Medical Malpractice Cases

Medical Malpractice Cases In Manatee County Florida

Dr. Andrew Liskiewicz Medical Malpractice Lawsuits - Court Case # 2002 CA 4132

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640707
Claim Number :D02-25739-01
Date Submitted :5/19/2006
 
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
IndividualAndrew Liskiewicz
Insurer TypeStreet Address of Practice
Licensed2416 Landings Circle, NW
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
47519$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME36089Emergency Medicine - No Major Surgery80102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/12/20013/25/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spinal dural hematoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was paralyzed from waist down prior to performance of evacuation of hematoma with laminectomies from C-6 thru T-3.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Paralysis of lower extremities-paraplegia.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/15/20022002 CA 4132
County Suit Filed inDate of Final Disposition
Manatee4/24/2006
Other Defendants Involved in this Claim
Pinnacle 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/24/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$103,147
All Other Loss Adjustment Expense Paid$40,462
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Kevin M Johnson Medical Malpractice Lawsuits - Court Case # 2002-DR-004132

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640713
Claim Number :E02-25739-01
Date Submitted :5/19/2006
 
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
IndividualKevinMJohnson
Insurer TypeStreet Address of Practice
Licensed7252 Manatee Avenue West
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98474$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME72325Family Physicians or General Practitioners - Minor Surgery80242

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/11/20014/23/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spinal dural hematoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was paralyzed from waist down prior to performance of evacuation of hematoma with laminectomies from C-6 thru T-3.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Paralysis of lower extremities-paraplegia.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/21/20022002-DR-004132
County Suit Filed inDate of Final Disposition
Manatee4/24/2006
Other Defendants Involved in this Claim
Bradenton Emergency Medicine Assoc. Inc.
Pinnacle Medical Group, 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
4/24/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$128,174
All Other Loss Adjustment Expense Paid$96,866
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$50,000
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. FLORENCE HEIMBERG Medical Malpractice Lawsuits - Court Case # 09-CA-05203

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201159782
Claim Number :137337
Date Submitted :2/3/2011
 
Insurer Information
 
Insurer NameCoverage Type
NATIONAL FIRE INSURANCE COMPANY OF HARTFORDPrimary
Insurer FEINProfessional License Number
06-0464510 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTeresa Ross
Street Address
One Park Plaza P.O. Box 555
CityStateZip
NashvilleTN37202
PhoneExtFaxE-Mail Address
(615) 344 - 5804  Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualFLORENCE HEIMBERG
Insurer TypeStreet Address of Practice
Licensed804 40th Street W
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ2074997968$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME41255Radiology - Diagnostic - No Surgery01

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
OtherRadiology
Date of OccurrenceDate Reported to Insurer
2/28/20072/13/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Left breast cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allegations that physician failed to properly read the 2/29/07 mammogram & left breast sonogram.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
On 2/28/07, patient had a bilateral diagnostic mammogram & left breast sonogram interpreted by named physician. On mammogram there was a new focal area of asymmetry in the mid medial posterior left breast measuring 1.9 cm.However sonogram did not correspond the findings on mammogram. She was assigned a BI-RADS of 3 follow up in 6 months. On 9/26/07 left breast mammogram & sonogram interpreted by another physician revealed asymmetry increased in size to 2 cm but was not seen on sonogram. Needle localization of left breast was positive for invasive ductal carcinoma. On 1/14/08 she underwent left total mastectomy, sentinel node biopsy & right prophylactic total mastectomy followed by reconstructive surgery at H. Lee Moffitt Cancer Center. She refused axillary node dissection & axillary radiation. Staging studies revealed right breast showed DCIS multifocal in right breast. Her breast cancer was diagnosed as Stage II & she commenced with "dose-dense" chemotherapy treatments. A 2.2 cm lesion in right lobe of liver was negative on first CT liver biopsy on 3/11/08 & positive for metastatic CA on second CT liver biopsy done on 3/31/08. Her cancer stage upgraded to a Stage IV. She had a Cyberknife procedure 8/18/08 on liver.
Principal Injury Giving Rise To The Claim
Delayed diagnosis of breast cancer resulting in spread of cancer.
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
5/21/200909-CA-05203
County Suit Filed inDate of Final Disposition
Manatee1/24/2011
Other Defendants Involved in this Claim
Blake Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/3/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$11,984
Injured Person's Total Non-Economic Loss$800,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$100,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
No updates found.

 

 

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Dr. Kevin Boyer Medical Malpractice Lawsuits - Court Case # 2013-CA-003083

Indemnity Paid: $975,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573729
Claim Number : 147859
Date Submitted : 6/9/2015
 
Insurer Information
 
Insurer Name Coverage Type
HEALTH CARE INDEMNITY, INC. Primary
Insurer FEIN Professional License Number
61-0904881  
Insurer Contact Information
Type First Name MI Last Name
Individual Teresa   Ross
Street Address
One Park Plaza P.O. Box 555
City State Zip
Nashville TN 37202
Phone Ext Fax E-Mail Address
(615) 344 - 5804     Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
Type First Name MI Last Name
Individual Kevin   Boyer
Insurer Type Street Address of Practice
Licensed 7005 Cortez Road West
City State Zip Code County
Bradenton FL 34210 Manatee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10111 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME68033 Surgery - Neurology - Including Child 01

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
BLAKE MEDICAL CENTER 100213
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
11/10/2011 10/16/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic pain syndrome.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient admitted for intrathecal morphine pump insertion. Patient developed pulmonary embolism post operatively. Allege spinal cord was damaged durint attept to place pump without fluoroscopy or radiological assistance until after third attempt to place catheter.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Spinal cord injury, hemorrhage.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/7/2013 2013-CA-003083
County Suit Filed in Date of Final Disposition
Manatee 2/27/2015
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/29/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $975,000
Loss Adjust Expense Paid to Defense Counsel $137,388
All Other Loss Adjustment Expense Paid $35,273
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $93,000 $1,170,000
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
 
Date of Change: 5/21/2015 11:05:12 AM
Reason for Change: Additional LAE payments made.
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 34030 35273
Injured Person Address County Sarasota
Amount of Loss Adjustment Expense Paid to Defense Counsel 130205 137216
Per Claim Policy Limits 250000 5000000
Aggregate Policy Limits 750000 10000000
 
Date of Change: 5/21/2015 11:19:23 AM
Reason for Change: Corrected policy limits/aggregate limits.
 
Field Changed Former Value New Value
Per Claim Policy Limits 5000000 250000
Aggregate Policy Limits 10000000 750000
 
Date of Change: 6/9/2015 3:19:27 PM
Reason for Change: Additional LAE payments made.
 
Field Changed Former Value New Value
Injured Person Address County Sarasota
Amount of Loss Adjustment Expense Paid to Defense Counsel 137216 137388

 

 

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

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Dr. CHRISTOPHER HADDAD Medical Malpractice Lawsuits - Court Case # 2014-CA-000702

Indemnity Paid: $975,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574519
Claim Number : SHI-13-239878-1
Date Submitted : 5/6/2015
 
Insurer Information
 
Insurer Name Coverage Type
CONTINENTAL CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
36-2114545  
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
9821 Katy Freeway
City State Zip
Houston TX 77024
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 CHRISTOPHER   HADDAD
Insurer Type Street Address of Practice
Licensed 12603 DAISY PL
City State Zip Code County
BRADENTON FL 34212 Manatee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HAZ1064401339-10 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME97362 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
  M Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
LAKEWOOD RANCH MEDICAL CENTER 23960046
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
1/22/2013 8/7/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
TAKEN TO ER WITH CHEST PAIN, POSSIBLE LOSS OF CONSCIOUSNESS AND NAUSEA.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EKG, CXR, TROPONINS.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
DIAGNOSED WITH GASTRITIS AND DUODENITIS
Principal Injury Giving Rise To The Claim
DIED OF DISSECTION OF THE PROXIMAL AORTA.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
2/11/2014 2014-CA-000702
County Suit Filed in Date of Final Disposition
Manatee 4/7/2015
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
2/12/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $975,000
Loss Adjust Expense Paid to Defense Counsel $8,102
All Other Loss Adjustment Expense Paid $2,531
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. CAROL TOMLINSON Medical Malpractice Lawsuits - Court Case # 2006 CA 000700 B

Indemnity Paid: $901,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955594
Claim Number :33009-02
Date Submitted :11/30/2009
 
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
IndividualCAROL TOMLINSON
Insurer TypeStreet Address of Practice
Licensed2101 61st Street
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
30433$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Registered Nurse 
License NumberSpecialty Code & ClassificationCertification Number
ARNP1105452Internal Medicine - No Surgery71510

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationIMG Academy
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
9/4/20049/21/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
School physical for athletics.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
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
3/16/20062006 CA 000700 B
County Suit Filed inDate of Final Disposition
Manatee10/30/2009
Other Defendants Involved in this Claim
Soler, M.D., Joseph
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
OtherSettled during trial
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$901,000
Loss Adjust Expense Paid to Defense Counsel$52,509
All Other Loss Adjustment Expense Paid$22,983
Injured Person's Total Non-Economic Loss$901,000
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. JUDITH L OSTROW Medical Malpractice Lawsuits - Court Case # CA08-0004695

Indemnity Paid: $525,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640053
Claim Number :251824-1
Date Submitted :3/28/2006
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKarinaLDobberstein
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0490 (260) 486 - 0808karina.dobberstein@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJUDITHLOSTROW
Insurer TypeStreet Address of Practice
Licensed2388 LANDINGS CIR
CityStateZip CodeCounty
BRADENTON FL34209-9771Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
617406$1,500,000$4,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65491Surgery - Neurology - Including Child 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
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
3/31/199612/15/1997
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MYOCARDIO INFARCTION WITH WTENT IMPLANTED
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
IGH ANTICARDIOLIPIN ANTIBODY LEVEL ORDERED
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO FOLLOWUP ON LABS AND ANTICOAGULANT THERAPY AND PERFORM CARDIAC EVALUATION
Principal Injury Giving Rise To The Claim
MYOCARDIO INFARCTION WITH ANOXIC ENCEPHALOPATHY
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
11/17/1998CA08-0004695
County Suit Filed inDate of Final Disposition
Manatee8/30/2005
Other Defendants Involved in this Claim
MCELVEEN, WILLIAM 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
8/30/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$525,000
Loss Adjust Expense Paid to Defense Counsel$111,895
All Other Loss Adjustment Expense Paid$58,767
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
NA
 
Updates
 
No updates found.

 

 

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Dr. Gino J Sedillo Medical Malpractice Lawsuits - Court Case # 2003-CA-2302

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538550
Claim Number :17005
Date Submitted :12/2/2005
 
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
IndividualGinoJSedillo
Insurer TypeStreet Address of Practice
Licensed316 Manatee Avenue West
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600142 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76343Cardiovascular Disease - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/26/200010/21/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic DVT
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Use of thrombolytics
Diagnostic Code :436.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleges mismanagement of chronic DVT
Principal Injury Giving Rise To The Claim
Cerebal vascular accident
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/24/20032003-CA-2302
County Suit Filed inDate of Final Disposition
Manatee10/12/2005
Other Defendants Involved in this Claim
Bradenton Cardiology
UHS of Manatee
Manatee 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
10/14/2005
 
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$88,140
All Other Loss Adjustment Expense Paid$55,942
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$350,000$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
 
No updates found.

 

 

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Dr. Ardeshir Khademi-Kermanshahi Medical Malpractice Lawsuits - Court Case # 2004-CA-3918

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640762
Claim Number :19653
Date Submitted :9/11/2006
 
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
IndividualArdeshir Khademi-Kermanshahi
Insurer TypeStreet Address of Practice
Licensed3930 8th Avenue West
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600154 03$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80114Surgery - Neurology - Including Child51701

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
12/23/20013/15/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epidural abscess
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :344.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose epidural abscess
Principal Injury Giving Rise To The Claim
Irreversible spinal cord damage
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
7/16/20042004-CA-3918
County Suit Filed inDate of Final Disposition
Manatee9/1/2006
Other Defendants Involved in this Claim
Manatee Memorial Hospital
Bhamber, MD, Davinder
Singh, MD, Satnam
Shiels, DO, Martha
Gonzalez, MD, Ralph
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
5/2/2006
 
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$36,870
All Other Loss Adjustment Expense Paid$26,999
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$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:9/11/2006 3:40:53 PM
Reason for Change:Report updated to reflect Court document final disposition date of 09/01/06, Dismissal
 
Field ChangedFormer ValueNew Value
Date of Final Disposition02-MAY-0601-SEP-06

 

 

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Dr. Jennifer Vesper Medical Malpractice Lawsuits - Court Case # 07 00774h

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955151
Claim Number :33096-01
Date Submitted :10/15/2009
 
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
IndividualJennifer Vesper
Insurer TypeStreet Address of Practice
Licensed250 Mirror Lake Drive North
CityStateZip CodeCounty
Saint PetersburgFL33701Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
17142$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME66265Dermatology - No Surgery80256

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
4/20/20049/14/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Facial legion treated with liquid nitrogen, excised and read by Pathologist as lichnoid keratosis.Lesion was melanoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Shave biopsy and repeated treatments of liquid nitrogen.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient treated for benign facial skin lesion when she actually had malignant melanoma.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/2/200707 00774h
County Suit Filed inDate of Final Disposition
Manatee9/25/2009
Other Defendants Involved in this Claim
USF Board of Trustees for Dr. Messina
Hillstrom, M.D., Robert
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/25/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$39,369
All Other Loss Adjustment Expense Paid$18,560
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. TERESA R RAWE Medical Malpractice Lawsuits - Court Case # 06 CA 2204

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955813
Claim Number :PHY-04-39915
Date Submitted :12/21/2009
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTERESARRAWE
Insurer TypeStreet Address of Practice
Licensed703 65TH STREET COURT N.W.
CityStateZip CodeCounty
BRADENTONFL34209Madison
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
679-2879$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS5702Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
11/14/20039/27/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
COMPLAINT OF DEHYDRATION AND VOMITING FOR 3 DAYS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED FAILURE TO DIAGNOSE BACTERIAL MENINGITIS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE
Principal Injury Giving Rise To The Claim
DEATH
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/2/200606 CA 2204
County Suit Filed inDate of Final Disposition
Manatee12/17/2009
Other Defendants Involved in this Claim
MANATEE MEMORIAL HOSPITAL
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
12/16/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$54,750
All Other Loss Adjustment Expense Paid$16,706
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. Joseph Pecoraro Medical Malpractice Lawsuits - Court Case # 2007CA6417

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201059042
Claim Number :35759-01
Date Submitted :11/8/2010
 
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
IndividualJoseph Pecoraro
Insurer TypeStreet Address of Practice
Licensed2902 59th Street West, Ste M
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
9662$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59036Surgery - General80143

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSarasota
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Hospital/InstitutionLakewood Ranch Medical Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/14/20066/13/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Laparoscopic appendectomy and perforation noted and abdominal contamination.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
On post-op day 2 patient nauseated and vomiting but not reported to physician and nasogastric tube not replaced as ordered.At 3 a.m. post-op day 3, patient vomited and no oxygen mask, aspirated and arrested.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death following unsuccessful resuscitation after aspiration.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/28/20072007CA6417
County Suit Filed inDate of Final Disposition
Manatee10/15/2010
Other Defendants Involved in this Claim
Lakewood Ranch Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
After notice of appeal is filed or post judgment relief of action is required for recovery.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/15/2010
 
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$150,076
All Other Loss Adjustment Expense Paid$100,425
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. John Leikensohn Medical Malpractice Lawsuits - Court Case # 2007-CA-011800-NC

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851728
Claim Number :33616-01
Date Submitted :12/10/2008
 
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
IndividualJohn Leikensohn
Insurer TypeStreet Address of Practice
Licensed5807 21st Avenue, West
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99366$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME36259Surgery - Plastic80156

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSarasota
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
1/10/20061/23/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Aging effect.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Face lIft and liposuction.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient died post op of pulmonary emboli.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/11/20072007-CA-011800-NC
County Suit Filed inDate of Final Disposition
Manatee11/17/2008
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/17/2008
 
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$23,458
All Other Loss Adjustment Expense Paid$4,559
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. MARK JOLLY Medical Malpractice Lawsuits - Court Case # 11CA08710

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368029
Claim Number :TH-11-LLA-119269
Date Submitted :8/22/2013
 
Insurer Information
 
Insurer NameCoverage Type
Team Health, Inc.Primary
Insurer FEINProfessional License Number
62-1562558 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARK JOLLY
Insurer TypeStreet Address of Practice
Self-Insurer4832 14TH AVENUE EAST
CityStateZip CodeCounty
BRADENTONFL34208Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6796968$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME100262Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
4/24/20119/19/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
HEADACHE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PHYSICAL AND NEUROLOGICAL EXAMINATION
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
TENSION HEADACHE
Principal Injury Giving Rise To The Claim
SUBDURAL HEMATOMA
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/3/201211CA08710
County Suit Filed inDate of Final Disposition
Manatee7/23/2013
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/30/2013
 
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$70,673
All Other Loss Adjustment Expense Paid$39,964
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. Ralph F Gonzalez Medical Malpractice Lawsuits - Court Case # 2015-50-CA-000438-AX

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574640
Claim Number : 50241/50242
Date Submitted : 6/11/2015
 
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 Ralph F Gonzalez
Insurer Type Street Address of Practice
Licensed 3930 8th Ave. W.
City State Zip Code County
Bradenton FL 34205 Manatee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600154 16 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME73150 Neurology - Including Child - 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 Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
LAKEWOOD RANCH MEDICAL CENTER 23960046
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
7/19/2012 7/25/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stenotic basil artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of stenotic basil artery
Principal Injury Giving Rise To The Claim
Cerebellar infarct
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/27/2015 2015-50-CA-000438-AX
County Suit Filed in Date of Final Disposition
Manatee 6/5/2015
Other Defendants Involved in this Claim
Martinez, MD, Hector A
Paragon Emergency Services, Inc.
Thomas, MD, John L
John, MD, Bijoy K
Cape Coral Hospitalists, Inc.
Bradenton Neurology, Inc.
Wasserman, DO, Jeffrey D
Bilodeau, MD, Richard G
Manatee Lakewood Radiology Assoc.
Lakewood Ranch Medical Center
Wellington Regional Medical Center
Universal Health Services
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
4/17/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $11,290
All Other Loss Adjustment Expense Paid $11,680
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $292,000 $0
Wage Loss $0 $0
Other Expenses $0 $150,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 6/11/2015 3:26:53 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 06/05/15
 
Field Changed Former Value New Value
Date of Final Disposition 17-APR-15 05-JUN-15

 

 

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Dr. Amy Chung Medical Malpractice Lawsuits - Court Case # 2015 CA 001278 AX

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679292
Claim Number : 1021579-02
Date Submitted : 8/17/2017
 
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 Amy   Chung
Insurer Type Street Address of Practice
Licensed 206 2nd Street East
City State Zip Code County
Bradenton FL 34208 Manatee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
762914 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS13875 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
MANATEE MEMORIAL HOSPITAL 100035
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
11/14/2012 10/16/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Piece of chicken lodged in esophagus
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Admit to hospital; monitor
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Administering food and liquids by mouth in a NPO patient
Principal Injury Giving Rise To The Claim
Esophageal perforation; respiratory distress causing permanent 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
3/17/2015 2015 CA 001278 AX
County Suit Filed in Date of Final Disposition
Manatee 7/21/2016
Other Defendants Involved in this Claim
Manatee Memorial Hospital LP dba Manatee Memorial Health Sys
Kocab MD, Mark
Suncoast GI Associates LLC
Florida Digestive Health Specialists LLP
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/20/2016
 
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 $45,319
All Other Loss Adjustment Expense Paid $15,733
Injured Person's Total Non-Economic Loss $250,000
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: 2/20/2017 3:28:04 PM
Reason for Change: ALE UPDATE 2/20/2017
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 12748 15733
Amount of Loss Adjustment Expense Paid to Defense Counsel 43387 45227
 
Date of Change: 8/17/2017 3:00:44 PM
Reason for Change: ALE UPDATE 8/17/2017
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 45227 45319

 

 

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Dr. William A McElveen Medical Malpractice Lawsuits - Court Case # 2015-CA-5738

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884964
Claim Number : 52681/52682
Date Submitted : 4/6/2018
 
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 William A McElveen
Insurer Type Street Address of Practice
Licensed 3930 8th Ave. W.
City State Zip Code County
Bradenton FL 34205 Manatee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600154 16 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME33896 Neurology - Including Child - 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 Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
LAKEWOOD RANCH MEDICAL CENTER 23960046
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
5/14/2014 3/18/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stroke
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 administer tPA
Principal Injury Giving Rise To The Claim
Massive stroke, brainstem herniation
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/9/2015 2015-CA-5738
County Suit Filed in Date of Final Disposition
Manatee 3/21/2018
Other Defendants Involved in this Claim
Lakewood Ranch Medical Center
Deal, PA-C, John
Wellington Redgional Medical Center
Katz, MD, Robert S
Hall, MD, Mitchell F
Paragon Emergency Services
Bradenton Neurology
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
3/21/2018
 
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 $41,009
All Other Loss Adjustment Expense Paid $11,823
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $78,000 $0
Wage Loss $0 $300,000
Other Expenses $16,000 $650,000
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. Taras Kochno Medical Malpractice Lawsuits - Court Case # 20070A715

Indemnity Paid: $437,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851642
Claim Number :34754-01
Date Submitted :12/5/2008
 
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
IndividualTaras Kochno
Insurer TypeStreet Address of Practice
Licensed712 Marbury Lane
CityStateZip CodeCounty
Longboat KeyFL34228Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
26584$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME61947Physical Medicine and Rehabilitation80235

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSarasota
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
11/1/200210/10/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for low back pain and injury to low back.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient treated conservatively with steroid and marcaine injections.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
It is alleged that the insured inappropriately administered steroid and marcaine injections.
Principal Injury Giving Rise To The Claim
Avascular necrosis of left and right femoral heads, resulting in bilateral bone grafting of left and right femoral heads.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/9/200720070A715
County Suit Filed inDate of Final Disposition
Manatee11/13/2008
Other Defendants Involved in this Claim
Sports Medicine & Rehabilitation International, LLC
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
11/13/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$437,500
Loss Adjust Expense Paid to Defense Counsel$51,289
All Other Loss Adjustment Expense Paid$65,806
Injured Person's Total Non-Economic Loss$437,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$280,703$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. William A McElveen Medical Malpractice Lawsuits - Court Case # 08-CA-12087

Indemnity Paid: $435,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955698
Claim Number :28292/28294
Date Submitted :12/8/2009
 
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
IndividualWilliamAMcElveen
Insurer TypeStreet Address of Practice
Licensed3930 8th Avenue W.
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600154 09$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME33896Surgery - Neurology - Including Child 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
8/1/20069/19/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Meningitis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lumbar puncture
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely perform lumbar puncture
Principal Injury Giving Rise To The Claim
Stroke
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/22/200808-CA-12087
County Suit Filed inDate of Final Disposition
Manatee12/3/2009
Other Defendants Involved in this Claim
Sinclair, DO, Douglas
Mandelblum, MD, David
Henry, DO, Michael
Paragon Contracting Services, Inc.
Bradenton Neurology, Inc.
Mandelblum and Cohen Medical Consultants, LLC
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
12/3/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$435,000
Loss Adjust Expense Paid to Defense Counsel$5,412
All Other Loss Adjustment Expense Paid$9,515
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$411,352$100,000
Wage Loss$200,000$200,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Roger D Gordon Medical Malpractice Lawsuits - Court Case # CA98-0004695

Indemnity Paid: $425,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537781
Claim Number :D98-19369-96
Date Submitted :10/27/2005
 
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
IndividualRogerDGordon
Insurer TypeStreet Address of Practice
Licensed2221 59th Street, West
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
8050$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME33812Family Physicians or General Practitioners - No Surgery80239

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
OtherLaboratory
Date of OccurrenceDate Reported to Insurer
1/29/19966/30/1998
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for cardiac arrest and hypoxic brain damage apparently caused by 100% occlusion of left anterior descending cardiac artery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to obtain proper lab studies to determine appropriate coumadin level(see ans to next question for further details).
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to properly monitor plaintiff's PT & INR to adjust his coumadin to proper level; also failure to obtain laboratory data before making independent decision to discontinue patient's coumadin therapy.
Principal Injury Giving Rise To The Claim
Cardiac arrest, resulting in hypoxic brain injury and eventual death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/30/1998CA98-0004695
County Suit Filed inDate of Final Disposition
Manatee9/29/2005
Other Defendants Involved in this Claim
McElveen, M.D., W A
Calabria, M.D., Dominick
Sanchez, M.D., Eulogio
Gordon, M.D., Roger
Tami, M.D., Louis
Saef, M.D., Jerold
Ostrow, M.D., Judith
Bradenton Neurological Associates
Robert Batey Cardiology
Blake Medical Center
Columbia Blake Med Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/29/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$425,000
Loss Adjust Expense Paid to Defense Counsel$91,254
All Other Loss Adjustment Expense Paid$28,865
Injured Person's Total Non-Economic Loss$425,000
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. Eric F Gestrich Medical Malpractice Lawsuits - Court Case # 2003-CA-007069

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534598
Claim Number :A02-26832-01
Date Submitted :3/10/2005
 
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
IndividualEricFGestrich
Insurer TypeStreet Address of Practice
Licensed501 2nd Street West
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
55978$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME58605Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
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
12/19/20018/23/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Mesenteric venous thrombosis causing small bowel necrosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged delay in treat,ment of alleged hypercoaguable state.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of hyper coaguable state.
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
12/29/20032003-CA-007069
County Suit Filed inDate of Final Disposition
Manatee2/11/2005
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
2/11/2005
 
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$13,020
All Other Loss Adjustment Expense Paid$5,577
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$32,328$147,242
Other Expenses$50,540$413,026
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Jack C Jawitz Medical Malpractice Lawsuits - Court Case # 2005-CA-001603

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641829
Claim Number :A04-30731-02
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
IndividualJackCJawitz
Insurer TypeStreet Address of Practice
Licensed2919 26th Street West
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
7944$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44267Dermatology - No Surgery80256

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/28/20025/17/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Squamous cell carcinoma of the face.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
MOHS surgery.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Facial deformity and metastasis of the cancer.
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
3/29/20052005-CA-001603
County Suit Filed inDate of Final Disposition
Manatee7/17/2006
Other Defendants Involved in this Claim
Ray, M.D., Pranab
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
7/17/2006
 
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$20,997
All Other Loss Adjustment Expense Paid$12,725
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.

 

 

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Dr. Anthony J Rizzo Medical Malpractice Lawsuits - Court Case # 2016-CA-4790

Indemnity Paid: $400,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885149
Claim Number : 212109
Date Submitted : 7/10/2018
 
Insurer Information
 
Insurer Name Coverage Type
PROASSURANCE CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
38-2317569  
Insurer Contact Information
Type First Name MI Last Name
Individual Denise   Stokes
Street Address
100 Brookwood Place
City State Zip
Birmingham AL 35209
Phone Ext Fax E-Mail Address
(205) 802 - 4790   (205) 802 - 4710 claimscompliancereporting@proassurance.com
 
Insured Information
 
Type First Name MI Last Name
Individual Anthony J Rizzo
Insurer Type Street Address of Practice
Licensed 647 Key Royale Drive
City State Zip Code County
Holmes Beach FL 34217 Manatee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MP71182 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME59733 Radiology - Diagnostic - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
BLAKE MEDICAL CENTER 100213
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
7/16/2015 5/5/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
back pain following a fall
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
MRI without contrast
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The patient ultimately proved to have an extremely rare hyperacute subdural lumbar hemorrhage. This was described on the MRI lumbar report as "heterogeneous signal in the thecal sac" possibly due to arachnoid cyst or arrachnoiditis. The finding was only visible on T2 weighted images and not on corresponding T1 images (not typical signal of blood on MRI) and therefore the report suggested it could also have been antifactual CSF flow effects. The report requested if the patient had significant clinical findings to (1) obtain post contrast MRI scan to evaluate the "heterogeneous signal" and (2) ot compare with prior scans. The post contrast scan was not ordered by primary MD or neurosurgeon and the prior scan was not obtained by the hospital. Attending neurosurgeon never directly viewed the MRI or personally read the report, relying on a nurse to read him only the Impression section (which stated - heterogeneous signal in thecal sac discussed above ) and did not follow the report's instructions. the above resulted in delay in diagnosis and treatment of subdural lumbar hemorrhage.
Principal Injury Giving Rise To The Claim
Initally post-suregery, the plaintiff had some leg weakness and foot drop, but no loss of sensation. She has significantly improved over time and currently can walk unassisted, occasionally using a rolling walker.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/24/2016 2016-CA-4790
County Suit Filed in Date of Final Disposition
Manatee 4/13/2018
Other Defendants Involved in this Claim
Blake Medical Center
Tiesi, James A
Singh, Satnam
Westside Medical Care Inc
Padmaja Polavarapu MD PA
Stoutamyer Statos Schroeder Whaley Rizzo Associates
Neuro/Spinal Assocates 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/19/2018
 
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 $31,606
All Other Loss Adjustment Expense Paid $12,343
Injured Person's Total Non-Economic Loss $400,000
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
Insured discussed case with defense counsel, insurance personnel, and medical experts.
 
Updates
 
 
Date of Change: 6/1/2018 1:03:09 PM
Reason for Change: updated alae
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 11527 12343
Amount of Loss Adjustment Expense Paid to Defense Counsel 28810 31546
 
Date of Change: 7/10/2018 1:30:59 PM
Reason for Change: updated alae
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 31546 31606

 

 

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Dr. Van S Lilly Medical Malpractice Lawsuits - Court Case # 2013 CA 004640 AX

Indemnity Paid: $390,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884844
Claim Number : 71HLC10003836701
Date Submitted : 3/28/2018
 
Insurer Information
 
Insurer Name Coverage Type
West Coast Neonatalology, Inc. Primary
Insurer FEIN Professional License Number
59-339830  
Insurer Contact Information
Type First Name MI Last Name
Individual Patricia M Condon
Street Address
501 6th Avenue South
City State Zip
St Petersburg FL 33701
Phone Ext Fax E-Mail Address
(727) 767 - 4287   (727) 767 - 8597 pcondon1@jhmi.edu
 
Insured Information
 
Type First Name MI Last Name
Individual Van S Lilly
Insurer Type Street Address of Practice
Self-Insurer 501 6th Avenue South
City State Zip Code County
St. Petersburg FL 33701 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HLC 10003836700 $3,000,000 $20,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME45834 Neonatal/Perinatal Medicine  

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 Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
MANATEE MEMORIAL HOSPITAL 100035
Location of Institutional Injury Other Location of Institutional Injury
Nursery  
Date of Occurrence Date Reported to Insurer
9/7/2010 4/1/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
respiratory distress and suspected sepsis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
intubation
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis was made
Principal Injury Giving Rise To The Claim
vocal cords damaged
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/23/2013 2013 CA 004640 AX
County Suit Filed in Date of Final Disposition
Manatee 11/7/2017
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
11/7/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $390,000
Loss Adjust Expense Paid to Defense Counsel $202,699
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
settlement without admission of liability
 
Updates
 
No updates found.

 

 

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Dr. Robert Williams Medical Malpractice Lawsuits - Court Case # 2012-CA-3280

Indemnity Paid: $390,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471559
Claim Number :FP4188202
Date Submitted :8/7/2014
 
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
IndividualRobert Williams
Insurer TypeStreet Address of Practice
Licensed3003 West Dr. Martin L. King Jr. Blvd,
CityStateZip CodeCounty
TampaFL33607Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CL100617$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87625Gastroenterology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherPatient's Home
Date of OccurrenceDate Reported to Insurer
4/30/20112/10/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain in developly delayed 15 year old with history of ulcerative colitis and communication difficulty.Diagnose with ulcerative colitis and anenia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured did not have privileges at the ER where child presented.He was called and based on ER physician and pediatricians┬┐s representation of exam and symptoms, ordered prednisone and codeine, and the see pediatrician.GI (his practice Monday morning
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death of 15 year old the evening of the next day following ER visit.Autopsy revealed portal and splenic vein thrombosis.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/21/20122012-CA-3280
County Suit Filed inDate of Final Disposition
Manatee7/14/2014
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$390,000
Loss Adjust Expense Paid to Defense Counsel$83,957
All Other Loss Adjustment Expense Paid$73,016
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$3,535$0
Wage Loss$0$0
Other Expenses$8,000$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures.Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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