Medical Malpractice Cases

Dr. Tereese Allen Medical Malpractice Cases

Court Case # 2015-CA-11610

Indemnity Paid: $270,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number : M201783919
Claim Number : 2015-08-221-021
Date Submitted : 12/28/2017
Insurer Information
Insurer Name Coverage Type
Lexington Insurace Company Primary
Insurer FEIN Professional License Number
Insurer Contact Information
Type First Name MI Last Name
Individual Jessica   Hayden
Street Address
2985 Drew Street
City State Zip
Clearwater FL 33764
Phone Ext Fax E-Mail Address
(727) 519 - 1268
Insured Information
Type First Name MI Last Name
Individual Tereese   Allen
Insurer Type Street Address of Practice
Self-Insurer 3001 W Dr. Martin Luther King Jr. Blvd
City State Zip Code County
Tampa FL 33607 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0114-66-162 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME94249 Internal Medicine - Minor Surgery  

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
  M Hillsborough
City State Zip Code
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
7/6/2013 8/24/2015
Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
A large amount of inflammation on the left side of the bladder, gross hematuria, and a colovesical fistula.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The Patient refused the recommended colon resection and surgical repair of the colovesical fistula and underwent a CT guided drainage of the colovesical fistula at which time an accordion drain was placed. Four days later the accordion drain was removed.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Principal Injury Giving Rise To The Claim
Development of a bleed resulting in death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


Legal Information
Date of Suit Circuit Court Case Number
1/7/2016 2015-CA-11610
County Suit Filed in Date of Final Disposition
Hillsborough 12/5/2017
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
No Court Proceedings.  
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 $270,000
Loss Adjust Expense Paid to Defense Counsel $72,179
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
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
Any risk issues have been/will be addressed.
No updates found.



*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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