Department File Number : | M201886510 |
Claim Number : | C174210 |
Date Submitted : | 9/20/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ADMIRAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
22-2235730 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Padilla | |||
Street Address | |||||
1000 Howard Blvd Ste 300 | |||||
City | State | Zip | |||
Mount Laurel | NJ | 08056-2320 | |||
Phone | Ext | Fax | E-Mail Address | ||
(850) 505 - 8115 | dpadilla@admiralins.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Swoboda | E | Haberland | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 20950 NE 27th Court, Suite #200 | ||||
City | State | Zip Code | County | ||
Aventura | FL | 33140 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EO000032013-03 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME112970 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
AVENTURA HOSPITAL AND MEDICAL CTR. | 100131 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Private Practice | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/1/2017 | 2/5/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient sought treatment for R Gluteal abscess. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient developed soft tissue infection and sepsis after 5 days of initiation of Antibiotic treatment. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Patient refused initial recommendation for surgical incision/drainage of abscess and opted for a trial of antibiotic treatment given her age, debility and her wheelchair dependency. After 5 days of initiation of Antibiotics, without improvement, she presented to the ER. | |||||
Principal Injury Giving Rise To The Claim | |||||
Soft tissue infection requiring surgery. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 6/26/2018 | ||||
Other Defendants Involved in this Claim | |||||
Beth and Howard Braver MD PA | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
8/10/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $145,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $12,983 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $5,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured has discussed case with defense counsel and insurance personnel. |
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. SWOBODA E HABERLAND, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SWOBODA E HABERLAND, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).