Medical Malpractice Cases In Bay County Florida

Dr. Ismail M Zabih Medical Malpractice Lawsuits - Court Case # 08-4186CA

Indemnity Paid: $2,500,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201366234
Claim Number :	5136620-01
Date Submitted :	9/23/2013

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	Susan		K	Spielman
Street Address
5814 Reed Road
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	Ismail		M	Zabih
Insurer Type		Street Address of Practice
Licensed		11111 Panama City Beach Pkwy, Ste 106
City		State	Zip Code	County
Panama City Beach		FL	32407	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
684997		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME85390		Internal Medicine - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
4/6/2006		6/13/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pounding headache and neck pain following boating accident
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Emergency room treatment and admission to hospital
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to timely request stat neurology consult
Principal Injury Giving Rise To The Claim
Stroke with permanent disabilities
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/3/2008			08-4186CA
County Suit Filed in			Date of Final Disposition
Bay			2/12/2013
Other Defendants Involved in this Claim
Bay Medical Center Unis RN, Kristen AMN Healthcare Inc Epstein MD, Frederick Bay Emergency Physician Specialists Inc Panama Internal Medicine Associates PA
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
2/12/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$2,500,000

Loss Adjust Expense Paid to Defense Counsel

$368,542

All Other Loss Adjustment Expense Paid

$209,581

Injured Person's Total Non-Economic Loss

Deductible

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

N/A

Updates

Date of Change:

9/23/2013 2:55:41 PM

Reason for Change:

Update ALE

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	357268	368542
All Other Loss Adjustment Expense Paid	185546	209581

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Dr. Carl G Bailey Medical Malpractice Lawsuits - Court Case # 02-2981-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200535107
Claim Number :	15543
Date Submitted :	11/8/2005

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	Carl		G	Bailey
Insurer Type		Street Address of Practice
Licensed		PO Box 1770
City		State	Zip Code	County
Panama City		FL	32402	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1600526 00		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME54829		Radiology - Diagnostic - Minor Surgery		2701

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
8/9/2000		4/24/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Breast cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Screening mammogram
Diagnostic Code :		DC233.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose breast cancer
Principal Injury Giving Rise To The Claim
Breast cancer
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/16/2002			02-2981-CA
County Suit Filed in			Date of Final Disposition
Bay			5/11/2005
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.
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/1/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$500,000

Loss Adjust Expense Paid to Defense Counsel

$52,338

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$100,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$200,000	$100,000
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Risk Management has counseled insured.

Updates

Date of Change:

11/8/2005 12:37:41 PM

Reason for Change:

Corrected final disposition date

Field Changed	Former Value	New Value
Date of Final Disposition	01-APR-05	11-MAY-05

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Dr. MOHIUDDIN A SYED Medical Malpractice Lawsuits - Court Case # 10-2826-CA

Indemnity Paid: $490,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201365725
Claim Number :	0AA736496
Date Submitted :	1/14/2013

Insurer Information

Insurer Name				Coverage Type
HOMELAND INSURANCE COMPANY OF NEW YORK				Primary
Insurer FEIN		Professional License Number
52-1568827
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Mike			Clark
Street Address
199 Scott Swamp Road
City				State	Zip
Farmington				CT	06032
Phone	Ext	Fax	E-Mail Address
(860) 321 - 2544		(877) 256 - 5067	mclark@onebeaconpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	MOHIUDDIN		A	SYED
Insurer Type		Street Address of Practice
Licensed		12073 SW 125th Street
City		State	Zip Code	County
Miami		FL	33186	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MPP-232909		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
OS9369		Physicians or Surgeons

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Liberty
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		ER
Date of Occurrence		Date Reported to Insurer
10/7/2009		7/6/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
THE PATIENT AT ISSUE IN THIS MATTER (AGE 37) INITIALLY PRESENTED TO ANOTHER EMERGENCY ROOM WITH SYMPTOMS INCLUDING VOMITING AND DIFFICULTY WALKING, HE WAS DIAGNOSED WITH GASTROENTERITIS, AND DISCHARGED HOME. LATER THAT MORNING, HE RETURNED TO THE SAME EMERGENCY ROOM WITH ONGOING NEUROLOGIC COMPLAINTS, AND WAS THEN ASSESSED TO HAVE HAD A CVA, AND WAS TRANSFERRED TO BAY MEDICAL CENTER FOR FURTHER EVALUATION
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
AT BAY MEDICAL CENTER, HE WAS EVALUATED BY THE EMERGENCY ROOM PHYSICIAN WHO PERFORMED A LUMBAR PUNCTURE AND DIAGNOSED THE PATIENT WITH HAVING A NON-HEMORRHAGIC CVA AND POSSIBLE MENINGITIS. DR. SYED WAS NOTIFIED FOR ADMISSION ONLY SEVERAL HOURS AFTER THE PATIENT'S SYMPTOMS BEGAN, GAVE THE PATIENT AN ASSESSMENT THAT INCLUDED CVA, AND HE ALSO NOTED THE PATIENT WAS OUTSIDE OF THE TIME WINDOW FOR TPA (CLOT BUSTING DRUG) ADMINISTRATION. HIS ORDERS INCLUDED NEURO CHECKS EVERY 2 HOURS, NPO AND SPEECH THERAPY FOR A SWALLOW EVALUATION, AN MRI OF THE BRAIN, AND A NEUROLOGY CONSULT IN THE AM. DR. SYED HAD NO FURTHER INVOLVEMENT WITH THE PATIENT AFTER HIS EXAMINATION WAS COMPLETED AND ORDERS WERE WRITTEN ON OCTOBER 7, 2009. THERE WERE NO REPORTED CHANGES IN MR. VAUGHN'S NEUROLOGIC STATUS THAT WERE COMMUNICATED TO DR. SYED THROUGHOUT THE REMAINDER OF HIS SHIFT. MR. VAUGHN'S CONDITION DETERIORATED THE FOLLOWING DAY AFTER ANOTHER PHYSICIAN HAD ASSUMED HIS CARE, AND HIS OUTCOME WAS THAT OF A CVA WITH WEAKNESS AND DIFFICULTY WITH SPEECH AND SWALLOWING.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
THE PLAINTIFFS IN THIS CASE ALLEGE THAT DR. SYED FAILED TO OBTAIN AN IMMEDIATE CONSULTATION WITH A NEUROLOGIST AND OR NEUROSURGEON ON THE EVENING OF 10 07 2009 AFTER THE DIAGNOSIS OF NON HEMORRHAGIC CVA WAS MADE. FAILING TO ORDER OR RECOMMEND THAT AN IMMEDIATE WORK UP BE PERFORMED ON THE EVENING OF 10 07 2009 TO PROMPTLY DIAGNOSE THE IMPENDING THROMBOTIC STROKE TO AVOID OR LESSEN THE SEVERITY OF THE COMPLICATIONS ULTIMATELY SUFFERED BY THE PLAINTIFF. FAILING TO ORDER OR RECOMMEND A STAT MRI OR MRA OF THE BRAIN ON 10 07 2009 AFTER THE DIAGNOSIS OF NON HEMORRHAGIC CVA WAS MADE. FAILING TO GIVE ORDER OR CAUSE TO BE ADMINISTERED T PA TISSUE PLASMINOGEN ACTIVATOR OR SOME CLOT BUSTING DRUG ON THE EVENING OF 10 07 2009 AFTER THE DIAGNOSIS OF NON HEMORRHAGIC CVA WAS MADE BY DR TULLY. FAILING TO FOLLOW UP WITH THE PATIENT BY AT LEAST COMMUNICATING WITH THE NURSING PERSONAL DURING THE NIGHT HOURS OF 10 07 2009 AND THE EARLY MORNING HOURS OF 10 08 2009 WHICH WOULD HAVE LED TO AN EARLIER DIAGNOSIS OF THE SEVERE COMPLICATIONS ARISING FROM THE INITIAL THROMBOTIC STROKE.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
7/11/2011			10-2826-CA
County Suit Filed in			Date of Final Disposition
Bay			1/3/2013
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.
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/4/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$490,000

Loss Adjust Expense Paid to Defense Counsel

$174,361

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

$25,000

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

Not known at this time

Updates

No updates found.

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

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Dr. Justin Strittmatter Medical Malpractice Lawsuits - Court Case # 2011-522CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201264315
Claim Number :	142444
Date Submitted :	7/13/2012

Insurer Information

Insurer Name				Coverage Type
HEALTH CARE INDEMNITY, INC.				Primary
Insurer FEIN		Professional License Number
61-0904881
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Teresa			Ross
Street Address
One Park Plaza P.O. Box 555
City				State	Zip
Nashville				TN	37202
Phone	Ext	Fax	E-Mail Address
(615) 344 - 5804			Teresa.Ross@HCAHealthcare.com

Insured Information

Type	First Name		MI	Last Name
Individual	Justin			Strittmatter
Insurer Type		Street Address of Practice
Licensed		449 W 23rd Street
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HCI-CT-10108		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME92292		Emergency Medicine - No Major Surgery		01

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
GULF COAST MEDICAL CENTER (PANAMA CITY)		100242
Location of Institutional Injury		Other Location of Institutional Injury
Other		Emergency Room
Date of Occurrence		Date Reported to Insurer
11/21/2008		11/12/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Esophageal obstruction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was treated in ER for a food bolus in his esophagus & was treated & released. He returned shortly afterwards with a ruptured esophagus.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Perforated esophagus.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
4/4/2011			2011-522CA
County Suit Filed in			Date of Final Disposition
Bay			6/27/2012
Other Defendants Involved in this Claim
Gulf Coast Medical Center
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
6/26/2012

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$24,769

All Other Loss Adjustment Expense Paid

$7,022

Injured Person's Total Non-Economic Loss

$150,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$350,000	$100,000
Wage Loss	$30,000	$0
Other Expenses	$0	$0

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

Review of policies and procedures.

Updates

No updates found.

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

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Dr. John Daly Medical Malpractice Lawsuits - Court Case # 09-3694CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201058691
Claim Number :	36368-01
Date Submitted :	10/1/2010

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	John			Daly
Insurer Type		Street Address of Practice
Licensed		801 E. 6th Street, Ste 205-A
City		State	Zip Code	County
Panama City		FL	32401	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
98316		$250,000		$750,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS4746		Anesthesiology		80151

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/12/2007		11/6/2007

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic back pain with spinal canal narrowing and spinal stenosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Administration of anesthesia for thoracic-lumbar decompression laminectomy with instrumentation infusion.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to recognize intravascular hypovolemia caused by "over sedation".
Principal Injury Giving Rise To The Claim
The patient suffered an intraoperative cardiac event, resulting in cerebral anoxia and death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/17/2009			09-3694CA
County Suit Filed in			Date of Final Disposition
Bay			9/10/2010
Other Defendants Involved in this Claim
Bay Medical Center Netherland, CRNA, Jan
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
9/10/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$7,833

All Other Loss Adjustment Expense Paid

$3,696

Injured Person's Total Non-Economic Loss

$250,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. MOHAMMED ABDULRAHIM Medical Malpractice Lawsuits - Court Case # 09-1603-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201162372
Claim Number :	59152801
Date Submitted :	11/22/2011

Insurer Information

Insurer Name				Coverage Type
PHYSICIANS INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
13-4235490
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Becky			Sanders
Street Address
361 E. Hillsboro Blvd.
City				State	Zip
Deerfield Beach				FL	33441
Phone	Ext	Fax	E-Mail Address
(954) 788 - 5610		(954) 788 - 5367	bsanders@picinsurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	MOHAMMED			ABDULRAHIM
Insurer Type		Street Address of Practice
Licensed		200 West 19th Street
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
131668		$250,000		$500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME59452		Pediatrics - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
GULF COAST MEDICAL CENTER (PANAMA CITY)		100242
Location of Institutional Injury		Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
1/11/2008		12/4/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infant patient was admitted to hospital withsevere illness with a differential diagnosis of viral infection.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured pediatrician referred the patient for an infectious disease consult and ultimately had the patient transferred to Sacred Heart Hospital on the sixth day.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose Herpes Simplex Virus (HSV).
Principal Injury Giving Rise To The Claim
The patient died from Herpes Simplex Virus (HSV).
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
4/28/2009			09-1603-CA
County Suit Filed in			Date of Final Disposition
Bay			11/4/2011
Other Defendants Involved in this Claim
Gulf Coast Medical Center
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
11/4/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$63,460

All Other Loss Adjustment Expense Paid

$6,622

Injured Person's Total Non-Economic Loss

Deductible

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

Continuing Education.

Updates

No updates found.

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Dr. Michael X Rohan Medical Malpractice Lawsuits - Court Case # 03-3546-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200537850
Claim Number :	17971
Date Submitted :	11/1/2005

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	Michael		X	Rohan
Insurer Type		Street Address of Practice
Licensed		408 W. 19th Street
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1600234 02		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME18430		Surgery - Orthopedic		1103

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Surgery Center
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/16/2001		6/25/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Posterior tibial tendon tear
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Synovectomy and tibial tendon repair
Diagnostic Code :		845.03
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged performance of unnecessary surgery and failure to treat wound infection
Principal Injury Giving Rise To The Claim
Cellulitis and edema
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
11/1/2003			03-3546-CA
County Suit Filed in			Date of Final Disposition
Bay			10/4/2005
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.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/4/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$12,826

All Other Loss Adjustment Expense Paid

$3,206

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$61,722	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Risk Management has counseled insured

Updates

No updates found.

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Dr. MOHAMMED M ZEINOMAR Medical Malpractice Lawsuits - Court Case # 04-227-A

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200745337
Claim Number :	270208-1
Date Submitted :	9/11/2007

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	Mary			Osborn
Street Address
5814 Reed Rd
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(800) 463 - 3776	6604	(260) 486 - 0785	Mary.Osborn@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	MOHAMMED		M	ZEINOMAR
Insurer Type		Street Address of Practice
Licensed		102 MEDICAL CENTER DR
City		State	Zip Code	County
PANAMA CITY		FL	32405-4907	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
697591		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME58398		Pediatrics - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
GULF COAST MEDICAL CENTER (PANAMA CITY)		100242
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/9/2003		9/23/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CEREBAL PALSY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXAM, CT SCAN, ADMISSION
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
IMPROPER TREATMENT
Principal Injury Giving Rise To The Claim
P&S, ADDITIONAL NUEROLOGICAL INJURY
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/11/2004			04-227-A
County Suit Filed in			Date of Final Disposition
Bay			4/19/2007
Other Defendants Involved in this Claim
BAKER, JEFF P PHYSICIANS UNDER CONTRACT RAHIM, MOHAMMED BAY HOSPITAL GULF COAST MED CTR
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/15/2006

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$43,080

All Other Loss Adjustment Expense Paid

$14,514

Injured Person's Total Non-Economic Loss

Deductible

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

N/A

Updates

Date of Change:

9/11/2007 10:46:39 AM

Reason for Change:

Updated claim number and financial information

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	12766	14514
Amount of Loss Adjustment Expense Paid to Defense Counsel	42835	43080
Claim Number	270208	270208-1

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Dr. Sohail M Khan Medical Malpractice Lawsuits - Court Case # 04-3621CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200745644
Claim Number :	31039-02
Date Submitted :	5/21/2007

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Sohail		M	Khan
Insurer Type		Street Address of Practice
Licensed		P. O. Box 931
City		State	Zip Code	County
Lynn Haven		FL	32444	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
19206		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME69895		Internal Medicine - No Surgery		80257

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Patient's Home
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
9/16/2002		7/14/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Lower extremity swelling/gout.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient was given a prescription for allopurinal.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
This 69 year old female developed an allergic reaction to allopurinal and ultimately underwent a permanent tracheostomy.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/13/2004			04-3621CA
County Suit Filed in			Date of Final Disposition
Bay			5/2/2007
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
Summary judgment for the defendant.
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/2/2007

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$22,684

All Other Loss Adjustment Expense Paid

$8,957

Injured Person's Total Non-Economic Loss

$250,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Rodney C Morris Medical Malpractice Lawsuits - Court Case # 02-3404 CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200534470
Claim Number :	D02-26134-00
Date Submitted :	2/28/2005

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Rodney		C	Morris
Insurer Type		Street Address of Practice
Licensed		806 East 6th Street
City		State	Zip Code	County
Panama City		FL	32401	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
9890		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME44185		Surgery - General		80143

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
11/15/2000		5/3/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Closed head injury and general trauma following a fall from a ladder.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to appreciate an injury to the spleen.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death, possibly related to rupture of the spleen.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/25/2002			02-3404 CA
County Suit Filed in			Date of Final Disposition
Bay			2/1/2005
Other Defendants Involved in this Claim
Stringer, M.D., Merle P
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
2/1/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$76,454

All Other Loss Adjustment Expense Paid

$23,969

Injured Person's Total Non-Economic Loss

$100,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$55,000	$0
Wage Loss	$100,000	$600,000
Other Expenses	$10,000	$0

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. FREDERICK W SHULER Medical Malpractice Lawsuits - Court Case # 09-1891CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201057019
Claim Number :	265802
Date Submitted :	4/14/2010

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	Angela			LaFrance
Street Address
13450 W. Sunrise Blvd., Suite 160
City				State	Zip
Sunrise				FL	33323
Phone	Ext	Fax	E-Mail Address
(954) 838 - 9988		(866) 636 - 5421	alafrance@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	FREDERICK		W	SHULER
Insurer Type		Street Address of Practice
Licensed		2101 Jenks Avenue
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
69024		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME88381		Surgery - Thoracic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
2/12/2007		11/13/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was status post heart catheterization with right coronary artery stent placement surgery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vascular consultation.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
4/20/2009			09-1891CA
County Suit Filed in			Date of Final Disposition
Bay			3/22/2010
Other Defendants Involved in this Claim
Gamad, M.D., Rogelio J Board of Trustees of Bay Medical Center R. J. Gamad, M.D., P.A. Vascular Associates, LLC Nichols, M.D., Timothy P Tracy, M.D., George G
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
3/12/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$45,000

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$100,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$75,000	$0
Wage Loss	$75,000	$0
Other Expenses	$0	$0

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

Unknown.

Updates

No updates found.

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

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Dr. William Bone Medical Malpractice Lawsuits - Court Case # 09-1603 CA

Indemnity Paid: $225,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200955091
Claim Number :	37995-01
Date Submitted :	10/8/2009

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	William			Bone
Insurer Type		Street Address of Practice
Licensed		2579 Hunt Cliff Lane
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
19064		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME69674		Infectious Diseases - No Surgery		80246

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
GULF COAST MEDICAL CENTER (PANAMA CITY)		100242
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
1/9/2008		12/2/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
High fever, rule out drug fever versus viral disease with a final diagnosis of HSV.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Disputed allegations of failing to perform appropriate testing and diagnostic evaluations to diagnose and treat HSV.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
4/28/2009			09-1603 CA
County Suit Filed in			Date of Final Disposition
Bay			9/17/2009
Other Defendants Involved in this Claim
Gulf Coast Medical Center Rahim, M.D., Yahia
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
9/17/2009

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$225,000

Loss Adjust Expense Paid to Defense Counsel

$3,127

All Other Loss Adjustment Expense Paid

$13,433

Injured Person's Total Non-Economic Loss

$225,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Duane Osborne Medical Malpractice Lawsuits - Court Case # 03-2668CA

Indemnity Paid: $225,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200851859
Claim Number :	24764-01
Date Submitted :	12/23/2008

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Duane			Osborne
Insurer Type		Street Address of Practice
Licensed		740 Harrison Avenue
City		State	Zip Code	County
Panama City		FL	32401	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
98207		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME76232		Surgery - General		80143

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Patient's Home
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
11/14/2000		9/21/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right buttock pain post resection of cyst.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Allegedly improperly prescribing Oxycontin caused death from acute, accidental intoxication.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
7/30/2003			03-2668CA
County Suit Filed in			Date of Final Disposition
Bay			12/1/2008
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.
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/1/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$225,000

Loss Adjust Expense Paid to Defense Counsel

$49,592

All Other Loss Adjustment Expense Paid

$71,448

Injured Person's Total Non-Economic Loss

$225,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Elizabeth Neel Medical Malpractice Lawsuits - Court Case # 10-2221CA

Indemnity Paid: $210,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201263681
Claim Number :	272029
Date Submitted :	4/27/2012

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	Angela			LaFrance
Street Address
13450 W. Sunrise Blvd., Suite 160
City				State	Zip
Sunrise				FL	33323
Phone	Ext	Fax	E-Mail Address
(954) 838 - 9988		(866) 636 - 5421	alafrance@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Elizabeth			Neel
Insurer Type		Street Address of Practice
Licensed		6707 Yacht Club Drive
City		State	Zip Code	County
Callaway		FL	32404	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
65080		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME97602		Family Physicians or General Practitioners - Minor Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Walk-in Clinic
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		Exam room
Date of Occurrence		Date Reported to Insurer
3/19/2009		8/25/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of swollen and painful left testicle.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was examined by physician and diagnosed with epididymitis.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient was later diagnosed with testicular torsion.
Principal Injury Giving Rise To The Claim
Loss of left testicle as a result of alleged misdiagnsois of testicular torsion.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/26/2010			10-2221CA
County Suit Filed in			Date of Final Disposition
Bay			4/25/2012
Other Defendants Involved in this Claim
Bay Walk-In Clinic, Inc.
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
4/24/2012

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$210,000

Loss Adjust Expense Paid to Defense Counsel

$125,000

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$200,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$10,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Unknown.

Updates

No updates found.

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Dr. Merle P Stringer Medical Malpractice Lawsuits - Court Case # 02-3404 CA

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200534469
Claim Number :	A02-26134-00
Date Submitted :	2/28/2005

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Merle		P	Stringer
Insurer Type		Street Address of Practice
Licensed		2011 HARRISON AVE
City		State	Zip Code	County
PANAMA CITY		FL	32405-4545	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
36965		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME15511		Surgery - Neurology - Including Child		80152

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
11/15/2000		5/3/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Closed head injury and general trauma following a fall from a ladder.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to appreciate an injury to the spleen.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death, possibly related to rupture of the spleen.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/25/2002			02-3404 CA
County Suit Filed in			Date of Final Disposition
Bay			2/1/2005
Other Defendants Involved in this Claim
Morris, M.D., Rodney
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
2/1/2005

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

$104,659

All Other Loss Adjustment Expense Paid

$26,777

Injured Person's Total Non-Economic Loss

$100,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$55,000	$0
Wage Loss	$100,000	$600,000
Other Expenses	$10,000	$0

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Albert Mapp Medical Malpractice Lawsuits - Court Case # 2012 CA 000270

Indemnity Paid: $187,500.00

Medical Malpractice Closed Claims Report

Department File Number :	M201471583
Claim Number :	fp3959601
Date Submitted :	8/12/2014

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Albert			Mapp
Insurer Type		Street Address of Practice
Licensed		489 N. Tyndall Parkway
City		State	Zip Code	County
Panama City		FL	32404	Escambia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FP-IN028051		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME47609		Family Physicians or General Practitioners - Minor Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
11/12/2009		12/28/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient admitted for treatment of uncontrolled diabetes.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Routine admissions orders to include CXR
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to follow up on abnormal CXR results resulting in a delay in diagnosis of lung cancer.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
3/15/2012			2012 CA 000270
County Suit Filed in			Date of Final Disposition
Bay			7/25/2014
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.
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/25/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$187,500

Loss Adjust Expense Paid to Defense Counsel

$26,241

All Other Loss Adjustment Expense Paid

$10,056

Injured Person's Total Non-Economic Loss

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures.Patient Safety referral is made if appropriate

Updates

No updates found.

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Dr. Kamal Zawahry Medical Malpractice Lawsuits - Court Case # 09004424CA

Indemnity Paid: $165,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201059360
Claim Number :	38246-01
Date Submitted :	12/10/2010

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Kamal			Zawahry
Insurer Type		Street Address of Practice
Licensed		P. O. Drawer 2130
City		State	Zip Code	County
Panama City		FL	32402	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
87338		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME36440		Pulmonary Diseases - No Surgery		80269

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
4/5/2007		1/30/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cervical and lumbar sprain s/p motor vehicle accident.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Chronic pain management.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Allegations of prescribing enormous amounts of Xanax, Soma, Lortab, Oxycontin and Methadone without objective clinical findings, resulting in the patient becoming physically and psychologically addicted.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/8/2009			09004424CA
County Suit Filed in			Date of Final Disposition
Bay			11/19/2010
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.
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/19/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$165,000

Loss Adjust Expense Paid to Defense Counsel

$34,261

All Other Loss Adjustment Expense Paid

$12,279

Injured Person's Total Non-Economic Loss

$165,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. MALVINDER S AJIT Medical Malpractice Lawsuits - Court Case # 2010777CA

Indemnity Paid: $150,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201469684
Claim Number :	0AA648132
Date Submitted :	2/7/2014

Insurer Information

Insurer Name				Coverage Type
HOMELAND INSURANCE COMPANY OF NEW YORK				Primary
Insurer FEIN		Professional License Number
52-1568827
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Mike			Clark
Street Address
199 Scott Swamp Road
City				State	Zip
Farmington				CT	06032
Phone	Ext	Fax	E-Mail Address
(860) 321 - 2544		(877) 256 - 5067	mclark@onebeaconpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	MALVINDER		S	AJIT
Insurer Type		Street Address of Practice
Licensed		3209 Pleasant Hill Road
City		State	Zip Code	County
Lynn Haven		FL	32444	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MPP207509		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME76922		Internal Medicine - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		Emergency Room
Date of Occurrence		Date Reported to Insurer
7/18/2008		10/20/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The Patient Presented to the Emergency Room with Complaints of chest pain and shortness of breath. The Patient reported a History of congestive heart failure, degenerative Joint Disease, asthma, hypertention, anxiety disorder and chronic diarrhea
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Intravenous Heparin was ordered and started by the emergency room physician. Following the patients admission to the hospital Dr. Ajit continued the Heparin drip, ordered a CT scan as well as a Pulmonology consult. Dr. Ajit subsequently ordered a heating pad for the patients leg cramps, flexeril and a Doppler ultrasound to rule out a DVT in her lower leg
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The patient alleged that she was negligently continued on a Heparin protocol after tests had ruled out a pulmonary embolism
Principal Injury Giving Rise To The Claim
the patient developed a hematoma in her left leg which ultimatley resulted in nerve damage evidenced by a left foot drop and left leg weakness.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
3/15/2010			2010777CA
County Suit Filed in			Date of Final Disposition
Bay			9/29/2010
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.
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/20/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$150,000

Loss Adjust Expense Paid to Defense Counsel

$37,613

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

$5,000

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

Unknown at this time

Updates

No updates found.

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Dr. Oscar L Mullis Medical Malpractice Lawsuits - Court Case # 09-3050-CA

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201159577
Claim Number :	1005482-01
Date Submitted :	8/18/2011

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	Oscar		L	Mullis
Insurer Type		Street Address of Practice
Licensed		1600 Jenks Avenue
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL003695		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME27750		Surgery - Opthalmology

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
7/16/2007		3/4/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cataracts in both eyes
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery on right eye
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Leaving lens fragments in right eye; poor surgery
Principal Injury Giving Rise To The Claim
Loss of vision in right eye
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
6/15/2009			09-3050-CA
County Suit Filed in			Date of Final Disposition
Bay			1/11/2011
Other Defendants Involved in this Claim
Mullis Eye Institute Inc
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
1/11/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$125,000

Loss Adjust Expense Paid to Defense Counsel

$24,073

All Other Loss Adjustment Expense Paid

$11,491

Injured Person's Total Non-Economic Loss

Deductible

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

N/A

Updates

Date of Change:

8/18/2011 10:33:37 AM

Reason for Change:

Update ALE

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	23470	24073
All Other Loss Adjustment Expense Paid	11490	11491

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Dr. Firas Saleh Medical Malpractice Lawsuits - Court Case # 08-2847CA

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201263949
Claim Number :	36887-01
Date Submitted :	5/25/2012

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Firas			Saleh
Insurer Type		Street Address of Practice
Licensed		2202 State Ave, Ste 201
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
98457		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME93796		Neurology - Including Child - No Surgery		80261

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
5/31/2006		3/27/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Basilar artery occlusion with presenting symptoms of headache, diaphoresis, stumbling gate and mumbled speech.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Neurology consultation.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to timely diagnose and treat basilar artery occlusion.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
7/8/2008			08-2847CA
County Suit Filed in			Date of Final Disposition
Bay			5/7/2012
Other Defendants Involved in this Claim
Bay Medical Center Banton, M.D., Keith
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
5/7/2012

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$125,000

Loss Adjust Expense Paid to Defense Counsel

$115,909

All Other Loss Adjustment Expense Paid

$18,316

Injured Person's Total Non-Economic Loss

$125,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Sudhakar Reddy Medical Malpractice Lawsuits - Court Case # 11-801CA

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201262701
Claim Number :	40902-01
Date Submitted :	1/11/2012

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Sudhakar			Reddy
Insurer Type		Street Address of Practice
Licensed		204 E. 19th Street
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
24775		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME40195		Gastroenterology - Minor Surgery		80274

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
GULF COAST MEDICAL CENTER (PANAMA CITY)		100242
Location of Institutional Injury		Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
8/20/2009		11/2/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Syncope, GI bleeding, later diagnosed with a Dieulafoy lesion.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Disputed allegations of failing to timely diagnose and treat the dieulafoy lesion.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient suffered GI bleed, resulting in aspiration pneumonia and prolonged hospitalization with rehabilitation.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
6/14/2011			11-801CA
County Suit Filed in			Date of Final Disposition
Bay			12/21/2011
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.
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/21/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$125,000

Loss Adjust Expense Paid to Defense Counsel

$12,289

All Other Loss Adjustment Expense Paid

$2,279

Injured Person's Total Non-Economic Loss

$125,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. George Reiss Medical Malpractice Lawsuits - Court Case # 06-1935-CA-J

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201056285
Claim Number :	33350-01
Date Submitted :	2/2/2010

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	George			Reiss
Insurer Type		Street Address of Practice
Licensed		740 Harrison Avenue
City		State	Zip Code	County
Panama City		FL	32401	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
98207		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME60111		Surgery - General		80143

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
11/3/2003		11/8/2005

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Acute abdominal pain/acute appendicitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Appendectomy/excision of right adnexal mass.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Allegations of removing patient's right ovary, without consent despite plaintiff reporting a history of right oophorectomy as a child and its malignant appearance.
Principal Injury Giving Rise To The Claim
Allegations of inability to conceive children and premature menopause.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/3/2006			06-1935-CA-J
County Suit Filed in			Date of Final Disposition
Bay			1/12/2010
Other Defendants Involved in this Claim
Bay Medical Center
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
1/12/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$125,000

Loss Adjust Expense Paid to Defense Counsel

$19,970

All Other Loss Adjustment Expense Paid

$16,743

Injured Person's Total Non-Economic Loss

$125,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. ROGELIO GAMAD Medical Malpractice Lawsuits - Court Case # 09-1891CA

Indemnity Paid: $114,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201265313
Claim Number :	37926-01
Date Submitted :	11/6/2012

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	ROGELIO			GAMAD
Insurer Type		Street Address of Practice
Licensed		3232 E. 15th Street
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
47977		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME21270		Family Physicians or General Practitioners - No Surgery		80239

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
2/9/2007		11/13/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MRSA infection.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Blood obtained 5 days after onset of fever and 2 weeks after cardiac cath performed.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Infected hematoma at catheterization site.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
6/23/2009			09-1891CA
County Suit Filed in			Date of Final Disposition
Bay			10/15/2012
Other Defendants Involved in this Claim
Bay Medical Center Nichols, M.D., Timothy Tracy, M.D., George Schuler, M.D., Frederick
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
10/15/2012

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$114,000

Loss Adjust Expense Paid to Defense Counsel

$53,707

All Other Loss Adjustment Expense Paid

$96,370

Injured Person's Total Non-Economic Loss

$114,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Paul Garland Medical Malpractice Lawsuits - Court Case # 07-434

Indemnity Paid: $90,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200850910
Claim Number :	34762-02
Date Submitted :	9/18/2008

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Paul			Garland
Insurer Type		Street Address of Practice
Licensed		2500 Highway 77
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
98286		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME39766		Surgery - Opthalmology		80114

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Eye Center of North Florida
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
1/25/2005		10/11/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cataract in right eye.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical cataract removal with intraoccular lens placement.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient developed an intra-operative rupture of the posterior compartment, which required an anterior vitrectomy.This was a known risk and complication of the procedure.The patient later developed a retinal detachment under the care of a subsequent physician, who was unable to repair it.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/19/2007			07-434
County Suit Filed in			Date of Final Disposition
Bay			8/27/2008
Other Defendants Involved in this Claim
Pyne, D.O., Jeffrey Eye Center of North Florida
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
8/27/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$90,000

Loss Adjust Expense Paid to Defense Counsel

$21,141

All Other Loss Adjustment Expense Paid

$3,844

Injured Person's Total Non-Economic Loss

$90,000

Deductible

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Kevin Kulow Medical Malpractice Lawsuits - Court Case # 2010-1259CA

Indemnity Paid: $89,100.00

Medical Malpractice Closed Claims Report

Department File Number :	M201470393
Claim Number :	134990-2
Date Submitted :	4/7/2014

Insurer Information

Insurer Name				Coverage Type
HEALTH CARE INDEMNITY, INC.				Primary
Insurer FEIN		Professional License Number
61-0904881
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Teresa			Ross
Street Address
One Park Plaza P.O. Box 555
City				State	Zip
Nashville				TN	37202
Phone	Ext	Fax	E-Mail Address
(615) 344 - 5804			Teresa.Ross@HCAHealthcare.com

Insured Information

Type	First Name		MI	Last Name
Individual	Kevin			Kulow
Insurer Type		Street Address of Practice
Licensed		449 West 23rd Street
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HCI-CT-10108		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME79008		Emergency Medicine - No Major Surgery		01

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
GULF COAST MEDICAL CENTER (PANAMA CITY)		100242
Location of Institutional Injury		Other Location of Institutional Injury
Other		Emergency Room
Date of Occurrence		Date Reported to Insurer
2/21/2008		5/21/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cerebral infarct.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allege failure to diagnose impending cerebral infarct during first ER visit.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient seen in ER on 2/21/08 for dizziness, nausea & vomiting, & severe headache. Discharged with diagnosis of vomiting. Patient returned to ER on 2/22/08 for left-side facial numbness, unsteady gait, nystagmus & difficulty speaking. Dishcarged home with diagnosis of benign paroxysmal vertigo. Seen on 2/25/08 by primary care physician. MRI of internal auditory canals with & without contrast revealed an acute infarction in left medulla & left crebellum.
Principal Injury Giving Rise To The Claim
Cerebral infarct.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
5/7/2010			2010-1259CA
County Suit Filed in			Date of Final Disposition
Bay			3/18/2014
Other Defendants Involved in this Claim
Gulf Coast Medical Center
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
3/11/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$89,100

Loss Adjust Expense Paid to Defense Counsel

$85,796

All Other Loss Adjustment Expense Paid

$18,360

Injured Person's Total Non-Economic Loss

$89,100

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$70,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Staff education.

Updates

No updates found.

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