Department File Number : | M201884139 |
Claim Number : | F10-0199-09 |
Date Submitted : | 1/22/2018 |
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 | Steven | R | Carey | ||
Street Address | |||||
4651 Salisbury Rd. Suite 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 309 - 8127 | (904) 309 - 8127 | scarey@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Tanya | Medina | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 618 13th Street, Suite A | ||||
City | State | Zip Code | County | ||
Saint Cloud | FL | 34769 | Osceola | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
11799 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME84474 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Osceola | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
OSCEOLA REGIONAL HOSPITAL | 100110 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/4/2009 | 9/9/2010 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Mother presented to give birth. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
C-section. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleging a failure to provide timely post natal care and failure to order a NICU consult. | |||||
Principal Injury Giving Rise To The Claim | |||||
Mental and motor impairment. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/10/2016 | 2011-CA-197-MP | ||||
County Suit Filed in | Date of Final Disposition | ||||
Osceola | 10/26/2017 | ||||
Other Defendants Involved in this Claim | |||||
Osceola Regional Hospital Pediatrix Medical Group of Florida Ojeda, MD, Ezer Maki, MD, Lance Pera, MD, Angelia Altomare, Jacque Torres, Angela Williams, Chantelle Diaz, Ivonne Hall, Julie Bout, Melissa Bowling, Glenda Slone, Constance | |||||
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 | |||||
10/26/2017 |
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 | $67,307 | ||||||||||||||||||||
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 the case have been discussed with the insured and Risk Management. |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. TANYA MEDINA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TANYA MEDINA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).