Medical Malpractice Cases

Medical Malpractice Cases In Orange County Florida

Dr. HAROLD E SMITH Medical Malpractice Lawsuits - Court Case # 2012-CA-843

Indemnity Paid: $8,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885405
Claim Number : PP072655
Date Submitted : 5/30/2018
 
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 HAROLD E SMITH
Insurer Type Street Address of Practice
Licensed 501 N Orlando Avenue Suite 313-247
City State Zip Code County
Winter Park FL 32789 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PP-P94718-11-0 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME77300 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
  F Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
CENTRAL FLORIDA BEHAVIORAL HOSPITAL 23960083
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
12/22/2010 8/17/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Panic attacks, suicidal ideation, agoraphobia, depression, anxiety and pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Over sedation with Oxycodone leading to respiratory arrest.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Over sedation leading to cardiac arrest and death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/24/2012 2012-CA-843
County Suit Filed in Date of Final Disposition
Orange 2/14/2018
Other Defendants Involved in this Claim
Central Florida Behavioral Hospital
Stage of Legal System at which Settlement was Reached or Award Made
During 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
2/14/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $8,000,000
Loss Adjust Expense Paid to Defense Counsel $445,571
All Other Loss Adjustment Expense Paid $184,528
Injured Person's Total Non-Economic Loss $8,000,000
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. AMANPREET BHULLAR Medical Malpractice Lawsuits - Court Case # 2009-CA-006622-0

Indemnity Paid: $4,500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201262648
Claim Number :10017
Date Submitted :6/5/2012
 
Insurer Information
 
Insurer NameCoverage Type
FD INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
20-3704679 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMelodee Dixon
Street Address
4655 Salisbury Road
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887209(904) 296 - 1013mdixon@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAMANPREET BHULLAR
Insurer TypeStreet Address of Practice
Licensed1551 Clay Street
CityStateZip CodeCounty
Winter ParkFL32789Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
10600$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME86331Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
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
9/20/20066/17/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presentd to Insured with complaints of severe headache for two days.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient was diagnosed with probable tension headahes by Insured. Approximately 12 hours later patient malformation.suffered a rupture of an arterior venous malformation.
Principal Injury Giving Rise To The Claim
Alleged failure to hospitalize and manage patient's hypertension, failure to recommend immediate neurological evaluation.
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
10/29/20082009-CA-006622-0
County Suit Filed inDate of Final Disposition
Orange12/9/2011
Other Defendants Involved in this Claim
Winnie Palmer Hospital
Orlando Health, Inc.
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 DecisionOther
OtherHung Jury
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/9/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$4,500,000
Loss Adjust Expense Paid to Defense Counsel$754,619
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed the case with the Insured.
 
Updates
 
 
Date of Change:1/10/2012 10:14:46 AM
Reason for Change:Date of disposition was incorrect and Date of Payment was incorrect.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition09-DEC-1009-DEC-11
Payment Date09-DEC-1009-DEC-11
 
Date of Change:6/5/2012 1:32:16 PM
Reason for Change:Additional ALAE received.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel740133754619

 

 

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Dr. Ayodeji Otegbeye Medical Malpractice Lawsuits - Court Case # CI002-2410

Indemnity Paid: $3,205,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536816
Claim Number :14786
Date Submitted :11/8/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAyodeji Otegbeye
Insurer TypeStreet Address of Practice
Licensed615 E. Princeton Street, Suite 400
CityStateZip CodeCounty
OrlandoFL32803Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600354 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME58278Pediatrics - Minor Surgery69001

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL (ORLANDO)100007
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
4/18/200111/27/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Septic arthritis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Gentamicin treatment
Diagnostic Code :380.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly manage Gentamicin
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/15/2002CI002-2410
County Suit Filed inDate of Final Disposition
Orange9/6/2005
Other Defendants Involved in this Claim
Desai, M.D., Vivek
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Directed verdict for plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/3/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$3,205,000
Loss Adjust Expense Paid to Defense Counsel$200,000
All Other Loss Adjustment Expense Paid$60,000
Injured Person's Total Non-Economic Loss$3,205,000
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
Risk Management has counseled insured
 
Updates
 
 
Date of Change:11/8/2005 8:07:57 AM
Reason for Change:Corrected final disposition date
 
Field ChangedFormer ValueNew Value
Date of Final Disposition03-MAY-0506-SEP-05

 

 

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Dr. JOSEPH KEELEY Medical Malpractice Lawsuits - Court Case # 03ca7861

Indemnity Paid: $3,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537074
Claim Number :HP74026736
Date Submitted :10/7/2005
 
Insurer Information
 
Insurer NameCoverage Type
Keeley, Joseph JPrimary
Insurer FEINProfessional License Number
36-6522403ME75445
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCynthiaFRogers
Street Address
111 N. Orlando Ave.
CityStateZip
Winter ParkFL32703
PhoneExtFaxE-Mail Address
(407) 975 - 1422 (407) 975 - 1570cynthia.rogers@ahss.org
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJOSEPH KEELEY
Insurer TypeStreet Address of Practice
Self-Insurer615 E. Princeton St., #416
CityStateZip CodeCounty
OrlandoFL32803Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
8528-108$7,500,000$7,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75445Psychiatry - Child and Adolescent Psychiatry 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSeminole
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityGroup Home
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Otherbedroom
Date of OccurrenceDate Reported to Insurer
11/22/20021/9/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Autistic self injurious behavior
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Misfilling of a prescription by a pharmacy and administration of the improper dose.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis.
Principal Injury Giving Rise To The Claim
Methadone prescription by Dr. Keely was misfilled by the pharmacy at 10 times the ordered dose and administered by the Group Home resulting in the death of the child.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/26/200303ca7861
County Suit Filed inDate of Final Disposition
Orange7/28/2005
Other Defendants Involved in this Claim
Hospice of the Comforter, Inc.
James, Soucey
American Living, Inc.
Behavioral Support Services, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
After notice of appeal is filed or post judgment relief of action is required for recovery.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/6/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$3,000,000
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
This claim resulted from an error by other parties.Dr. Keeley's management of the decedent was proper.
 
Updates
 
No updates found.

 

 

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Dr. Wistar Moore Medical Malpractice Lawsuits - Court Case # 2003-CA-011918-0

Indemnity Paid: $1,875,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201059355
Claim Number :24245-01
Date Submitted :12/9/2010
 
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
IndividualWistar Moore
Insurer TypeStreet Address of Practice
Licensed700 Doctor's Court
CityStateZip CodeCounty
LeesburgFL34748Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98122$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME64685Surgery - Cardiovascular Disease80150

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL (ORLANDO)100007
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
5/8/20016/7/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Coronary artery disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Coronary artery bypass surgery.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Alleged injury to liver from placement of chest tube following surgery.On post-op day 3, the patient had a cardiopulmonary arrest, which caused limited cognitive impairment.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/16/20042003-CA-011918-0
County Suit Filed inDate of Final Disposition
Orange11/18/2010
Other Defendants Involved in this Claim
Florida Hospital
Sand, M.D., Mark
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff after appeal ... 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/18/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,875,000
Loss Adjust Expense Paid to Defense Counsel$210,638
All Other Loss Adjustment Expense Paid$141,702
Injured Person's Total Non-Economic Loss$1,875,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$136,000$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
It was questionable the liver was injured at the time of surgery as the patient remained stable for three days without any symptoms until the time of the cardiopulmonary arrest.
 
Updates
 
No updates found.

 

 

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Dr. Vivek Desai Medical Malpractice Lawsuits - Court Case # CI002-2410

Indemnity Paid: $1,795,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536817
Claim Number :14788
Date Submitted :11/8/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualVivek Desai
Insurer TypeStreet Address of Practice
Licensed615 E. Princeton Street Suite 400
CityStateZip CodeCounty
OrlandoFL32803Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600354 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME61521Pediatrics - Minor Surgery49523

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL (ORLANDO)100007
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
4/18/200111/27/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Septic arthritis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Gentamicin treatment
Diagnostic Code :380.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly manage Gentamicin
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/15/2002CI002-2410
County Suit Filed inDate of Final Disposition
Orange9/6/2005
Other Defendants Involved in this Claim
Otegbeye, Ayodeji
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Directed verdict for plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/3/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,795,000
Loss Adjust Expense Paid to Defense Counsel$200,000
All Other Loss Adjustment Expense Paid$60,000
Injured Person's Total Non-Economic Loss$1,795,000
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
Risk Management has counseled insured
 
Updates
 
 
Date of Change:11/8/2005 8:11:56 AM
Reason for Change:Corrected final disposition date
 
Field ChangedFormer ValueNew Value
Date of Final Disposition03-MAY-0506-SEP-05

 

 

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Dr. Curtis J Weaver Medical Malpractice Lawsuits - Court Case # 2010-CA-011293-0

Indemnity Paid: $1,750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201058932
Claim Number :29588/32894
Date Submitted :3/11/2011
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCurtisJWeaver
Insurer TypeStreet Address of Practice
Licensed1613 N. Mills Avenue
CityStateZip CodeCounty
OrlandoFL32803Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600508 07$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55044Surgery - Cardiovascular Disease 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL (ORLANDO)100007
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
11/11/20082/13/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Non-ST-elevated myocardial infarction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiac catheterization with complication of air embolism
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize air in the catheter tubing resulting in MI
Principal Injury Giving Rise To The Claim
MI as complication of air embolism
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
5/14/20102010-CA-011293-0
County Suit Filed inDate of Final Disposition
Orange3/4/2011
Other Defendants Involved in this Claim
Florida Heart Group, PA
Adventist System/Sunbelt, Inc d/b/a Florida Hospital
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/21/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,750,000
Loss Adjust Expense Paid to Defense Counsel$25,976
All Other Loss Adjustment Expense Paid$20,838
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$51,142$4,571,406
Wage Loss$0$0
Other Expenses$35,000$4,300,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:3/11/2011 11:56:21 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 03/04/11
 
Field ChangedFormer ValueNew Value
Date of Final Disposition21-OCT-1004-MAR-11

 

 

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Dr. Curtis J Weaver Medical Malpractice Lawsuits - Court Case # 07-CA-13926

Indemnity Paid: $1,416,750.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263569
Claim Number :26290
Date Submitted :5/24/2012
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCurtisJWeaver
Insurer TypeStreet Address of Practice
Licensed1613 N Mills Ave.
CityStateZip CodeCounty
OrlandoFL32803Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600508 05$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55044Surgery - Cardiovascular Disease 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL (ORLANDO)100007
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/22/20056/21/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Presumptive diagnosis of infective endocarditis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No alleged misdiagnosis
Principal Injury Giving Rise To The Claim
Infective endocarditis
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/24/200707-CA-13926
County Suit Filed inDate of Final Disposition
Orange3/19/2012
Other Defendants Involved in this Claim
Lanza, MD, Salvador
Shoemaker, DO, James R
Walker, MD, John L
Tello, MD, Javier E
Arias, MD, JoseH
Kapoor, MD, Rajan
Florida Heart Group
University Medical Care, PA
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 DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/19/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,416,750
Loss Adjust Expense Paid to Defense Counsel$149,928
All Other Loss Adjustment Expense Paid$103,585
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$86,672$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:4/18/2012 12:35:48 PM
Reason for Change:Report updated to correct diagnosis, misdiagnosis, disposition, and indemnity paid fields.
 
Field ChangedFormer ValueNew Value
Indemnity Paid12500001083250
Final DiagnosisInfective endocarditisPresumptive diagnosis of infective endocarditis
MisdiagnosisAlleged delay in diagnosisNo alleged misdiagnosis
Final DispositionDisposed of by CourtSettled by parties
 
Date of Change:5/24/2012 6:08:30 PM
Reason for Change:File updated to reflect correct indemnity payment of $1,416,750
 
Field ChangedFormer ValueNew Value
Indemnity Paid10832501416750

 

 

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Dr. Nader Moinfar Medical Malpractice Lawsuits - Court Case # 05-CA-1391

Indemnity Paid: $1,250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640332
Claim Number :B04012941
Date Submitted :4/21/2006
 
Insurer Information
 
Insurer NameCoverage Type
TIG INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
94-1517098 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualFinch Carolyn
Street Address
125 S. Wacker Drive, Suite 700
CityStateZip
ChicagoIL60606
PhoneExtFaxE-Mail Address
(312) 267 - 6056 (312) 606 - 9181Carolyn_Finch@tigspecialty.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNader Moinfar
Insurer TypeStreet Address of Practice
Licensed1911 N MILLS AVE
CityStateZip CodeCounty
ORLANDOFL32803-1432Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
39250853$2,000,000$5,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80949Ophthalmology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
3/19/20018/2/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to insured opthamologist with metal shard in right eye from printing press he was repairing.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Opthamologist removed portion of metal shard with aid of vitrector.He believed he had removed all of shard, but had only removed part.Patient underwent lens replacement and corneal transplant to deal with eyeball irritation and swelling believed to have resulted from removal of shard.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
In August of 2003, CT scan confirmed that significant metal shard remained in eye, which was causing ongoing symptomology.
Principal Injury Giving Rise To The Claim
By the time the shard was finally removed, siderosis had set in requiring evisceration of the eyeball.Patient has no vision out of right eye causing problems with depth perception and lack of peripheral vision.He also is required to wear and maintain a scleral shell.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/16/200505-CA-1391
County Suit Filed inDate of Final Disposition
Orange3/6/2006
Other Defendants Involved in this Claim
Herschel, Mark K
Magruder Eye Institute
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
OtherDismissal with prejudice
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/27/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,250,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$402,383
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$138,793$58,808
Wage Loss$73,942$576,074
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Take follow-up CT scan following foreign object removal to ensure all has been removed.
 
Updates
 
No updates found.

 

 

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Dr. Salvador N Lanza Medical Malpractice Lawsuits - Court Case # 07-CA-13926

Indemnity Paid: $1,083,250.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263568
Claim Number :26289
Date Submitted :5/24/2012
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSalvadorNLanza
Insurer TypeStreet Address of Practice
Licensed1613 N Mills Ave.
CityStateZip CodeCounty
OrlandoFL32801Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600508 05$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53222Surgery - Cardiovascular Disease 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL (ORLANDO)100007
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/22/20056/21/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infective endocarditis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis made
Principal Injury Giving Rise To The Claim
Infective endocarditis
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/24/200707-CA-13926
County Suit Filed inDate of Final Disposition
Orange3/19/2012
Other Defendants Involved in this Claim
Weaver, MD, Curtis
Shoemaker, DO, James R
Walker, MD, John L
Tello, MD, Javier E
Arias, MD, Jose H
Kapoor, MD, Rajan
Florida Heart Group
University Medical Care, PA
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 DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/19/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,083,250
Loss Adjust Expense Paid to Defense Counsel$149,928
All Other Loss Adjustment Expense Paid$103,585
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$86,672$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:4/18/2012 11:13:17 AM
Reason for Change:Report updated to correct the misdiagnosis, disposition, and indemnity paid fields.
 
Field ChangedFormer ValueNew Value
Indemnity Paid12500001416750
MisdiagnosisAlleged delay in diagnosisNo misdiagnosis made
Final DispositionDisposed of by CourtSettled by parties
 
Date of Change:5/24/2012 5:32:11 PM
Reason for Change:Report updated to reflect correct idemnity payment
 
Field ChangedFormer ValueNew Value
Indemnity Paid14167501083250

 

 

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Dr. John Taggart Medical Malpractice Lawsuits - Court Case # 2010-CA-022392-0

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201159724
Claim Number :40096-01
Date Submitted :1/25/2011
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohn Taggart
Insurer TypeStreet Address of Practice
Licensed201 N Lakemont Ave, Ste 100
CityStateZip CodeCounty
Winter ParkFL32792Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99121$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME18583Otorhinolaryngology - No Surgery80265

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
1/7/20104/14/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tonsillar abscess.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
I & D of abscess, excessive dosage of Oxycodone caused patient's death.
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
10/7/20102010-CA-022392-0
County Suit Filed inDate of Final Disposition
Orange1/4/2011
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/4/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$20,315
All Other Loss Adjustment Expense Paid$18,754
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. GREGOR ALEXANDER Medical Malpractice Lawsuits - Court Case # 2008-ca-008099

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161564
Claim Number :PMG-06-AO-66679
Date Submitted :9/9/2011
 
Insurer Information
 
Insurer NameCoverage Type
HUDSON SPECIALTY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
75-1637737 
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
IndividualGREGOR ALEXANDER
Insurer TypeStreet Address of Practice
Licensed466 HENKEL DRIVE
CityStateZip CodeCounty
WINTER PARKFL32789Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HCP4001905$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME29182Pediatrics - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationWINNIE PALMER HOSPITAL FOR WOMEN AND BAB
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
11/24/20061/11/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
BIRTH COMPLICATIONS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
UVC LINE WAS PLACED
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
IMPROPER PLACEMENT OF THE UVC LINE
Principal Injury Giving Rise To The Claim
LOSS OF LEG
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
1/28/20092008-ca-008099
County Suit Filed inDate of Final Disposition
Orange8/31/2011
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
4/14/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$84,854
All Other Loss Adjustment Expense Paid$17,764
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. Stephen M Borstelmann Medical Malpractice Lawsuits - Court Case # 07-CA-3074

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850383
Claim Number :23315/24682
Date Submitted :12/22/2008
 
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
IndividualStephenMBorstelmann
Insurer TypeStreet Address of Practice
Licensed631 Palm Springs Drive, Suite 111
CityStateZip CodeCounty
Altamonte SpringsFL32701Seminole
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 0103694 06$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80071Radiology - Diagnostic - Minor Surgery3509

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
WINTER PARK PAVILION110026
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/22/20041/30/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epigastric and left lower quadrant abdominal pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT of abdomen
Diagnostic Code :231.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to note abnormality on abdomenal CT
Principal Injury Giving Rise To The Claim
Delay in diagnosis of adenocarcinoma
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
4/5/200707-CA-3074
County Suit Filed inDate of Final Disposition
Orange12/11/2008
Other Defendants Involved in this Claim
Florida Radiology Assoc.
Winter Park Hospital
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/11/2008
 
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$81,658
All Other Loss Adjustment Expense Paid$68,857
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$200,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$400,000
Wage Loss$0$500,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:9/2/2008 3:58:44 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 08/08/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition06-JUN-0808-AUG-08
 
Date of Change:12/22/2008 1:06:12 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 12/11/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition08-AUG-0811-DEC-08

 

 

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Dr. Johnson P Massey Medical Malpractice Lawsuits - Court Case # 48-2006-CA-008465-0

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851203
Claim Number :23631
Date Submitted :1/19/2009
 
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
IndividualJohnsonPMassey
Insurer TypeStreet Address of Practice
Licensed601 Oak Commons Boulevard
CityStateZip CodeCounty
KissimmeeFL34741Osceola
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600938 03$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME42668Cardiovascular Disease - Minor Surgery70401

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOsceola
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
ORLANDO REGIONAL MEDICAL CENTER100006
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
8/10/20054/4/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiology consult
Diagnostic Code :441.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose aortic dissection
Principal Injury Giving Rise To The Claim
Aortic dissection
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/12/200648-2006-CA-008465-0
County Suit Filed inDate of Final Disposition
Orange12/4/2008
Other Defendants Involved in this Claim
Lester, MD, Donna
Cardiovascular Assoc.
Family Practice Assoc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/13/2008
 
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$87,584
All Other Loss Adjustment Expense Paid$51,174
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$53,120$0
Wage Loss$0$1,700,000
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:1/12/2009 1:36:22 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 12/04/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition18-SEP-0804-DEC-08
 
Date of Change:1/19/2009 1:48:58 PM
Reason for Change:Report updated to reflect correct Name of Institution
 
Field ChangedFormer ValueNew Value
Name of InstitutionSAINT CLOUD HOSPITALORLANDO REGIONAL MEDICAL CENTER

 

 

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Dr. Robert B Redmon Medical Malpractice Lawsuits - Court Case # 03CA-10508

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642501
Claim Number :A02-26670-02
Date Submitted :10/6/2006
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertBRedmon
Insurer TypeStreet Address of Practice
Licensed1603 S Hiawassee Rd, Ste 110
CityStateZip CodeCounty
OrlandoFL32835Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
47949$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME74122Surgery - Otorhinolaryngology80159

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
ORLANDO REGIONAL MEDICAL CENTER100006
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/14/20027/30/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for chronic bilateral nasal polyposis with pansinusitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent bilateral endoscopic complete ethmoidectomy, antrostomy, sphenoidotomy and frontal recess exploration.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient suffered surgical complication wherein there was penetration of the lamina papyracea causing injury to the medial rectus muscle, resulting in "frozen left eye" with visual impairment.
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
12/11/200303CA-10508
County Suit Filed inDate of Final Disposition
Orange9/15/2006
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 DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/15/2006
 
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$25,388
All Other Loss Adjustment Expense Paid$25,952
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
This was a recognized potential complication of the surgery and the patient was informed and signed a consent form regarding the risk, as this is a known and accepted risk of the procedure, there are not safety management issues involved.
 
Updates
 
No updates found.

 

 

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Dr. Jeffrey Laskoff Medical Malpractice Lawsuits - Court Case # 02-CA-12539

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536697
Claim Number :00-0415
Date Submitted :9/20/2005
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON NATIONAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
52-0266645 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy  Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
CityStateZip
HoustonTX77042-361
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJeffrey Laskoff
Insurer TypeStreet Address of Practice
Licensed1502 Lucerne Terrace
CityStateZip CodeCounty
OrlandoFL32806Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP0005706$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME23702Surgery - Laryngology80159

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityOrlando Surgery Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
7/27/20018/1/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tonsillectomy due to recurrent infections
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Coblation tonsillectomy performed.Patient later developed bleeding and was taken to hospital, resulting in intubation and tracheostomy.Patient developed several complications and eventually expired.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Death of 17 year old female post tonsillectomy
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/9/200202-CA-12539
County Suit Filed inDate of Final Disposition
Orange9/16/2005
Other Defendants Involved in this Claim
Florida Hospital East Orlando
Jeffrey Laskoff, MD, PA
Cisneros, D.O., Leonardo
Florida Emergency Physicians Kang & Assoc.
Orlando Regional Healthcare System, Inc.
Appleblatt, M.D., Steven L
Gomez, CRNA, Mary J
Wolverine Anesthesia Consultants
Rural Metro Corporation
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/12/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$104,685
All Other Loss Adjustment Expense Paid$57,164
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
This is a known, although rare risk to tonsillectomy.There were several treaters involved in the care of this patient.
 
Updates
 
No updates found.

 

 

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Dr. Michael J Rubeis Medical Malpractice Lawsuits - Court Case # 2016-CA-11283-O

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885803
Claim Number : 800633
Date Submitted : 7/2/2018
 
Insurer Information
 
Insurer Name Coverage Type
LONE STAR ALLIANCE, INC., A RISK RETENTION GROUP Primary
Insurer FEIN Professional License Number
46-3209483  
Insurer Contact Information
Type First Name MI Last Name
Individual John D King
Street Address
901 south mopac Blvd V ste 400
City State Zip
Austin TX 78746
Phone Ext Fax E-Mail Address
(512) 425 - 5940   (512) 328 - 8067 john-king@tmlt.org
 
Insured Information
 
Type First Name MI Last Name
Individual Michael J Rubeis
Insurer Type Street Address of Practice
Licensed 851 Trafalgar Court, Ste 200E
City State Zip Code County
Maitland FL 32751 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
40-100030 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME71581 Anesthesiology - Pain Management  

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 Outpatient Facility  
Name of Institution Code
PHYSICIANS SURGICAL CARE CENTER 201
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
4/8/2015 9/9/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
79 year old patient presented to reporting physician with a history of chronic severe cervical stenosis with significant symptoms. She had been treating with reporting physician for this condition since December 2012.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
On April 8, 2015, she presented for a epidural cervical steroid injection at C3-4. She had undergone several of these procedures in the past with improvement in her symptoms.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Physician performed the procedure in the same manner as he had done in the past. The procedure was completed with no reported complications. While in recovery room, the patient's blood pressure dropped. After the blood pressure issue was addressed, the patient awakened and was unable to move both her arms. Patient was transported to nearby hospital.
Principal Injury Giving Rise To The Claim
It was determined that patient had internal hemorrhage of the spinal cord. Patient underwent cervical cord decompression surgery and posterior fusion. Patient recovery but had permanent neurological deficits to her left upper extremity.
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
12/28/2016 2016-CA-11283-O
County Suit Filed in Date of Final Disposition
Orange 2/14/2018
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 notwithstanding the verdict for plaintiff.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/19/2018
 
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 $125,000
All Other Loss Adjustment Expense Paid $42,500
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $250,000 $250,000
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
none
 
Updates
 
No updates found.

 

 

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Dr. Eugene Go Medical Malpractice Lawsuits - Court Case # 2017-CA-011119-O

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201987528
Claim Number : 1042966-01
Date Submitted : 1/7/2019
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Eugene   Go
Insurer Type Street Address of Practice
Licensed 1115 E Ridgewood St
City State Zip Code County
Orlando FL 32803 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
804875 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME96111 Pulmonary Diseases - 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 Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
   
Date of Occurrence Date Reported to Insurer
10/8/2012 4/21/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Lung infection mycobacterium avium complex (MAC)
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
imaging, pulmonary function test and monitor
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
failing to monitor treatment response with sputum cultures before discontinuing treatment for MAC
Principal Injury Giving Rise To The Claim
suffered permanent and irreversible damage to lungs and significantly shortened life expectancy
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/20/2017 2017-CA-011119-O
County Suit Filed in Date of Final Disposition
Orange 1/2/2019
Other Defendants Involved in this Claim
Central Florida Pulmonary Group PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/2/2019
 
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 $24,327
All Other Loss Adjustment Expense Paid $6,074
Injured Person's Total Non-Economic Loss $350,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
No updates found.

 

Dr. Mark Bornstein Medical Malpractice Lawsuits - Court Case # 2013-CA-003904-O

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471301
Claim Number :17643-01
Date Submitted :7/14/2014
 
Insurer Information
 
Insurer NameCoverage Type
PODIATRY INSURANCE COMPANY OF AMERICAPrimary
Insurer FEINProfessional License Number
58-1403235 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKaren Kessler
Street Address
3000 Meridian Blvd., Suite 400
CityStateZip
FranklinTN37067
PhoneExtFaxE-Mail Address
(615) 371 - 87762249 kkessler@picagroup.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMark Bornstein
Insurer TypeStreet Address of Practice
Licensed4861 So. Orange Ave.
CityStateZip CodeCounty
OrlandoFL32806Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
1PD0009441$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Podiatric Physician 
License NumberSpecialty Code & ClassificationCertification Number
PO1420  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityAmbulatory Ankle & Foot Center of FL
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/12/20111/4/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Bone spur, right, great toe
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Exostosis of bone spur, right, great toe
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient underwent exostosis of a bone spur from right, great toe.She developed gangrene and went on to amputation of the right hallux.Patient alleges insured's surgery was unnecessary because she was not a candidate for surgery, and that insured should have referred her for a vascular tudy prior to surgery.
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
5/6/20132013-CA-003904-O
County Suit Filed inDate of Final Disposition
Orange7/7/2014
Other Defendants Involved in this Claim
Mark Bornstein Podiatry, LLC
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/3/2014
 
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$145,473
All Other Loss Adjustment Expense Paid$29,004
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$418,402$3,064,210
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None - Specialty code #80993
 
Updates
 
No updates found.

 

 

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

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Dr. DAVID TAO Medical Malpractice Lawsuits - Court Case # 2013Ca14430

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471689
Claim Number :308856
Date Submitted :8/25/2014
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKelly Andrews
Street Address
12724 Gran Bay Parkway, West , Suite 400
CityStateZip
JacksonvilleFL32258
PhoneExtFaxE-Mail Address
(904) 360 - 3038  kandrews@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDAVID TAO
Insurer TypeStreet Address of Practice
Licensed291 Southhall Lane
CityStateZip CodeCounty
MaitlandFL32751Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FP-CL099129$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME68898Anesthesiology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOrange
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL (ORLANDO)100007
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/28/20118/2/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient complained of back pain, numbness and weakness in her right arm.She was diagnosed with several herniations in her spine and spinal cord flattening and narrowing.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laminectomy and C6-7 through T4-5, spinal cord decompression with micro dissection technique.A C6-T5 posterolateral fusion arthrodesis with instrumentation
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Paralysis from the waist down.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/18/20132013Ca14430
County Suit Filed inDate of Final Disposition
Orange8/1/2014
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$35,018
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
Insurance company staff consulted with insured to discuss preventative measures.Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. Reeli Reinu Medical Malpractice Lawsuits - Court Case # 2011-CA-11452

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575008
Claim Number : 283277
Date Submitted : 6/19/2015
 
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 Reeli   Reinu
Insurer Type Street Address of Practice
Licensed 151 Southhall Lane, Suite 300
City State Zip Code County
Maitland FL 32751 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0072412 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
PA9102028 Physicians or Surgeons Assistants  

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 Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other Practitioner's Office
Date of Occurrence Date Reported to Insurer
1/31/2007 1/6/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was treated for inflamed eczema and atopic dermatitis. The patient developed alveolar necrosis of the left hip.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient was treated with Kenalog injections and Depomedrol.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Osteonecrosis resulting in core decompression of the right hip and a total arthroplasty of the left hip allegedly due to excessive administration and prescription of steroids.
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
9/8/2011 2011-CA-11452
County Suit Filed in Date of Final Disposition
Orange 6/12/2015
Other Defendants Involved in this Claim
Depuy Orthopaedics, Inc. an Indiana Corporation
Leavitt Medical Associates of Florida, Inc.
Spohr, DO, Kevin
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 dismissed
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/10/2015
 
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 $8,295
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $200,000 $0
Wage Loss $300,000 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. MARY FARRELL Medical Malpractice Lawsuits - Court Case # 2007-CA-12189-0

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575362
Claim Number : 08-06-0091-A
Date Submitted : 2/3/2016
 
Insurer Information
 
Insurer Name Coverage Type
FD INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-3704679  
Insurer Contact Information
Type First Name MI Last Name
Individual Tamla   Lloyd
Street Address
4651 Salisbury Road, Suite 410
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
(904) 296 - 2887 212 (904) 296 - 1245 tlloyd@fdinsurancecompany.com
 
Insured Information
 
Type First Name MI Last Name
Individual MARY   FARRELL
Insurer Type Street Address of Practice
Licensed 1814 Lucerne Terrace Dr.
City State Zip Code County
Orlando FL 32806 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MG000147 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME42646 Pediatrics - 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 Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
ORLANDO REGIONAL MEDICAL CENTER 100006
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
5/29/2006 10/16/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was an eight year old boy admitted in a permanent, vegetative state, who previously had a massive amount of brain tissue removed due to a malignant tumor. The insured was faced with the challenge of managing sudden, overwhelming autonomic storms in which vitals and metabolism went completely out of control.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured was responsible for round-the-clock intensive management of a critically ill child in Pediatric ICU who required multiple, complex treatment modalities.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None was made
Principal Injury Giving Rise To The Claim
Long term steroid therapy caused the child¿s brittle bones. The parents suspected that a small bone fracture was caused by abusive treatment by the healthcare team including the insured. They reported the matter to local law enforcement authorities who found no cause for action. The insured faced an ethical problem of physician-patient relationship and worked with the hospital to retain equally qualified substitute physicians. The child expired week later despite the best of care. The claim alleged abandonment. Seven years of expensive and endless litigation led to a settlement. Insured had superb expert support.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
9/26/2008 2007-CA-12189-0
County Suit Filed in Date of Final Disposition
Orange 7/6/2015
Other Defendants Involved in this Claim
Paris, Carol
Orlando Regional Healthcare Systems, Inc., authorized to op
Kenney, Posey
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
7/6/2015
 
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 $334,130
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
The circumstances of this case were discussed with the insured and risk management was notified. Risk management discussed the case with the insured.
 
Updates
 
 
Date of Change: 2/3/2016 8:56:05 AM
Reason for Change: Updated LAE amount.
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 328252 334130

 

 

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Dr. Frank C Riggall Medical Malpractice Lawsuits - Court Case # 2016-CA-7920-0

Indemnity Paid: $991,730.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782875
Claim Number : 1031136
Date Submitted : 8/21/2017
 
Insurer Information
 
Insurer Name Coverage Type
NATIONAL FIRE & MARINE INSURANCE COMPANY Excess
Insurer FEIN Professional License Number
47-6021331  
Insurer Contact Information
Type First Name MI Last Name
Individual Pamela A Prudlow
Street Address
5814 Reed Road
City State Zip
Ft. Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0370   (260) 486 - 0785 pamela.prudlow@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Frank C Riggall
Insurer Type Street Address of Practice
Licensed 795 Primera Blvd, Suite 1001
City State Zip Code County
Lake Mary FL 32746 Seminole
Policy Number Per Claim Policy Limits Aggregate Policy Limits
EN007040 $2,500,000 $2,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME19309 Surgery - Obstetrics - Gynecology  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
7/22/2015 12/31/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right salpingectomy, left tuboplasty, enterolysis, hysteroscopy and endrometrial polypectomy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery. Post-op care.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged negligence related to post-operative discovery of bowel perforation.
Principal Injury Giving Rise To The Claim
Fistula from bowel perforation.
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
9/7/2016 2016-CA-7920-0
County Suit Filed in Date of Final Disposition
Orange 7/21/2017
Other Defendants Involved in this Claim
Winnie Palmer Hospital for Women & Babies
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
6/26/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $991,730
Loss Adjust Expense Paid to Defense Counsel $0
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $534,730
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
No updates found.

 

 

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Dr. MANUEL HERNANDEZ Medical Malpractice Lawsuits - Court Case # 2014-CA-1214

Indemnity Paid: $950,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782425
Claim Number : PLFHMGO075161
Date Submitted : 6/26/2017
 
Insurer Information
 
Insurer Name Coverage Type
Florida Physicians Medical Group Primary
Insurer FEIN Professional License Number
59-3214635 800014080
Insurer Contact Information
Type First Name MI Last Name
Individual Matthew   Evans
Street Address
900 Hope Way
City State Zip
Altamonte Springs FL 32712
Phone Ext Fax E-Mail Address
(407) 357 - 2272     matt.evans@ahss.org
 
Insured Information
 
Type First Name MI Last Name
Individual MANUEL   HERNANDEZ
Insurer Type Street Address of Practice
Self-Insurer 2600 WESTHALL LN
City State Zip Code County
MAITLAND FL 32751 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
8258 -2013 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME96515 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 Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
FLORIDA HOSPITAL (ORLANDO) 100007
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
8/26/2011 10/11/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
ED presentation with chest pain, burning in arms, nausea and diaphoresis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT coronary angiogram.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Involved was the alleged negligent failure of the physician to have recognized and reported-out the patient's Left Anterior Descending coronary arterystenosis depicted on CTA; which resulted in the patient's cardiac-related lethal arrhythmia death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
2/13/2014 2014-CA-1214
County Suit Filed in Date of Final Disposition
Orange 5/24/2017
Other Defendants Involved in this Claim
Florida Physicians Medical Group
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/24/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $950,000
Loss Adjust Expense Paid to Defense Counsel $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
n/a
 
Updates
 
No updates found.

 

 

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

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Dr. S M Alavi Medical Malpractice Lawsuits - Court Case # 04-CA-564

Indemnity Paid: $925,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640071
Claim Number :40-009270
Date Submitted :3/29/2006
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRichardAJones
Street Address
4680 Wilshire Blvd., 6th Floor
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(714) 633 - 8331 (714) 633 - 1226rich.jones@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSMAlavi
Insurer TypeStreet Address of Practice
Licensed8773 Como Lake Dr.
CityStateZip CodeCounty
JacksonvilleFL32256Jackson
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0117776130000$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME20230Radiology - Diagnostic - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOsceola
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityKissimmee Outpatient Center
Name of InstitutionCode
OSCEOLA REGIONAL HOSPITAL100110
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/14/20029/30/2003
 
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
Mammograms.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to daignose breast cancer.
Principal Injury Giving Rise To The Claim
Breast 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
1/21/200404-CA-564
County Suit Filed inDate of Final Disposition
Orange3/20/2006
Other Defendants Involved in this Claim
Gerhardt, William
Navix of Osceola, Inc
Navix Radiology Systems
Navix Imaging, Inc
South Bay Radiology
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
3/29/2006
 
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$83,998
All Other Loss Adjustment Expense Paid$22,820
Injured Person's Total Non-Economic Loss$925,000
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
Risk management services are not provided for this insured.
 
Updates
 
No updates found.

 

 

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