Medical Malpractice Cases

Medical Malpractice Cases In Collier County Florida

Dr. Steven A Meckstroth Medical Malpractice Lawsuits - Court Case # 03-5251-CA

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744378
Claim Number :232184A
Date Submitted :2/8/2007
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJosie Maldonado
Street Address
13450 West Sunrise Blvd., Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 858 - 0202 (954) 838 - 7480JMaldonado@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualStevenAMeckstroth
Insurer TypeStreet Address of Practice
Licensed1656 MEDICAL BLVD STE 301
CityStateZip CodeCounty
NAPLESFL34110-1423Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
G007002$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME54663Gastroenterology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
NORTH COLLIER HOSPITAL120006
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/15/20029/5/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain radiating to the left flank and vomiting
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Treated for nausea, vomiting, pain and surgical consult ordered
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose prtal vein thrombosis timely
Principal Injury Giving Rise To The Claim
Portal ven thrombosis leading to life long total parenteral nutrition (TPN) due to alleged 24-hour delay in diagnosis and surgical intervention
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 SuitCircuit Court Case Number
12/29/200303-5251-CA
County Suit Filed inDate of Final Disposition
Collier1/22/2007
Other Defendants Involved in this Claim
Sponaugle, DO, John
Atkins, PA, Garth
North Collier Hospital
Naples Community Hosp.
NCH Healthcare System, 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/9/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$331,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$25,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$675,000
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. Larry H Saunders Medical Malpractice Lawsuits - Court Case # 06-0437-CA

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745577
Claim Number :23101
Date Submitted :5/11/2007
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLarryHSaunders
Insurer TypeStreet Address of Practice
Licensed1112 Goodlette Road North Suite 204
CityStateZip CodeCounty
NaplesFL34102Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600941 04$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME42237Emergency Medicine - No Major Surgery5104

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
NAPLES COMM. HOSPITAL (N. COLLIER)100018
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
5/7/200512/17/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Lacerated spleen
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT of abdomen
Diagnostic Code :865.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose lacerated spleen
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/16/200606-0437-CA
County Suit Filed inDate of Final Disposition
Collier4/20/2007
Other Defendants Involved in this Claim
Emergency Physicians of Naples
Naples Community Hospital
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/4/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$75,575
All Other Loss Adjustment Expense Paid$31,815
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$33,000$0
Wage Loss$0$963,628
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. Robert J Meli Medical Malpractice Lawsuits - Court Case # 08-1788CA

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850195
Claim Number :257140
Date Submitted :7/15/2008
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualAngela LaFrance
Street Address
13450 W. Sunrise Blvd., Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 838 - 99886216(866) 636 - 5421alafrance@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertJMeli
Insurer TypeStreet Address of Practice
Licensed1441 Ridge Street
CityStateZip CodeCounty
NaplesFL34103Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
72116$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME24427Radiology - Diagnostic - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationRadiology center
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
5/2/200511/12/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Left breast palpable mass
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Diagnostic bilateral mammogram and ultrasound
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Aggravation of pre-existing 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 SuitCircuit Court Case Number
3/21/200808-1788CA
County Suit Filed inDate of Final Disposition
Collier6/19/2008
Other Defendants Involved in this Claim
Naples Radiologists, P.A.
Community Imaging Inc dba Naples Diagnostic Imaging Center
McKinney, ARNP, Sara
Tzilinis, M.D., Christina M
Jeffrey A. Heitmann, M.D., P.A. dba A Woman's Place
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/19/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$31,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$500,000$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
 
Date of Change:7/15/2008 9:57:11 AM
Reason for Change:Added "ultrasound" to description of procedure rendered
 
Field ChangedFormer ValueNew Value
Cause of InjuryDiagnostic bilateral mammogramDiagnostic bilateral mammogram and ultrasound

 

 

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

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Dr. Daniel Singer Medical Malpractice Lawsuits - Court Case # 11-2016-CA-001808-00

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201883961
Claim Number : 340302
Date Submitted : 1/4/2018
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Daniel   Singer
Insurer Type Street Address of Practice
Licensed 1441 Ridge Street
City State Zip Code County
Naples FL 34103 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
072116 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME76808 Radiology - Diagnostic - 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 Collier
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Naples Diagnostic Imaging Center
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
10/1/2015 3/14/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MRA on caratoid arteries.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged misinterpretation of MRA.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to identify caratoid stenosis.
Principal Injury Giving Rise To The Claim
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
10/4/2016 11-2016-CA-001808-00
County Suit Filed in Date of Final Disposition
Collier 12/6/2017
Other Defendants Involved in this Claim
Rajasinghe, Hiranya
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
12/6/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,000,000
Loss Adjust Expense Paid to Defense Counsel $39,601
All Other Loss Adjustment Expense Paid $9,218
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
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. Carlos B Quintero Medical Malpractice Lawsuits - Court Case # 15-CA-0587

Indemnity Paid: $955,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886128
Claim Number : 03-24-17
Date Submitted : 8/13/2018
 
Insurer Information
 
Insurer Name Coverage Type
Quintero, Carlos B Primary
Insurer FEIN Professional License Number
99-9999999 ME96465
Insurer Contact Information
Type Entity Name
Entity Naples Community Hospital
Street Address
350 7th Street N
City State Zip
Naples FL 34102
Phone Ext Fax E-Mail Address
(239) 624 - 4010     linda.roeback@nchmd.org
 
Insured Information
 
Type First Name MI Last Name
Individual Carlos B Quintero
Insurer Type Street Address of Practice
Self-Insurer 350 7th Street N
City State Zip Code County
Naples FL 34102 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
01 $3,000,000 $12,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME96465 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 Collier
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
NAPLES COMM. HOSPITAL (N. COLLIER) 100018
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
11/25/2012 11/21/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right hip contusion with hematoma status post fall 3 days prior
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to maintain therapeutic anticoagulattion status. Alleged physician breached the standard of care by failing to include timely and robust anticoagulation therapy.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Cardioembolic stroke resulting in aphasia.
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
8/6/2018 15-CA-0587
County Suit Filed in Date of Final Disposition
Collier 3/24/2017
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
4/13/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $955,000
Loss Adjust Expense Paid to Defense Counsel $197,259
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
No safety management steps necessary.
 
Updates
 
No updates found.

 

 

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

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Dr. Nancy E Iott Medical Malpractice Lawsuits - Court Case # 06-637-CA

Indemnity Paid: $950,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200643338
Claim Number :23008
Date Submitted :5/3/2007
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNancyEIott
Insurer TypeStreet Address of Practice
Licensed1112 Goodlette Road North Suite 204
CityStateZip CodeCounty
NaplesFL34102Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600941 04$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME68781Emergency Medicine - No Major Surgery2512

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
NAPLES COMM. HOSPITAL (N. COLLIER)100018
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/7/200411/28/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Viral infection
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :70.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to administer antibiotics
Principal Injury Giving Rise To The Claim
Hemophilus Influenza-B
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/25/200606-637-CA
County Suit Filed inDate of Final Disposition
Collier3/13/2007
Other Defendants Involved in this Claim
North Collier Hospital
Emergency Physicians of Naples
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/29/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$950,000
Loss Adjust Expense Paid to Defense Counsel$12,793
All Other Loss Adjustment Expense Paid$6,826
Injured Person's Total Non-Economic Loss$950,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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
 
 
Date of Change:5/3/2007 3:45:54 PM
Reason for Change:Report updated to reflect Court Document Final Disposition date of 03/13/07
 
Field ChangedFormer ValueNew Value
Date of Final Disposition17-NOV-0613-MAR-07

 

 

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Dr. PHILIP T REGALA Medical Malpractice Lawsuits - Court Case # 03968-CA

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642138
Claim Number :270649
Date Submitted :9/7/2006
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKarinaLDobberstein
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0490 (260) 486 - 0808karina.dobberstein@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPHILIPTREGALA
Insurer TypeStreet Address of Practice
Licensed1112 GOODLETTE RD N STE 100
CityStateZip CodeCounty
NAPLESFL34102-5451Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
625894$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME63476Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityCOLLIER SURGERY CENTER
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
4/17/200110/25/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
LOOSE BODIES RIGHT ELBOW
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ARTHORSCOPIC REMOVAL OF LOOSE BODIES RIGHT ELBOW
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
IMPROPER PERFORMANCE OF SURGERY; FAILURE TO DAIGNOSE SEVERED NERVE
Principal Injury Giving Rise To The Claim
RADIAL NERVE INJURY
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/2/200203968-CA
County Suit Filed inDate of Final Disposition
Collier8/14/2006
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/14/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$47,931
All Other Loss Adjustment Expense Paid$28,103
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
NA
 
Updates
 
No updates found.

 

 

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Dr. GEORGE W MOLZEN Medical Malpractice Lawsuits - Court Case # 11-2014-CA-0011

Indemnity Paid: $750,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679194
Claim Number : PHY-13-240389-1
Date Submitted : 7/21/2016
 
Insurer Information
 
Insurer Name Coverage Type
Team Health, Inc. Primary
Insurer FEIN Professional License Number
62-1562558  
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
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 GEORGE W MOLZEN
Insurer Type Street Address of Practice
Self-Insurer 11190 HEALTH PARK BLVD.
City State Zip Code County
NAPLES FL 34110 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
6797479 $750,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME98777 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 Collier
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
NORTH COLLIER HOSPITAL 120006
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
3/28/2012 8/20/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
ABRASION ON KNEE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER AND RELEASED.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
DEVELOPED COMPARTMENT SYNDROME AND SEPSIS R/I DEATH.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/27/2014 11-2014-CA-0011
County Suit Filed in Date of Final Disposition
Collier 7/21/2016
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
7/1/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $750,000
Loss Adjust Expense Paid to Defense Counsel $93,877
All Other Loss Adjustment Expense Paid $31,487
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
 
No updates found.

 

 

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Dr. Paul D Dernbach Medical Malpractice Lawsuits - Court Case # 01-4123-CA

Indemnity Paid: $650,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538423
Claim Number :B00-22253-00
Date Submitted :11/23/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPaulDDernbach
Insurer TypeStreet Address of Practice
Licensed730 Goodlette Road North, Ste 100
CityStateZip CodeCounty
NaplesFL34102Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
24387$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME61520Surgery - Neurology - Including Child80152

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
NAPLES COMM. HOSPITAL (N. COLLIER)100018
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/16/20003/22/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right lumbar radiculopathy with extruded disc.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Right L5-S, hemilaminectomy and removal of disc complicated by dural leak.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Ongoing radiculopathy with spinal instability.
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 SuitCircuit Court Case Number
11/6/200101-4123-CA
County Suit Filed inDate of Final Disposition
Collier10/25/2005
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/25/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$650,000
Loss Adjust Expense Paid to Defense Counsel$36,343
All Other Loss Adjustment Expense Paid$29,306
Injured Person's Total Non-Economic Loss$650,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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. Rostislav Ignatov Medical Malpractice Lawsuits - Court Case # 502009CA009178

Indemnity Paid: $525,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366117
Claim Number :32184
Date Submitted :2/21/2013
 
Insurer Information
 
Insurer NameCoverage Type
ARCH SPECIALTY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
36-2545393 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJessiYChan
Street Address
300 Plaza Three, 3rd Floor,
CityStateZip
Jersey CityNJ07311
PhoneExtFaxE-Mail Address
(201) 743 - 3898 (201) 743 - 4005jchan@archinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRostislav Ignatov
Insurer TypeStreet Address of Practice
Licensed200 Congress Park Drive, Suite 100
CityStateZip CodeCounty
Delray BeachFL33445Palm Beach
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FLP001558500$5,000,000$7,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME93056Psychiatry - Addiction Psychiatry 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPalm Beach
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationRehabilitation Facility
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/18/20071/22/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient came to the insured facility for alcohol dependence to detox and for rehab. He also suffered form hypertension and dyslipidemia. He committed to the facility on 1/11/2007.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Due to his uncontrolled hypertension, the insured internal doctor had the patient hospitalized on 2 different occasions. on 1/18/2007, the doctor placed the patient on Lisinopril to control his hypertention. On 1/19/2007, the nurse contacted the doctor. She informed him that the patient complained about having a lump in his throat. In house at that time was another doctor who is a MD/psychiatrist. He ordered the patient be placed on upper respiratory infection protocol. About 35 mins later, the patient complained of feeling like his tongue was swollen. The in-house doctor examined him and noted he did not have a swollen tongue, however, he did note it was asymmetrical. He ordered a shot of Benadryl IM and his oxygen sturation rate was monitored at 99%.The doctor ordered the patient be sent to the ER due to complaints by the patient that he was having diffculty breathing and the patinet finally consented to go to the ER. At that time, the patient's respiration was normal and his O2 sats were at 100%.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The plaintiff has alleged negligence against 2 insured doctors for their care of the patient at the insured facility. The allegations of negligence against the first insured doctor changing the patient's medication on 1/17/2007 without a valid reason to do so. The plaintiff then alleges that the doctor while on call was informed of the patient's complaintsby phone and failed to recognize the severity of the patient's condition and further failed to transfer him to an approprate facility. The allegations of negligence against the Psychiatrist include a failure to see and evaluate the patient in a timely manner upon his complaints of a lump in his throat, swollen tongue, and difficulty breathing. The plaintiff also alleges the doctor was negligent in failing to call an appropriate specialist and failing to transfer the patient to the ER of a local hospital where appropriate care could be provided. The plaintiff lastly allges that the doctor did transfer the patient to an ER, it was in an untimely manner which amounted to negligence.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/12/2009502009CA009178
County Suit Filed inDate of Final Disposition
Collier8/29/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/30/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$525,000
Loss Adjust Expense Paid to Defense Counsel$434,870
All Other Loss Adjustment Expense Paid$34,556
Injured Person's Total Non-Economic Loss$0
Deductible$12,500
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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 Applicable.
 
Updates
 
No updates found.

 

 

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

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Dr. Richard W Maloney Medical Malpractice Lawsuits - Court Case # 09-4510-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161736
Claim Number :283073
Date Submitted :9/17/2012
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSusanKSpielman
Street Address
5814 Reed Road
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340  reportaclaim@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRichardWMaloney
Insurer TypeStreet Address of Practice
Licensed11181 Health Park Blvd, Ste 1115
CityStateZip CodeCounty
NaplesFL34110Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
651420$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62779Surgery - Plastic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityDoctors Outpatient Surgery Center LLC
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/9/200712/22/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Brow droop
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Endoscopic brow lift
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper surgical technique
Principal Injury Giving Rise To The Claim
Brain damage from hemorrhage
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/22/200909-4510-CA
County Suit Filed inDate of Final Disposition
Collier9/23/2011
Other Defendants Involved in this Claim
Aesthetic Surgery Center Inc
Doctors Outpatient Surgery Center LLC
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/23/2011
 
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$42,326
All Other Loss Adjustment Expense Paid$26,365
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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:2/13/2012 2:39:08 PM
Reason for Change:Update ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2126425726
Amount of Loss Adjustment Expense Paid to Defense Counsel3410039756
 
Date of Change:9/17/2012 3:59:05 PM
Reason for Change:ALE UPDATE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2572626365
Amount of Loss Adjustment Expense Paid to Defense Counsel3975642326

 

 

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Dr. ALBERTO M DE LA RIVAHERRERA Medical Malpractice Lawsuits - Court Case # 06-0951-CA

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575265
Claim Number : 22289
Date Submitted : 9/23/2015
 
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 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual ALBERTO M DE LA RIVAHERRERA
Insurer Type Street Address of Practice
Licensed 1112 Goodlette Rd., Ste. 204
City State Zip Code County
Naples FL 34102 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600941 03 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME65683 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
  M Collier
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
NORTH COLLIER HOSPITAL 120006
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
2/8/2004 6/29/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Myocardial infarction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose myocardial infarction
Principal Injury Giving Rise To The Claim
Permanent heart damage
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
6/13/2006 06-0951-CA
County Suit Filed in Date of Final Disposition
Collier 9/8/2015
Other Defendants Involved in this Claim
North Collier Hospital
Emergency Physicians of Naples
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
7/7/2015
 
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 $129,707
All Other Loss Adjustment Expense Paid $67,306
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $325,000 $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
 
 
Date of Change: 9/23/2015 12:42:20 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 09/08/15
 
Field Changed Former Value New Value
Date of Final Disposition 07-JUL-15 08-SEP-15

 

 

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Dr. Alphonse R Tribuiani Medical Malpractice Lawsuits - Court Case # 11-2015-CA-001078-00

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201678634
Claim Number : 21516-01
Date Submitted : 6/6/2016
 
Insurer Information
 
Insurer Name Coverage Type
PODIATRY INSURANCE COMPANY OF AMERICA Primary
Insurer FEIN Professional License Number
58-1403235  
Insurer Contact Information
Type First Name MI Last Name
Individual Karen   Kessler
Street Address
3000 Meridian Blvd., Suite 400
City State Zip
Franklin TN 37067
Phone Ext Fax E-Mail Address
(615) 371 - 8776 2249   kkessler@picagroup.com
 
Insured Information
 
Type First Name MI Last Name
Individual Alphonse R Tribuiani
Insurer Type Street Address of Practice
Licensed 2350 Vanderbilt Beach Rd.
City State Zip Code County
Naples FL 34109 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
1PD0050820 $500,000 $1,000,000
Profession or Business Other Profession or Business
Podiatric Physician  
License Number Specialty Code & Classification Certification Number
PO2858    

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 Collier
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Gladiolus Surgery Center
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
4/25/2011 12/8/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Bunion, right; hammertoes, digits 2-5, right; 5th metatarsal tailor¿s bunion; nerve impingement to right, 5th MPJ/lateral dorsal cutaneous nerve
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Long arm Austin bunionectomy with K-wire fixation; arthrodesis of digits 2-4; derotational arthrodesis of 5th digit; capsular release to right, 2nd and 3rd MPJ region; exostosis to lateral aspect of 5th metatarsal head; decompression of lateral dorsal cutaneous nerve, all right foot
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient presented to the insured on 10/21/10 with complaints of painful bunions. She was diagnosed with hammertoes and other deformities as well. Surgery was discussed and, on 4/25/11, the insured prescribed blood work and other testing in preparation for surgery. A chest x-ray was ordered, and this was positive for a pulmonary mass in the upper left lung area, with CT imaging recommended. Plaintiff alleges insured failed to share the information with the patient and proceeded with routine surgery. The surgery was uneventful, and patient¿s last visit with insured was on 02/09/12. Patient ultimately passed away in October 2013.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/12/2015 11-2015-CA-001078-00
County Suit Filed in Date of Final Disposition
Collier 5/20/2016
Other Defendants Involved in this Claim
Associates in Medicine & Surgery LLC
Naples Diagnostic Imaging Center Ltd
Dr. Alphonse R. Tribuiani PA
Vensel, MD, Theresa
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
5/24/2016
 
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 $52,471
All Other Loss Adjustment Expense Paid $7,283
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $100,244 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None - Specialty code #80993
 
Updates
 
No updates found.

 

 

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

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Dr. Dennis J Stapleton Medical Malpractice Lawsuits - Court Case # 05/1340-CA

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781950
Claim Number : FP3239601
Date Submitted : 4/26/2017
 
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
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Dennis J Stapleton
Insurer Type Street Address of Practice
Licensed 311 9th Street North
City State Zip Code County
Naples FL 34102 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP98123 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME50898 Surgery - Thoracic  

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 Collier
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
NAPLES COMM. HOSPITAL (N. COLLIER) 100018
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/7/2004 4/21/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient needed aortic and mitral valve replacement.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient underwent an aortic and mitral valve replacement.
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.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/15/2005 05/1340-CA
County Suit Filed in Date of Final Disposition
Collier 4/18/2017
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Judgment for the defendant.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/18/2017
 
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 $456,069
All Other Loss Adjustment Expense Paid $227,889
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. James A Halikas Medical Malpractice Lawsuits - Court Case # 03-3057-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534792
Claim Number :217058
Date Submitted :3/30/2005
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJosie Maldonado
Street Address
The Doctors Company, 13450 West Sunrise Blvd., Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 858 - 0480 (954) 838 - 7480JMaldonado@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJamesAHalikas
Insurer TypeStreet Address of Practice
Licensed2335 N. Tamiami Trail, Suite 205
CityStateZip CodeCounty
NaplesFL34103Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0016798$2,000,000$5,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME69324Psychiatry - All Other 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
NAPLES COMM. HOSPITAL (N. COLLIER)100018
Location of Institutional InjuryOther Location of Institutional Injury
OtherPsychiatric Ward
Date of OccurrenceDate Reported to Insurer
8/16/200110/19/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Bipolar manic phase
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Restart Lithium with loading dose and then taper.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to monitor and timely treat Lithium toxicity.
Principal Injury Giving Rise To The Claim
Cognitive impairment
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 SuitCircuit Court Case Number
7/31/200303-3057-CA
County Suit Filed inDate of Final Disposition
Collier3/16/2005
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/18/2005
 
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$0
All Other Loss Adjustment Expense Paid$79,000
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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
 
No updates found.

 

 

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Dr. Myles R Samotin Medical Malpractice Lawsuits - Court Case # 05-878-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850502
Claim Number :135772
Date Submitted :7/24/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMaria Gonzalez
Street Address
2801 SW 149th Avenue, Suite 200
CityStateZip
MiramarFL33027
PhoneExtFaxE-Mail Address
(954) 602 - 5834  mgonzalez@pronational.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMylesRSamotin
Insurer TypeStreet Address of Practice
Licensed870 11th Avenue North, Suite 4
CityStateZip CodeCounty
NaplesFL34108Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP49223$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME72517Surgery - Orthopedic0

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
10/17/20031/14/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented with complaints regarding her left foot and ankle subsequent to a skateboarding incident.She was initially diagnosed with a tear of the plantar fascia and subsequently diagnosed with Reflex Sympathetic Dystrophy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
There was no operation performed
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis made
Principal Injury Giving Rise To The Claim
Alleged failure to diagnose and treat Reflex Sympathetic Dystrophy
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 SuitCircuit Court Case Number
5/31/200505-878-CA
County Suit Filed inDate of Final Disposition
Collier8/5/2008
Other Defendants Involved in this Claim
Myles Rubin Samotin, MDPA
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 DecisionOther
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$38,069
All Other Loss Adjustment Expense Paid$43,879
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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 discussed claim with insurance personnel and medical experts.
 
Updates
 
 
Date of Change:7/24/2009 11:57:09 AM
Reason for Change:Additional invoices paid after file closed.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel3067238069
All Other Loss Adjustment Expense Paid2890143879

 

 

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Dr. CYNTHIA M NEHRKORN Medical Malpractice Lawsuits - Court Case # 04-3577

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848127
Claim Number :129602
Date Submitted :8/10/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMaria Gonzalez
Street Address
2801 SW 149th Avenue, Suite 200
CityStateZip
MiramarFL33027
PhoneExtFaxE-Mail Address
(954) 602 - 5834  mgonzalez@pronational.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCYNTHIAMNEHRKORN
Insurer TypeStreet Address of Practice
Licensed15495 Tamiami Trail North, Suite 125
CityStateZip CodeCounty
NaplesFL34110Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP45769$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME74143Internal Medicine - No Surgery0

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
10/31/20013/25/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Death
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to follow-up and monitor
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to provide follow-up care resulting in delayed 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 SuitCircuit Court Case Number
8/27/200404-3577
County Suit Filed inDate of Final Disposition
Collier12/20/2007
Other Defendants Involved in this Claim
Hudson, Thomas
Meli, Robert
Beacon Health, PA
Naples Radiologists, 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 DecisionOther
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$50,309
All Other Loss Adjustment Expense Paid$28,376
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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 discussed claim with insurance personnel and medical experts.
 
Updates
 
 
Date of Change:8/10/2009 10:26:37 AM
Reason for Change:Additional invoices paid after file closed.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel4419550309
All Other Loss Adjustment Expense Paid2314828376

 

 

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Dr. Romilio Marques Medical Malpractice Lawsuits - Court Case # 08-4284CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952560
Claim Number :36847-01
Date Submitted :2/12/2009
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRomilio Marques
Insurer TypeStreet Address of Practice
Licensed4330 Tamiami Trail E, Ste 200
CityStateZip CodeCounty
NaplesFL34112Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
69196$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75670Pediatrics - No Surgery80267

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
8/10/20063/18/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Biliary atresia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Well baby exam.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed failure to detect jaundice.
Principal Injury Giving Rise To The Claim
Liver failure/transplant.
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 SuitCircuit Court Case Number
6/17/200808-4284CA
County Suit Filed inDate of Final Disposition
Collier1/20/2009
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/20/2009
 
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$13,260
All Other Loss Adjustment Expense Paid$32,387
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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. Jan Forszpaniak Medical Malpractice Lawsuits - Court Case # 06-1709-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952912
Claim Number :33422-01
Date Submitted :3/11/2009
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJan Forszpaniak
Insurer TypeStreet Address of Practice
Licensed730 Goodlette Road, Ste 204
CityStateZip CodeCounty
NaplesFL34102Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
10181$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME46907Family Physicians or General Practitioners - Minor Surgery80117

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityCollier Surgical Clinic
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/12/200411/22/2005
 
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
Mastectomy and excision of lymph nodes.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Transection of lung thoracic nerve.
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 SuitCircuit Court Case Number
11/22/200606-1709-CA
County Suit Filed inDate of Final Disposition
Collier2/17/2009
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/17/2009
 
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$122,167
All Other Loss Adjustment Expense Paid$103,211
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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. Lael Desmond Medical Malpractice Lawsuits - Court Case # 08-2242-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056041
Claim Number :36334-01
Date Submitted :1/15/2010
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLael Desmond
Insurer TypeStreet Address of Practice
Licensed7955 Airport Road N
CityStateZip CodeCounty
NaplesFL34109Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99441$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME93341Family Physicians or General Practitioners - No Surgery80239

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
NAPLES COMM. HOSPITAL (N. COLLIER)100018
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/11/200710/23/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complaint of nausea, bloating, epigastric discomfort.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged delay in treatment, failure to monitor.Patient suffered cardiac arrest receiving CT abdomen and waiting for cardiologist to arrive.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death from cardiac arrest.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/3/200808-2242-CA
County Suit Filed inDate of Final Disposition
Collier12/18/2009
Other Defendants Involved in this Claim
Collier Emergency Specialists, LLC
Collier Regional 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/18/2009
 
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$41,419
All Other Loss Adjustment Expense Paid$19,267
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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. BRIAN WOLFF Medical Malpractice Lawsuits - Court Case # 112014CA014960001

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884197
Claim Number : 59208701
Date Submitted : 1/30/2018
 
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 John D King
Street Address
901 south mopac Blvd V ste 400
City State Zip
Austin TX 78746
Phone Ext Fax E-Mail Address
(512) 425 - 5940   (512) 328 - 8067 john-king@tmlt.org
 
Insured Information
 
Type First Name MI Last Name
Individual BRIAN   WOLFF
Insurer Type Street Address of Practice
Licensed 671 Goodlette Road, Ste 120
City State Zip Code County
Naples FL 34102 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
4-000650 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME61719 Neurology - Including Child - 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
  F Collier
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
3/3/2012 4/20/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
patient presented to reporting physician for severe migraine headaches following an on the job injury.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Reporting physician performed a occipital nerve block to alleviate the patient's symptoms
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Immediately after physician advanced the 20 gauge needle into the area, the patient became diaphoretic and unresponsive. She was immediately transferred to local hospital for care.
Principal Injury Giving Rise To The Claim
It was alleged that the needle punctured the vertebral artery during the nerve block. Patient sustained a stroke and as a result suffered from cognitive impairment.
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
7/1/2014 112014CA014960001
County Suit Filed in Date of Final Disposition
Collier 1/9/2018
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
1/18/2018
 
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 $150,000
All Other Loss Adjustment Expense Paid $35,000
Injured Person's Total Non-Economic Loss $450,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $50,000 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
none- known complication from procedure
 
Updates
 
No updates found.

 

 

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Dr. Gregory E Leach Medical Malpractice Lawsuits - Court Case # 11-CA-3656

Indemnity Paid: $495,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367755
Claim Number :36664/37914
Date Submitted :10/11/2013
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGregoryELeach
Insurer TypeStreet Address of Practice
Licensed1250 Pine Ridge Road
CityStateZip CodeCounty
NaplesFL34108Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602656 00$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME42024Family Physicians or General Practitioners - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/26/20112/9/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pulmonary embolism
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat pulmonary embolism
Principal Injury Giving Rise To The Claim
Cardiac arrest
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/20/201111-CA-3656
County Suit Filed inDate of Final Disposition
Collier9/16/2013
Other Defendants Involved in this Claim
Advanced 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/11/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$495,000
Loss Adjust Expense Paid to Defense Counsel$33,711
All Other Loss Adjustment Expense Paid$12,416
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$10,000$0
Wage Loss$0$250,000
Other Expenses$0$500,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:10/11/2013 2:51:18 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 9/16/13
 
Field ChangedFormer ValueNew Value
Date of Final Disposition11-JUL-1316-SEP-13

 

 

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Dr. MICHAEL VICKERS Medical Malpractice Lawsuits - Court Case # 12-02535CA

Indemnity Paid: $490,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201576151
Claim Number : FP4273701
Date Submitted : 10/22/2015
 
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
12724 Gran Bay Parkway W. Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual MICHAEL   VICKERS
Insurer Type Street Address of Practice
Licensed 1660 Medical Blvd., Suite 200
City State Zip Code County
Naples FL 34110 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-CL098363 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor Limited to Mayo Clinic  
License Number Specialty Code & Classification Certification Number
ME87972 Neurology - including child - no surgery - All Other  

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 Collier
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
PHYSICIANS REGIONAL MEDICAL CENTER - COLLIER BOULEVARD 23960057
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
5/27/2010 2/16/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
54 year old seen in emergency room and diagnosed with TIA with blood glucose 425. Neurology consult at 7:00am following day showed resolution of TIA symptoms but stroke diagnosed with clear imaging. 36 hours after emergency room admission patient had a major stroke resulting in significant, permanent aphasia and paralysis. Imaging following showed basilar artery thrombosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Plaintiff alleges TPA should have been administered and patient should have been transferred to a stroke center in contradiction of emergency room physician diagnosis of TIA and blood glucose of 425.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Permanent hemiplegia, aplasia and lifelong care need from basilar artery thrombosis not evident until severe symptoms developed 36 hours following admission.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/13/2012 12-02535CA
County Suit Filed in Date of Final Disposition
Collier 10/13/2015
Other Defendants Involved in this Claim
Wey, Christopher
Naples dba Physicians Regional Medical Center
Neuroscience & Spine Associates
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 $490,000
Loss Adjust Expense Paid to Defense Counsel $44,634
All Other Loss Adjustment Expense Paid $30,663
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. Michael Vickers Medical Malpractice Lawsuits - Court Case # 07-1667-CA

Indemnity Paid: $430,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263441
Claim Number :35207-01
Date Submitted :4/5/2012
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichael Vickers
Insurer TypeStreet Address of Practice
Licensed1660 Medical Blvd., Ste 200
CityStateZip CodeCounty
NaplesFL34110Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98363$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87972Neurology - Including Child - No Surgery80261

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
NORTH COLLIER HOSPITAL120006
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
4/3/20051/25/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient admitted in psychotic exacerbation of bipolar disease with chest pain, fever and tachycardia.On day 4, referred for evaluation of lower extremity weakness.Insured ordered MRI under anesthesia.Thoracic MRI not completed for 2+ days and showed spinal abscess, which was operated on within 4 hours of insured seeing report.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delay in MRI performance by hospital outside of hospital policy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Paraplegia following I & D of abscess and spinal cord decompression.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/8/200707-1667-CA
County Suit Filed inDate of Final Disposition
Collier3/16/2012
Other Defendants Involved in this Claim
Neuroscience & Spine Associates
Pandya, M.D., Sunil
Singer, M.D., Daniel
Vocatus Medical
North Collier Hospital
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the defendant. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/16/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$430,000
Loss Adjust Expense Paid to Defense Counsel$242,724
All Other Loss Adjustment Expense Paid$99,146
Injured Person's Total Non-Economic Loss$430,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
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. Vladimir Mathieu Medical Malpractice Lawsuits - Court Case # 12CA4327

Indemnity Paid: $400,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575530
Claim Number : FP4013502
Date Submitted : 8/13/2015
 
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
12724 Gran Bay Parkway W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Vladimir   Mathieu
Insurer Type Street Address of Practice
Licensed 1121 Health Park Blvd.
City State Zip Code County
Naples FL 34110 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-CL099219 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME79564 Family Physicians or General Practitioners - 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 Collier
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
Other Physician's Office
Date of Occurrence Date Reported to Insurer
1/3/2011 2/10/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fluid detention; diabetes mellitus; hypertension, peripheral vascular disease and obesity. Non compliance with insulin and oral diabetes medications and others. When patient complained of increased fluid retention, patient failed to come to office or clinic. Physician ordered lasix and instructed to go to ER if needed.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Pharmacy duplicated antidiabetic oral meds which may increase fluid retention and failed to dispense lasix.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Plaintiff found deceased in AM; medical examiner opioned death from complications of CHF, contributed to 5 year ASHD & diabetes management
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/5/2012 12CA4327
County Suit Filed in Date of Final Disposition
Collier 7/1/2015
Other Defendants Involved in this Claim
American Discount Pharmacy 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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $400,000
Loss Adjust Expense Paid to Defense Counsel $83,263
All Other Loss Adjustment Expense Paid $77,159
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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