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

 

 

This page is not displaying certain sensitive information.

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

 

 

This page is not displaying certain sensitive information.

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.

 

 

This page is not displaying certain sensitive information.

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.

 

 

This page is not displaying certain sensitive information.

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.

 

 

This page is not displaying certain sensitive information.

One or more fields in this claim have failed internal data validation testing.

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

 

 

This page is not displaying certain sensitive information.

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.

 

 

This page is not displaying certain sensitive information.

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.

 

 

This page is not displaying certain sensitive information.

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

 

 

This page is not displaying certain sensitive information.

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.

 

 

This page is not displaying certain sensitive information.

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.

 

 

This page is not displaying certain sensitive information.

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.

 

 

This page is not displaying certain sensitive information.

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

 

 

This page is not displaying certain sensitive information.

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.

This page is not displaying certain sensitive information.

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.

This page is not displaying certain sensitive information.

Dr. Dan W Peters Medical Malpractice Lawsuits - Court Case # 05CA2651

Indemnity Paid: $490,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641597
Claim Number :A05-32012-04
Date Submitted :7/14/2006
 
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
IndividualDanWPeters
Insurer TypeStreet Address of Practice
Licensed2907 Kerry Forest Parkway
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
57716$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80943Family Physicians or General Practitioners - No Surgery80239

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
12/21/20042/3/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hypertension and diabetes.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose uncontrolled diabetes.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death following diabetic crisis.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/15/200505CA2651
County Suit Filed inDate of Final Disposition
Leon6/23/2006
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
6/23/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$490,000
Loss Adjust Expense Paid to Defense Counsel$12,479
All Other Loss Adjustment Expense Paid$1,448
Injured Person's Total Non-Economic Loss$490,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$42,000$0
Wage Loss$100,000$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Dale A Wickstrum Medical Malpractice Lawsuits - Court Case # 2006CA 451

Indemnity Paid: $432,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746537
Claim Number :139496
Date Submitted :4/7/2008
 
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
IndividualDaleAWickstrum
Insurer TypeStreet Address of Practice
Licensed1300 Miccosukee Road
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP40509$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME35684Oncology - 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
3/12/20038/8/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Radiation treatment for liposarcoma of the spermatic cord.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to order follow-up CT scan on a long-term basis.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Recurrent tumor in distant site.
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
2/27/20062006CA 451
County Suit Filed inDate of Final Disposition
Leon8/2/2007
Other Defendants Involved in this Claim
North Florida Radiation Oncology Associates, 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
8/8/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$432,000
Loss Adjust Expense Paid to Defense Counsel$30,371
All Other Loss Adjustment Expense Paid$19,029
Injured Person's Total Non-Economic Loss$432,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:4/7/2008 10:17:29 AM
Reason for Change:Report updated to reflect additional legal fees and expenses.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1621430371
All Other Loss Adjustment Expense Paid1247119029

 

 

This page is not displaying certain sensitive information.

Dr. Katherine E Langston Medical Malpractice Lawsuits - Court Case # 37-2010-CA-001482

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160827
Claim Number :32289/32290
Date Submitted :6/15/2011
 
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
IndividualKatherineELangston
Insurer TypeStreet Address of Practice
Licensed1319 Thomaswood Drive
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600385 08$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME95942Surgery - Traumatic 

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 Outpatient Facility 
Name of InstitutionCode
TALLAHASSEE MEMORIAL HOSPITAL100135
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/24/200811/15/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Rule out temporal arteritis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Temporal artery biopsy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Facial nerve injury
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
4/27/201037-2010-CA-001482
County Suit Filed inDate of Final Disposition
Leon5/12/2011
Other Defendants Involved in this Claim
Southeastern Surgical 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/12/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$54,579
All Other Loss Adjustment Expense Paid$9,149
Injured Person's Total Non-Economic Loss$350,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$33,953$15,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Riskmanagement has counseled insured
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Alexander Franz Medical Malpractice Lawsuits - Court Case # 2010CA-003352

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161466
Claim Number :38788-01
Date Submitted :8/29/2011
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAlexander Franz
Insurer TypeStreet Address of Practice
Licensed1401 Centerville Road, Suite 202
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99536$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME98951Surgery - 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
6/2/20096/2/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Normal pregnancy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vacuum assisted vaginal delivery of a newborn vaginal.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Brachial plexus injury to left extremity and related nerve damage.
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
10/7/20102010CA-003352
County Suit Filed inDate of Final Disposition
Leon8/8/2011
Other Defendants Involved in this Claim
Clements & Ashmore, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/8/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$22,090
All Other Loss Adjustment Expense Paid$5,805
Injured Person's Total Non-Economic Loss$400,000
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.

 

 

This page is not displaying certain sensitive information.

Dr. Leonard Leichus Medical Malpractice Lawsuits - Court Case # 37-2013-CA-000645

Indemnity Paid: $395,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201469327
Claim Number :FP4264701
Date Submitted :1/8/2014
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKelly Andrews
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(904) 360 - 3038  kandrews@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLeonard Leichus
Insurer TypeStreet Address of Practice
LicensedP.O. Box 14507
CityStateZip CodeCounty
TallahasseeFL32317Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
IN083165$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME69965Gastroenterology - 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
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
9/4/20091/18/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
IBS, anemia, arteriovernous malformations.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Colonoscopy and pill cam study.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to properly complete and interpret the colonoscopy and pill cam study resulting in failure to diangose cancer of the cecum and ileoceccal valve.
Principal Injury Giving Rise To The Claim
Alleged 14 month delay in the diagnosis of colon cancer resulting in more extensive treatment with a poort prognosis and shortened life expectancy.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/22/201337-2013-CA-000645
County Suit Filed inDate of Final Disposition
Leon12/18/2013
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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$395,000
Loss Adjust Expense Paid to Defense Counsel$18,517
All Other Loss Adjustment Expense Paid$16,531
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
Insurancecompany staff consulted with insured to discuss preventative measures.Patient Safety referral is made if approppriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. RUTH MORGAN Medical Malpractice Lawsuits - Court Case # 2011-CA-001762

Indemnity Paid: $380,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471236
Claim Number :285998
Date Submitted :7/8/2014
 
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
IndividualRUTH MORGAN
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
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME51605Internal Medicine - Minor Surgery 

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
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
OtherPractitoner's Office
Date of OccurrenceDate Reported to Insurer
6/22/20094/25/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for depression. He committed suicide.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to refer to a psychiatrist.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged failure to refer to a psychiatrist.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/2/20112011-CA-001762
County Suit Filed inDate of Final Disposition
Leon7/3/2014
Other Defendants Involved in this Claim
Simpson, PhD, Robert C
Patients First North Hampton Inc.
Patients First North Hampton Medical Center 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
OtherVoluntary Dismissal
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/26/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$380,000
Loss Adjust Expense Paid to Defense Counsel$222,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$380,000
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
 
No updates found.

 

 

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

This page is not displaying certain sensitive information.

Dr. Mark G Attlesey Medical Malpractice Lawsuits - Court Case # 2004-CA-003059

Indemnity Paid: $375,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640779
Claim Number :20499
Date Submitted :5/24/2006
 
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
IndividualMarkGAttlesey
Insurer TypeStreet Address of Practice
Licensed8282 Woodgrove Road
CityStateZip CodeCounty
JacksonvilleFL32256Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600584 02$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71653Emergency Medicine - No Major Surgery5104

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
Leon5/24/2006
Other Defendants Involved in this Claim
Capitol Regional Medical Center
Radiology Associates of Tallahassee
Jacksonville Emergency Consultants
Ginaldi, Sergio
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$375,000
Loss Adjust Expense Paid to Defense Counsel$29,981
All Other Loss Adjustment Expense Paid$14,496
Injured Person's Total Non-Economic Loss$375,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$115,680$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 mangement has counseled insured
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Abolfazl Sadat-Mansouri Medical Malpractice Lawsuits - Court Case # 4:040cv00409-RH/WCS

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538569
Claim Number :ASG-SIR03-17184-ASM
Date Submitted :12/5/2005
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRoy Higdon
Street Address
9821 Katy Freeway, Suite 600
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 88928892(713) 243 - 7311roy_higdon@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAbolfazl Sadat-Mansouri
Insurer TypeStreet Address of Practice
Licensed2634 Capital Circle NE
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
679-1649$1,000,000$10,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47813Family Physicians or General Practitioners - No 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
Prison 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherJail infirmary
Date of OccurrenceDate Reported to Insurer
5/16/20036/24/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged overmedication resulting in death.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Overmedication.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis specifically noted.
Principal Injury Giving Rise To The Claim
Alleged overmedication resulting in death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/13/20044:040cv00409-RH/WCS
County Suit Filed inDate of Final Disposition
Leon9/29/2005
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Disposed of by Arbitration
Court DecisionOther
OtherSettlement
Arbitration
Award for plaintiff.
Date of Payment
9/9/2005
 
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$114,142
All Other Loss Adjustment Expense Paid$6,548
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.

 

 

This page is not displaying certain sensitive information.

Dr. Susan Cole Medical Malpractice Lawsuits - Court Case # 4:040cv00409-RH/WCS

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538571
Claim Number :ASG-SIR03-17184-SC
Date Submitted :12/5/2005
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRoy Higdon
Street Address
9821 Katy Freeway, Suite 600
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 88928892(713) 243 - 7311roy_higdon@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSusan Cole
Insurer TypeStreet Address of Practice
LicensedLeon County Jail, 535 Appleyard Dr.
CityStateZip CodeCounty
TallahasseeFL32304Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
679-1649$1,000,000$10,000,000
Profession or BusinessOther Profession or Business
OtherAdministrator/Nurse
License NumberSpecialty Code & ClassificationCertification Number
RN3108442  

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
Prison 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherJail infirmary
Date of OccurrenceDate Reported to Insurer
5/16/20036/24/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged overmedication resulting in death.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Overmedication.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis specifically noted.
Principal Injury Giving Rise To The Claim
Alleged overmedication resulting in death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/13/20044:040cv00409-RH/WCS
County Suit Filed inDate of Final Disposition
Leon9/29/2005
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Disposed of by Arbitration
Court DecisionOther
OtherSettlement
Arbitration
Award for plaintiff.
Date of Payment
9/9/2005
 
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$114,142
All Other Loss Adjustment Expense Paid$6,548
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.

 

 

This page is not displaying certain sensitive information.

Dr. William Primas Medical Malpractice Lawsuits - Court Case # 4:040cv00409-RH/WCS

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538572
Claim Number :ASG-SIR03-17184-WP
Date Submitted :12/5/2005
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRoy Higdon
Street Address
9821 Katy Freeway, Suite 600
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 88928892(713) 243 - 7311roy_higdon@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWilliam Primas
Insurer TypeStreet Address of Practice
LicensedLeon County Jail, 535 Appleyard Dr.
CityStateZip CodeCounty
TallahasseeFL32304Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
679-1649$1,000,000$10,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59715General Preventative Medicine - No 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
Prison 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherJail infirmary
Date of OccurrenceDate Reported to Insurer
5/16/20036/24/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged overmedication resulting in death.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Overmedication.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis specifically noted.
Principal Injury Giving Rise To The Claim
Alleged overmedication resulting in death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/13/20044:040cv00409-RH/WCS
County Suit Filed inDate of Final Disposition
Leon9/29/2005
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Disposed of by Arbitration
Court DecisionOther
OtherSettlement
Arbitration
Award for plaintiff.
Date of Payment
9/9/2005
 
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$114,142
All Other Loss Adjustment Expense Paid$6,548
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.

 

 

This page is not displaying certain sensitive information.

Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade Desoto Dixie Duval Escambia Flagler Franklin Gadsden Hamilton Hardee Hendry Hernando Highlands Hillsborough Indian River Jackson Lake Lee Leon Levy Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Out of state Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Volusia Walton