Department File Number : | M201988522 |
Claim Number : | 359201 |
Date Submitted : | 4/18/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Uwe | G | Goehlert | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 167 Stonington Circle | ||||
City | State | Zip Code | County | ||
South Burlington | VT | 05403 | Out of state | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1201884 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME86308 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Highlands | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR. | 100109 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/14/2017 | 8/8/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Chest and back pain; pain in arms. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to work up cardiac complaints. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Insured diagnosed musculoskeletal complaints. | |||||
Principal Injury Giving Rise To The Claim | |||||
Death the next day from presumed myocardial infarction. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/20/2018 | 18000097GCAXMX | ||||
County Suit Filed in | Date of Final Disposition | ||||
Highlands | 4/9/2019 | ||||
Other Defendants Involved in this Claim | |||||
Heartland Cardiology Group, PA Debra A. Doud, MD Cardiology, PLLC Goehlert, MD, Uwe G Adventist Heatlh System Sunbelt, Inc. DBA Florida Hospital H Tampa Bay Emergency Physicians Doud, MD, Debra A A | |||||
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 | |||||
4/9/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $400,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $55,174 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $29,319 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $400,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Does Dr. UWE G GOEHLERT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. UWE G GOEHLERT, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).