Dr. THOMAS H CLARKE, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. THOMAS H CLARKE, MD

7155 S. Tropical Trail

Indemnity Paid: $498,333.00

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	cwehner@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Thomas		H	Clarke
Insurer Type		Street Address of Practice
Licensed		7155 S. Tropical Trail
City		State	Zip Code	County
Merritt Island		FL	32952	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1601281 02		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME38347		Radiology - Diagnostic - Minor Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Brevard
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Health First Healthplex
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
10/15/2001		4/18/2005

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Lung cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT scan
Diagnostic Code :		793.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of lung cancer
Principal Injury Giving Rise To The Claim
Lung cancer
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
8/16/2005			05-CA-019963
County Suit Filed in			Date of Final Disposition
Brevard			1/30/2007
Other Defendants Involved in this Claim
Amgott, MD, Theodore Paige, MD, Robert M Dana, MD, Gary C Melbourne Internal Medicine Associates
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
11/17/2006

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$498,333

Loss Adjust Expense Paid to Defense Counsel

$7,593

All Other Loss Adjustment Expense Paid

$1,289

Injured Person's Total Non-Economic Loss

$498,333

Deductible

Injured Person's Total Economic Loss

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

Risk management has counseled insured

Updates

Date of Change:

2/13/2007 11:55:31 AM

Reason for Change:

Report updated to reflect Court Document final disposition date of 1/30/07

Field Changed	Former Value	New Value
Date of Final Disposition	14-NOV-06	30-JAN-07

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Does Dr. THOMAS H CLARKE, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. THOMAS H CLARKE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).