Medical Malpractice Cases

Medical Malpractice Cases In Orange County Florida

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. 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. 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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Dr. Melissa M Moore Medical Malpractice Lawsuits - Court Case # 48-2007-CA-9193-0

Indemnity Paid: $925,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057147
Claim Number :143902
Date Submitted :4/6/2011
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
14497 North Dale Mabry Hwy., Suite 115-N
CityStateZip
TampaFL33618-2047
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMelissaMMoore
Insurer TypeStreet Address of Practice
Licensed100 Perth Lane, Suite 307
CityStateZip CodeCounty
Winter ParkFL32792Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP41463$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75528Surgery - Obstetrics - Gynecology00000

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
WINTER PARK PAVILION110026
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/10/20065/15/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pre-eclampsia and hypertension.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Emergency C-section.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/17/200748-2007-CA-9193-0
County Suit Filed inDate of Final Disposition
Orange4/13/2010
Other Defendants Involved in this Claim
Premier Obstetrics and Gynecology of Orlando, P.A.
Estes, Jennifer
Nova Pro, Inc.
Van Wert, John W
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
7/8/2010
 
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$86,842
All Other Loss Adjustment Expense Paid$28,497
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
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:7/9/2010 11:30:23 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid, and to report date of indemnity payment.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid729028432
Amount of Loss Adjustment Expense Paid to Defense Counsel3181185166
 
Date of Change:4/6/2011 10:31:50 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2843228497
Amount of Loss Adjustment Expense Paid to Defense Counsel8516686842

 

 

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Dr. Joseph Billings Medical Malpractice Lawsuits - Court Case # CI002-2769

Indemnity Paid: $872,453.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746454
Claim Number :E30153-01
Date Submitted :6/13/2008
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProNational Insurance Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoseph Billings
Insurer TypeStreet Address of Practice
Licensed1285 Orange Avenue
CityStateZip CodeCounty
Winter ParkFL32789Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1010090-00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6784Surgery - Orthopedic00000

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
ORLANDO REGIONAL MEDICAL CENTER100006
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/9/20004/26/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
History of prior fracture of left femur with growth plate injury resulting in femoral deformity.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Valgus osteotomy of left distall femur.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Laceration of left femoral artery and vein during osteotomy, alleged nerve damage resulting in permanent sensory and motor impairment in left lower extremity.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/28/2002CI002-2769
County Suit Filed inDate of Final Disposition
Orange8/18/2005
Other Defendants Involved in this Claim
Chatwin, Amber
Jewett Orthopaedic Clinic, P.A.
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. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/17/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$872,453
Loss Adjust Expense Paid to Defense Counsel$123,996
All Other Loss Adjustment Expense Paid$76,677
Injured Person's Total Non-Economic Loss$872,453
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:6/13/2008 11:13:34 AM
Reason for Change:Report updated to correct amount paid on legal fees and expenses.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel122716123996
All Other Loss Adjustment Expense Paid7966976677

 

 

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Dr. PATRICIA L DEBODA Medical Malpractice Lawsuits - Court Case # 2012-CA-020232-O

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471597
Claim Number :SHI-12-XS-255635
Date Submitted :8/13/2014
 
Insurer Information
 
Insurer NameCoverage Type
Sheridan Healthcare, Inc.Primary
Insurer FEINProfessional License Number
00-000000SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPATRICIALDEBODA
Insurer TypeStreet Address of Practice
Self-Insurer2237 RIBBON FALLS PARKWAY
CityStateZip CodeCounty
ORLANDOFL32824Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
SHI-12-XS$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
OtherNURSE ANESTHETIST
License NumberSpecialty Code & ClassificationCertification Number
ARNP9216681  

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
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
3/21/20118/22/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PATIENT PRESENTED FOR REPEAT C-SECTION FOR SECOND CHILD
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EPIDURAL WAS ATTEMPTED.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FEW DROPS OF CSF WERE SEEN.
Principal Injury Giving Rise To The Claim
NERVE INJURY
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
1/18/20132012-CA-020232-O
County Suit Filed inDate of Final Disposition
Orange7/21/2014
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
7/12/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$800,000
Loss Adjust Expense Paid to Defense Counsel$35,271
All Other Loss Adjustment Expense Paid$2,316
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. Wayne W Windham Medical Malpractice Lawsuits - Court Case # 2009-CA-005120-0

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366369
Claim Number :27487/27488
Date Submitted :4/18/2013
 
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
IndividualWayneWWindham
Insurer TypeStreet Address of Practice
Licensed150 N. Westmonte Dr.
CityStateZip CodeCounty
Altamonte SpringsFL32714Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 0103694 08$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME41937Radiology - Diagnostic - No 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 Outpatient FacilityWinter Park Women's Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/27/20054/1/2008
 
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
Screening mammogram
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of breast cancer
Principal Injury Giving Rise To The Claim
Breast cancer
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
2/17/20092009-CA-005120-0
County Suit Filed inDate of Final Disposition
Orange4/8/2013
Other Defendants Involved in this Claim
Florida Radiology Associates
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/7/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$800,000
Loss Adjust Expense Paid to Defense Counsel$166,772
All Other Loss Adjustment Expense Paid$77,744
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,066$0
Wage Loss$5,202$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:4/18/2013 11:36:50 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 04/08/13
 
Field ChangedFormer ValueNew Value
Date of Final Disposition07-MAR-1308-APR-13

 

 

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Dr. NOEL R BRASETH Medical Malpractice Lawsuits - Court Case # 12-CA-6489-O

Indemnity Paid: $675,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470684
Claim Number :EMC-AO-11XS-255467
Date Submitted :5/1/2014
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNOELRBRASETH
Insurer TypeStreet Address of Practice
Self-Insurer2117 SW 86TH
CityStateZip CodeCounty
GAINESVILLEFL32607Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2011-Excess$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78343Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
2/6/20101/13/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PROBLEMS MOVING TOES AFTER OSTEOTOMY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXAMINATION AND FUP WITH HOSPITAL THAT DAY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
HOSPITALIZATIONS
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/5/201212-CA-6489-O
County Suit Filed inDate of Final Disposition
Orange5/1/2014
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
4/17/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$675,000
Loss Adjust Expense Paid to Defense Counsel$48,083
All Other Loss Adjustment Expense Paid$21,648
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. Steven D Baxter Medical Malpractice Lawsuits - Court Case # 09CA33284

Indemnity Paid: $629,437.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367530
Claim Number :7004274
Date Submitted :6/25/2013
 
Insurer Information
 
Insurer NameCoverage Type
FORTRESS INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
36-4159841 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJanetLMeyer
Street Address
6133 North River Road, Suite 650
CityStateZip
RosemontIL60018
PhoneExtFaxE-Mail Address
(847) 653 - 8823 (847) 653 - 8485janet.meyer@fortressins.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualStevenDBaxter
Insurer TypeStreet Address of Practice
Licensed12329 South Orange Blossom Trail
CityStateZip CodeCounty
OrlandoFL32837Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
3000308$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN14090Dentists 

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
5/29/200810/7/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to the insured for the extraction of teeth #'s 16 and 17.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured extracted teeth #'s 16 and 17.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleges jaw fracture and nerve damage due to improper extraction of tooth #17.
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
10/6/200909CA33284
County Suit Filed inDate of Final Disposition
Orange5/13/2013
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
Disposed of by Court
Court DecisionOther
Directed verdict for plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/18/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$629,437
Loss Adjust Expense Paid to Defense Counsel$49,907
All Other Loss Adjustment Expense Paid$10,247
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.

 

 

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

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Dr. Raymond C Cottrell Medical Malpractice Lawsuits - Court Case # 2003-CA-554

Indemnity Paid: $625,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432407
Claim Number :A5-009549
Date Submitted :8/10/2004
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeidi Tam
Street Address
4601 Wilshire Blvd., Suite 100
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 7078  heidi.tam@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRaymondCCottrell
Insurer TypeStreet Address of Practice
Licensed3885 OAKWATER CIR
CityStateZip CodeCounty
ORLANDOFL32806-6257Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0118070320000$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME34034Gastroenterology - 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
Hospital Outpatient Facility 
Name of InstitutionCode
ORLANDO REGIONAL MEDICAL CENTER100006
Location of Institutional InjuryOther Location of Institutional Injury
OtherAmbulatory Care Center
Date of OccurrenceDate Reported to Insurer
8/2/20008/3/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
History of colon plyps, recent anemia with questionable melena.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Colonoscopy and Esophagogastroduodenoscopy with biopsy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None
Principal Injury Giving Rise To The Claim
Perforated distal sigmoid.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/16/20032003-CA-554
County Suit Filed inDate of Final Disposition
Orange8/3/2004
Other Defendants Involved in this Claim
Clark, Mark
Emergeny Physicians of Central Florida, LLP
Dopico, Alfred A
Robson, Shirley
CRNA
Wolverine Anestesia Consultants
Smith, Jeffrey R
Surgical Group of Orlando, P.A.
Orlando Regional Health Care System, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$625,000
Loss Adjust Expense Paid to Defense Counsel$68,901
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$600,000$1,000,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None Taken.
 
Updates
 
No updates found.

 

 

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