Medical Malpractice Cases

Medical Malpractice Cases In Marion County Florida

Dr. JAMES BROWN Medical Malpractice Lawsuits - Court Case # 2015-CA-000935

Indemnity Paid: $1,500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783568
Claim Number : 153459
Date Submitted : 11/3/2017
 
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 JAMES   BROWN
Insurer Type Street Address of Practice
Licensed 10696 SE US Highway 441
City State Zip Code County
Belleview FL 34420 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10113 $250,000 $750,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS6867 Family Physicians or General Practitioners - No Surgery 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
  M Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's Office
Date of Occurrence Date Reported to Insurer
4/23/2013 10/21/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
HIV.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allege failure to timely diagnose and treat HIV.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/17/2015 2015-CA-000935
County Suit Filed in Date of Final Disposition
Marion 10/20/2017
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Judgment for the plaintiff.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/18/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,500,000
Loss Adjust Expense Paid to Defense Counsel $190,861
All Other Loss Adjustment Expense Paid $177,056
Injured Person's Total Non-Economic Loss $1,500,000
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
Review of policies and procedures.
 
Updates
 
No updates found.

 

 

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

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Dr. Lance P Trigg Medical Malpractice Lawsuits - Court Case # 2015CA002390

Indemnity Paid: $1,350,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201678546
Claim Number : 330186
Date Submitted : 5/24/2016
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Lance P Trigg
Insurer Type Street Address of Practice
Licensed 1490 SE Magnolia Ext.
City State Zip Code County
Ocala FL 34471 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0352901 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME44115 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 Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
OCALA REGIONAL MEDICAL CENTER 100212
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
8/4/2014 5/18/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Interpretation CT of the abdomen and pelvis with contrast.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to properly interpret the CT and identify a superior mesenteric venous thrombosis.
Principal Injury Giving Rise To The Claim
Necrotic bowel removal.
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
11/9/2015 2015CA002390
County Suit Filed in Date of Final Disposition
Marion 5/3/2016
Other Defendants Involved in this Claim
Ocala Regional Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,350,000
Loss Adjust Expense Paid to Defense Counsel $7,666
All Other Loss Adjustment Expense Paid $3,807
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Abbas S Ali Medical Malpractice Lawsuits - Court Case # 2015-CA-002184-A

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680741
Claim Number : 328500
Date Submitted : 12/28/2016
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Abbas S Ali
Insurer Type Street Address of Practice
Licensed 4730 SW 49th Road
City State Zip Code County
Ocala FL 34474 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0951139 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME83898 Cardiovascular Disease - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
WEST MARION COMMUNITY HOSPITAL 23960039
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
1/30/2015 3/27/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronotropic Incompetence; pericardial effusion.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Placement of pacemaker with development of subsequent hemopericardium and tamponade.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of placing a pacemaker that was not warranted.
Principal Injury Giving Rise To The Claim
Death of 42 year old female.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/7/2015 2015-CA-002184-A
County Suit Filed in Date of Final Disposition
Marion 12/2/2016
Other Defendants Involved in this Claim
Weinstein, MD, Norman
Noon, ARNP, Kevin
Qamar, MD, Asad
West Marion Community Hospital
Surgery Center of Ocala
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/2/2016
 
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 $72,299
All Other Loss Adjustment Expense Paid $13,952
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Barbour D West Medical Malpractice Lawsuits - Court Case # 42-2009-CA1447

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573311
Claim Number : 269574
Date Submitted : 1/27/2015
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Tiffany D Taylor
Street Address
13450 West Sunrise Blvd
City State Zip
Sunrise FL 33323
Phone Ext Fax E-Mail Address
(877) 320 - 0748     TTaylor@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Barbour D West
Insurer Type Street Address of Practice
Licensed 1818 SW 15th Avenue
City State Zip Code County
Ocala FL 34474 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0352901 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME23947 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 Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other Radiolgy
Date of Occurrence Date Reported to Insurer
5/8/2008 5/5/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented with left calf tenderness and was referred to the insured for a lower extremity venous ultrasound.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured read a lower venous doppler ultrasound study.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose deep vein thrombosis.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/13/2009 42-2009-CA1447
County Suit Filed in Date of Final Disposition
Marion 1/21/2014
Other Defendants Involved in this Claim
Jernigan, ARNP, Lacy
Gaudier, M.D., Jose
Murphy, M.D., Douglas
Rubin, M.D., Joy
Lopez, Catusa
Ocala Medical Associates, PA
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Judgment for the plaintiff after appeal ...  
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/20/2015
 
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 $436,797
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Robert Kitos Medical Malpractice Lawsuits - Court Case # 13-2530-CAB

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574235
Claim Number : 143437
Date Submitted : 7/21/2015
 
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 Robert   Kitos
Insurer Type Street Address of Practice
Licensed 1800 SE 17th Street Building 100
City State Zip Code County
Ocala FL 34471 Marion
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
ME35468 Internal Medicine - No Surgery 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
  M Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's Office
Date of Occurrence Date Reported to Insurer
1/10/2011 3/15/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Myocardial infarction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allege failure to send patient to ER at time of routine office visit and failure to refer patient for a full cardiac work-up. Patient suffered a fatal myocardial infarction hours before a scheduled cardiac appointment.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Cardiac death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/24/2013 13-2530-CAB
County Suit Filed in Date of Final Disposition
Marion 3/23/2015
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
3/18/2015
 
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 $80,870
All Other Loss Adjustment Expense Paid $42,316
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $300,000
Other Expenses $20,000 $180,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
 
Date of Change: 5/19/2015 3:32:03 PM
Reason for Change: Additional LAE payments made.
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 31950 42281
Injured Person Address Street 1847 SW 27th Avenue 1847 SW 27 Avenue
Amount of Loss Adjustment Expense Paid to Defense Counsel 71816 80781
Per Claim Policy Limits 5000000 250000
Aggregate Policy Limits 10000000 750000
 
Date of Change: 7/21/2015 9:59:40 AM
Reason for Change: Additional LAE payments made.
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 42281 42316
Injured Person Address Street 1847 SW 27 Avenue 1847 SW 27th Avenue
Amount of Loss Adjustment Expense Paid to Defense Counsel 80781 80870

 

 

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

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Dr. Uday S Mishra Medical Malpractice Lawsuits - Court Case # 05-2075-CAB

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641965
Claim Number :21670
Date Submitted :12/8/2006
 
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
IndividualUdaySMishra
Insurer TypeStreet Address of Practice
Licensed1315 South East 25th Loop #4
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601365 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73537Internal Medicine - No Surgery49515

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/3/20043/2/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain, shortness of breath
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiac catheterization
Diagnostic Code :415.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to perform appropriate testing to diagnose patient's symptoms
Principal Injury Giving Rise To The Claim
Bilateral pulmonary emboli
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/10/200505-2075-CAB
County Suit Filed inDate of Final Disposition
Marion11/28/2006
Other Defendants Involved in this Claim
Mirza MD, Haris I
Sunshine State Medical Clinic, PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/8/2006
 
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$16,805
All Other Loss Adjustment Expense Paid$9,915
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$567,610
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:12/8/2006 8:52:19 AM
Reason for Change:Report updated to reflect Court document final disposition date of 11/28/06
 
Field ChangedFormer ValueNew Value
Date of Final Disposition01-AUG-0628-NOV-06

 

 

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Dr. FREDRIC C WOLLETT Medical Malpractice Lawsuits - Court Case # 17-CA-1991

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885736
Claim Number : 352682
Date Submitted : 6/22/2018
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual FREDRIC C WOLLETT
Insurer Type Street Address of Practice
Licensed 1490 SE Magnolia Extension
City State Zip Code County
Ocala FL 34471 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
352901 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME41455 Radiology - Diagnostic - 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 Charlotte
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
OCALA REGIONAL MEDICAL CENTER 100212
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
10/1/2015 2/21/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Presenting history of a 28 year old male found banging his head on the ground. Later diagnosed with meningitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ED work up with CT of the brain.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to properly interpret the brain CT and report opacification of the mastoid and fluid in the right ear resulting in a delay and treatment of meningitis.
Principal Injury Giving Rise To The Claim
Brain damage.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/14/2017 17-CA-1991
County Suit Filed in Date of Final Disposition
Marion 6/4/2018
Other Defendants Involved in this Claim
Reisner, MD, Frank
Grayson, MD, Charles
Jiron, MD, Jose
Nadenik, DO, Scott
Schmidt, MD, Christopher
Radiology Associates of Ocala, PA
Ocala Regional Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/4/2018
 
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 $16,704
All Other Loss Adjustment Expense Paid $6,624
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Malcolm E Williamson Medical Malpractice Lawsuits - Court Case # 18-CA-000814-AX

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886639
Claim Number : 359790
Date Submitted : 10/8/2018
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Malcolm E Williamson
Insurer Type Street Address of Practice
Licensed 1818 SW 15TH AVENUE
City State Zip Code County
OCALA FL 34471 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0352901 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME72868 Radiology - Diagnostic - 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 Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
MUNROE REGIONAL MEDICAL CENTER 100062
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
5/14/2016 8/22/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Low back and bilateral leg pain. Later diagnosed with a diskitis/osteomyelitis at L4-5.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Interpretation of MRI.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to identify and report areas suggestive of infection.
Principal Injury Giving Rise To The Claim
Paraplegia.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
5/1/2018 18-CA-000814-AX
County Suit Filed in Date of Final Disposition
Marion 9/17/2018
Other Defendants Involved in this Claim
Radiology Associates of Ocala
Boon, John
Munroe Regional Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/17/2018
 
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 $8,634
All Other Loss Adjustment Expense Paid $6,377
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. WILLIAM F VON BARGEN Medical Malpractice Lawsuits - Court Case # 17 CA 001483 AX

Indemnity Paid: $925,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886388
Claim Number : SHI-16-355252
Date Submitted : 9/12/2018
 
Insurer Information
 
Insurer Name Coverage Type
Sheridan Healthcorp, Inc. Primary
Insurer FEIN Professional License Number
59-0971075  
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
Type First Name MI Last Name
Individual WILLIAM F VON BARGEN
Insurer Type Street Address of Practice
Self-Insurer 760 S. VOLUSIA AVE #100
City State Zip Code County
ORANGE CITY FL 34474 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HAZ4032218126-1 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS9286 Emergency Medicine - Including Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
WEST MARION COMMUNITY HOSPITAL 23960039
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
6/2/2016 12/20/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CERVICAL EPIDURAL ABSCESS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO TIMELY DIAGNOSE AND TREAT
Principal Injury Giving Rise To The Claim
INCOMPLETE PARAPLEGIA
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/4/2017 17 CA 001483 AX
County Suit Filed in Date of Final Disposition
Marion 8/14/2018
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
8/9/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $925,000
Loss Adjust Expense Paid to Defense Counsel $26,813
All Other Loss Adjustment Expense Paid $12,083
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. Asad U Qamar Medical Malpractice Lawsuits - Court Case # 17-28-CAG

Indemnity Paid: $750,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201887075
Claim Number : 158190
Date Submitted : 11/19/2018
 
Insurer Information
 
Insurer Name Coverage Type
NORCAL MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
94-2301054  
Insurer Contact Information
Type First Name MI Last Name
Individual Richard   Petersen
Street Address
4651 Salisbury Rd. #410
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
(904) 309 - 8142   (904) 394 - 7134 rpetersen@norcal-group.com
 
Insured Information
 
Type First Name MI Last Name
Individual Asad U Qamar
Insurer Type Street Address of Practice
Licensed 4730 SW 49th Road
City State Zip Code County
Ocala FL 34474 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
720921N $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME73803 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
2/13/2013 8/25/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
William Klenk (then age 75) presented to Dr. Qamar as referred by his PCP on 02/21/13 for severe disabling claudication.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
From 03/06/13 through 06/10/14, Dr. Qamar performed atherectomy, ballooning, and stenting of the 70% right common femoral artery stenosis; and stenting of the 60% right external iliac artery, both with end results of 0% stenosis. On 04/24/14, the plaintiff continued to suffer from severe claudication-like symptoms in the left lower leg. Dr. Qamar attempted intervention of the 100% lesion of the right superficial femoral artery, but this was unsuccessful. Dr. Qamar administered Alteplase, a blood thinner on 06/10/14. On 08/22/14, the patient presented to the ER with complaints of left lower extremity pain. CT scan showed occluded left superficial femoral artery stents, and on 08/27/14, a left iliofemoral endarterectomy and patch angioplasty was attempted unsuccessfully. Since he continued to have no significant arterial flow below the left knee, he decided to undergo a left above-the-knee amputation on 08/28/14. The plaintiff alleged that Dr. Qamar failed to perform adequate lower extremity angiography or via referral to a vascular surgeon. However, a defense standard of care expert found that the patient suffered from a profound peripheral vascular disease. The expert further opined that it is very difficult to conclusively link the patient's amputation to Dr. Qamar's treatment because, given Mr. Klenk's underlying vascular issues, he likely would have needed the amputation at some point. Furthermore, the patient suffered from severe peripheral vascular disease and to leave that untreated would have been below the standard of care, but Dr. Qamar was working to re-vascularize the patient and unfortunately he suffered a recognized complication that resulted in the amputation.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
William Klenk (then age 75) presented to Dr. Qamar as referred by his PCP on 02/21/13 for severe disabling claudication.
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
5/31/2017 17-28-CAG
County Suit Filed in Date of Final Disposition
Marion 11/15/2018
Other Defendants Involved in this Claim
Institute of Cardiovascular Excellence
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Settled between parties
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/5/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $750,000
Loss Adjust Expense Paid to Defense Counsel $100,102
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
Facts of the suit were discussed with the insured and risk management.
 
Updates
 
No updates found.

 

Dr. Therese E Sullivan Medical Malpractice Lawsuits - Court Case # SHI-14-263870

Indemnity Paid: $750,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574246
Claim Number : SHI-14-263870
Date Submitted : 4/9/2015
 
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 Therese   Sullivan
Street Address
456 bouchelle dr
City State Zip
New Smyrna beach FL 32169
Phone Ext Fax E-Mail Address
(630) 207 - 3828     jtmarls@aol.com
 
Insured Information
 
Type First Name MI Last Name
Individual Therese E Sullivan
Insurer Type Street Address of Practice
Licensed 1431 sw 1st ave
City State Zip Code County
Ocala FL 34471 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HAZ1064401339-11 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Physician Assistant  
License Number Specialty Code & Classification Certification Number
PA9105974 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 Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
OCALA REGIONAL MEDICAL CENTER 100212
Location of Institutional Injury Other Location of Institutional Injury
Other home
Date of Occurrence Date Reported to Insurer
6/2/2012 4/23/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
this was a case of highly doubtful and greatly disputed liability in which claims were made against myself and my supervising physician and hospital following the death of a patient. I saw the patient and learned from both he and then his wife that he had been noncompliant with his cpap machine, had not been sleeping and was feeling overworked, also was taking methadone and narcotic pain medication in addition to benzodiazepam which was not prescribed to him. My exam revealed an obese patient with rhonchi on exam of lungs with normal heart sounds iv fluids were given for diagnosed rhabdomyolisis and dehydration. ekg was interpreted as normal by supervising physician chest xray normal ct of brain normal. Following return of results I explained to patient that he needed to remain in hospital for further workup and monitoring as we did not have a clear explanation of his syncopal episode. He adamantly refused to stay despite all risk explained to both he and his wife, she was concerned about payment of bill if he signed out ama. Patient was made aware of all risk including death. In fact 2 board cert physicians agreed with my treatment and care of patient. My supervising physician also attempted to convince patient to stay.Patient returned next day in cardiac arrest. Despite my lack of liability the insurance carrier decided to settle for economic reasons due to uncertainty of litigation. I admitted no fault or liability as result of settlement.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
no treatment or procedure causing injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
no misdiagnosis was made
Principal Injury Giving Rise To The Claim
death, following cardiac arrest
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/15/2014 SHI-14-263870
County Suit Filed in Date of Final Disposition
Marion 11/15/2014
Other Defendants Involved in this Claim
POLLARD, STEPHEN W
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/15/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $750,000
Loss Adjust Expense Paid to Defense Counsel $0
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
patients who leave against medical advice must sign a form which they may avoid by eloping
 
Updates
 
No updates found.

 

 

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Dr. CHRISTOPHER JOHNSON Medical Malpractice Lawsuits - Court Case # 09-1821-CA-G

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263454
Claim Number :EMC-FLXS-08XS-110182
Date Submitted :4/9/2012
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy  Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
CityStateZip
HoustonTX77042-361
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCHRISTOPHER JOHNSON
Insurer TypeStreet Address of Practice
Self-Insurer545 SE 41ST STREET
CityStateZip CodeCounty
OCALAFL34480Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2008-Excess$750,000$2,250,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS9235Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
12/19/20071/21/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
FEVER AND SEIZURES
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ADMINISTERED FOSPHENYTONIN BOLUS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
WRONG DOSAGE
Principal Injury Giving Rise To The Claim
BRAIN INJURY AND CARDIAC ARREST
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
4/8/200909-1821-CA-G
County Suit Filed inDate of Final Disposition
Marion3/27/2012
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
2/14/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Richard M Cowin Medical Malpractice Lawsuits - Court Case # 071205CAB

Indemnity Paid: $592,724.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952695
Claim Number :06PMF100030
Date Submitted :2/27/2009
 
Insurer Information
 
Insurer NameCoverage Type
CAMPMED CASUALTY & INDEMNITY COMPANY, INC.Primary
Insurer FEINProfessional License Number
52-1827116 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyLPowell
Street Address
111 Berry St SE
CityStateZip
ViennaVA22180
PhoneExtFaxE-Mail Address
(800) 831 - 9506803(703) 242 - 3815npowell@thecampaniagroup.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRichardMCowin
Insurer TypeStreet Address of Practice
Licensed10900 SE 174 St.
CityStateZip CodeCounty
SummerfieldFL34491Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
26PMAF1000.0024$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Podiatric Physician 
License NumberSpecialty Code & ClassificationCertification Number
PO1295  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
7/28/20041/30/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
right heel spur
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
retrocaneal exostectomy right foot
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Postoperative infection led to osteomyelitis which required additional surgeries, removal of part of the bone and foot pain
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/16/2007071205CAB
County Suit Filed inDate of Final Disposition
Marion2/2/2009
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Disposed of by Arbitration
Court DecisionOther
OtherArbitration award
Arbitration
Award for plaintiff.
Date of Payment
2/2/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$592,724
Loss Adjust Expense Paid to Defense Counsel$373,830
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$527,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$65,224$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured is not practicing podiatry. He has taken risk management seminars.
 
Updates
 
No updates found.

 

 

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

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Dr. ALAN V RICHMAN Medical Malpractice Lawsuits - Court Case # 073577CAG

Indemnity Paid: $575,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850084
Claim Number :280113
Date Submitted :1/12/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMary Osborn
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(800) 463 - 37766604(260) 486 - 0785Mary.Osborn@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualALANVRICHMAN
Insurer TypeStreet Address of Practice
Licensed131 SW 15TH ST
CityStateZip CodeCounty
OCALAFL34474-4029Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
632067$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME26579Pathology - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/29/20037/16/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
BREAST CANCER
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
BILATERAL MASTECTOMY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE CANCER INSENTINAL LYMPH NODE BIOPSY
Principal Injury Giving Rise To The Claim
DELAY IN DIAGNOSIS & TREATMENT,METASTATIC 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
12/3/2007073577CAG
County Suit Filed inDate of Final Disposition
Marion6/23/2008
Other Defendants Involved in this Claim
MUNROE REGIONAL HEALTH SYS
MUNROE REGIONAL MED CTR
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/27/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$575,000
Loss Adjust Expense Paid to Defense Counsel$24,005
All Other Loss Adjustment Expense Paid$18,396
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:7/28/2008 11:19:42 AM
Reason for Change:The ALE was reported incorrectly as $250,000.00. It should have been $575,000.00
 
Field ChangedFormer ValueNew Value
Indemnity Paid250000575000
 
Date of Change:1/12/2009 2:04:14 PM
Reason for Change:UPDATING ALE FOR THIS CASE.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1442224005
All Other Loss Adjustment Expense Paid598918396

 

 

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Dr. Jeanne Hopple Medical Malpractice Lawsuits - Court Case # 13-897-CAB

Indemnity Paid: $568,750.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574883
Claim Number : 147436-3
Date Submitted : 6/16/2017
 
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 Jeanne   Hopple
Insurer Type Street Address of Practice
Licensed 2415 SE 17th Street
City State Zip Code County
Ocala FL 34471 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10111 $250,000 $750,000
Profession or Business Other Profession or Business
Other Nurse Practitioner
License Number Specialty Code & Classification Certification Number
ARNP935922    

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 Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's Office
Date of Occurrence Date Reported to Insurer
10/10/2011 7/30/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
DVT, PE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allege failure to do thorough work up, failure to timely diagnose & treat DVT, PE.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/7/2013 13-897-CAB
County Suit Filed in Date of Final Disposition
Marion 6/15/2017
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
2/6/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $568,750
Loss Adjust Expense Paid to Defense Counsel $112,847
All Other Loss Adjustment Expense Paid $54,936
Injured Person's Total Non-Economic Loss $568,750
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
Review of policies and procedures.
 
Updates
 
 
Date of Change: 6/16/2017 3:17:20 PM
Reason for Change: Claim reopened due to DOH investigation & new counsel had to be retained. Additional LAE payments made.
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 54801 54936
Date of Final Disposition 10-FEB-15 15-JUN-17
Amount of Loss Adjustment Expense Paid to Defense Counsel 111057 112847
Injured Person Address City Ocala Ocala

 

 

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

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Dr. Jeanne Hopple Medical Malpractice Lawsuits - Court Case # 13-897-CAB

Indemnity Paid: $568,750.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573592
Claim Number : 147436-3
Date Submitted : 2/23/2015
 
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 Jeanne   Hopple
Insurer Type Street Address of Practice
Licensed 2415 SE 17th Street
City State Zip Code County
Ocala FL 34471 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10111 $250,000 $750,000
Profession or Business Other Profession or Business
Other Nurse Practitioner
License Number Specialty Code & Classification Certification Number
ARNP935922    

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 Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's Office
Date of Occurrence Date Reported to Insurer
10/10/2011 7/30/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
DVT, PE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allege failure to do thorough work up, failure to timely diagnose & treat DVT, PE.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/7/2013 13-897-CAB
County Suit Filed in Date of Final Disposition
Marion 2/10/2015
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
2/6/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $568,750
Loss Adjust Expense Paid to Defense Counsel $91,142
All Other Loss Adjustment Expense Paid $33,372
Injured Person's Total Non-Economic Loss $568,750
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
Review of policies and procedures.
 
Updates
 
No updates found.

 

 

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

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Dr. JEANNE HOPPLE Medical Malpractice Lawsuits - Court Case # 13-897-CAB

Indemnity Paid: $568,750.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573566
Claim Number : 147436-3
Date Submitted : 5/25/2018
 
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 JEANNE   HOPPLE
Insurer Type Street Address of Practice
Licensed 2415 SE 17TH STREET
City State Zip Code County
OCALA FL 34471 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10111 $250,000 $750,000
Profession or Business Other Profession or Business
Other NURSE PRACTITIONER
License Number Specialty Code & Classification Certification Number
ARNP935922    

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 Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other PHYSICIAN'S OFFICE
Date of Occurrence Date Reported to Insurer
10/19/2011 7/30/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
DVT, PE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allege failure to do thorough work up, failure to timely diagose & treat DVT, PE.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
DEATH.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/7/2013 13-897-CAB
County Suit Filed in Date of Final Disposition
Marion 5/25/2018
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
2/6/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $568,750
Loss Adjust Expense Paid to Defense Counsel $117,548
All Other Loss Adjustment Expense Paid $54,952
Injured Person's Total Non-Economic Loss $568,750
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
REVIEW OF POLICIES AND PROCEDURES.
 
Updates
 
 
Date of Change: 5/25/2018 2:46:30 PM
Reason for Change: CORRECTED PAYMENT AMOUNTS.
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 37940 54952
Indemnity Paid 437500 568750
Date of Final Disposition 10-FEB-15 25-MAY-18
Injured Person Total Non-Economic Loss 437500 568750
Amount of Loss Adjustment Expense Paid to Defense Counsel 82720 117548
Injured Person Address Street 8890 SE 17th Court 8890 SE 17TH CT

 

 

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

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Dr. Alex T Villacastin Medical Malpractice Lawsuits - Court Case # 2014-CA-000781

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575463
Claim Number : 47264
Date Submitted : 12/1/2015
 
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 Alex T Villacastin
Insurer Type Street Address of Practice
Licensed PO Box 640573
City State Zip Code County
Beverly Hills FL 34464 Citrus
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1616023 04 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME71085 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
  F Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
12/8/2011 11/18/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Thoracic spine abscess
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose and treat thoracic spine abscess
Principal Injury Giving Rise To The Claim
Paraplegia
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/2/2014 2014-CA-000781
County Suit Filed in Date of Final Disposition
Marion 8/25/2015
Other Defendants Involved in this Claim
Sivasekaran, MD, Ratnasabapathy
Patel, MD, Sanjay A
Cairo Lavado, MD, Javier B
SKS Medical
West Florida Medical Assoc.
Munroe Regional
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/21/2015
 
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 $63,875
All Other Loss Adjustment Expense Paid $13,094
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,000,000 $2,000,000
Wage Loss $0 $0
Other Expenses $0 $300,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 12/1/2015 3:56:52 PM
Reason for Change: Report updated to reflect Court Document final disppsition date of 8/25/15
 
Field Changed Former Value New Value
Date of Final Disposition 21-JUL-15 25-AUG-15

 

 

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Dr. JAVIER B CAIRO LAVADO Medical Malpractice Lawsuits - Court Case # 2014-CA-000781

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201473084
Claim Number : 46803/46700
Date Submitted : 1/16/2015
 
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 JAVIER B CAIRO LAVADO
Insurer Type Street Address of Practice
Licensed 2810 SE 3rd Court
City State Zip Code County
Ocala FL 34471 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602687 03 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME106168 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
  F Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
MUNROE REGIONAL MEDICAL CENTER 100062
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
12/8/2011 11/18/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Thoracic spine abscess
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose and treat thoracic spine abscess
Principal Injury Giving Rise To The Claim
Paraplegia
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/2/2014 2014-CA-000781
County Suit Filed in Date of Final Disposition
Marion 1/9/2015
Other Defendants Involved in this Claim
Villacastin, MD, Alex
Sivasekaran, MD, Ratnasabapathy
Patel, MD, Sanjay A
W. Fl. Med. Assoc.
SKS Medical
Munroe Regional
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/11/2014
 
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 $36,438
All Other Loss Adjustment Expense Paid $15,371
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,000,000 $2,000,000
Wage Loss $0 $0
Other Expenses $300,000 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 1/16/2015 12:18:38 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 01/09/15
 
Field Changed Former Value New Value
Date of Final Disposition 11-DEC-14 09-JAN-15

 

 

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Dr. William Trice Medical Malpractice Lawsuits - Court Case # 11-002625-CA-B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264423
Claim Number :41523-01
Date Submitted :7/25/2012
 
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
IndividualWilliam Trice
Insurer TypeStreet Address of Practice
Licensed2723 Southeast Maricamp Road
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
4359$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME25927Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
9/12/20074/7/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Routine annual exams and complaints of a decrease in ejaculant.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allegations of failing to monitor PSA levels and complete rectal exams in a patient with increased PSA velocity.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose prostate cancer.
Principal Injury Giving Rise To The Claim
Alleged failure to timely diagnose prostate cancer, resulted in metastatic disease and fatal prognosis.
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
9/19/201111-002625-CA-B
County Suit Filed inDate of Final Disposition
Marion6/28/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/28/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$22,153
All Other Loss Adjustment Expense Paid$26,678
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. Edson G Cortes Medical Malpractice Lawsuits - Court Case # 07-2566-CA-B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953105
Claim Number :25495
Date Submitted :5/13/2009
 
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 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEdsonGCortes
Insurer TypeStreet Address of Practice
Licensed1490 SE Magnolia Extension
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600362 06$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87022Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MARION COMMUNITY HOSPITAL100212
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
2/5/20054/27/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stroke
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT/MRI
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose stroke
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
9/21/200707-2566-CA-B
County Suit Filed inDate of Final Disposition
Marion4/15/2009
Other Defendants Involved in this Claim
Marion Community Hospital
Reisner, MD, Frank
NES of Florida
Lossada, MD, Mery J
Patel, MD, SanjaiA
Sivasekaran, MD, Ratnasabapachy
Central Florida Medical Group
Moore, MD, Wendie K
Radiology Associate of Ocala
Cruz-Martinez, MD, Edgardo
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/26/2009
 
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$45,117
All Other Loss Adjustment Expense Paid$24,965
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$89,816$3,052,297
Wage Loss$286,954$109,445
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:5/13/2009 3:22:31 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 04/15/09
 
Field ChangedFormer ValueNew Value
Date of Final Disposition26-MAR-0915-APR-09

 

 

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Dr. Wendie K Moore Medical Malpractice Lawsuits - Court Case # 07-2566-CA-B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953106
Claim Number :25496
Date Submitted :4/1/2009
 
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 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWendieKMoore
Insurer TypeStreet Address of Practice
Licensed1490 SE Magnolia Extension
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600362 06$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71107Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MARION COMMUNITY HOSPITAL100212
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
2/5/20054/27/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stroke
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT/MRI
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose stroke
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
9/21/200707-2566-CA-B
County Suit Filed inDate of Final Disposition
Marion3/26/2009
Other Defendants Involved in this Claim
Marion Community Hospital
Reisner, MD, Frank
NES of Florida
Lossada, MD, Mery J
Patel, MD, Sanjai A
Sivasekaran, MD, Ratnasabapachy
Central Florida Medical Group
Cortes, MD, Edson G
Radiology Associates of Ocala
Crutz-Martinez, MD, Edgardo
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/26/2009
 
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$45,055
All Other Loss Adjustment Expense Paid$28,307
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$89,816$3,052,297
Wage Loss$286,954$109,445
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. FRANK REISNER Medical Malpractice Lawsuits - Court Case # 07-2566 CA B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955810
Claim Number :NES-06-68750
Date Submitted :12/21/2009
 
Insurer Information
 
Insurer NameCoverage Type
EVEREST INDEMNITY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-3520347 
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
IndividualFRANK REISNER
Insurer TypeStreet Address of Practice
Licensed216 NE 12th Avenue
CityStateZip CodeCounty
OcalaFL34470Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6500000204-061$1,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME38249Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
OCALA REGIONAL MEDICAL CENTER100212
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/6/20055/4/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Occluded carotid artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose and timely treat
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Dissected carotid artery resulting in diability
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/14/200707-2566 CA B
County Suit Filed inDate of Final Disposition
Marion12/18/2009
Other Defendants Involved in this Claim
Marion Community Hospital
NES of Florida
Lossada, M.D., Mary J
Patel, M.D., Sanjai
Sivasekaran, M.D., Ratnasabapachy
Moore, M.D., Wendie K
Cortes, M.D., EdsonG
Cruz-Martinez, M.D., Edgardo
Florida Medical Group, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/1/2009
 
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$116,311
All Other Loss Adjustment Expense Paid$34,248
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. Baudouin LeClercq Medical Malpractice Lawsuits - Court Case # 09-2063-CA-B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056287
Claim Number :37999-02
Date Submitted :2/2/2010
 
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
IndividualBaudouin LeClercq
Insurer TypeStreet Address of Practice
Licensed2980 SE 3rd Court
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99480$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81654Nephrology - Minor Surgery80287

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/22/200812/4/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dialysis catheter related infection, fever, abdominal pain and end stage renal disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Blood cultures, intravenous antibiotics, dialysis and observation.
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
5/6/200909-2063-CA-B
County Suit Filed inDate of Final Disposition
Marion1/12/2010
Other Defendants Involved in this Claim
Lakhminarayanan, M.D., Suresh
Seek, M.D., Melvin
Munroe Regional Medical Center
Ocala Critical Care & Kidney Group, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/12/2010
 
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$17,161
All Other Loss Adjustment Expense Paid$6,090
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. Marc Weinbaum Medical Malpractice Lawsuits - Court Case # 42-2014-1312-CA-B

Indemnity Paid: $462,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201576591
Claim Number : 2012034485
Date Submitted : 12/17/2015
 
Insurer Information
 
Insurer Name Coverage Type
ALLIED WORLD SPECIALTY INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
56-0997452  
Insurer Contact Information
Type First Name MI Last Name
Individual Joyce M Palmisano
Street Address
1690 New Britain Ave. Suite 101
City State Zip
Farmington CT 06032
Phone Ext Fax E-Mail Address
(860) 284 - 1382 1382 (860) 284 - 1383 Joyce.Palmisano@awac.com
 
Insured Information
 
Type First Name MI Last Name
Individual Marc   Weinbaum
Insurer Type Street Address of Practice
Licensed P.O. Box 773698
City State Zip Code County
Ocala FL 34477 Marion
Policy Number Per Claim Policy Limits Aggregate Policy Limits
000-000016150 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME53120 Psychiatry - All Other  

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 Marion
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Hospital/Institution Comprehensive Behavioral Health Facility
Name of Institution Code
THE VINES HOSPITAL 23960073
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
11/30/2012 12/3/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Claimant was Baker Acted and admitted to the Vines Hospital for treatment of his dementia on November 28, 2012.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Psychiatric care
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Medical negligence and resulting death
Principal Injury Giving Rise To The Claim
Attacked by another inpatient (roommate). Sexually assaulted, beaten and suffocated with a mattress.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/9/2015 42-2014-1312-CA-B
County Suit Filed in Date of Final Disposition
Marion 12/6/2015
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
12/6/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $462,500
Loss Adjust Expense Paid to Defense Counsel $20,723
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $462,500
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Worked Closely with Defense Counsel to resolve claim.
 
Updates
 
No updates found.

 

 

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