Medical Malpractice Cases

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201885716
Claim Number :	61415
Date Submitted :	6/22/2018

 

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		(404) 842 - 3319	ctschanz@magmutual.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Hashem			Mubarak
Insurer Type		Street Address of Practice
Licensed		801 E. 6th St. Ste. 504
City		State	Zip Code	County
Panama City		FL	32401	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1603173 02		$2,000,000		$5,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME46828		Cardiovascular Disease - Minor Surgery

Florida Office of Insurance Regulation
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
2/2/2016			3/20/2017

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ischemia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Myocardial perfusion stress test
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose ischemia
Principal Injury Giving Rise To The Claim
Cardiac arrest
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
9/14/2017			2017-CA-00898
County Suit Filed in			Date of Final Disposition
Bay			6/4/2018
Other Defendants Involved in this Claim
Pulido, MD, Mario McDonald, ARNP, Katherine Bay Medical Center Panama City Inpatient Services Emcare, Inc. Enconfina Cardiology Group
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
6/4/2018

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$740,000
Loss Adjust Expense Paid to Defense Counsel					$18,398
All Other Loss Adjustment Expense Paid					$7,407
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $50,000 $0 Wage Loss $0 $0 Other Expenses $4,495 $200,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured

 

Updates

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201885993
Claim Number :	45373-1
Date Submitted :	7/25/2018

 

Insurer Information
Insurer Name				Coverage Type
Bay Medical Sacred Heart				Primary
Insurer FEIN		Professional License Number
90-079972		3982
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	BRIAN		A	CATRON
Street Address
2591 Wexford Bayne Road, Suite 401
City				State	Zip
Sewickley				PA	15143
Phone	Ext	Fax	E-Mail Address
(724) 934 - 6615			BRIAN.CATRON@VCM-LLC.COM

 

Insured Information
Type	First Name		MI	Last Name
Individual	Cyril			DeSilva
Insurer Type		Street Address of Practice
Self-Insurer		801 E. 6th Street Suite 302
City		State	Zip Code	County
Panama City		FL	32401	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
LHP SIR 2015		$1,000,000		$4,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME103399		Surgery - Neurology - Including Child

Florida Office of Insurance Regulation
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
9/10/2014			10/19/2015

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Four level disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Four level anterior cervical discectomy and fusion.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged dysphagia with permanent PEG tube for nutrition.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
4/27/2017			2017-000461-CA
County Suit Filed in			Date of Final Disposition
Bay			5/17/2018
Other Defendants Involved in this Claim
Bay Medical Sacred Heart
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
7/14/2018

 

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					$58,154
All Other Loss Adjustment Expense Paid					$0
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
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
Any risk issues have been addressed or will be addressed in the future.

 

Updates

No updates found.

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

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201885658
Claim Number :	45373-2
Date Submitted :	6/18/2018

 

Insurer Information
Insurer Name				Coverage Type
Bay Medical Sacred Heart				Primary
Insurer FEIN		Professional License Number
90-079972		3982
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	BRIAN		A	CATRON
Street Address
2591 Wexford Bayne Road, Suite 401
City				State	Zip
Sewickley				PA	15143
Phone	Ext	Fax	E-Mail Address
(724) 934 - 6615			BRIAN.CATRON@VCM-LLC.COM

 

Insured Information
Type	First Name		MI	Last Name
Individual	Cyril			DeSilva
Insurer Type		Street Address of Practice
Self-Insurer		801 E. 6th Street, Suite 302
City		State	Zip Code	County
Panama City		FL	32401	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
LHP SIR 2015		$1,000,000		$4,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME103399		Surgery - Neurology - Including Child

Florida Office of Insurance Regulation
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
9/10/2014			10/19/2015

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cervical Myelopathy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to properly treat cervical myelopathy.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged dysphagia with permanent PEG tube for nutrition.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
4/27/2017			2017-000461-CA
County Suit Filed in			Date of Final Disposition
Bay			5/17/2018
Other Defendants Involved in this Claim
Bay Medical Sacred Heart
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

 

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					$48,892
All Other Loss Adjustment Expense Paid					$0
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
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
Any risk issues have been addressed or will be addressed in the future.

 

Updates

No updates found.

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

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201575638
Claim Number :	DSNRRG-SABE-13P-2738
Date Submitted :	8/25/2015

 

Insurer Information
Insurer Name				Coverage Type
DOCTORS & SURGEONS NATIONAL RISK RETENTION GROUP, INC.				Primary
Insurer FEIN		Professional License Number
68-0656137
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kathy		A	Stockton
Street Address
9821 Katy Freeway
City				State	Zip
Houston				TX	77024
Phone	Ext	Fax	E-Mail Address
(713) 935 - 2404		(713) 461 - 8130	kathy_stockton@westernlitigation.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	MARK			FOPPE
Insurer Type		Street Address of Practice
Licensed		859 HANOVER WAY
City		State	Zip Code	County
LAKELAND		FL	33813	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
13-010428-02		$250,000		$750,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS8701		Emergency Medicine - No Major Surgery

Florida Office of Insurance Regulation
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
BAY MEDICAL CENTER			100026
Location of Institutional Injury			Other Location of Institutional Injury
Operating Suite
Date of Occurrence			Date Reported to Insurer
2/9/2014			8/18/2014

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
HERNIA
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ATTEMPT WAS MADE TO MANUALLY REDUCE THE INCARCERATED HERNIA IN ED UNDER CONSCIOUS SEDATION
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
PATIENT ASPIRATED AND DIED OF ASPIRATION PNEUMONIA.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
11/25/2014			20959364
County Suit Filed in			Date of Final Disposition
Bay			7/20/2015
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/27/2015

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$350,000
Loss Adjust Expense Paid to Defense Counsel					$21,010
All Other Loss Adjustment Expense Paid					$0
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
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

 

Updates

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201780931
Claim Number :	98950
Date Submitted :	1/23/2017

 

Insurer Information
Insurer Name				Coverage Type
MEDICUS INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
20-5623491
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Sasha			Yamamoto
Street Address
560 Davis Street
City				State	Zip
San Francisco				CA	94111
Phone	Ext	Fax	E-Mail Address
(415) 735 - 2135			syamamoto@norcal-group.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Ketan			Patel
Insurer Type		Street Address of Practice
Licensed		2507 Harrison Avenue, Suite 200
City		State	Zip Code	County
Panama City		FL	34205	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL-16065166		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME76020		Internal Medicine - No Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				M	Dade
City				State	Zip Code
Location where injury occured			Other location where injury occured
Physician's Office
Name of Institution			Code
N/A			000000
Location of Institutional Injury			Other Location of Institutional Injury
Other			Office
Date of Occurrence			Date Reported to Insurer
12/10/2012			2/13/2015

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Treatment for his Antiphospholipid Antibody Syndrome
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Information not provided at the time of this report
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Information not provided at the time of this report
Principal Injury Giving Rise To The Claim
Disputed Allegation made by a 33 year old male with history of Antiphospholipid Antibody Syndrome, who alleges negligent administration of Xarelto instead of Coumadin resulting in a stroke
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
6/10/2015			2015-CA-631
County Suit Filed in			Date of Final Disposition
Bay			10/28/2016
Other Defendants Involved in this Claim
Lu, Kun F
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
8/4/2016

 

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					$0
All Other Loss Adjustment Expense Paid					$0
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
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
Insured conferenced with attorney and claims repersentative

 

Updates

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201885041
Claim Number :	52378
Date Submitted :	4/13/2018

 

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		(404) 842 - 3319	ctschanz@magmutual.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	KUN			LU
Insurer Type		Street Address of Practice
Licensed		2417 Jenks Ave.
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1603159 01		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME104290		Hematology - Minor Surgery

Florida Office of Insurance Regulation
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
Patients' Room
Date of Occurrence			Date Reported to Insurer
3/18/2013			2/12/2015

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Antiphospholipid syndrome
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Switched from Coumadin to Xarelto
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged inappropriate switch from Coumadin to Xarelto
Principal Injury Giving Rise To The Claim
Thrombotic stroke
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
6/10/2015			2015-CA-631
County Suit Filed in			Date of Final Disposition
Bay			4/10/2018
Other Defendants Involved in this Claim
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/10/2018

 

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					$59,705
All Other Loss Adjustment Expense Paid					$36,474
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
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
Risk management has counseled insured

 

Updates

No updates found.

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201886575
Claim Number :	1039723-01
Date Submitted :	9/28/2018

 

Insurer Information
Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Louthan
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0778			reportaclaim@medpro.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Michael		H	McCormick
Insurer Type		Street Address of Practice
Licensed		213 S Cove Terrace Dr
City		State	Zip Code	County
Panama City		FL	32401	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
783204		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME51595		Surgery - Orthopedic

Florida Office of Insurance Regulation
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
11/11/2014			1/18/2017

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hip pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
surgery-right total hip arthroplasty
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
failed to protect an injured patient's right sciatic nerve
Principal Injury Giving Rise To The Claim
permanent right foot drop with loss of sensation and neurogenic pain
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
5/10/2017			17000507CA
County Suit Filed in			Date of Final Disposition
Bay			9/27/2018
Other Defendants Involved in this Claim
Michael H McCormick MD PA Coastal Orthopedics & Sports Medicine
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
9/27/2018

 

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					$8,811
All Other Loss Adjustment Expense Paid					$2,774
Injured Person's Total Non-Economic Loss					$250,000
Deductible					$0
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

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201886320
Claim Number :	1032065-01
Date Submitted :	9/5/2018

 

Insurer Information
Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Louthan
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0778			reportaclaim@medpro.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Carlos			Ramos
Insurer Type		Street Address of Practice
Licensed		80 Doctors Dr
City		State	Zip Code	County
Panama City		FL	32405	Bay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
782007		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME80837		Surgery - Urological

Florida Office of Insurance Regulation
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
Operating Suite
Date of Occurrence			Date Reported to Insurer
3/3/2016			3/8/2018

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Urinary retention secondary to Benign Prostatic Hyperplasia (BPH)
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Suprapubic simple prostatectomy
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
not known
Principal Injury Giving Rise To The Claim
Rectal injury; underwent transanal repair; may still need colostomy
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
2/8/2017			2017-000143-CA
County Suit Filed in			Date of Final Disposition
Bay			8/27/2018
Other Defendants Involved in this Claim
Panama City Urological Center PA and their agents, employees and assigns
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
8/27/2018

 

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					$9,658
All Other Loss Adjustment Expense Paid					$4,487
Injured Person's Total Non-Economic Loss					$215,000
Deductible					$0
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

 

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201887196
Claim Number :	1044753-03
Date Submitted :	12/6/2018

 

Insurer Information
Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Louthan
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0778			reportaclaim@medpro.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Merle		P	Stringer
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
781039		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME15511		Surgery - Nephrology

Florida Office of Insurance Regulation
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
Operating Suite
Date of Occurrence			Date Reported to Insurer
12/22/2015			6/23/2017

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
C7 cervical fracture, L2 transverse process fracture, L4-5 disc herniation
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lumbar decompression and L4-5 disc herniation
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to perform inter body fusion and remove the disc and place a titanium cage
Principal Injury Giving Rise To The Claim
Urinary retention, numbness, erectile dysfunction
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
11/16/2017			17001175CA
County Suit Filed in			Date of Final Disposition
Bay			11/26/2018
Other Defendants Involved in this Claim
Brain and Spine Center LLC Stringer MD, Douglas
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
11/21/2018

 

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					$15,823
All Other Loss Adjustment Expense Paid					$8,331
Injured Person's Total Non-Economic Loss					$250,000
Deductible					$0
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

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