Medical Malpractice Cases

Medical Malpractice Cases In Leon County Florida

Dr. James C Penrod Medical Malpractice Lawsuits - Court Case # 03 CA 1622

Indemnity Paid: $2,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746344
Claim Number :122675
Date Submitted :12/18/2007
 
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
IndividualJamesCPenrod
Insurer TypeStreet Address of Practice
Licensed131 Sunray Court
CityStateZip CodeCounty
Port Saint JoeFL32456Gulf
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP37692$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME13741Pediatrics - No Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
8/20/20025/8/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hyperbilirubinemia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to admit to hospital.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
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
8/4/200303 CA 1622
County Suit Filed inDate of Final Disposition
Leon12/6/2007
Other Defendants Involved in this Claim
Professional Park Pediatrics, P.A.
Pediatrics of Timberlane, P.A.
Elzie, John L
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
12/12/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,000,000
Loss Adjust Expense Paid to Defense Counsel$148,913
All Other Loss Adjustment Expense Paid$68,894
Injured Person's Total Non-Economic Loss$2,000,000
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:12/11/2007 2:46:45 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid6290268894
Amount of Loss Adjustment Expense Paid to Defense Counsel143621148913
 
Date of Change:12/18/2007 12:12:17 PM
Reason for Change:Update to reflect indemnity payment following settlement.
 
Field ChangedFormer ValueNew Value
Settlement Reached01
Injured Person Total Non-Economic Loss02000000
Date of Final Disposition25-JUN-0706-DEC-07
Indemnity Paid02000000

 

 

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Dr. James C Penrod Medical Malpractice Lawsuits - Court Case # 03-CA-1622

Indemnity Paid: $2,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747936
Claim Number :122675
Date Submitted :8/19/2009
 
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
IndividualJamesCPenrod
Insurer TypeStreet Address of Practice
Licensed1272 A Timberlane Road
CityStateZip CodeCounty
TallahasseeFL32312Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP37692$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME13741Pediatrics - No Surgery000000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
8/20/20025/8/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hyperbilirubinemia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose sepsis.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/11/200403-CA-1622
County Suit Filed inDate of Final Disposition
Leon12/6/2007
Other Defendants Involved in this Claim
Professional Park Pediatrics, P.A.
Elzie, John L
Pediatrics on Timberlane, P.A.
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$2,000,000
Loss Adjust Expense Paid to Defense Counsel$150,619
All Other Loss Adjustment Expense Paid$69,908
Injured Person's Total Non-Economic Loss$2,000,000
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
Insuredd has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:12/18/2007 12:17:38 PM
Reason for Change:PLEASE DELETE THIS REPORT DUE TO DUPLICATION.This was originally reported oon 7/24/07.I resubmitted in error instead of updating previous report.
 
Field ChangedFormer ValueNew Value
Certification Number00000000000
 
Date of Change:8/19/2009 1:44:18 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 Counsel148913150619
All Other Loss Adjustment Expense Paid6889469908

 

 

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Dr. Julian E Hurt Medical Malpractice Lawsuits - Court Case # 2016-CA-000077

Indemnity Paid: $1,450,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783222
Claim Number : 52296
Date Submitted : 9/29/2017
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Julian E Hurt
Insurer Type Street Address of Practice
Licensed 1405 Centerville Rd., Ste. 5000
City State Zip Code County
Tallahassee FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1601129 11 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME46161 Surgery - Cardiac  

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 Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
TALLAHASSEE MEMORIAL HOSPITAL 100135
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
2/18/2014 2/10/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Asymptomatic abdominal aortic aneurysm
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical repair of asymptomatic AAA
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged performance of unnecessary procedure
Principal Injury Giving Rise To The Claim
Numerous additional surgeries
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/12/2016 2016-CA-000077
County Suit Filed in Date of Final Disposition
Leon 9/14/2017
Other Defendants Involved in this Claim
Southern Cardiac & Vascular Assoc.
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
8/22/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,450,000
Loss Adjust Expense Paid to Defense Counsel $12,859
All Other Loss Adjustment Expense Paid $8,342
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $433,000 $0
Wage Loss $0 $200,000
Other Expenses $5,005 $1,000,000
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. Gordon J Low Medical Malpractice Lawsuits - Court Case # 2004-CA-2445

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200539014
Claim Number :A04-30769-02
Date Submitted :12/22/2005
 
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
IndividualGordonJLow
Insurer TypeStreet Address of Practice
Licensed1707 Riggins Road
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
56893$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME45410Dermatology - Clinical and Dermatological Immunology80256

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
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
3/2/20025/21/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
HSV.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to diagnose.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Blistering dermatitis.
Principal Injury Giving Rise To The Claim
Development of meningoencephalitis, resulting in cerebral palsy.
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
10/21/20042004-CA-2445
County Suit Filed inDate of Final Disposition
Leon11/23/2005
Other Defendants Involved in this Claim
Penrod, M.D., James
Manning, M.D., Charles
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
11/23/2005
 
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$58,722
All Other Loss Adjustment Expense Paid$5,942
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$14,000
Wage Loss$0$0
Other Expenses$45,000$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. Minal Krishnamurthy Medical Malpractice Lawsuits - Court Case # 04-CA-123

Indemnity Paid: $950,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641825
Claim Number :A03-28362-02
Date Submitted :8/7/2006
 
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 Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMinal Krishnamurthy
Insurer TypeStreet Address of Practice
Licensed1405 Centerville Road, Ste 4000
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
38363$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME26987Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
TALLAHASSEE MEMORIAL HOSPITAL100135
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
7/29/20024/22/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Term labor and delivery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to appreciate fetal distress via fetal strips.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Hypoxia, resulting in cerebral palsy.
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
2/2/200404-CA-123
County Suit Filed inDate of Final Disposition
Leon7/13/2006
Other Defendants Involved in this Claim
Tallahassee 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
7/13/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$950,000
Loss Adjust Expense Paid to Defense Counsel$28,907
All Other Loss Adjustment Expense Paid$15,247
Injured Person's Total Non-Economic Loss$950,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$210,000$4,000,000
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. Thomas Truman Medical Malpractice Lawsuits - Court Case # 02CA1626

Indemnity Paid: $900,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433736
Claim Number :01-0187
Date Submitted :12/10/2004
 
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
IndividualThomas Truman
Insurer TypeStreet Address of Practice
Licensed1318 North Monroe StreetSuite E
CityStateZip CodeCounty
TallahasseeFL32303Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP0006374$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62633Neonatal/Perinatal Medicine 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
TALLAHASSEE COMMUNITY HOSPITAL100254
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
4/10/20007/15/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Delivery of infant
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Infant went into respiratory distress after delivery and UVC placed
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NA
Principal Injury Giving Rise To The Claim
X-ray revealed tip of catheter in tip of infant's heart.
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
7/5/200202CA1626
County Suit Filed inDate of Final Disposition
Leon12/9/2004
Other Defendants Involved in this Claim
Patterson, Todd
Tallahassee Community Hospital
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/30/2004
 
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$67,811
All Other Loss Adjustment Expense Paid$20,683
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. Sergio Ginaldi Medical Malpractice Lawsuits - Court Case # 2004-CA-003059

Indemnity Paid: $875,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640778
Claim Number :20318
Date Submitted :6/29/2006
 
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
IndividualSergio Ginaldi
Insurer TypeStreet Address of Practice
Licensed1541 Medical Drive #105
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 0102313 06$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME38715Radiology - Diagnostic - Minor Surgery56115

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
9/6/20037/2/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right quadrant abdominal pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT of abdomen
Diagnostic Code :620.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose septic pelvic thrombophlebitis
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
12/23/20042004-CA-003059
County Suit Filed inDate of Final Disposition
Leon6/21/2006
Other Defendants Involved in this Claim
Capitol Regional Medical Center
Radiology Associates of Tallahassee
Jacksonville Emergency Consultants
Attlesey, MD, Mark G
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
5/11/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$875,000
Loss Adjust Expense Paid to Defense Counsel$43,003
All Other Loss Adjustment Expense Paid$20,761
Injured Person's Total Non-Economic Loss$875,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$115,600$0
Wage Loss$0$2,507,361
Other Expenses$11,415$1,790,211
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:6/29/2006 9:50:06 AM
Reason for Change:Report udpated to reflect actual court date of final date of disposition
 
Field ChangedFormer ValueNew Value
Date of Final Disposition24-MAY-0621-JUN-06

 

 

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Dr. JEFFREY LUBIN Medical Malpractice Lawsuits - Court Case # 2014 CA 000641

Indemnity Paid: $750,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782267
Claim Number : EMC-FL-14-281221
Date Submitted : 6/9/2017
 
Insurer Information
 
Insurer Name Coverage Type
EmCare Holdings, Inc. Primary
Insurer FEIN Professional License Number
75-173235 SI
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
Type First Name MI Last Name
Individual JEFFREY   LUBIN
Insurer Type Street Address of Practice
Self-Insurer 2626 CAPITAL MEDICAL BLVD.
City State Zip Code County
TALLAHASSEE FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HAZ1040025381-12 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME55168 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 Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Hospital/Institution CAPITAL REGIONAL MEDICAL CENTER
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
9/10/2013 11/21/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
BRADYCARDIA
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO TREAT
Principal Injury Giving Rise To The Claim
BRADYCARDIA, HTN AND 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
2/9/2015 2014 CA 000641
County Suit Filed in Date of Final Disposition
Leon 6/9/2017
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/11/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $750,000
Loss Adjust Expense Paid to Defense Counsel $177,036
All Other Loss Adjustment Expense Paid $112,173
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Barrett R Tolley Medical Malpractice Lawsuits - Court Case # 15CA002340

Indemnity Paid: $650,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782955
Claim Number : 6012801
Date Submitted : 9/5/2017
 
Insurer Information
 
Insurer Name Coverage Type
OMS NATIONAL INSURANCE COMPANY, RISK RETENTION GROUP Primary
Insurer FEIN Professional License Number
36-3571664  
Insurer Contact Information
Type First Name MI Last Name
Individual jANET l mEYER
Street Address
6133 North River Road, Suite 650
City State Zip
Rosemont ID 60018
Phone Ext Fax E-Mail Address
(800) 522 - 6670   (847) 653 - 8486 janet.meyer@fortressins.com
 
Insured Information
 
Type First Name MI Last Name
Individual Barrett R Tolley
Insurer Type Street Address of Practice
Licensed 3330 Capitol Oaks Drive
City State Zip Code County
Tallahassee FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
2000385 $2,000,000 $6,000,000
Profession or Business Other Profession or Business
Dentistry  
License Number Specialty Code & Classification Certification Number
DN17462 Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia  

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 Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
LAKELAND REGIONAL MEDICAL CENTER 100157
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
12/4/2012 6/5/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for consultation regarding congenital facial deformity.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured performed bilateral split osteotomy with mandibular advancement, multi segment LeFort I osteotomy with advancement and impaction of the maxilla and advanced genioplasty.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Plaintiff alleged a non-union of a fracture post surgical procedure and that the insured failed to address her post operative complications.
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
11/17/2015 15CA002340
County Suit Filed in Date of Final Disposition
Leon 8/21/2017
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
8/25/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $650,000
Loss Adjust Expense Paid to Defense Counsel $87,065
All Other Loss Adjustment Expense Paid $16,110
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. Charles F Manning Medical Malpractice Lawsuits - Court Case # 2004-CA-002445

Indemnity Paid: $625,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538986
Claim Number :20041
Date Submitted :12/20/2005
 
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
IndividualCharlesFManning
Insurer TypeStreet Address of Practice
Licensed1899 Eider Court
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 0104611 05$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME46181Pathology - Minor Surgery2803

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherPathology
Date of OccurrenceDate Reported to Insurer
2/25/20025/20/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Herpes simplex virus
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Biopsies
Diagnostic Code :348.3
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose herpes simplex virus
Principal Injury Giving Rise To The Claim
Meningoecephalitis and permanent neurologic 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
10/12/20042004-CA-002445
County Suit Filed inDate of Final Disposition
Leon11/30/2005
Other Defendants Involved in this Claim
Harris, MD, Jerry
Pathology Associates
Low, MD, Gordon
Dermatology Associates of Tallahassee
Penrod, MD, James
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
11/30/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$625,000
Loss Adjust Expense Paid to Defense Counsel$14,323
All Other Loss Adjustment Expense Paid$7,388
Injured Person's Total Non-Economic Loss$625,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$101,980$14,000,000
Wage Loss$0$731,214
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. Marilyn M Cox Medical Malpractice Lawsuits - Court Case # 99-6351

Indemnity Paid: $575,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432835
Claim Number :11878
Date Submitted :9/14/2004
 
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, Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarilynMCox
Insurer TypeStreet Address of Practice
Licensed1401 Centerville Road, Suite 400
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600007 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47541Cardiovascular Disease - Minor Surgery267490669

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
TALLAHASSEE MEMORIAL HOSPITAL100135
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/9/19977/16/1999
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Wolf Parkinson White Syndrome (WPW)
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Ablation
Diagnostic Code :785.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely recognize and treat MI during procedure
Principal Injury Giving Rise To The Claim
MI
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
12/6/199999-6351
County Suit Filed inDate of Final Disposition
Leon9/7/2004
Other Defendants Involved in this Claim
Tallahassee Memorial Healthcare
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
9/7/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$575,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$217,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$158,000$200,000
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
 
No updates found.

 

 

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Dr. Robert L Thomas Medical Malpractice Lawsuits - Court Case # 04-CA-1456

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535168
Claim Number :19412
Date Submitted :11/9/2005
 
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
IndividualRobertLThomas
Insurer TypeStreet Address of Practice
Licensed8282 Woodgrove Road
CityStateZip CodeCounty
JacksonvilleFL32256Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600584 01$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS8592Emergency Medicine - No Major Surgery3875

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
TALLAHASSEE COMMUNITY HOSPITAL100254
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/16/20032/10/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sepsis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Physical exam, IV fluids, Rx Motrin & Tylenol
Diagnostic Code :DC38.4
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat sepsis
Principal Injury Giving Rise To The Claim
Septic shock requiring amputation of all four limbs
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
6/17/200404-CA-1456
County Suit Filed inDate of Final Disposition
Leon5/24/2005
Other Defendants Involved in this Claim
Bolen, M.D., Louis R
Capital Regional Med. Ctr.
Jacksonville Emergency Consultants
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
4/29/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$6,570
All Other Loss Adjustment Expense Paid$9,868
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$100,000
Wage Loss$100,000$1,000,000
Other Expenses$100,000$1,000,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured.
 
Updates
 
 
Date of Change:11/9/2005 10:48:06 AM
Reason for Change:Corrected various fields pursuant to State audit
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid60009868
Amount of Loss Adjustment Expense Paid to Defense Counsel100006570
Date of Final Disposition28-APR-0524-MAY-05
Defendant Entity NameJacksonville Emergency Consultants
Defendant Last NameBolen, M.D., Louis RBolen, M.D., Louis R
Defendant Entity NameCapital Regional Med. Ctr.Capital Regional Med. Ctr.
Payment Date28-APR-0529-APR-05

 

 

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Dr. Todd S Crawford Medical Malpractice Lawsuits - Court Case # 04-CA-425

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640035
Claim Number :A02-26228-02
Date Submitted :3/27/2006
 
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 Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualToddSCrawford
Insurer TypeStreet Address of Practice
Licensed1401 Centerville Rd, #300
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
48504$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80224Surgery - Neurology - Including Child80152

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MGadsden
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/10/20025/13/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Herniated discs and foraminal narrowing.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Following cervical laminectomy, patient developed transient pain and numbness into his extremities, which he allegedly reported to insured's office, but went untreated.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient developed a cervical hematoma that resulted in permanent paralysis.
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
3/9/200404-CA-425
County Suit Filed inDate of Final Disposition
Leon2/28/2006
Other Defendants Involved in this Claim
Tallahassee Neurological Clinic
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
OtherBefore court verdict
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/28/2006
 
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$76,938
All Other Loss Adjustment Expense Paid$30,411
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$275,000$2,000,000
Wage Loss$200,000$300,000
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. GLENN E SUMMERS Medical Malpractice Lawsuits - Court Case # 2004-CA-602

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200743928
Claim Number :18504
Date Submitted :1/16/2007
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGLENNESUMMERS
Insurer TypeStreet Address of Practice
Licensed100 Wheatley Drive
CityStateZip CodeCounty
AmericusGA31719Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1202564 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME60639Surgery - General1102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
TALLAHASSEE MEMORIAL HOSPITAL100135
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/24/20019/16/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Left adenoma
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic adrenalectomy
Diagnostic Code :577.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosing laceration of splenic vascular supply
Principal Injury Giving Rise To The Claim
Splenic infarct/necrotizing pancreatitis
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
3/4/20042004-CA-602
County Suit Filed inDate of Final Disposition
Leon12/13/2006
Other Defendants Involved in this Claim
Southeastern Surgical Group, PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/14/2006
 
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$35,145
All Other Loss Adjustment Expense Paid$14,968
Injured Person's Total Non-Economic Loss$500,000
Deductible$10,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$77,073$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Alfreda Blackshear Medical Malpractice Lawsuits - Court Case # 03 CA 1764

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201058142
Claim Number :28109-01
Date Submitted :8/3/2010
 
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
IndividualAlfreda Blackshear
Insurer TypeStreet Address of Practice
Licensed1215 Lee Avenue
CityStateZip CodeCounty
TallahasseeFL32303Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
41753$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME40463Pediatrics - No Surgery80267

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
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
3/26/20013/17/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sickle cell crisis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Disputed allegations of failing to timely diagnose and treat stroke in a timely manner.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Vegetative state.
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
8/4/200303 CA 1764
County Suit Filed inDate of Final Disposition
Leon7/14/2010
Other Defendants Involved in this Claim
Tallahassee Memorial Hospital
Jusino, M.D., John
Todd Patterson, D.O., Todd
Florek, M.D., Gery
Tallahassee Primary Care 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
7/14/2010
 
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$148,017
All Other Loss Adjustment Expense Paid$113,047
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Robert P Whittier Medical Malpractice Lawsuits - Court Case # 2014-CA-410

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677637
Claim Number : 307283
Date Submitted : 3/3/2017
 
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
(943) 360 - 3038     kandrews@thedoctors.om
 
Insured Information
 
Type First Name MI Last Name
Individual Robert P Whittier
Insurer Type Street Address of Practice
Licensed 1879 Professional Park Circle
City State Zip Code County
Tallahassee FL 32308 Gadsden
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-IN033183 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME10852 Otorhinolaryngology - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
TALLAHASSEE MEMORIAL HOSPITAL 100135
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
4/2/2013 6/7/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Peri-tonsillar abscess and cellulitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Tonsillectomy
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiff alleges postop mis-management and over-medication with Dilaudid.
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
2/13/2014 2014-CA-410
County Suit Filed in Date of Final Disposition
Leon 3/7/2016
Other Defendants Involved in this Claim
Capital 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/3/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $180,000
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
 
Date of Change: 3/3/2017 11:41:41 AM
Reason for Change: Corrected the indemnity paid. Incorrect amount reported.
 
Field Changed Former Value New Value
Indemnity Paid 25000 500000

 

 

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Dr. Jana M Bures-Forsthoefel Medical Malpractice Lawsuits - Court Case # 09-CA-5004

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201159556
Claim Number :27987
Date Submitted :7/15/2011
 
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
IndividualJanaMBures-Forsthoefel
Insurer TypeStreet Address of Practice
Licensed1405 Centerville Road
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601237 04$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME42625Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
TALLAHASSEE MEMORIAL HOSPITAL100135
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/17/20088/15/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Menorrhagia, urinary frequency, dysmenorrhea
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic vaginal hysterectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Rectal perforation
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
1/5/201009-CA-5004
County Suit Filed inDate of Final Disposition
Leon7/8/2011
Other Defendants Involved in this Claim
Gynecology & Obstetrics Assoc.
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
12/20/2010
 
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$33,280
All Other Loss Adjustment Expense Paid$14,002
Injured Person's Total Non-Economic Loss$288,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$192,013$20,000
Wage Loss$0$0
Other Expenses$0$300,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:7/15/2011 12:15:13 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 07/08/11
 
Field ChangedFormer ValueNew Value
Date of Final Disposition20-DEC-1008-JUL-11

 

 

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Dr. Richard T Donovan Medical Malpractice Lawsuits - Court Case # 2010CA3668

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366023
Claim Number :278662
Date Submitted :2/20/2013
 
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
IndividualRichardTDonovan
Insurer TypeStreet Address of Practice
Licensed2907 Kerry Forest Parkway
CityStateZip CodeCounty
TallahasseeFL32309Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0072010$500,000$1,500,000
Profession or BusinessOther Profession or Business
Physician Assistant 
License NumberSpecialty Code & ClassificationCertification Number
PA2034Family Physicians or General Practitioners - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityPractitoners Office
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
OtherPractitioners Office
Date of OccurrenceDate Reported to Insurer
6/28/20096/17/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented with shortness of breath.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was evaluated for COPD.
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.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/15/20102010CA3668
County Suit Filed inDate of Final Disposition
Leon2/4/2013
Other Defendants Involved in this Claim
Plum, M.D., Franz J
Donovan, P.A.-C, Richard T
Reese, M.D., Randy
Foley, M.D., Angelina
Patients First North Hampton Medical Center, 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
1/23/2013
 
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$33,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
 
Date of Change:2/20/2013 9:53:48 AM
Reason for Change:Added names to other defendants in legal section.
 
Field ChangedFormer ValueNew Value
No Other Defendants10
Defendant Last NameDonovan, P.A.-C, Richard T
Defendant Entity NamePatients First North Hampton Medical Center, P.A.
Defendant Last NamePlum, M.D., Franz J
Defendant Last NameReese, M.D., Randy
Defendant Last NameFoley, M.D., Angelina

 

 

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

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Dr. John N Katopodis Medical Malpractice Lawsuits - Court Case # 2017-CA-001436

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783562
Claim Number : 60579
Date Submitted : 11/3/2017
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual John N Katopodis
Insurer Type Street Address of Practice
Licensed 1300 Medical Dr.
City State Zip Code County
Tallahassee FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600007 19 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME51240 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
TALLAHASSEE MEMORIAL HOSPITAL 100135
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
9/3/2015 1/11/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Temporal arteritis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose and treat temporal arteritis
Principal Injury Giving Rise To The Claim
Blindness
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/21/2017 2017-CA-001436
County Suit Filed in Date of Final Disposition
Leon 10/20/2017
Other Defendants Involved in this Claim
Brooks, Jr., MD, H. Logan
Tallahassee Memorial Hospital
Southern Vitreoretinal Assoc.
Southern Medical Group
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/20/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $22,184
All Other Loss Adjustment Expense Paid $5,297
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 $215,000
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. Harold L Brooks Medical Malpractice Lawsuits - Court Case # 2017-CA-001436

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783827
Claim Number : 1034219
Date Submitted : 8/24/2018
 
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 Harold L Brooks
Insurer Type Street Address of Practice
Licensed 2349 Care Dr
City State Zip Code County
Tallahassee FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
802159 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME42558 Ophthalmology - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
   
Date of Occurrence Date Reported to Insurer
8/27/2015 5/12/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Decreased vision right eye, vascular disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
slip lamp exam, sent to hospital for further work up
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to consider, diagnose and treat temporal arteritis
Principal Injury Giving Rise To The Claim
Loss of vision
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/11/2017 2017-CA-001436
County Suit Filed in Date of Final Disposition
Leon 11/27/2017
Other Defendants Involved in this Claim
Southern Vitreoretinal Associates, Pl
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
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/17/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $12,340
All Other Loss Adjustment Expense Paid $9,321
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
N/a
 
Updates
 
 
Date of Change: 2/13/2018 9:43:55 AM
Reason for Change: ALE UPDATE 2/13/2018
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 0 6204
Amount of Loss Adjustment Expense Paid to Defense Counsel 14947 10587
 
Date of Change: 8/24/2018 4:09:24 PM
Reason for Change: ALE UPDATE
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 6204 9321
Amount of Loss Adjustment Expense Paid to Defense Counsel 10587 12340

 

 

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Dr. Sheridan Skarl Medical Malpractice Lawsuits - Court Case # 16CA2137

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884476
Claim Number : 57713
Date Submitted : 3/23/2018
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Sheridan   Skarl
Insurer Type Street Address of Practice
Licensed 1405 Centerville Rd. Ste. 4200
City State Zip Code County
Tallahassee FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1601237 12 $500,000 $1,500,000
Profession or Business Other Profession or Business
Midwife  
License Number Specialty Code & Classification Certification Number
ARNP9324340 Surgery - Obstetrics  

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 Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
TALLAHASSEE MEMORIAL HOSPITAL 100135
Location of Institutional Injury Other Location of Institutional Injury
Labor and Delivery Room  
Date of Occurrence Date Reported to Insurer
3/18/2014 5/17/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Labor & Delivery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Labor & Delivery
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to adequately prepare for high-risk labor & delivery and failure to treat shoulder dystocia
Principal Injury Giving Rise To The Claim
Erb's Palsy injury
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/10/2016 16CA2137
County Suit Filed in Date of Final Disposition
Leon 3/2/2018
Other Defendants Involved in this Claim
Gynecology & Obstetrics Assoc.
Tallahassee 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/7/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $52,007
All Other Loss Adjustment Expense Paid $11,816
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $200,000 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 3/23/2018 12:43:23 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 03/02/18
 
Field Changed Former Value New Value
Date of Final Disposition 07-FEB-18 02-MAR-18

 

 

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Dr. Carol McNutt Medical Malpractice Lawsuits - Court Case # 2016-CA-000166

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885242
Claim Number : 55367
Date Submitted : 5/4/2018
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Carol   McNutt
Insurer Type Street Address of Practice
Licensed 1405 Centerville Rd, Ste 4200
City State Zip Code County
Tallahassee FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1601237 12 $500,000 $1,500,000
Profession or Business Other Profession or Business
Midwife  
License Number Specialty Code & Classification Certification Number
ARNP1069352 Surgery - Obstetrics - Gynecology  

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 Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
TALLAHASSEE MEMORIAL HOSPITAL 100135
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
2/5/2015 10/30/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Group A Streptococcus infection
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat post-partum sepsis due to Group A Streptococcus infection
Principal Injury Giving Rise To The Claim
Sepsis
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
5/9/2017 2016-CA-000166
County Suit Filed in Date of Final Disposition
Leon 4/11/2018
Other Defendants Involved in this Claim
Ramsey, MD, Shawn R
Tallahassee Memorial Hospital
Gyn & Ob Assoc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/11/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $6,773
All Other Loss Adjustment Expense Paid $2,938
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $100,000 $0
Wage Loss $0 $0
Other Expenses $0 $2,000,000
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. Jana M Bures-Forsthoefel Medical Malpractice Lawsuits - Court Case # 2016-CA-00166

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885243
Claim Number : 67266
Date Submitted : 5/4/2018
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Jana M Bures-Forsthoefel
Insurer Type Street Address of Practice
Licensed 1405 Centerville Rd, Ste 4200
City State Zip Code County
Tallahassee FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1601237 12 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME42625 Surgery - Obstetrics - Gynecology  

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 Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
TALLAHASSEE MEMORIAL HOSPITAL 100135
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
2/5/2015 10/30/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Group A Streptococcus infection
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat post-partum sepsis due to Group A Streptococcus infection
Principal Injury Giving Rise To The Claim
Sepsis
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
5/9/2017 2016-CA-00166
County Suit Filed in Date of Final Disposition
Leon 4/11/2018
Other Defendants Involved in this Claim
McNutt, CNM, Carol
Ramsey, MD, Shawn R
Tallahassee Memorial Hospital
Gyn & Ob Assoc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/11/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $2,439
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 $100,000 $0
Wage Loss $0 $0
Other Expenses $0 $2,000,000
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. Timothy L Frerichs Medical Malpractice Lawsuits - Court Case # 2016 CA 347

Indemnity Paid: $499,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679837
Claim Number : 324642
Date Submitted : 9/30/2016
 
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 Timothy L Frerichs
Insurer Type Street Address of Practice
Licensed 1911 Miccosukee Raod
City State Zip Code County
Tallahassee FL 32308 Leon
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0950563 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME113361 Surgery - Orthopedic  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Leon
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Red Hills Surgical Center
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
8/20/2014 11/20/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Full thickness ACL tear with mild MCL sprain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Left knee ACL reconstruction and left knee patellar tendon harvest bone tendon bone with bone grafting.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to timely diagnose and treat compartment syndrome.
Principal Injury Giving Rise To The Claim
Left leg above the knee amputation.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
2/22/2016 2016 CA 347
County Suit Filed in Date of Final Disposition
Leon 9/15/2016
Other Defendants Involved in this Claim
North Florida Sports Medicine and Orthopedic Center, PA
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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/15/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $499,000
Loss Adjust Expense Paid to Defense Counsel $0
All Other Loss Adjustment Expense Paid $1,157
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Tim A Broeseker Medical Malpractice Lawsuits - Court Case # 07-CA-2408

Indemnity Paid: $495,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955391
Claim Number :251915
Date Submitted :11/11/2009
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualAngela LaFrance
Street Address
13450 W. Sunrise Blvd., Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 838 - 9988 (866) 636 - 5421alafrance@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTimABroeseker
Insurer TypeStreet Address of Practice
Licensed1632 Riggins Road
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
65157$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47148Oncology - minor surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLeon
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
1/20/200612/21/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was newly diagnosed with breast cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Initial chemotherapy treatment using Taxotene, Adriamycin and Cytoxan.
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.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/5/200707-CA-2408
County Suit Filed inDate of Final Disposition
Leon11/4/2009
Other Defendants Involved in this Claim
Sheedy, M.D., Brian
Hematology Oncology Associates of Northwest Florida, LLP
Tallahassee Memorial Healthcare, 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
10/30/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$495,000
Loss Adjust Expense Paid to Defense Counsel$5,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$475,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$20,000$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.

 

 

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

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