Medical Malpractice Cases

Medical Malpractice Cases In Hillsborough County Florida

Dr. Alan D Feldman Medical Malpractice Lawsuits - Court Case # 13-CA-013598

Indemnity Paid: $42,308,333.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201678316
Claim Number : 005-12-0371
Date Submitted : 5/9/2016
 
Insurer Information
 
Insurer Name Coverage Type
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA Primary
Insurer FEIN Professional License Number
25-0687550  
Insurer Contact Information
Type First Name MI Last Name
Individual Andrea V Bates
Street Address
1401 Wilson Blvd., Ste. 700
City State Zip
Arlington VA 22209
Phone Ext Fax E-Mail Address
(800) 245 - 3333 3810 (703) 276 - 9419 mejia@prms.com
 
Insured Information
 
Type First Name MI Last Name
Individual Alan D Feldman
Insurer Type Street Address of Practice
Licensed 10333 Seminole Blve., Ste. 3
City State Zip Code County
Largo FL 33778 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSC10-000572738 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME73928 Psychiatry - Child and Adolescent Psychiatry  

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 Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Location Florida Hospital Zephyhills
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Florida Hospital Zephyhills
Date of Occurrence Date Reported to Insurer
5/4/2011 4/15/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Major Depression with Psychotic Features
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attending psychiatrist during inpatient hospitalization
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Plaintiff alleges failure to monitor thiamine level caused brain damage
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
1/9/2014 13-CA-013598
County Suit Filed in Date of Final Disposition
Hillsborough 5/9/2016
Other Defendants Involved in this Claim
Tampa General Hospital
Florida Medical Center
Florida Hospital Zephyrhills
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/17/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $42,308,333
Loss Adjust Expense Paid to Defense Counsel $0
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None
 
Updates
 
No updates found.

 

 

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

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Dr. Luciano A Martinez Medical Malpractice Lawsuits - Court Case # 05-07198

Indemnity Paid: $15,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849368
Claim Number :133484
Date Submitted :8/17/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLucianoAMartinez
Insurer TypeStreet Address of Practice
Licensed4129 North Armenia Avenue
CityStateZip CodeCounty
TampaFL33607Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP40379$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME32863Surgery - Obstetrics - Gynecology00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SAINT JOSEPH'S HOSPITAL100075
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
9/7/200310/1/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Termination of pregnancy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged delayed cesarean section.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged fetal distress.
Principal Injury Giving Rise To The Claim
Neurological damage to infant.
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
8/16/200505-07198
County Suit Filed inDate of Final Disposition
Hillsborough2/14/2008
Other Defendants Involved in this Claim
Leon & Martinez, M.D.'s, P.A.
St. Joseph's Hospital, Inc. d/b/a St. Joseph's Women's Hosp
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/1/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$15,000,000
Loss Adjust Expense Paid to Defense Counsel$279,296
All Other Loss Adjustment Expense Paid$171,356
Injured Person's Total Non-Economic Loss$15,000,000
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 has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:6/20/2008 12:26:17 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid162250168345
Amount of Loss Adjustment Expense Paid to Defense Counsel272927275271
 
Date of Change:8/17/2009 9:34:20 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid168345171356
Amount of Loss Adjustment Expense Paid to Defense Counsel275271279296

 

 

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Dr. NALIN PATEL Medical Malpractice Lawsuits - Court Case # 7-006789-Div G

Indemnity Paid: $5,500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574319
Claim Number : 324676
Date Submitted : 4/16/2015
 
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 NALIN   PATEL
Insurer Type Street Address of Practice
Licensed 3450 E. Fletcher Avenue, Suite 350
City State Zip Code County
Tampa FL 33613 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
ADFP70602 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME74638 Otorhinolaryngology - 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
  F Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
UNIVERSITY COMMUNITY HOSPITAL 100173
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/8/2005 6/24/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to hospital on 6/14/2005 for fever following previously performed tonsillectomy and treated for suspected Epstein Barr infection and subsequently developed hepatic failure from underlying herpes simplex virus and expired.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Tonsillectomy.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat underlying herpes simplex virus resulting in hepatic failure and death.
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
6/13/2007 7-006789-Div G
County Suit Filed in Date of Final Disposition
Hillsborough 3/12/2015
Other Defendants Involved in this Claim
University Community Hospital
Wilde, Richard
Goodman, Arnold
Jacob, Salil
Perkins, Emily
Fiallos, Mariano
Derasari, Manjul
Han, John
Page-Lieberman, Judith
Pediatric Health Care Alliance
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Judgment for the plaintiff.  
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 $5,500,000
Loss Adjust Expense Paid to Defense Counsel $291,319
All Other Loss Adjustment Expense Paid $294,928
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. Michael B Austin Medical Malpractice Lawsuits - Court Case # 02-CA-006154

Indemnity Paid: $4,766,781.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745119
Claim Number :E30799
Date Submitted :4/6/2007
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProNational Insurance Company
Street Address
13919 CarrollwoodVillage Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichaelBAustin
Insurer TypeStreet Address of Practice
Licensed7410 Clearview Drive
CityStateZip CodeCounty
TampaFL33634Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1009895-00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS5242Emergency Medicine - No Major Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
UNIVERSITY COMM. HOSP-CARROLLWOOD100069
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
8/9/20001/21/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with dizziness, headache, unsteady gait, double vision and nausea, and was later diagnosed with a stroke.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was examined, CT scan performed and patient was discharged.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose a stroke.
Principal Injury Giving Rise To The Claim
Stroke causing paraplegia.
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
7/5/200202-CA-006154
County Suit Filed inDate of Final Disposition
Hillsborough3/9/2007
Other Defendants Involved in this Claim
Allen, William D
Hulls, James R
Franklin, Favata & Hulls, M.D's, P.A.
Carrollwood Emergency Physicians, P.A.
Squires, Jonathan C
Team Physicians of Florida, P.A. d/b/a Drs. Sheer Ahearn & A
PATEL, ROHIT M
Rohit M. Patel, M.D., P.A.
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/4/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$4,766,781
Loss Adjust Expense Paid to Defense Counsel$458,412
All Other Loss Adjustment Expense Paid$195,507
Injured Person's Total Non-Economic Loss$4,766,781
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 has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
No updates found.

 

 

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Dr. MADELYN E BUTLER Medical Malpractice Lawsuits - Court Case # 02-10380 Div J

Indemnity Paid: $3,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955618
Claim Number :E27659
Date Submitted :4/6/2011
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
14497 North Dale Mabry Hwy., Suite 115-N
CityStateZip
TampaFL33618-2047
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMADELYNEBUTLER
Insurer TypeStreet Address of Practice
Licensed2716 West Virginia Avenue
CityStateZip CodeCounty
TampaFL33607Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1010346-01$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME61218Surgery - Obstetrics - Gynecology00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
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
5/8/199811/19/1998
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pregnancy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Termination of pregnancy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Brain damage to infant.
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
11/7/200202-10380 Div J
County Suit Filed inDate of Final Disposition
Hillsborough11/6/2009
Other Defendants Involved in this Claim
Madelyn E. Butler, M.D., P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court 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$3,000,000
Loss Adjust Expense Paid to Defense Counsel$189,776
All Other Loss Adjustment Expense Paid$137,837
Injured Person's Total Non-Economic Loss$3,000,000
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 has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:4/6/2011 10:02:04 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel168656189776
All Other Loss Adjustment Expense Paid135812137837

 

 

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Dr. David Minton Medical Malpractice Lawsuits - Court Case # 06 005635 div5

Indemnity Paid: $3,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057916
Claim Number :33261-01
Date Submitted :7/14/2010
 
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
IndividualDavid Minton
Insurer TypeStreet Address of Practice
Licensed5840-B West Cypress Street
CityStateZip CodeCounty
TampaFL33607Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98870$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME56489Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
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
12/16/200310/14/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
35 week gestation prenatal visit where patient complained of contractions and was evaluated with pelvic exam which revealed cervix closed.30% effaced and fetus vetex-good fetal movement.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
At 36 weeks prenatal visit pt complained of decreased fetal movement.BPP was 4/8 and stat creatine done.Patient then stated she had avised insured of decreased fetal movement at 35 weeks visit.She was to follow up in 1 week.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Male infant weighed 5lb 6 oz delivered with apgar of 6-8 found to have severe neurological injury.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/11/200606 005635 div5
County Suit Filed inDate of Final Disposition
Hillsborough6/22/2010
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/22/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$3,000,000
Loss Adjust Expense Paid to Defense Counsel$231,772
All Other Loss Adjustment Expense Paid$221,865
Injured Person's Total Non-Economic Loss$3,000,000
Deductible$100,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$500,000$1,500,000
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. Samantha Lindsay Medical Malpractice Lawsuits - Court Case # 15CA1608

Indemnity Paid: $3,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201676893
Claim Number : 153531
Date Submitted : 12/27/2016
 
Insurer Information
 
Insurer Name Coverage Type
HEALTH CARE INDEMNITY, INC. Primary
Insurer FEIN Professional License Number
61-0904881  
Insurer Contact Information
Type First Name MI Last Name
Individual Teresa   Ross
Street Address
One Park Plaza P.O. Box 555
City State Zip
Nashville TN 37202
Phone Ext Fax E-Mail Address
(615) 344 - 5804     Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
Type First Name MI Last Name
Individual Samantha   Lindsay
Insurer Type Street Address of Practice
Licensed 16541 Pointe Village Drive Suite 211
City State Zip Code County
Lutz FL 33558 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10114 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME106322 Family Physicians or General Practitioners - No Surgery 01

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 Hillsborough
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
1/6/2014 10/24/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cervical cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allege six month delay in diagnosing cervical cancer.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient presented as a new patient on 1/16/14 for a well woman exam. Pap smear was reported as negative for intraepithelial lesion or malignancy. In 5/14, patient began experiencing persistent watery flow from vagina. In 7/14, patient began experiencing unusual bleeding. On 7/8/14, bleeding increased. On 7/9/14, patient presented to St. Joseph's Hospital North ER with bright red vaginal bleeding. Cervical biopsy was positive for Stage 1B2 cervical cancer.
Principal Injury Giving Rise To The Claim
Removal of pelvic organs.
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
2/19/2015 15CA1608
County Suit Filed in Date of Final Disposition
Hillsborough 1/11/2016
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 not subject to Arbitration.
Date of Payment
12/23/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $3,000,000
Loss Adjust Expense Paid to Defense Counsel $95,380
All Other Loss Adjustment Expense Paid $22,177
Injured Person's Total Non-Economic Loss $2,250,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $250,000 $500,000
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
 
Date of Change: 12/27/2016 9:57:40 AM
Reason for Change: Additional LAE payments made.
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 83592 95380
All Other Loss Adjustment Expense Paid 12024 22177

 

 

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Dr. Rose Doyle Medical Malpractice Lawsuits - Court Case # 8:10CV653T26EAJ

Indemnity Paid: $2,150,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201883963
Claim Number : 272270
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 Rose   Doyle
Insurer Type Street Address of Practice
Licensed 17816 Arbor Creek Drive
City State Zip Code County
Tampa FL 33647 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0070474 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME89436 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
  F Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
TAMPA GENERAL HOSPITAL 100128
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
8/31/2007 9/3/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with hip pain radiating to the groin and down the left leg.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured examined the patient, ordered consults and lumbar MRI.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose a septic hip.
Principal Injury Giving Rise To The Claim
Left leg length discrepancy.
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
3/24/2010 8:10CV653T26EAJ
County Suit Filed in Date of Final Disposition
Hillsborough 12/13/2017
Other Defendants Involved in this Claim
Albakin, MD, Efran
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Judgment for the plaintiff.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/13/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $2,150,000
Loss Adjust Expense Paid to Defense Counsel $160,738
All Other Loss Adjustment Expense Paid $91,721
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. Robert E Brauner Medical Malpractice Lawsuits - Court Case # 00-2028

Indemnity Paid: $2,122,862.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641746
Claim Number :E28695-01
Date Submitted :1/10/2007
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProNational Insurance Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertEBrauner
Insurer TypeStreet Address of Practice
Licensed3164 Lake Ellen Drive
CityStateZip CodeCounty
TampaFL33618Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1001712-00$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME39272Surgery - Obstetrics - Gynecology00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
UNIVERSITY COMMUNITY HOSPITAL100173
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
1/13/199911/11/1999
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Termination of pregnancy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delivery.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Untimely diagnosis of chorioamnionitis.
Principal Injury Giving Rise To The Claim
Infant stroke.
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
3/16/200000-2028
County Suit Filed inDate of Final Disposition
Hillsborough5/19/2006
Other Defendants Involved in this Claim
Robert E. Brauner, M.D., P.A. d/b/a Northside OB/GYN
Kline, Sarah B
University Community Hospital, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff after appeal ... 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/6/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,122,862
Loss Adjust Expense Paid to Defense Counsel$65,598
All Other Loss Adjustment Expense Paid$115,645
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
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:8/10/2006 10:25:00 AM
Reason for Change:Case was approved.
 
Field ChangedFormer ValueNew Value
Indemnity Paid02122862
Cause of InjuryTermination of pregnancy by C-section delivery.Delivery.
Defendant Entity NameUniversity Community HospitalUniversity Community Hospital, Inc.
Final DiagnosisPregnancy.Termination of pregnancy.
Settlement Reached01
Principal InjuryInfant stroke causing neurological injury.Infant stroke.
MisdiagnosisAlleged failure to diagnose choriogamnionitis.Untimely diagnosis of chorioamnionitis.
Insured Zip Code33613460933618
Insured Address Street13601 BRUCE B DOWNS BLVD STE 1503164 Lake Ellen Drive
Date of Final Disposition23-JAN-0419-MAY-06
Court DecisionJudgment for the plaintiff.Judgment for the plaintiff after appeal ...
Legal System StageAfter court verdict and prior to filing of notice of appeal.After appeal.
Defendant Last NameKline, Sarah BKline, Sarah B
Defendant Entity NameRobert E. Brauner, M.D., P.A. d/b/a Northside OB/GYNRobert E. Brauner, M.D., P.A. d/b/a Northside OB/GYN
 
Date of Change:1/10/2007 3:49:24 PM
Reason for Change:Updating report to reflect additional costs paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid80019115645
Amount of Loss Adjustment Expense Paid to Defense Counsel6488965598

 

 

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Dr. Janet Marley Medical Malpractice Lawsuits - Court Case # 01-004167

Indemnity Paid: $2,100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200743736
Claim Number :00-0701
Date Submitted :1/3/2007
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON NATIONAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
52-0266645 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJanet Marley
Insurer TypeStreet Address of Practice
Licensed5516 Hanley Rd.
CityStateZip CodeCounty
TampaFL33634Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP0006485$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME26208Gynecology - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
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
2/17/19999/21/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe headaches
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged unnecessary cerebral arteriogram recommended
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis - doctor seen as consult only by patient (was patient's gynecologist)
Principal Injury Giving Rise To The Claim
Stroke during cerebral arteriogram resulting in permanent debilitation
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/16/200101-004167
County Suit Filed inDate of Final Disposition
Hillsborough12/20/2006
Other Defendants Involved in this Claim
Cousin, M.D., Alan J
Drs. Sheer, Ahearn & Associates, Inc.
Team Physicians of Florida, P.A. dba Drs. Sheer, Ahearn & As
University 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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/13/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,100,000
Loss Adjust Expense Paid to Defense Counsel$474,358
All Other Loss Adjustment Expense Paid$149,915
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. Charley T Myrick Medical Malpractice Lawsuits - Court Case # 17-CA-005832

Indemnity Paid: $2,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884184
Claim Number : 58944/58945
Date Submitted : 1/26/2018
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Charley T Myrick
Insurer Type Street Address of Practice
Licensed 2120 Lakeland Hills Blvd.
City State Zip Code County
Lakeland FL 33805 Polk
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602675 09 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS8935 Radiology - interventional  

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 Polk
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
SOUTH FLORIDA BAPTIST HOSPITAL 100132
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
9/14/2015 8/24/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spina bifida
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Ultrasonic fetal anatomic survey at 21 weeks gestation
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly interpret FUS
Principal Injury Giving Rise To The Claim
Wrongful birth
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
6/20/2017 17-CA-005832
County Suit Filed in Date of Final Disposition
Hillsborough 1/3/2018
Other Defendants Involved in this Claim
South Florida Baptist Hospital
Radiology & Imaging Specialists of Lakeland
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
1/3/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $2,000,000
Loss Adjust Expense Paid to Defense Counsel $33,512
All Other Loss Adjustment Expense Paid $11,016
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. George P Shaughness Medical Malpractice Lawsuits - Court Case # 16-CA-000330

Indemnity Paid: $1,975,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679454
Claim Number : 54230/54231
Date Submitted : 11/9/2016
 
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 George P Shaughness
Insurer Type Street Address of Practice
Licensed 4516 Armania Avenue
City State Zip Code County
Tampa FL 33603 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602053 11 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME50101 Radiology - Diagnostic - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SAINT JOSEPH'S HOSPITAL 100075
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
7/13/2014 8/10/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Empyema, herniation, neurologic injury
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT of brain
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly interpret CT of brain
Principal Injury Giving Rise To The Claim
Empyema, herniation, neurologic injury
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
1/14/2016 16-CA-000330
County Suit Filed in Date of Final Disposition
Hillsborough 10/13/2016
Other Defendants Involved in this Claim
Paltoo, MD, Karen
St. Joseph's Hospital
SDI Diagnostic Imaging
USF Health
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/2/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,975,000
Loss Adjust Expense Paid to Defense Counsel $15,905
All Other Loss Adjustment Expense Paid $19,994
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $400,000 $5,000,000
Wage Loss $0 $1,000,000
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 11/9/2016 2:42:46 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 10/13/16
 
Field Changed Former Value New Value
Date of Final Disposition 02-AUG-16 13-OCT-16

 

 

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Dr. JOHN T SULLEBARGER Medical Malpractice Lawsuits - Court Case # 07-003982

Indemnity Paid: $1,800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747986
Claim Number :24931/24932
Date Submitted :1/30/2008
 
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
IndividualJOHNTSULLEBARGER
Insurer TypeStreet Address of Practice
Licensed509 S. Armenia Avenue, Suite 200
CityStateZip CodeCounty
TampaFL33609Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600031 07$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62629Cardiovascular Disease - Minor Surgery2307

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
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
2/21/20061/10/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cardiac arrhythmia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescribe beta pace on outpatient basis
Diagnostic Code :410.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to admit patient to hospital
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
4/4/200707-003982
County Suit Filed inDate of Final Disposition
Hillsborough1/17/2008
Other Defendants Involved in this Claim
Florida Cardiovascular Institute
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
12/19/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,800,000
Loss Adjust Expense Paid to Defense Counsel$13,466
All Other Loss Adjustment Expense Paid$7,599
Injured Person's Total Non-Economic Loss$1,800,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$1,000,000
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:1/30/2008 12:46:05 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 01/17/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition10-DEC-0717-JAN-08

 

 

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Dr. Denis C Johnson Medical Malpractice Lawsuits - Court Case # 04-CA-001025

Indemnity Paid: $1,643,040.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851749
Claim Number :117676
Date Submitted :6/7/2012
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
14497 North Dale Mabry Hwy., Suite 115-N
CityStateZip
TampaFL33618-2047
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDenisCJohnson
Insurer TypeStreet Address of Practice
Licensed5111 North Armenia Avenue
CityStateZip CodeCounty
TampaFL33603Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1002172-01$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME34388Surgery - General00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
UNIVERSITY COMM. HOSP-CARROLLWOOD100069
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
12/11/20017/23/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right inguinal hernia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical repair of right inguinal hernia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Plaintiff alleged Dr. Johnson compromised blood flow to plaintiff's right testicle causing vascular compromise resulting in atrophied right testicle.
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
2/5/200404-CA-001025
County Suit Filed inDate of Final Disposition
Hillsborough8/14/2007
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
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/11/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,643,040
Loss Adjust Expense Paid to Defense Counsel$209,313
All Other Loss Adjustment Expense Paid$120,032
Injured Person's Total Non-Economic Loss$1,643,040
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 has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:9/11/2009 12:02:55 PM
Reason for Change:Report udpated to reflect additional legal fees paid, and decrease in costs due to refunds.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid134343207999
Amount of Loss Adjustment Expense Paid to Defense Counsel202236207999
 
Date of Change:6/23/2010 11:34:59 AM
Reason for Change:Report updated due to incorrect amount original report as being paid for costs.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid207999120032
 
Date of Change:6/7/2012 10:36:52 AM
Reason for Change:State Report updated to reflect additional legal fees paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel207999209313

 

 

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Dr. SELDON CHILDERS Medical Malpractice Lawsuits - Court Case # 15-CA-009478

Indemnity Paid: $1,100,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781186
Claim Number : 61911
Date Submitted : 2/10/2017
 
Insurer Information
 
Insurer Name Coverage Type
NCMIC INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
42-0635534  
Insurer Contact Information
Type First Name MI Last Name
Individual Michelle R Gould
Street Address
14001 University Avenue
City State Zip
Clive IA 50325
Phone Ext Fax E-Mail Address
(515) 313 - 4558   (515) 313 - 4471 mgould@ncmic.com
 
Insured Information
 
Type First Name MI Last Name
Individual SELDON   CHILDERS
Insurer Type Street Address of Practice
Licensed 825 W MARTIN LUTHER KING BLVD
City State Zip Code County
TAMPA FL 33603 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
dpl016777 $1,100,000 $3,000,000
Profession or Business Other Profession or Business
Dentistry  
License Number Specialty Code & Classification Certification Number
DN3518 Dentists  

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 Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
3/2/2015 3/13/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Advanced dental caries
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
multiple tooth extractions
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
no actual misdiagnosis
Principal Injury Giving Rise To The Claim
Patient presented to the practitioner for multiple tooth extractions. Patient¿s health history included heart disease, COPD, kidney disease, diabetes, and stroke. The patient began bleeding shortly after leaving the practitioners office. EMS was called. Upon arrival to the hospital the patient was in cardiac arrest. After attempts at CPR the patient was pronounced deceased. Cause of death was reported as acute gastrointestinal and pulmonary hemorrhage. Various acts of professional negligence were asserted in a lawsuit against the practitioner. Settlement was reached for $1,100,000 to avoid the costs and uncertainties of trial.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/15/2015 15-CA-009478
County Suit Filed in Date of Final Disposition
Hillsborough 12/13/2016
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
Other Settled during discovery period
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/13/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,100,000
Loss Adjust Expense Paid to Defense Counsel $112,292
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
Unsure what safety management steps taken.
 
Updates
 
No updates found.

 

 

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Dr. John Chan Medical Malpractice Lawsuits - Court Case # 14-CA-00177

Indemnity Paid: $1,100,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575597
Claim Number : 2014-08-221-004
Date Submitted : 8/24/2015
 
Insurer Information
 
Insurer Name Coverage Type
Lexington insurance Company Primary
Insurer FEIN Professional License Number
25-114949  
Insurer Contact Information
Type First Name MI Last Name
Individual Amy A Villareal
Street Address
16255 Bay Vista Drive
City State Zip
Tampa FL 33760
Phone Ext Fax E-Mail Address
(727) 519 - 1274     amy.villareal@baycare.org
 
Insured Information
 
Type First Name MI Last Name
Individual John   Chan
Insurer Type Street Address of Practice
Self-Insurer 4902 Eisenhower Blvd, Suite 300
City State Zip Code County
Tampa FL 33634 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
112-31-714 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME73332 Surgery - Orthopedic  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's Office
Date of Occurrence Date Reported to Insurer
3/15/2010 3/13/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged failure to obtain additional diagnostic studies regarding knee tumor resulting in delay in diagnosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to DX malignant tumor of knee
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Doubling of tumor size requiring total knee replacement and radiation
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
7/16/2014 14-CA-00177
County Suit Filed in Date of Final Disposition
Hillsborough 7/14/2015
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/14/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,100,000
Loss Adjust Expense Paid to Defense Counsel $200
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Any risk issues have been/will be addressed.
 
Updates
 
No updates found.

 

 

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

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Dr. Salil G Jacob Medical Malpractice Lawsuits - Court Case # 7-006789 Div G

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574323
Claim Number : FP3274303
Date Submitted : 4/16/2015
 
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 Salil G Jacob
Insurer Type Street Address of Practice
Licensed 4033 Tampa Road, Suite 101
City State Zip Code County
Oldsmar FL 34677 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-98482 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME84815 Pediatrics - 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
  F Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
UNIVERSITY COMMUNITY HOSPITAL 100173
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/6/2005 12/22/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with Epstein Barr admitted for pain control and worsening symptoms after tonsillectomy by ENT. Patient developed liver failure and died found to have had systemic herpes simplex virus.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insureds pediatricians rounding on patient being seen by specialist.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat herpes simplex virus. Patient died from hepatic failure.
Principal Injury Giving Rise To The Claim
Death of 16 year old girl.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/11/2007 7-006789 Div G
County Suit Filed in Date of Final Disposition
Hillsborough 3/6/2015
Other Defendants Involved in this Claim
Patel, Nilan
University Community Hospital
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Judgment for the plaintiff.  
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 $1,000,000
Loss Adjust Expense Paid to Defense Counsel $131,152
All Other Loss Adjustment Expense Paid $129,990
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. Richard Wilde Medical Malpractice Lawsuits - Court Case # 7-006789-Div G

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574318
Claim Number : FP3274305
Date Submitted : 4/16/2015
 
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 Richard   Wilde
Insurer Type Street Address of Practice
Licensed 4033 Tampa Road, Suite 101
City State Zip Code County
Tampa FL 34677 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-98482 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME82294 Pediatrics - 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 Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
UNIVERSITY COMMUNITY HOSPITAL 100173
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/6/2005 12/22/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with Epstein Barr admitted for pain control and worsening symptoms after tonsillectomy by ENT. Patient developed liver failure and died found to have had systemic herpes simplex virus.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured pdiatricians rounding on patient being seen by specialists.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat herpes simplex virus. Patient died from hepatic failure.
Principal Injury Giving Rise To The Claim
Death of 16 year old girl.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/11/2007 7-006789-Div G
County Suit Filed in Date of Final Disposition
Hillsborough 3/12/2015
Other Defendants Involved in this Claim
University Community Hospital
Patel, Nilan
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Judgment for the plaintiff.  
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 $1,000,000
Loss Adjust Expense Paid to Defense Counsel $124,432
All Other Loss Adjustment Expense Paid $126,591
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. Robert B Leb Medical Malpractice Lawsuits - Court Case # 16-CA-004448

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679761
Claim Number : 56254/55
Date Submitted : 1/20/2017
 
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 Robert B Leb
Insurer Type Street Address of Practice
Licensed 529 East Central Avenue
City State Zip Code County
Winter Haven FL 33880 Polk
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1603272 01 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME44751 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 Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
FLORIDA HOSPITAL WESLEY CHAPEL 23960099
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
7/22/2015 1/20/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Massive cerebral infarct
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 identify stenotic lesion in left middle cerebral artery
Principal Injury Giving Rise To The Claim
Massive cerebral infarct
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
5/24/2016 16-CA-004448
County Suit Filed in Date of Final Disposition
Hillsborough 12/16/2016
Other Defendants Involved in this Claim
Callaway, PA-C, Kate
Aguayo, MD, Elliott
Tampa Bay Emergency Physicians
Sunshine Radiology
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/1/2016
 
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 $19,706
All Other Loss Adjustment Expense Paid $6,443
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $193,418 $26,000,000
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 1/20/2017 1:39:44 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 12/16/16
 
Field Changed Former Value New Value
Date of Final Disposition 01-SEP-16 16-DEC-16

 

 

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Dr. STANLEY ORDMAN Medical Malpractice Lawsuits - Court Case # 09-09750

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161155
Claim Number :PHY-08-82797
Date Submitted :7/26/2011
 
Insurer Information
 
Insurer NameCoverage Type
TEAM HEALTH, INC.Primary
Insurer FEINProfessional License Number
62-1130266 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathy Stockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 722 - 1603kathy_stockton@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSTANLEY ORDMAN
Insurer TypeStreet Address of Practice
Self-Insurer4707 RUE BORDEAUX
CityStateZip CodeCounty
LUTZFL33558Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6795383$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81312Radiology - Diagnostic - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BRANDON REGIONAL HOSPITAL100243
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
4/17/200710/30/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
HEADACHE AND SYNCOPAL EPISODE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXAMINATION AND CT OF HEAD
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
DIAGNOSED WITH MIGRAINE HEADACHE AND SINUSITIS
Principal Injury Giving Rise To The Claim
SUBARACHNOID HEMORRHAGE AND INTRAVENTRICULAR HEMORRHAGE
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
9/21/200909-09750
County Suit Filed inDate of Final Disposition
Hillsborough7/5/2011
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
OtherSETTLED BY PARTIES
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
6/10/2011
 
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$98,225
All Other Loss Adjustment Expense Paid$42,028
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. Charles G Schrader Medical Malpractice Lawsuits - Court Case # 11 7385

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161305
Claim Number :40880-01
Date Submitted :8/11/2011
 
Insurer Information
 
Insurer NameCoverage Type
ANESTHESIOLOGISTS PROFESSIONAL ASSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
59-2820748 
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
IndividualCharlesGSchrader
Insurer TypeStreet Address of Practice
Licensed711 South Parsons Avenue
CityStateZip CodeCounty
BrandonFL33511Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98487$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Registered Nurse 
License NumberSpecialty Code & ClassificationCertification Number
ARNP2034732Anesthesiology80151

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
BRANDON REGIONAL HOSPITAL100243
Location of Institutional InjuryOther Location of Institutional Injury
OtherOutpatient surgery
Date of OccurrenceDate Reported to Insurer
6/24/20106/25/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient undergoing a biopsy of a suspicious mass.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Breast biopsy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
During transport from the OR to PACU, under supervision of the CRNA, the patient suffered a respiratory and cardiac arrest, but was successfully resuscitated.
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
6/16/201111 7385
County Suit Filed inDate of Final Disposition
Hillsborough7/21/2011
Other Defendants Involved in this Claim
Brandon Regional Hospital
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
7/21/2011
 
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$11,019
All Other Loss Adjustment Expense Paid$3,380
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$70,000$10,000,000
Wage Loss$100,000$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. David S Bruce Medical Malpractice Lawsuits - Court Case # 08-14041

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161543
Claim Number :MM245736
Date Submitted :9/7/2011
 
Insurer Information
 
Insurer NameCoverage Type
EVANSTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
36-2950161 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCherry ERadin
Street Address
Ten Parkway North
CityStateZip
DeerfieldIL60015
PhoneExtFaxE-Mail Address
(847) 572 - 6085 (847) 572 - 6338radin@markelcorp.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDavidSBruce
Insurer TypeStreet Address of Practice
Licensed409 Baydhore Blvd.
CityStateZip CodeCounty
TampaFL33606Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MM812880$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80667Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
TAMPA GENERAL HOSPITAL100128
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/28/20074/6/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented with chief complaints of mild tenderness in her right upper quadrant and some occasional right lower quadrant abdominal pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient underwent a laparoscopic extended right lobectomy. Towards the end of the procedure, the insured physician inadvertently lacerated the inferior vena cava, which caused an embolus.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The cut caused bleeding and formation of a large CO2 embolus and the patient expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/19/200908-14041
County Suit Filed inDate of Final Disposition
Hillsborough6/29/2011
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court 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$1,000,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$148,812
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
None.
 
Updates
 
No updates found.

 

 

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

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Dr. AHMAD G KSAIBATI Medical Malpractice Lawsuits - Court Case # 07 001390

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265004
Claim Number :PHY-06-55406
Date Submitted :10/5/2012
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAHMADGKSAIBATI
Insurer TypeStreet Address of Practice
LicensedP. O. Box 48
CityStateZip CodeCounty
BrandonFL33509Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6801420$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44509Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BRANDON REGIONAL HOSPITAL100243
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/7/20049/14/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Bacterial meningitis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to administer antibiotics and failure to obtain additional testing.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Diagnosed with ear infection
Principal Injury Giving Rise To The Claim
Brain injury requiring life long care
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/18/200707 001390
County Suit Filed inDate of Final Disposition
Hillsborough6/4/2010
Other Defendants Involved in this Claim
Ten-Kate, M.D., Veronica
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
6/4/2010
 
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$109,583
All Other Loss Adjustment Expense Paid$27,148
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.**PLEASE NOTE** THIS CASE IS NOT CLOSED AS CASE IS PROCEEDING TO TRIAL AND REMAINS OPEN AS OF 10/5/12.***
 
Updates
 
No updates found.

 

 

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Dr. Heather S Thole Medical Malpractice Lawsuits - Court Case # 08-CA-022646

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851643
Claim Number :149820
Date Submitted :9/15/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualHeatherSThole
Insurer TypeStreet Address of Practice
Licensed11948 Balm Riverview Road
CityStateZip CodeCounty
RiverviewFL33569Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP52131$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME82918Pediatrics - No Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
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
4/29/20077/23/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Routine pediatric medical care.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Pediatric medical care.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose biliary atresia.
Principal Injury Giving Rise To The Claim
Severe liver damage necessitating liver transplant.
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
9/25/200808-CA-022646
County Suit Filed inDate of Final Disposition
Hillsborough11/13/2008
Other Defendants Involved in this Claim
WeeCare for Kids, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/18/2008
 
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$3,750
All Other Loss Adjustment Expense Paid$1,352
Injured Person's Total Non-Economic Loss$1,000,000
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 has discussed case with insurance company personnel, medical expert and defense counsel.
 
Updates
 
 
Date of Change:9/15/2009 2:01:57 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel28203750
All Other Loss Adjustment Expense Paid13281352

 

 

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Dr. Kenneth P Pages Medical Malpractice Lawsuits - Court Case # 08-26409

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952532
Claim Number :155362
Date Submitted :9/16/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKennethPPages
Insurer TypeStreet Address of Practice
Licensed508 South Habana Avenue, Suite 320
CityStateZip CodeCounty
TampaFL33609Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP64472$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76178Psychiatry - All Other00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
TAMPA GENERAL HOSPITAL100128
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
7/22/20087/28/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic depression and borderline personality disorder.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Admission for adjustment of psychiatric medications.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Plaintiff alleged insured failed toorder 1:1 monitoring of suicidal patient, resulting in patient committing suicide.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/7/200808-26409
County Suit Filed inDate of Final Disposition
Hillsborough1/29/2009
Other Defendants Involved in this Claim
Kenneth P. Pages, M.D., P.A.
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/5/2009
 
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$10,245
All Other Loss Adjustment Expense Paid$8,148
Injured Person's Total Non-Economic Loss$1,000,000
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 has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:9/16/2009 11:21:03 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel628810245
All Other Loss Adjustment Expense Paid23948148

 

 

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