313 - 4558 | (515) 313 - 4471 | mgould@ncmic.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | SELDON | CHILDERS | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 825 W MARTIN LUTHER KING BLVD | ||||
City | State | Zip Code | County | ||
TAMPA | FL | 33603 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
dpl016777 | $1,100,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Dentistry | |||||
License Number | Specialty Code & Classification | Certification Number | |||
DN3518 | Dentists |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
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 | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/2/2015 | 3/13/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Advanced dental caries | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
multiple tooth extractions | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
no actual misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient presented to the practitioner for multiple tooth extractions. Patient¿s health history included heart disease, COPD, kidney disease, diabetes, and stroke. The patient began bleeding shortly after leaving the practitioners office. EMS was called. Upon arrival to the hospital the patient was in cardiac arrest. After attempts at CPR the patient was pronounced deceased. Cause of death was reported as acute gastrointestinal and pulmonary hemorrhage. Various acts of professional negligence were asserted in a lawsuit against the practitioner. Settlement was reached for $1,100,000 to avoid the costs and uncertainties of trial. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/15/2015 | 15-CA-009478 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 12/13/2016 | ||||
Other Defendants Involved in this Claim | |||||
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 | ||||
Other | Settled during discovery period | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
12/13/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,100,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $112,292 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Unsure what safety management steps taken. |
Updates | |
No updates found. |
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Does Dr. SELDON CHILDERS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SELDON CHILDERS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).