Medical Malpractice Cases

Medical Malpractice Cases In Indian River County Florida

Dr. Allen Friedenstab Medical Malpractice Lawsuits - Court Case # 2013 CA-001096

Indemnity Paid: $5,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201780984
Claim Number : F12-0084-12
Date Submitted : 2/6/2018
 
Insurer Information
 
Insurer Name Coverage Type
FD INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-3704679  
Insurer Contact Information
Type First Name MI Last Name
Individual Sasha   Yamamoto
Street Address
575 Market Street 10th Fl.
City State Zip
San Francisco CA 94105
Phone Ext Fax E-Mail Address
(415) 735 - 2135     syamamoto@norcal-group.com
 
Insured Information
 
Type First Name MI Last Name
Individual Allen   Friedenstab
Insurer Type Street Address of Practice
Licensed 3735 37th Street, Suite B-103
City State Zip Code County
Vero Beach FL 32960 Indian River
Policy Number Per Claim Policy Limits Aggregate Policy Limits
CM01000060 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME46913 Gynecology - 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 Brevard
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
INDIAN RIVER MEMORIAL HOSPITAL 100105
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
4/23/2012 4/23/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for a loop electrosurgical excision procedure due to a positive test result for atypical cells
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Loop electrosurgical excision procedure
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None shown
Principal Injury Giving Rise To The Claim
Patient sustained vaginal tissue burns during procedure from an undiluted acid solution which was incorrectly supplied by hospital pharmacy
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
9/27/2013 2013 CA-001096
County Suit Filed in Date of Final Disposition
Indian River 7/28/2016
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc
Lum, PA, Unknown
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
7/21/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $5,000,000
Loss Adjust Expense Paid to Defense Counsel $726,221
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
Circumstances of this case were discussed with the insured and Risk Management. Risk Management discussed the case with the insured.
 
Updates
 
No updates found.

 

 

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Dr. John S Suen Medical Malpractice Lawsuits - Court Case # 20010487CA01

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200533892
Claim Number :501080
Date Submitted :1/6/2005
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN HEALTHCARE INDEMNITY COMPANYPrimary
Insurer FEINProfessional License Number
59-2048400 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTerry MBinns
Street Address
1888 Century Park East, Suite 800
CityStateZip
Los AngelesCA90067
PhoneExtFaxE-Mail Address
(310) 556 - 7488 (310) 556 - 7400Tbinns@scpie-ahi.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohnSSuen
Insurer TypeStreet Address of Practice
Licensed1355 37TH ST
CityStateZip CodeCounty
VERO BEACHFL32960-7321Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0028251058$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62461Internal Medicine - No SurgeryUNKNOWN-1

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Recovery Room 
Date of OccurrenceDate Reported to Insurer
2/1/19994/5/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Vertebral abscess and osteomylitis at level T3-4.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery at T3 by Neurosurgion (not insd) for left upper lobe mass invasion at T3-4. Insd ordered wrist restraints post surg due to plaintiff's combqativeness (unaware his spinal cord was unstable) resulting in spinal cord damage and paraplegia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
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
8/3/200120010487CA01
County Suit Filed inDate of Final Disposition
Indian River12/29/2004
Other Defendants Involved in this Claim
Sakalas, Romas
John Suen, M.D., P.A.
Romas Sakalas, M.D., P.A.
Indian River Memorial 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
12/29/2004
 
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$150,000
All Other Loss Adjustment Expense Paid$20,950
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$500,000$1,500,000
Wage Loss$140,000$160,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Interviews with investigator & defense counsel, answer interrogatiories, deposition, review expert opinions.
 
Updates
 
No updates found.

 

 

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Dr. Dominick J Buro Medical Malpractice Lawsuits - Court Case # 20071844 CA 17

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954061
Claim Number :2-07-0031B
Date Submitted :6/24/2009
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLinda Collins
Street Address
4655 Salisbury Road, Ste. 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887214(904) 296 - 1245lollins@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDominickJBuro
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32961Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
2-GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS7615Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/23/20074/26/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complaints of neck and back pain following fall at home.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No procedure performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to evaluate, diagnose and treata fracture of the cervical spine.
Principal Injury Giving Rise To The Claim
Broken neck.
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
12/21/200720071844 CA 17
County Suit Filed inDate of Final Disposition
Indian River6/22/2009
Other Defendants Involved in this Claim
Damiani, Brad
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
4/6/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$120,629
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed the case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. JAMES DOZIER Medical Malpractice Lawsuits - Court Case # 2006-0959-CA-01

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955789
Claim Number :2-06-0043A
Date Submitted :12/16/2009
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualStevenRCarey
Street Address
4655 Salisbury Rd., Suite 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887224(904) 296 - 1245scarey@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAMES DOZIER
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/1/20045/30/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Extreme pain, dizziness, severe swelling of the penis, and difficulty urinating.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Excision debridement of necrotic tissue and debridement of Foumier gangrene.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Urethristis was the initial diagnosis.
Principal Injury Giving Rise To The Claim
Erectile dysfunction, pain, penile deformity, and neurological deficits.
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
11/28/20062006-0959-CA-01
County Suit Filed inDate of Final Disposition
Indian River12/16/2009
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Emergency Medicine Associates, Inc.
Downs, William
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/25/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$158,236
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
Circumstances of the case have been discussed with the Insured and Risk Management. Risk Management has discussed case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. Jay p Colella Medical Malpractice Lawsuits - Court Case # 2010-CA-07553

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368610
Claim Number :33707/33708
Date Submitted :12/18/2013
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 240 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJaypColella
Insurer TypeStreet Address of Practice
Licensed3725 11th Circle
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602269 02$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME54269Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/2/20094/22/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Intrauterine pregnancy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Administration of Methotrexate
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose intrauterine pregnancy.
Principal Injury Giving Rise To The Claim
Birth of impaired 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
12/21/20102010-CA-07553
County Suit Filed inDate of Final Disposition
Indian River12/13/2013
Other Defendants Involved in this Claim
Radiology Physicians of Indian River County
Bigay, MD, Felix
Indian River 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
10/4/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$157,937
All Other Loss Adjustment Expense Paid$73,393
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$296,571$2,000,000
Wage Loss$0$0
Other Expenses$0$19,000,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:10/11/2013 2:20:20 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 9/19/13
 
Field ChangedFormer ValueNew Value
Date of Final Disposition04-OCT-1319-SEP-13
 
Date of Change:12/18/2013 3:16:28 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 12/13/13.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition19-SEP-1313-DEC-13

 

 

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Dr. George Nichols Medical Malpractice Lawsuits - Court Case # 3120 10CA010302

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201369194
Claim Number :270115/270116
Date Submitted :12/13/2013
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTiffanyDTaylor
Street Address
13450 West Sunrise Blvd
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(877) 320 - 0748  TTaylor@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGeorge Nichols
Insurer TypeStreet Address of Practice
Licensed1155 35th Lane, Suite 100
CityStateZip CodeCounty
Vero beachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0072479$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44303Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/8/20076/1/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infection after total knee replacement resulting in amputation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total knee replacement.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Infection.
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
2/9/20103120 10CA010302
County Suit Filed inDate of Final Disposition
Indian River12/10/2013
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/5/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$245,861
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$300,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$100,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
No updates found.

 

 

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

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Dr. Dudley Teel Medical Malpractice Lawsuits - Court Case # 312010CA073141

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781624
Claim Number : F08-08-0083-A
Date Submitted : 3/31/2017
 
Insurer Information
 
Insurer Name Coverage Type
FD INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-3704679  
Insurer Contact Information
Type First Name MI Last Name
Individual Dionysia   Lawson
Street Address
560 Davis Street
City State Zip
San Francisco CA 94111
Phone Ext Fax E-Mail Address
(415) 735 - 2013   (415) 735 - 2097 dlawson@norcalmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Dudley   Teel
Insurer Type Street Address of Practice
Licensed 1000 36th Street
City State Zip Code County
vero Beach FL 32960 Indian River
Policy Number Per Claim Policy Limits Aggregate Policy Limits
GL01000054 $500,000 $1,500,000
Profession or Business Other Profession or Business
Other  
License Number Specialty Code & Classification Certification Number
ME44584    

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 Indian River
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
INDIAN RIVER MEMORIAL HOSPITAL 100105
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
6/11/2008 9/26/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient arrived at Indian River ER via EMS suffering from diabetic ketoacidosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Saline bolus and insulin administered to patient.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
no misdiagnosis
Principal Injury Giving Rise To The Claim
Alleged failure to timely,adequately and properly treat patient's DKA, resulting in brainstem herniation.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/16/2010 312010CA073141
County Suit Filed in Date of Final Disposition
Indian River 3/15/2015
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Disposed of by Court
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/11/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $160,662
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
Circumstances of this case have been discussed with the insured and risk management was notified.Risk management has discussed case with the insured.
 
Updates
 
No updates found.

 

 

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Dr. Dudley Teel Medical Malpractice Lawsuits - Court Case # 10-60481 CA 11

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574071
Claim Number : 08-08-0083-A
Date Submitted : 4/2/2015
 
Insurer Information
 
Insurer Name Coverage Type
FD INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-3704679  
Insurer Contact Information
Type First Name MI Last Name
Individual Tamla N Lloyd
Street Address
4651 Salisbury Road, Suite 410
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
(904) 296 - 2887 212 (904) 296 - 1245 tlloyd@fdinsurancecompany.com
 
Insured Information
 
Type First Name MI Last Name
Individual Dudley   Teel
Insurer Type Street Address of Practice
Licensed 1000 36th Street
City State Zip Code County
Vero Beach FL 32960 Indian River
Policy Number Per Claim Policy Limits Aggregate Policy Limits
GL01000054 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME44584 Emergency Medicine - No Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Indian River
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
INDIAN RIVER MEMORIAL HOSPITAL 100105
Location of Institutional Injury Other Location of Institutional Injury
Other Indian River Memorial Hospital
Date of Occurrence Date Reported to Insurer
6/11/2008 9/26/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient arrived at Indian River ER via EMS suffering from diabetic ketoacidosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Saline bolus and insulin administered to patient.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None made.
Principal Injury Giving Rise To The Claim
Alleged failure to timely, adequately and properly treat patient's DKA, resulting in brainstem herniation.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/11/2015 10-60481 CA 11
County Suit Filed in Date of Final Disposition
Indian River 3/11/2015
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/11/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $160,662
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
Circumstances of this case have been discussed with the insured and risk management was notified. Risk management has discussed case with the insured.
 
Updates
 
No updates found.

 

 

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Dr. Virginia Fegert Medical Malpractice Lawsuits - Court Case # 2010CA073192

Indemnity Paid: $475,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201162436
Claim Number :39383-05
Date Submitted :12/7/2011
 
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
IndividualVirginia Fegert
Insurer TypeStreet Address of Practice
Licensed3770 7th Terrace, Ste 102
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98545$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53880Anesthesiology80151

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/21/20073/2/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Angina, bilateral iliac disease, distal abdominal aortic stenosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Aorto-bifemoral bypass, insertion of central line, general anesthesia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Post-op, patient found to have retained a portion of the guide-wire used to insert triple lumen catheter for central line.
Principal Injury Giving Rise To The Claim
Complications related to retained guide-wire, need for additional surgery to remove scarring.
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
7/26/20102010CA073192
County Suit Filed inDate of Final Disposition
Indian River11/15/2011
Other Defendants Involved in this Claim
Indian River 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
11/15/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$475,000
Loss Adjust Expense Paid to Defense Counsel$29,714
All Other Loss Adjustment Expense Paid$11,683
Injured Person's Total Non-Economic Loss$475,000
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. FELIX BIGAY-RODRIGUEZ Medical Malpractice Lawsuits - Court Case # 20040803CA01

Indemnity Paid: $370,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745599
Claim Number :276049-1
Date Submitted :2/4/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMary Osborn
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(800) 463 - 37766604(260) 486 - 0785Mary.Osborn@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualFELIX BIGAY-RODRIGUEZ
Insurer TypeStreet Address of Practice
Licensed787 37TH ST STE E-170
CityStateZip CodeCounty
VERO BEACHFL32960-7317Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
667932$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME72743Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
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
5/5/200212/12/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
INDUCTION & DELIVERY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CHEST X-RAY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAIL TO DIAGNOSE
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
12/31/200420040803CA01
County Suit Filed inDate of Final Disposition
Indian River5/9/2007
Other Defendants Involved in this Claim
POSADA, HUMBERTO
INDIAN RIVER MEMORIAL
PARTNERS IN WOMENS 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/11/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$370,500
Loss Adjust Expense Paid to Defense Counsel$43,529
All Other Loss Adjustment Expense Paid$20,338
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:9/11/2007 11:01:53 AM
Reason for Change:Updated claim number and financial information
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid729420293
Claim Number276049276049-1
Amount of Loss Adjustment Expense Paid to Defense Counsel1719931413
 
Date of Change:2/4/2009 10:11:45 AM
Reason for Change:Updated ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2029320338
Amount of Loss Adjustment Expense Paid to Defense Counsel3141343529

 

 

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Dr. HUMBERTO POSADA Medical Malpractice Lawsuits - Court Case # 20040803CA01

Indemnity Paid: $370,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745600
Claim Number :276049-2
Date Submitted :2/4/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMary Osborn
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(800) 463 - 37766604(260) 486 - 0785Mary.Osborn@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualHUMBERTO POSADA
Insurer TypeStreet Address of Practice
Licensed787 37 ST E170
CityStateZip CodeCounty
VERO BEACHFL32960-7317Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
667978$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME43216Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
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
5/5/200212/12/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
INDUCTION & DELIVERY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CHEST X-RAY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAIL TO DIAGNOSE
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
12/31/200420040803CA01
County Suit Filed inDate of Final Disposition
Indian River5/9/2007
Other Defendants Involved in this Claim
BIGAY-RODRIGUEZ, FELIX
INDIAN RIVER MEMORIAL
PARTNERS IN WOMENS 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$370,500
Loss Adjust Expense Paid to Defense Counsel$43,529
All Other Loss Adjustment Expense Paid$20,337
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:9/11/2007 11:03:52 AM
Reason for Change:Updated claim number and financial information.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid729420293
Claim Number276049276049-2
Amount of Loss Adjustment Expense Paid to Defense Counsel1719931413
 
Date of Change:2/4/2009 10:12:53 AM
Reason for Change:Updated ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2029320337
Amount of Loss Adjustment Expense Paid to Defense Counsel3141343529

 

 

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Dr. Ming T Lai Medical Malpractice Lawsuits - Court Case # 03-CA-067469

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849066
Claim Number :01-0009
Date Submitted :3/28/2008
 
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
IndividualMingTLai
Insurer TypeStreet Address of Practice
Licensed910 Malabar RoadSutie 2
CityStateZip CodeCounty
Palm BayFL32907Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP0006282$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME63146Family Physicians or General Practitioners - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SEBASTIAN RIVER MEDICAL CENTER100217
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
5/25/20019/10/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Occluded coronary artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Myocardial infarct
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/4/200403-CA-067469
County Suit Filed inDate of Final Disposition
Indian River3/26/2008
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/30/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$103,422
All Other Loss Adjustment Expense Paid$18,919
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. James C Dozier Medical Malpractice Lawsuits - Court Case # 20050553 CA01

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642845
Claim Number :04-0001A
Date Submitted :10/23/2006
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKasandraPMorales
Street Address
2400 North Commerce Parkway, Ste. 305
CityStateZip
WestonFL33326
PhoneExtFaxE-Mail Address
(954) 389 - 089914(954) 389 - 3942kmorales@flhpix.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJamesCDozier
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
OtherER
Date of OccurrenceDate Reported to Insurer
9/4/20033/15/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged failure to diagnose pulmonary embolism resulting in death
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose pulmonary embolism resulting in death
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose pulmonary embolism resulting in death
Principal Injury Giving Rise To The Claim
death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/16/200420050553 CA01
County Suit Filed inDate of Final Disposition
Indian River10/13/2004
Other Defendants Involved in this Claim
Emergency Medicine Associates
Indian River Memorial 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
8/17/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$49,577
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
This information will be provided
 
Updates
 
No updates found.

 

 

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Dr. Brad Damiani Medical Malpractice Lawsuits - Court Case # 2008-2263 CA-11

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201159535
Claim Number :2-08-0034A
Date Submitted :1/7/2011
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLinda Collins
Street Address
4655 Salisbury Road, Ste. 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887214(904) 394 - 7134lcollins@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrad Damiani
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000054$500,000$1,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44433Surgery - Traumatic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/9/20076/17/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pt presented to ER with injuries to his head, face and knees, after falling from a golf cart.Pt left the ER, AMA and returned 3 days later after losing consciousness.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No procedures performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None made.
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
9/17/20082008-2263 CA-11
County Suit Filed inDate of Final Disposition
Indian River1/7/2011
Other Defendants Involved in this Claim
Indian River Memorial Hospital
Emergency Medicine Associates
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/19/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$78,346
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed this case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. Michele F Libman Medical Malpractice Lawsuits - Court Case # 05-742-CA

Indemnity Paid: $345,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848565
Claim Number :PHY-04-37631
Date Submitted :2/11/2008
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
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
IndividualMicheleFLibman
Insurer TypeStreet Address of Practice
Licensed3302 S.W. Holly Lane
CityStateZip CodeCounty
Palm CityFL34990Martin
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
679-2879$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81297Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMartin
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MARTIN MEMORIAL HOSPITAL SOUTH120009
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
5/4/20034/19/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Neck injury after diving into shallow water
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose cervical injury from CT films
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Cervical injury, neuro deficits
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
9/13/200505-742-CA
County Suit Filed inDate of Final Disposition
Indian River1/13/2008
Other Defendants Involved in this Claim
Martin Memorial 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
9/12/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$345,000
Loss Adjust Expense Paid to Defense Counsel$161,380
All Other Loss Adjustment Expense Paid$29,096
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. JAMES DOZIER Medical Malpractice Lawsuits - Court Case # 2006-0351-CA-01

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056518
Claim Number :2-05-0031A
Date Submitted :2/17/2010
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualStevenRCarey
Street Address
4655 Salisbury Rd., Suite 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887224(904) 296 - 1245scarey@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAMES DOZIER
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/27/20055/13/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Incapacitating pain in left side of chest radiating into the left arm. Patient lost consciousness in the ER Triage.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attempted resuscitation. Intubation and defibrilation of patient in an attempt to save patient.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient had lost consciousness and was in full cardio pulmonary arrest when Insured arrived to attend to patient.
Principal Injury Giving Rise To The Claim
Patient expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/5/20062006-0351-CA-01
County Suit Filed inDate of Final Disposition
Indian River2/17/2010
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Emergency Medicine Associates, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/5/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$155,046
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
Circumstances of the case have been discussed with the Insured and Risk Management. Risk Management has discussed case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. JAMES DOZIER Medical Malpractice Lawsuits - Court Case # 2006-0351-CA-01

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056638
Claim Number :2-05-0031A
Date Submitted :3/5/2010
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualStevenRCarey
Street Address
4655 Salisbury Rd., Suite 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887224(904) 296 - 1245scarey@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAMES DOZIER
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/27/20055/13/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Incapacitating pain in left side of chest radiating into the left arm. Patient lost consciousness in the ER Triage.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attempted resuscitation. Intubation and defibrilation of patient in an attempt to save patient.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient had lost consciousness and was in full cardio pulmonary arrest when Insured arrived to attend to patient.
Principal Injury Giving Rise To The Claim
Patient expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/5/20062006-0351-CA-01
County Suit Filed inDate of Final Disposition
Indian River2/17/2010
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Emergency Medicine Associates, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/5/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$156,050
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
Circumstances of the case have been discussed with the Insured and Risk Management. Risk Management has discussed case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. JAMES DOZIER Medical Malpractice Lawsuits - Court Case # 2006-0351-CA-01

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057386
Claim Number :2-05-0031A
Date Submitted :5/20/2010
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualStevenRCarey
Street Address
4655 Salisbury Rd., Suite 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887224(904) 296 - 1245scarey@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAMES DOZIER
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32960Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47971Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/27/20055/13/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Incapacitating pain in left side of chest radiating into the left arm. Patient lost consciousness in the ER Triage.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Attempted resuscitation. Intubation and defibrilation of patient in an attempt to save patient.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient had lost consciousness and was in full cardio pulmonary arrest when Insured arrived to attend to patient.
Principal Injury Giving Rise To The Claim
Patient expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/5/20062006-0351-CA-01
County Suit Filed inDate of Final Disposition
Indian River2/17/2010
Other Defendants Involved in this Claim
Indian River Memorial Hospital, Inc.
Emergency Medicine Associates, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/5/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$159,069
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
Circumstances of the case have been discussed with the Insured and Risk Management. Risk Management has discussed case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. Olga M Quiros Medical Malpractice Lawsuits - Court Case # 2002 0454 CA 01

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537387
Claim Number :00-0592
Date Submitted :10/14/2005
 
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
IndividualOlgaMQuiros
Insurer TypeStreet Address of Practice
Licensed10 Edgewater Drive, Apartment 3-E
CityStateZip CodeCounty
MiamiFL33133Dade
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP00061890$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME51756Neonatal/Perinatal Medicine 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MDade
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Nursery 
Date of OccurrenceDate Reported to Insurer
7/13/200010/4/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infant delivered with dusky color - improved slightly - still with bounding heart beat
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Infant evaluated by Dr. Casanova and pediatrician, noting gallop in heart beat.Dr. Casanova was told she could wait until morning to see infant.upon arrival infant having trouble breating and transfer was arranged.Appears to be significant delay in actual transfer of infant.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Death of infant.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/15/20022002 0454 CA 01
County Suit Filed inDate of Final Disposition
Indian River9/30/2005
Other Defendants Involved in this Claim
Kidz Medical Services, Inc.
Biscayne Aero Med, Inc.
Baptist Health South Florida
Bertolette, M.D., Randall
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/30/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$39,388
All Other Loss Adjustment Expense Paid$19,484
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. Brad Damiani Medical Malpractice Lawsuits - Court Case # 20071844 CA17

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954059
Claim Number :2-07-0031A
Date Submitted :6/24/2009
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLinda Collins
Street Address
4655 Salisbury Road, Ste. 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887214(904) 296 - 1245lcollins@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrad Damiani
Insurer TypeStreet Address of Practice
Licensed1000 36th Street
CityStateZip CodeCounty
Vero BeachFL32961Indian River
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
2-GL01000001$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44433Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FIndian River
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
INDIAN RIVER MEMORIAL HOSPITAL100105
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/23/20074/26/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complaints of neck and back pain following fall at home.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No procedure performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleging failure to diagnose and treat a fracture of the cervical spine.
Principal Injury Giving Rise To The Claim
Broken neck.
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
12/21/200720071844 CA17
County Suit Filed inDate of Final Disposition
Indian River6/22/2009
Other Defendants Involved in this Claim
Buro, Dominick J
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
4/6/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$42,191
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed this case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. Ralph B Monnett Medical Malpractice Lawsuits - Court Case # 312014CA000749

Indemnity Paid: $285,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573695
Claim Number : 313217
Date Submitted : 3/6/2015
 
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 Tiffany D Taylor
Street Address
13450 West Sunrise Blvd
City State Zip
Sunrise FL 33323
Phone Ext Fax E-Mail Address
(877) 320 - 0748     TTaylor@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Ralph B Monnett
Insurer Type Street Address of Practice
Licensed 14410 US Highway 1
City State Zip Code County
Sebastian FL 32958 Indian River
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0963583 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME43454 Surgery - Opthalmology  

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 Indian River
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 Practitioner's Office
Date of Occurrence Date Reported to Insurer
4/30/2013 12/11/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient sought treatment for Ptosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient underwent Blepharoplasty procedure.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to protect the patient's eyes during Blepharoplasty procedure.
Principal Injury Giving Rise To The Claim
Reduced vision in left eye due to injury to the left cornea.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/21/2014 312014CA000749
County Suit Filed in Date of Final Disposition
Indian River 3/5/2015
Other Defendants Involved in this Claim
Monnett Eye and Optical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Case Settled
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/3/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $285,000
Loss Adjust Expense Paid to Defense Counsel $24,335
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
The insured cpnferenced with defense counsel and claims adjuster.
 
Updates
 
No updates found.

 

 

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Dr. Joanna R Runkle Medical Malpractice Lawsuits - Court Case # 2015 CA000222

Indemnity Paid: $262,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782807
Claim Number : 1022109-01
Date Submitted : 8/22/2018
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Joanna R Runkle
Insurer Type Street Address of Practice
Licensed 13695 US Higway 1
City State Zip Code County
Sebastian FL 32958 Indian River
Policy Number Per Claim Policy Limits Aggregate Policy Limits
762357 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME100734 Anesthesiology  

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 Indian River
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
SEBASTIAN RIVER MEDICAL CENTER 100217
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
6/24/2014 11/3/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
GERD
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Upper GI endoscopy
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to evaluate cardiac risk factors prior to administration of anesthetic Propofol
Principal Injury Giving Rise To The Claim
Patient coded and died
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/20/2015 2015 CA000222
County Suit Filed in Date of Final Disposition
Indian River 8/8/2017
Other Defendants Involved in this Claim
Sebastian HMA Physician Management LLC
Francisco Ruiz MD dba Coral Reef Gastroenterology
Tee MD, Howard
Sebastian River Anesthesology Associates PA
Osmianski ARNP, CRNA, Rebecca
Sebastian Hospital LLC dba Sebastian River Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/8/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $262,500
Loss Adjust Expense Paid to Defense Counsel $101,810
All Other Loss Adjustment Expense Paid $53,221
Injured Person's Total Non-Economic Loss $262,500
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
 
Date of Change: 1/31/2018 4:03:04 PM
Reason for Change: ALE UPDATE 1/31/2018
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 52506 53220
Amount of Loss Adjustment Expense Paid to Defense Counsel 96185 101181
 
Date of Change: 8/22/2018 11:17:32 AM
Reason for Change: ALE UPDATE
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 53220 53221
Amount of Loss Adjustment Expense Paid to Defense Counsel 101181 101810

 

 

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Dr. Jeffrey Swalchick Medical Malpractice Lawsuits - Court Case # 61888353

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783548
Claim Number : 162271
Date Submitted : 11/1/2017
 
Insurer Information
 
Insurer Name Coverage Type
NORCAL MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
94-2301054  
Insurer Contact Information
Type First Name MI Last Name
Individual Richard   Petersen
Street Address
4651 Salisbury Rd. #410
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
(904) 309 - 8142   (904) 394 - 7134 rpetersen@norcal-group.com
 
Insured Information
 
Type First Name MI Last Name
Individual Jeffrey   Swalchick
Insurer Type Street Address of Practice
Licensed 1850 37th Street
City State Zip Code County
Vero Beach FL 32960 Indian River
Policy Number Per Claim Policy Limits Aggregate Policy Limits
723931N $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME57090 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 Indian River
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
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
6/30/2015 3/27/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Thoracic level epidural mass
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Plaintiff alleges that Dr. Swalchick misinterpreted an MRI on or about 06/30/15 that visualized a thoracic level epidural mass.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Plaintiff alleges that Dr. Swalchick misinterpreted an MRI on or about 06/30/15 that visualized a thoracic level epidural mass resulting in a cord 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
9/22/2017 61888353
County Suit Filed in Date of Final Disposition
Indian River 11/1/2017
Other Defendants Involved in this Claim
 
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 Decision Other
Other Settled between parties
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/1/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $7,729
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
Circumstances of the case have been discussed with risk management & with the insured-physician
 
Updates
 
No updates found.

 

 

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

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Dr. Pramod Joseph Medical Malpractice Lawsuits - Court Case # 31-2017-CA-000217-X

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884108
Claim Number : 349901
Date Submitted : 1/18/2018
 
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 Pramod   Joseph
Insurer Type Street Address of Practice
Licensed 275 18th Street, Suite 103
City State Zip Code County
Vero Beach FL 32960 Indian River
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0496194 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME103412 Gastroenterology - 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 Indian River
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
IMPERIAL POINT MEDICAL CENTER 100200
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/1/2016 11/28/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abnormal labs and abdominal pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to assess and treat patient and failure to place an NG tube.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/27/2017 31-2017-CA-000217-X
County Suit Filed in Date of Final Disposition
Indian River 12/27/2017
Other Defendants Involved in this Claim
Wittenrich, Sarah J
Indian River Memorial Hospital, Inc
Okumagba, Enanore E
Hurlburt, Janet
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
12/27/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $26,079
All Other Loss Adjustment Expense Paid $8,124
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. EDWARD MURPHY Medical Malpractice Lawsuits - Court Case # 312016CA00339

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781278
Claim Number : 59246401
Date Submitted : 2/23/2017
 
Insurer Information
 
Insurer Name Coverage Type
PHYSICIANS INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
13-4235490  
Insurer Contact Information
Type First Name MI Last Name
Individual John D King
Street Address
901 south mopac Blvd V ste 400
City State Zip
Austin TX 78746
Phone Ext Fax E-Mail Address
(512) 425 - 5940   (512) 328 - 8067 john-king@tmlt.org
 
Insured Information
 
Type First Name MI Last Name
Individual EDWARD   MURPHY
Insurer Type Street Address of Practice
Licensed 1285- 36th Street, Ste 205
City State Zip Code County
Vero Beach FL 32960 Indian River
Policy Number Per Claim Policy Limits Aggregate Policy Limits
132724 $25,000,000 $75,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME80805 Surgery - General  

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 Indian River
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SEBASTIAN RIVER MEDICAL CENTER 100217
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
2/10/2014 1/14/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to the hospital due to rectal bleeding. Patient underwent a variety of imaging testing to determine source of bleed. During the hospitalization, patient lost 6-7 units of blood
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Physician took patient to surgery to stop bleeding by performing a colectomy. Prior to surgery, physician had to deactivate the artificial urinary sphincter.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient alleges physician failed to properly deactivate the artificial urinary sphincter before inserting a Foley catheter.
Principal Injury Giving Rise To The Claim
injury to Artificial Urinary Sphincter when Foley catheter was inserted causing device to be removed
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
5/5/2016 312016CA00339
County Suit Filed in Date of Final Disposition
Indian River 1/30/2017
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/30/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $55,099
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 to list
 
Updates
 
No updates found.

 

 

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