Medical Malpractice Cases

Medical Malpractice Cases In Hillsborough County Florida

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. 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. 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. 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. 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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Dr. Giacomo Guggino Medical Malpractice Lawsuits - Court Case # 09 22874, Div D

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057362
Claim Number :09-0233
Date Submitted :5/19/2010
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCecilia Sala
Street Address
4211 West Boy Scout Blvd., Ste. 160
CityStateZip
TampaFL33607
PhoneExtFaxE-Mail Address
(813) 874 - 0768 (813) 874 - 0710cecilia.sala@baycare.org
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGiacomo Guggino
Insurer TypeStreet Address of Practice
Licensed417 Royal Palm Way
CityStateZip CodeCounty
TampaFL33609Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
011-2828$1,000,000$10,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME14464Surgery - Opthalmology 

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
SAINT JOSEPH'S HOSPITAL100075
Location of Institutional InjuryOther Location of Institutional Injury
OtherNIC Level III
Date of OccurrenceDate Reported to Insurer
8/26/20086/5/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was born by cesearean section due to prematurity at 24 weeks gestation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Treatment plan for potential risk of retinopathy of prematurity.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Claim alleges failure to timely diagnose retinopathy of prematurity.
Principal Injury Giving Rise To The Claim
Infant sustained bilateral retinal detachment.
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
10/6/200909 22874, Div D
County Suit Filed inDate of Final Disposition
Hillsborough3/29/2010
Other Defendants Involved in this Claim
St. Joseph's Women's Hospital
Pediatrix Medical Group
St. Joseph's Hospital
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/21/2010
 
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$30,611
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 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
Defense counsel discussed claim with physician.
 
Updates
 
No updates found.

 

 

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Dr. Ezzat Zaki Medical Malpractice Lawsuits - Court Case # 00-007070

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200643102
Claim Number :40-005292
Date Submitted :11/9/2006
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRichardAJones
Street Address
4680 Wilshire Blvd., 6th Floor
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(714) 633 - 8331 (714) 633 - 1226rich.jones@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEzzat Zaki
Insurer TypeStreet Address of Practice
Licensed1103 Glen Park Lane
CityStateZip CodeCounty
ValricoFL33594Holmes
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0117776130000$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62902Emergency 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
BRADFORD HOSPITAL100103
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/14/19992/10/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Testicular torsion.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Exam. Ultrasound.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose testicular torsion.
Principal Injury Giving Rise To The Claim
Loss of left testicule.
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
9/10/200000-007070
County Suit Filed inDate of Final Disposition
Hillsborough3/1/2002
Other Defendants Involved in this Claim
 
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
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/12/2002
 
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$103,183
All Other Loss Adjustment Expense Paid$65,851
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 does not purchase risk management services.
 
Updates
 
No updates found.

 

 

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Dr. Christine Norton Medical Malpractice Lawsuits - Court Case # 05-8987-DIV G

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200643153
Claim Number :04-2105
Date Submitted :11/16/2006
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCECILIA SALA
Street Address
4211 BOYSCOUT BLVD., STE. 160
CityStateZip
TAMPAFL33624
PhoneExtFaxE-Mail Address
(813) 874 - 0768 (813) 874 - 0710csala@che.org
 
Insured Information
 
TypeFirst NameMILast Name
IndividualChristine Norton
Insurer TypeStreet Address of Practice
Licensed1903 STATE ROAD 60 E
CityStateZip CodeCounty
VALRICOFL33594-3625Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
031-0349$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS7813Family Physicians or General Practitioners - 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
2/5/200410/14/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to the physician's office complaining of a tender lump in the left breast.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The physician ordered an ultrasound of the left breast, and requested that the patient return to the physician's office following the ultrasound.The ultrasound was reported as negative. The patient never returned to the physician's office for follow-up treatment despite a call from the physician's office to the patient.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Seven months later, the patient was diagnosed with breast cancer, and underwent a modified radical mastectomy followed by radiation therapy and chemotherapy.By 2006, metastasis had occurred to the liver and bones.
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
10/6/200505-8987-DIV G
County Suit Filed inDate of Final Disposition
Hillsborough11/2/2006
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/26/2006
 
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$219,354
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$1,000,000
Other Expenses$0$1,000,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Counsel discussed this case with the physician.
 
Updates
 
No updates found.

 

 

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Dr. Robert Coleman Medical Malpractice Lawsuits - Court Case # 04-01279

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538420
Claim Number :A03-27757-03
Date Submitted :11/23/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobert Coleman
Insurer TypeStreet Address of Practice
Licensed2 Columbia Drive, Room A327
CityStateZip CodeCounty
TampaFL33606Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98098$250,000$750,000
Profession or BusinessOther Profession or Business
OtherCRNA
License NumberSpecialty Code & ClassificationCertification Number
ARNP9182755  

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
TAMPA GENERAL HOSPITAL100128
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/6/20031/14/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Biliary stricture.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient fell off procedure table, following percutaneous transhepatic cholangiogram.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Hyperextension of cervical spine resulting in quadraplegia.
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
2/20/200404-01279
County Suit Filed inDate of Final Disposition
Hillsborough10/26/2005
Other Defendants Involved in this Claim
Tampa General Hospital
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/26/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$39,589
All Other Loss Adjustment Expense Paid$44,060
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
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. Larry Fishman Medical Malpractice Lawsuits - Court Case # 00 05195

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432202
Claim Number :99-0359
Date Submitted :7/28/2004
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON NATIONAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
52-0266645 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy  Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
CityStateZip
HoustonTX77042-361
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLarry Fishman
Insurer TypeStreet Address of Practice
Licensed427 South Parson Avenue, Suite 110
CityStateZip CodeCounty
BrandonFL33511Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP0005787$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53007Surgery - Neurology - Including Child 

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
BRANDON REGIONAL HOSPITAL100243
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/27/19981/3/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Large mass in brain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Suboccipital craniectomy to resect a large space occupying mass deep in the brain
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
Alleged that the physician inappropriately performed surgery, removed inappropriate amounts of viable brain tissue, and used improper surgical technique allegedly resulting in patient's physical decline, pain, suffering and death approximately one year later.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/13/200000 05195
County Suit Filed inDate of Final Disposition
Hillsborough6/29/2004
Other Defendants Involved in this Claim
Larry Fishman, M.D., P.A
Brandon Regional Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/7/2004
 
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$50,002
All Other Loss Adjustment Expense Paid$18,802
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. 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. ERIC D CASTELLUCCI Medical Malpractice Lawsuits - Court Case # 01-10145

Indemnity Paid: $979,285.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744458
Claim Number :E30438
Date Submitted :7/3/2014
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMichelle Brown
Street Address
100 Brookwood Place
CityStateZip
BirminghamAL35209
PhoneExtFaxE-Mail Address
(205) 802 - 4754  mibrown@proassurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualERICDCASTELLUCCI
Insurer TypeStreet Address of Practice
Licensed16177 Colchester Palms Drive
CityStateZip CodeCounty
TampaFL33647Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1009503-00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME60245Emergency 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
SAINT JOSEPH'S HOSPITAL100075
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
1/19/20018/1/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right sided weakness, aphasia and stroke symptoms.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to timely administer TPA to a patient with a history of subdural hematoma.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Stroke resulted in aphasia, facial weakness, dysphagia and right hemiplegia.
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
11/30/200101-10145
County Suit Filed inDate of Final Disposition
Hillsborough1/29/2007
Other Defendants Involved in this Claim
Emergency Medical Associates of Florida, LLC
Emergency Medical Associates of Tampa Bay, P.A.
Kotwal, Ajoy
Ajoy Kotwal, M.D., P.A.
St. Joseph's Hospital
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
Disposed of by Court
Court DecisionOther
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$979,285
Loss Adjust Expense Paid to Defense Counsel$206,346
All Other Loss Adjustment Expense Paid$849,029
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$272,286$217,713
Wage Loss$0$0
Other Expenses$82,409$256,727
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:3/21/2014 9:01:51 AM
Reason for Change:Updated financial information to reflect additional payments made.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid849052849064
Amount of Loss Adjustment Expense Paid to Defense Counsel204816206232
 
Date of Change:7/3/2014 11:38:40 AM
Reason for Change:updated financials
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid849064849029
Amount of Loss Adjustment Expense Paid to Defense Counsel206232206346

 

 

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Dr. Gustavo A Barrazueta Medical Malpractice Lawsuits - Court Case # 03-7481 DIV B

Indemnity Paid: $950,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745720
Claim Number :27711-01
Date Submitted :5/25/2007
 
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
IndividualGustavoABarrazueta
Insurer TypeStreet Address of Practice
Licensed3614 B West Kennedy Blvd.
CityStateZip CodeCounty
TampaFL33609Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98081$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME64869Internal Medicine - No Surgery80257

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
MEMORIAL HOSPITAL - TAMPA100206
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/28/20011/17/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to emergency room with complaints of fever, dizziness, headache, shortness of breath, malaise and nausea and was subsequently diagnosed with sepsis and cellulitis, status post abdominoplasty.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to obtain proper surgical consultation and alleged insufficient fluid resuscitation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Bilateral, below-knee amputations and loss of all ten fingers.
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
9/17/200303-7481 DIV B
County Suit Filed inDate of Final Disposition
Hillsborough5/14/2007
Other Defendants Involved in this Claim
McLaughlin, M.D., Charles A
Haedicke, M.D., George
Seekins, M.D., Daniel
Stromquist, M.D., Philip
South Tampa Medical Group, P.A.
Memorial Hospital of Tampa
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/14/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$950,000
Loss Adjust Expense Paid to Defense Counsel$84,037
All Other Loss Adjustment Expense Paid$66,773
Injured Person's Total Non-Economic Loss$950,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
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. Jon Anderson Medical Malpractice Lawsuits - Court Case # 03-1057A

Indemnity Paid: $940,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433401
Claim Number :16376
Date Submitted :11/10/2004
 
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
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJon Anderson
Insurer TypeStreet Address of Practice
Licensed511 W. Bay St., Suite 301
CityStateZip CodeCounty
TampaFL33606Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PRF 1400628 00$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75253Radiology - Diagnostic - No Surgery05104

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
TAMPA GENERAL HOSPITAL100128
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/2/20019/30/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ruptured Spleen
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
X-rays
Diagnostic Code :865.03
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosing a ruptured spleen
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/3/200303-1057A
County Suit Filed inDate of Final Disposition
Hillsborough10/28/2004
Other Defendants Involved in this Claim
Richards MD, Ferdinand
Paula MD, Richard L
Tampa General Hospital
Fl. Board of Regents
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/28/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$940,000
Loss Adjust Expense Paid to Defense Counsel$92,000
All Other Loss Adjustment Expense Paid$42,000
Injured Person's Total Non-Economic Loss$940,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$5,000$0
Wage Loss$0$500,000
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. Ramesh Shah Medical Malpractice Lawsuits - Court Case # 02-09535

Indemnity Paid: $900,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537029
Claim Number :116677
Date Submitted :10/5/2005
 
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
IndividualRamesh Shah
Insurer TypeStreet Address of Practice
Licensed4910 North Armenia Aveue
CityStateZip CodeCounty
TampaFL33603Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-0251600-00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME32508Hematology - Minor 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
Hospital Inpatient Facility 
Name of InstitutionCode
UNIVERSITY COMMUNITY HOSPITAL100173
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/22/20005/17/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with history of colon cancer presented with abdominal pain, nausea and vomiting.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Bowel obstruction.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Patient vomited, aspirated and expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/14/200202-09535
County Suit Filed inDate of Final Disposition
Hillsborough10/27/2004
Other Defendants Involved in this Claim
Patterson, Stephen G
Bay Area Oncology, M.D., P.A.
University Community Hospital, Inc. d/b/a University Communi
Stage of Legal System at which Settlement was Reached or Award Made
During 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
9/20/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$900,000
Loss Adjust Expense Paid to Defense Counsel$66,367
All Other Loss Adjustment Expense Paid$87,171
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
 
No updates found.

 

 

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Dr. Robert Powless Medical Malpractice Lawsuits - Court Case # 2010-CA-00886S

Indemnity Paid: $850,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160250
Claim Number :38303-01
Date Submitted :3/28/2011
 
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
IndividualRobert Powless
Insurer TypeStreet Address of Practice
Licensed1 Davis Blvd., Ste 103
CityStateZip CodeCounty
TampaFL33606Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
12936$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN13153Dental General Practice - NOC80211

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
2/19/20092/19/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Nine year old autistic patient presented for extraction of 3 teeth.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was given IV anesthetics in preparation for extractions, despite history from mother that he may have eaten something some 2 1/2 hours prior to procedure.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient regurgitated and aspirated a large volume of food and despite resuscitative efforts, he expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/23/20102010-CA-00886S
County Suit Filed inDate of Final Disposition
Hillsborough3/8/2011
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
3/8/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$850,000
Loss Adjust Expense Paid to Defense Counsel$19,923
All Other Loss Adjustment Expense Paid$6,989
Injured Person's Total Non-Economic Loss$850,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. JACK N GAY Medical Malpractice Lawsuits - Court Case # 13-CA-008083-J

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470822
Claim Number :44032
Date Submitted :8/5/2014
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJACKNGAY
Insurer TypeStreet Address of Practice
Licensed435 bayview Dr.
CityStateZip CodeCounty
BelleairFL33756Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601109 09$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME58150Pathology - Minor 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
Other Outpatient FacilityiPathology
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherPathology
Date of OccurrenceDate Reported to Insurer
7/19/20122/21/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Anemia, GERD
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Gastric biopsy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged misdiagnosis of well-differentiated adenocarcinoma
Principal Injury Giving Rise To The Claim
Subtotal gastrectomy
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
6/10/201313-CA-008083-J
County Suit Filed inDate of Final Disposition
Hillsborough7/10/2014
Other Defendants Involved in this Claim
iPathology
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
4/18/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$800,000
Loss Adjust Expense Paid to Defense Counsel$46,951
All Other Loss Adjustment Expense Paid$9,529
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$900,000$100,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured.
 
Updates
 
 
Date of Change:8/5/2014 3:41:27 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 07/10/14
 
Field ChangedFormer ValueNew Value
Date of Final Disposition18-APR-1410-JUL-14

 

 

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