Department File Number : | M201886058 |
Claim Number : | 207809 |
Date Submitted : | 10/29/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE INDEMNITY COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
63-0720042 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | (205) 802 - 4710 | claimscompliancereporting@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Thomas | Singlevich | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 850 South Collier Blvd, Apt 1702 | ||||
City | State | Zip Code | County | ||
Marco Island | FL | 34145 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP94757 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME89957 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Taylor | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
DOCTORS' MEMORIAL HOSPITAL (PERRY) | 100106 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/15/2013 | 10/11/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Small bowel Obstruction | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Intubation | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Prolonged hospitalization and ARDS | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/22/2016 | 2016-VS-0037 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Taylor | 1/22/2016 | ||||
Other Defendants Involved in this Claim | |||||
Anesthesiology Associates of Tallahassee Inc. McGowan, Genevieve B | |||||
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 | |||||
7/24/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $93,410 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $13,659 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $50,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | ||||||||||
Date of Change: | 8/6/2018 4:22:10 PM | |||||||||
Reason for Change: | Updated ALAE information | |||||||||
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Date of Change: | 9/24/2018 12:58:38 PM | |||||||||
Reason for Change: | Updated ALAE information | |||||||||
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Date of Change: | 9/28/2018 9:35:09 AM | |||||||||
Reason for Change: | updated alae | |||||||||
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Date of Change: | 10/29/2018 2:21:27 PM | |||||||||
Reason for Change: | updated alae | |||||||||
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Department File Number : | M201886155 |
Claim Number : | 1028959-01 |
Date Submitted : | 8/15/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Thomas | E | Singlevich | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 611 Zeagler Dr | ||||
City | State | Zip Code | County | ||
Palatka | FL | 32177 | Putnam | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
753609 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME89957 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Taylor | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
DOCTORS' MEMORIAL HOSPITAL (PERRY) | 100106 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/17/2013 | 10/9/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Small bowel obstruction | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Anesthesia for abdominal exploration surgery | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to have aspiration precautions in place | |||||
Principal Injury Giving Rise To The Claim | |||||
Aspiration of gastric contents, placement of ET tube and transfer | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/22/2016 | 16-CA-000037 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Taylor | 7/31/2018 | ||||
Other Defendants Involved in this Claim | |||||
McGown CRNA, Genevieve B Anesthesiology Associates of Tallahassee | |||||
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 | |||||
7/30/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $28,683 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,870 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $50,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
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Department File Number : | M201884075 |
Claim Number : | 1037722-01 |
Date Submitted : | 8/28/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Thomas | E | Singlevich | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 611 Zeagler Dr | ||||
City | State | Zip Code | County | ||
Palatka | FL | 32177 | Putnam | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
753609 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME89957 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Putnam | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
PUTNAM COMMUNITY MEDICAL CENTER | 100232 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/6/2013 | 10/20/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Pregnancy-childbirth | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
anesthesiology services via epidural | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
failure to utilize face mask | |||||
Principal Injury Giving Rise To The Claim | |||||
meningitis and patient died 3/20/2013 | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/17/2016 | 542015CA000458CAAXMX | ||||
County Suit Filed in | Date of Final Disposition | ||||
Putnam | 1/5/2018 | ||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $23,152 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $5,649 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
Updates | ||||||||||
Date of Change: | 8/28/2018 10:05:58 AM | |||||||||
Reason for Change: | ALE UPDATE | |||||||||
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Does Dr. THOMAS SINGLEVICH, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. THOMAS SINGLEVICH, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).