Department File Number : | M202093219 |
Claim Number : | 138899 |
Date Submitted : | 8/10/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
COVERYS SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
47-2600307 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | David | W | Lindquist | ||
Street Address | |||||
One Financial Center | |||||
City | State | Zip | |||
Boston | MA | 02465 | |||
Phone | Ext | Fax | E-Mail Address | ||
(617) 428 - 9838 | dlindquist@coverys.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | William | Gelinas | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1535 W Emerald Okas Dr | ||||
City | State | Zip Code | County | ||
Crystal River | FL | 34428 | Citrus | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
006fl000026450 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS8292 | Surgery - Cardiovascular Disease |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Duval | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SEVEN RIVERS COMMUNITY HOSPITAL | 100249 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/1/2018 | 10/30/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Hematoma | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to perform a fasciotomy earlier/ evacuation of hematoma | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to perform a fasciotomy earlier on claimant¿s left arm and leaving fascia open after evacuation of a hematoma resulting in compartment syndrome and nerve damage | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/29/2020 | 2020-CA-000071 A | ||||
County Suit Filed in | Date of Final Disposition | ||||
Citrus | 7/8/2020 | ||||
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 | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Other | Dismissal. Settled | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
7/8/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $23,618 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Settled for $200,000 |
Updates | |
No updates found. |
Does Dr. WILLIAM GELINAS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. WILLIAM GELINAS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).