Medical Malpractice Cases

Medical Malpractice Cases In Osceola County Florida

Dr. Frank J Stone Medical Malpractice Lawsuits - Court Case # 2010-CA-018434

Indemnity Paid: $1,500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263967
Claim Number :HPFPMG041644
Date Submitted :5/29/2012
 
Insurer Information
 
Insurer NameCoverage Type
Stone, Frank JPrimary
Insurer FEINProfessional License Number
00-0002009ME62459
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCharlesHEdmands
Street Address
900 Hope Way
CityStateZip
Altamonte SpringsFL32714
PhoneExtFaxE-Mail Address
(407) 357 - 2291  chuck.edmands@ahss.org
 
Insured Information
 
TypeFirst NameMILast Name
IndividualFrankJStone
Insurer TypeStreet Address of Practice
Self-Insurer410 CELEBRATION PLACE, Suite 103
CityStateZip CodeCounty
CelebrationFL34747Osceola
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
8528-2009$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62459Family Physicians or General Practitioners - 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
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Otherphysician's office
Date of OccurrenceDate Reported to Insurer
9/22/20083/25/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
hypothyroidism and bipolar disorder
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to appropriately monitor the patient's Lithium level, and recognize and treat her for lithium toxicity, which resulted in her death.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
plz see above
Principal Injury Giving Rise To The Claim
plz see above
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/30/20102010-CA-018434
County Suit Filed inDate of Final Disposition
Osceola5/21/2012
Other Defendants Involved in this Claim
Hartley, MD, Todd
Celebration Family Care
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
3/28/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,500,000
Loss Adjust Expense Paid to Defense Counsel$60,834
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
Shared all of unsupportive experts' liability & causation opinions with the assured physician
 
Updates
 
No updates found.

 

 

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Dr. Kurt R Mayberry Medical Malpractice Lawsuits - Court Case # CI-01MP2238

Indemnity Paid: $1,117,665.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642073
Claim Number :119953
Date Submitted :8/12/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKurtRMayberry
Insurer TypeStreet Address of Practice
Licensed1343 MORNINGSIDE DR
CityStateZip CodeCounty
REXBURGID83440-5081Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-3003709-00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78411Emergency Medicine - No Major Surgery00000

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
Emergency Room 
Name of InstitutionCode
FLORIDA HOSPITAL-CELEBRATION HEALTH23960017
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
11/12/19998/1/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Exam, CBC, abdominal ultrasound and abdoominal X-ray performed indicated an ovarian cyst and ileum.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Plaintiff suffered a ruptured appendix which was diagnosed ten days later.
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
12/20/2002CI-01MP2238
County Suit Filed inDate of Final Disposition
Osceola8/15/2006
Other Defendants Involved in this Claim
Cortes-Belen, Ernesto
Florida Emergency Physicians Kang & Associates, M.D., P.A.
Adventist Health System/Sunbelt, Inc. d/b/a Florida Hospital
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
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/23/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,117,665
Loss Adjust Expense Paid to Defense Counsel$109,315
All Other Loss Adjustment Expense Paid$59,041
Injured Person's Total Non-Economic Loss$1,117,665
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:4/28/2008 10:25:09 AM
Reason for Change:Updated to reflect indmenity payment, as well as additional legal fees and costs paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2456861867
Indemnity Paid01117665
Injured Person Total Non-Economic Loss01117665
Settlement Reached01
Amount of Loss Adjustment Expense Paid to Defense Counsel49157105530
Legal System StageAfter court verdict and prior to filing of notice of appeal.After notice of appeal is filed or post judgment relief of action is required for recovery.
Court DecisionJudgment for the defendant.Judgment for the plaintiff.
 
Date of Change:8/12/2009 11:20:32 AM
Reason for Change:Report updated to reflect additional legal fees paid, and reimbursement of costs.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid6186759041
Amount of Loss Adjustment Expense Paid to Defense Counsel105530109315

 

 

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Dr. Peter J Casella Medical Malpractice Lawsuits - Court Case # CA-05-MP-001620

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201780895
Claim Number : 21934/57600
Date Submitted : 1/20/2017
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Peter J Casella
Insurer Type Street Address of Practice
Licensed 205 Park Place Blvd.
City State Zip Code County
Kissimmee FL 34741 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600682 01 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME52981 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 Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
OSCEOLA REGIONAL HOSPITAL 100110
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
7/22/2003 9/30/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fibroid uterus and hypermenorrhea
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total abdominal hysterectomy
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Fistula and obstruction of left ureter
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/3/2005 CA-05-MP-001620
County Suit Filed in Date of Final Disposition
Osceola 12/19/2016
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Judgment for the plaintiff.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/19/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,000,000
Loss Adjust Expense Paid to Defense Counsel $278,773
All Other Loss Adjustment Expense Paid $149,656
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $178,754 $0
Wage Loss $0 $0
Other Expenses $0 $100,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. STEVEN BAXTER Medical Malpractice Lawsuits - Court Case # 2016 CA 002208 MP

Indemnity Paid: $928,355.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886143
Claim Number : C165709
Date Submitted : 8/14/2018
 
Insurer Information
 
Insurer Name Coverage Type
ADMIRAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
22-2235730  
Insurer Contact Information
Type First Name MI Last Name
Individual Denise   Padilla
Street Address
1000 Howard Blvd, Ste. 300
City State Zip
Mount Laurel NJ 08054
Phone Ext Fax E-Mail Address
(856) 505 - 8115     dpadilla@admiralins.com
 
Insured Information
 
Type First Name MI Last Name
Individual STEVEN   BAXTER
Insurer Type Street Address of Practice
Licensed 7450 Dr Phillips Blvd., Suite 215
City State Zip Code County
Orlando FL 32819 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
EO000029624-01 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Dentistry  
License Number Specialty Code & Classification Certification Number
DN14090 Dental General Practice - NOC  

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 Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Kissimmee Family Dentistry
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
4/22/2016 4/25/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to dental office on 04/22/2016 for extraction of wisdom teeth and first bicuspids under conscious sedation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of wisdom teeth and first bicuspids under conscious sedation.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Dental malpractice claim resulting from dental care and treatment provided to patient on 04/22/2016. Plaintiff¿s complaint alleged the dentist over-administered and incorrectly used anesthetic agents, which caused the patient to suffer cardiopulmonary collapse and fatal anoxia and that the dentist failed to properly monitor and record the patient¿s vital signs during the procedure on 04/22/2016, which allegedly resulted in the patient¿s death on 04/25/2016.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/26/2016 2016 CA 002208 MP
County Suit Filed in Date of Final Disposition
Osceola 3/23/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/23/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $928,355
Loss Adjust Expense Paid to Defense Counsel $76,667
All Other Loss Adjustment Expense Paid $21,219
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
None
 
Updates
 
 
Date of Change: 8/14/2018 2:52:00 PM
Reason for Change: There were three separate indemnity payments made on this claim. One for $80,000, another for $205,000, and lastly a payment of $643,355.78. All other information on this claim is the same.
 
Field Changed Former Value New Value
Indemnity Paid 80000 205000
 
Date of Change: 8/14/2018 2:56:41 PM
Reason for Change: There were three different Indemnity payments made on this claim. One for $80,000, another for $205,000, and lastly on of $643,355, totalling $928,355.
 
Field Changed Former Value New Value
Indemnity Paid 205000 928355

 

 

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

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Dr. Naveed Ahmad Medical Malpractice Lawsuits - Court Case # 15 CA 1377 MF

Indemnity Paid: $750,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677902
Claim Number : 1023555-01
Date Submitted : 2/21/2017
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Naveed   Ahmad
Insurer Type Street Address of Practice
Licensed 9582 W Colonial Drive
City State Zip Code County
Orlando FL 32817 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
759443 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME93420 Radiology - Diagnostic - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Simonmed
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
7/22/2013 1/15/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Preventative screening
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Mammogram
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Delay in diagnosis of breast cancer
Principal Injury Giving Rise To The Claim
Stage IV breast cancer with lymph nodes
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/11/2015 15 CA 1377 MF
County Suit Filed in Date of Final Disposition
Osceola 4/7/2016
Other Defendants Involved in this Claim
Simonmed Imaging Florida LLC dba Simonmed Imaging - Kissimme
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/6/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $750,000
Loss Adjust Expense Paid to Defense Counsel $19,220
All Other Loss Adjustment Expense Paid $4,729
Injured Person's Total Non-Economic Loss $705,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change: 8/11/2016 11:07:28 AM
Reason for Change: ALE UPDATED 8/11/2016
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 4667 4729
Amount of Loss Adjustment Expense Paid to Defense Counsel 12410 19187
 
Date of Change: 2/21/2017 11:25:05 AM
Reason for Change: ALE UPDATE 2/21/2017
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 19187 19220

 

 

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Dr. Edward H Sessions Medical Malpractice Lawsuits - Court Case # 10-CA-2338-MP

Indemnity Paid: $725,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201159929
Claim Number :32224
Date Submitted :4/11/2011
 
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
IndividualEdwardHSessions
Insurer TypeStreet Address of Practice
Licensed1543 Gants Circle
CityStateZip CodeCounty
Kissimmee FL34744Osceola
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PRF 1406626 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME20408Radiology - interventional 

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 LocationOsceola Imaging Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
11/1/200711/5/2009
 
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
Mammogram
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose breast cancer
Principal Injury Giving Rise To The Claim
Breast cancer
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/20/201010-CA-2338-MP
County Suit Filed inDate of Final Disposition
Osceola4/7/2011
Other Defendants Involved in this Claim
Osceola Radiology Associates, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/10/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$725,000
Loss Adjust Expense Paid to Defense Counsel$54,158
All Other Loss Adjustment Expense Paid$27,078
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$36,845$0
Wage Loss$0$0
Other Expenses$20,059$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:4/11/2011 10:11:16 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 04/07/2011
 
Field ChangedFormer ValueNew Value
Date of Final Disposition10-FEB-1107-APR-11

 

 

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Dr. LEIF B SAHLGREN Medical Malpractice Lawsuits - Court Case # 2018-CA-000690-MP

Indemnity Paid: $600,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201987542
Claim Number : EHC-SHI-17XS-398884
Date Submitted : 1/9/2019
 
Insurer Information
 
Insurer Name Coverage Type
EmCare Holdings, Inc. Primary
Insurer FEIN Professional License Number
75-173235 SI
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
Type First Name MI Last Name
Individual LEIF B SAHLGREN
Insurer Type Street Address of Practice
Self-Insurer 700 WEST OAK STREET
City State Zip Code County
KISSIMMEE FL 34741 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
Envision 2017 Excess $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS11695 Emergency Medicine - Including Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Hospital/Institution OSCEOLA REGIONAL MEDICAL CENTER
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
4/28/2016 11/21/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
STROKE SYMPTOMS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO TIMELY DIAGNOSE AND TREAT
Principal Injury Giving Rise To The Claim
ALLEGED PERMANENT DISABILITIES
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/12/2018 2018-CA-000690-MP
County Suit Filed in Date of Final Disposition
Osceola 12/6/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/22/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $600,000
Loss Adjust Expense Paid to Defense Counsel $40,492
All Other Loss Adjustment Expense Paid $20,630
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

Dr. Nhan T Pham Medical Malpractice Lawsuits - Court Case # 2013-CA-001935-MP

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367835
Claim Number :298776
Date Submitted :7/30/2013
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTiffanyDTaylor
Street Address
13450 West Sunrise Blvd
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(877) 320 - 0748  TTaylor@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNhanTPham
Insurer TypeStreet Address of Practice
Licensed2901 Parkway Blvd., Suite B-2
CityStateZip CodeCounty
KissimmeeFL34747Osceola
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0352520$500,000$1,500,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS10112Surgery - Plastic 

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 FacilitySurgical Center
Name of InstitutionCode
UNDERWOOD SURGERY CENTER205
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/13/20128/31/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Permanent scarring, appendix removal.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent abominoplasty and liposuction perfomed by the insured,
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged perforation of the patient's secum during abdominoplasty with liposuction.
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
5/15/20132013-CA-001935-MP
County Suit Filed inDate of Final Disposition
Osceola7/25/2013
Other Defendants Involved in this Claim
Nhan T. Pham, D.O., PLLC
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
7/19/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$15,400
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$401,353
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$98,647$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. Mamta Vijayvargiya Medical Malpractice Lawsuits - Court Case # C105-MP2718

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200639338
Claim Number :244993
Date Submitted :1/30/2006
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJosie Maldonado
Street Address
13450 West Sunrise Blvd., Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 858 - 0202 (954) 838 - 7480JMaldonado@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMamta Vijayvargiya
Insurer TypeStreet Address of Practice
Licensed737 West Oak Street
CityStateZip CodeCounty
KissimmeeFL34741Osceola
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
67876$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME83720Hematology - 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
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
OtherPhysician's Office
Date of OccurrenceDate Reported to Insurer
3/26/20049/20/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Breast lump.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delay in providing timely and appropriate medical treatment for bilateral breast cancer treatment.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Delay in providing timely and appropriate medical treatment.
Principal Injury Giving Rise To The Claim
Diminished life expectancy due to a delay in providing timely and appropriate medical treatment for bilateral breast cancer.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/15/2005C105-MP2718
County Suit Filed inDate of Final Disposition
Osceola1/25/2006
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
1/19/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$13,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$350,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$150,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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Dr. PRESTON B WHITE Medical Malpractice Lawsuits - Court Case # CA004082MP

Indemnity Paid: $425,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201369169
Claim Number :C147112
Date Submitted :12/12/2013
 
Insurer Information
 
Insurer NameCoverage Type
ADMIRAL INSURANCE COMPANY Primary
Insurer FEINProfessional License Number
22-2235730 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDianeMPucci
Street Address
1000 Howard Boulevard
CityStateZip
Mt. LaurelNJ08054
PhoneExtFaxE-Mail Address
(856) 857 - 3375 (856) 429 - 3630dpucci@admiralins.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPRESTONBWHITE
Insurer TypeStreet Address of Practice
Licensed1319 E. OSCEOLA PARKWAY, SUITE C
CityStateZip CodeCounty
KISSIMMEEFL34744Seminole
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EO000011023-03 $1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN10854Dentists 

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
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
5/19/20115/20/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
EXTRACTION OF ALL UPPER AND LOWER TEETH AND PROVIDE FULLUPPER AND LOWER DENTURES.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
INSURED ADMINISTERED NITROUS OXIDE AND APPROXIMATELY 12CARPS OF CARBOCAINE AND 3% MEPIFICAINE WHICH WAS THELOCAL ANESTHETIC. THE PATIENT STATED SHE FELT LIGHTHEADED AND WAS FEELING SICK. SHE STARTED TO VOMIT ANDFOAM STARTED COMING OUT OF HER NOSE. SHE COLLAPSED ONTOTHE FLOOR AND THE INSURED CALLED 911. THE PATIENTWEIGHTED 250-300 LBS AND COULD NOT BE EASILY MOVED.WHEN THE PARAMEDICS ARRIVED THE PATIENT WAS STILLBREATHING BUT THEY HAD A DIFFICULT TIME LIFTING HER ONTOTHE GURNEY TO TRANSFER HER TO THE AMBULANCE. THEYSTARTED CRP IN THE BACK OF THE AMBULANCE ON THE WAY TOTHE HOSPITAL. THE INSURED RECEIVED A CALL APPROXIMATELY45 MINUTES LATER THAT THE PATIENT HAD PASSED AWAY.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO TAKE A COMPREHENSIVE MEDICAL HISTORYINCLUDING AN ASA SEDATION PROFILE BEFORE ADMINISERINGANESTHESIA. OVERDOSE OF CARBOCAINE IN COMBINATION WITHTHE USE OF VALIUM AND NITROUS OXIDE AND FAILURE TOPERFORM CPR OR OTHER RESUSCITATION WHILE PATIENT WAS INTHE INSURED'S OFFICE.
Principal Injury Giving Rise To The Claim
PATIENT DIED
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/3/2012CA004082MP
County Suit Filed inDate of Final Disposition
Osceola9/18/2013
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/21/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$425,000
Loss Adjust Expense Paid to Defense Counsel$54,215
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
NONE
 
Updates
 
No updates found.

 

 

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Dr. WALLACE B BROWN Medical Malpractice Lawsuits - Court Case # 2014-CA-2578MP

Indemnity Paid: $400,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201576464
Claim Number : 7011023
Date Submitted : 12/7/2015
 
Insurer Information
 
Insurer Name Coverage Type
FORTRESS INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
36-4159841  
Insurer Contact Information
Type First Name MI Last Name
Individual Janet L Meyer
Street Address
6133 North River Road, Suite 650
City State Zip
Rosemont IL 60018
Phone Ext Fax E-Mail Address
(847) 653 - 8823   (847) 653 - 8485 janet.meyer@fortressins.com
 
Insured Information
 
Type First Name MI Last Name
Individual WALLACE B BROWN
Insurer Type Street Address of Practice
Licensed Economy Denture - 1319 Osceola Parkway
City State Zip Code County
Kissimmee FL 34744 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
32513 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Dentistry  
License Number Specialty Code & Classification Certification Number
DN8794 Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia  

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 Osceola
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
10/16/2013 10/28/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for full mouth extractions and immediate dentures.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured obtained cardiac clearance for the extractions. On 10/14/13, the patient presented for the extractions but became sick. It is unclear whether it was related to anesthesia. The patient returned on 10/16/13. After completing maxillary extractions, the patient coughed, oxygen was started but patient became unresponsive. "911" was called and the patient was transported to the ER. The patient later died on 12/26/13.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
It was alleged that the dental treatment performed by the insured caused and/or contributed to cause the patient's 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
11/23/2014 2014-CA-2578MP
County Suit Filed in Date of Final Disposition
Osceola 10/14/2015
Other Defendants Involved in this Claim
Economy Dentures
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/18/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $400,000
Loss Adjust Expense Paid to Defense Counsel $41,076
All Other Loss Adjustment Expense Paid $15,414
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. EDUARDO PARRA DAVILA Medical Malpractice Lawsuits - Court Case # 2014-CA-000259

Indemnity Paid: $375,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201576643
Claim Number : 132343
Date Submitted : 12/21/2015
 
Insurer Information
 
Insurer Name Coverage Type
MEDICUS INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-5623491  
Insurer Contact Information
Type First Name MI Last Name
Individual Dionysia   Lawson
Street Address
560 Davis Street
City State Zip
San Francisco CA 94111
Phone Ext Fax E-Mail Address
(415) 735 - 2013   (415) 735 - 2097 dlawson@norcalmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual EDUARDO   PARRA DAVILA
Insurer Type Street Address of Practice
Licensed 410 Celebration Place , Ste. 302
City State Zip Code County
Celebration FL 34747 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL-16070976 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME73141 Surgery - General  

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 Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
FLORIDA HOSPITAL-CELEBRATION HEALTH 23960017
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/12/2012 7/22/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
umbilical hernia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
umbilical hernia repair
Diagnostic Code : 09
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The Estate of a 53-year-old female alleges negligent performance of umbilical hernia repair resulting in delay in diagnosis of bowel perforation, sepsis and eventual death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/10/2014 2014-CA-000259
County Suit Filed in Date of Final Disposition
Osceola 9/17/2015
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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/1/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $375,000
Loss Adjust Expense Paid to Defense Counsel $93,035
All Other Loss Adjustment Expense Paid $32,315
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
Insured met conferenced with Claims Specialist and Defense Attorney
 
Updates
 
No updates found.

 

 

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

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Dr. Keith Kim Medical Malpractice Lawsuits - Court Case # 2014-CA-000259

Indemnity Paid: $375,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201576644
Claim Number : 132344
Date Submitted : 12/21/2015
 
Insurer Information
 
Insurer Name Coverage Type
MEDICUS INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-5623491  
Insurer Contact Information
Type First Name MI Last Name
Individual Dionysia   Lawson
Street Address
560 Davis Street
City State Zip
San Francisco CA 94111
Phone Ext Fax E-Mail Address
(415) 735 - 2013   (415) 735 - 2097 dlawson@norcalmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Keith   Kim
Insurer Type Street Address of Practice
Licensed 410 Celebration Place, Suite 401
City State Zip Code County
Celebration FL 34747 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL-16070927 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME88949 Surgery - General  

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 Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
FLORIDA HOSPITAL-CELEBRATION HEALTH 23960017
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/12/2012 7/22/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
umbilical hernia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
umbilical hernia repair
Diagnostic Code : 09
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The Estate of a 53-year-old female alleges negligent performance of umbilical hernia repair resulting in delay in diagnosis of bowel perforation, sepsis and eventual death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/10/2014 2014-CA-000259
County Suit Filed in Date of Final Disposition
Osceola 9/17/2015
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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/1/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $375,000
Loss Adjust Expense Paid to Defense Counsel $101,471
All Other Loss Adjustment Expense Paid $31,515
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
Insured met conferenced with Claims Specialist and Defense Attorney
 
Updates
 
No updates found.

 

 

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

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Dr. ERIC S SCHULZE Medical Malpractice Lawsuits - Court Case # 10CA6705MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677296
Claim Number : MM255958
Date Submitted : 2/23/2016
 
Insurer Information
 
Insurer Name Coverage Type
EVANSTON INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
36-2950161  
Insurer Contact Information
Type First Name MI Last Name
Individual CRYSTAL L ALSTONBAYTON
Street Address
4600 COX ROAD
City State Zip
GLEN ALLEN VA 23060
Phone Ext Fax E-Mail Address
(804) 864 - 3731   (855) 662 - 7535 CALSTONBAYTON@MARKELCORP.COM
 
Insured Information
 
Type First Name MI Last Name
Individual ERIC S SCHULZE
Insurer Type Street Address of Practice
Licensed 75217 JACK LLOYD RD
City State Zip Code County
ABITA SPRINGS TN 70420-2739 Out of state
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MM816602 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME86515 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 Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility ADVENTIST HEAL SYSTEM/SUNBELT INC
Name of Institution Code
FLORIDA HOSPITAL-CELEBRATION HEALTH 23960017
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
1/30/2010 3/26/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CLAIMANT PRESENTED TO INSURED AND INSURED¿S RADIOLOGIST ALLEGEDLY FAILED TO IDENTIFY A VENOUS SINUS THROMBOSIS AND MENINGIOMA ON MRI, WHICH RESULTED IN A PERMANENT LOSS OF VISION.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CLAIMANT PRESENT TO OPTHAMOLOGIST ON JANUARY 30, 2009 WITH SUDDEN CHANGES IN VISION WITHIN ONE MONTH. THE DR¿S DIAGNOSIS WAS PAPILLEDEMA AND HE ORDERED A MRI OF THE HEAD WITH AND WITHOUT CONTRAST FOR SEVERE BILATERAL PAPILLEDEMA. THE PURPOSE WAS TO RULE OUT AN INTRACRANIAL LESION. AT THIS VISIT MR BERTRAM¿S VISION WAS 20/40 IN HIS RT EYE AND 20/HAND MOTION IN HIS LEFT EYE. MR BERTRAM PRESENTED TO FLORIDA HOSPITAL CELEBRATION WHERE THE MRI WAS PERFORMED AT 1051 PM. THE INSD¿S DR SIGNED HIS REPORT FOR THE INTERPRETATION OF THE MRI ON JANUARY 31, 2009 AT 253 AM. A PRELIMINARY COPY OF THE REPORT WAS FAXED TO THE OPTHAMOLOGIST AT 1209 AM AND THE FINAL REPORT WAS SENT TO HIM AT 301 AM. IT IS WITHOUT CONTROVERSY THAT THE INSD¿S DR DID NOT MENTION THE PRESENCE OF EITHER A MENINGIOMA (WHICH WAS DISCOVERED SEVERAL MONTHS LATER) OR A VENOUS SINUS THROMBOSIS (VST), WHICH WAS OBSERVED ON FEBRUARY 4, 2009 ON FOLLOW-UP STUDIES INCLUDING AN MRV SPECIFICALLY DESIGNED TO LOOK FOR VENOUS OCCLUSIONS.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILED TO IDENTIFY A VENOUS SINUS THROMBOSIS AND MENINGIOMA ON MRI, WHICH RESULTED IN A PERMANENT LOSS OF VISION
Principal Injury Giving Rise To The Claim
CLAIMANT ALLEGES INSURED PHYSICIAN FAILED TO IDENTIFY A VENOUS SINUS THROMBOSIS AND MENINGIOMA ON MRI, WHICH RESULTED IN A PERMANENT LOSS OF VISION FOR THE CLAIMANT.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/2/2010 10CA6705MP
County Suit Filed in Date of Final Disposition
Osceola 3/18/2015
Other Defendants Involved in this Claim
HANZLIK, ANDREW J
MALIK, KHIZAR
HOARAU, DWIGHT
SCHULZE, ERIC S
HSIAO, JAMES J
PATEL, VIKRAM
KOS, DAVID A
ADVETIST HEALTH SYSTEM
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/20/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $148,059
All Other Loss Adjustment Expense Paid $7,150
Injured Person's Total Non-Economic Loss $0
Deductible $5,000
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
NONE
 
Updates
 
No updates found.

 

 

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Dr. EZER OJEDA Medical Malpractice Lawsuits - Court Case # 11 CA 197 MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680662
Claim Number : 5144546-01
Date Submitted : 12/19/2016
 
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 EZER   OJEDA
Insurer Type Street Address of Practice
Licensed 700 W Oak St
City State Zip Code County
Kissimmee FL 34741 Calhoun
Policy Number Per Claim Policy Limits Aggregate Policy Limits
735339 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME69001 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
  M Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
OSCEOLA REGIONAL HOSPITAL 100110
Location of Institutional Injury Other Location of Institutional Injury
Labor and Delivery Room  
Date of Occurrence Date Reported to Insurer
11/4/2009 11/9/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pregnancy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delivery
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
failure to perform timely c-section
Principal Injury Giving Rise To The Claim
brain damage
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/21/2011 11 CA 197 MP
County Suit Filed in Date of Final Disposition
Osceola 12/9/2016
Other Defendants Involved in this Claim
Maki MD, Lance A
OB Hospitalist Group Inc
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/9/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $139,380
All Other Loss Adjustment Expense Paid $12,840
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.

 

 

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Dr. Lance A Maki Medical Malpractice Lawsuits - Court Case # 11-CA-197-MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680663
Claim Number : 5144546-03
Date Submitted : 2/13/2018
 
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 Lance A Maki
Insurer Type Street Address of Practice
Licensed 700 W Oak St
City State Zip Code County
Kissimmee FL 34741 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
732940 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME92412 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
  M Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
OSCEOLA REGIONAL HOSPITAL 100110
Location of Institutional Injury Other Location of Institutional Injury
Labor and Delivery Room  
Date of Occurrence Date Reported to Insurer
11/4/2009 11/9/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pregnancy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delivery
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to perform timely C-section
Principal Injury Giving Rise To The Claim
brain damage
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/21/2011 11-CA-197-MP
County Suit Filed in Date of Final Disposition
Osceola 12/9/2016
Other Defendants Involved in this Claim
OB Hospitalist Group Inc
Ojeda MD, Ezer
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/9/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $50,115
All Other Loss Adjustment Expense Paid $5,549
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
 
 
Date of Change: 8/29/2017 10:38:48 AM
Reason for Change: ALE UPDATE 8/29/2017
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 5545 5548
Amount of Loss Adjustment Expense Paid to Defense Counsel 49114 49848
 
Date of Change: 2/13/2018 1:49:45 PM
Reason for Change: ALE UPDATE 2/13/2018
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 5548 5549
Amount of Loss Adjustment Expense Paid to Defense Counsel 49848 50115

 

 

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Dr. David Marcantel Medical Malpractice Lawsuits - Court Case # 14-CA-2591-MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575929
Claim Number : 317044
Date Submitted : 9/30/2015
 
Insurer Information
 
Insurer Name Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC Primary
Insurer FEIN Professional License Number
59-6614702  
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 David   Marcantel
Insurer Type Street Address of Practice
Licensed 410 Celebration Place, Suite 208
City State Zip Code County
Celebration FL 34747 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0950201 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME68062 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 Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
FLORIDA HOSPITAL-CELEBRATION HEALTH 23960017
Location of Institutional Injury Other Location of Institutional Injury
Labor and Delivery Room  
Date of Occurrence Date Reported to Insurer
1/26/2012 4/7/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was 25 weeks pregnant complained of chest pain was diagnosed with GERD.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent emergency C-section due to preeclampsia.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat preeclampsia.
Principal Injury Giving Rise To The Claim
Bilateral retinopathy and developmental delays.
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
9/12/2014 14-CA-2591-MP
County Suit Filed in Date of Final Disposition
Osceola 8/31/2015
Other Defendants Involved in this Claim
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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $18,801
All Other Loss Adjustment Expense Paid $23,510
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. David Marcantel Medical Malpractice Lawsuits - Court Case # 2014-CA-2934-MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575930
Claim Number : 320254
Date Submitted : 9/30/2015
 
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 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 David   Marcantel
Insurer Type Street Address of Practice
Licensed 410 Celebration Place, Suite 208
City State Zip Code County
Celebration FL 34747 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0950201 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME68062 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 Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
FLORIDA HOSPITAL-CELEBRATION HEALTH 23960017
Location of Institutional Injury Other Location of Institutional Injury
Labor and Delivery Room  
Date of Occurrence Date Reported to Insurer
8/3/2009 7/8/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was 40 weeks gestation presented with non-reassuring fetal monitoring strips.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vaginal delivery.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to perform an emergency C-section in the presence of non-reassuring fetal monitoring strips.
Principal Injury Giving Rise To The Claim
Brain damage developmental delays.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/16/2014 2014-CA-2934-MP
County Suit Filed in Date of Final Disposition
Osceola 8/31/2015
Other Defendants Involved in this Claim
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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $40,518
All Other Loss Adjustment Expense Paid $7,095
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Abdul B Lodhi Medical Malpractice Lawsuits - Court Case # 2014 CA 001270 MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574204
Claim Number : 312769
Date Submitted : 4/8/2015
 
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 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 Abdul B Lodhi
Insurer Type Street Address of Practice
Licensed 1600 Budinger Avenue, Suite A
City State Zip Code County
Saint Cloud FL 34769 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0498871 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME105094 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SAINT CLOUD HOSPITAL 100074
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
8/25/2011 11/26/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cerebrovascular accident (CVA)
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Medical management.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Progression of CVA.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
9/5/2014 2014 CA 001270 MP
County Suit Filed in Date of Final Disposition
Osceola 3/26/2015
Other Defendants Involved in this Claim
Mamsa, Abdul
Saint Cloud Regional Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Directed verdict for plaintiff.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $9,569
All Other Loss Adjustment Expense Paid $2,035
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. Clyde Skene Medical Malpractice Lawsuits - Court Case # 2014 CA 002395 MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575056
Claim Number : 318955
Date Submitted : 6/30/2015
 
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 AUDRA M FLOYD
Street Address
13450 WEST SUNRISE BLVD
City State Zip
SUNRISE FL 33323
Phone Ext Fax E-Mail Address
(877) 320 - 0748 3111 (866) 636 - 5421 afloyd@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Clyde   Skene
Insurer Type Street Address of Practice
Licensed 3416 70th Glen East
City State Zip Code County
Palmetto FL 34221 Manatee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
06844883 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME21962 Gynecology - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
OSCEOLA REGIONAL HOSPITAL 100110
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
6/1/2012 6/3/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to ER at 15 weeks pregnancy with severe vaginal bleeding.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was discharged & returned two days later with severe abdominal pain, fever, chills and vomiting.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/2/2014 2014 CA 002395 MP
County Suit Filed in Date of Final Disposition
Osceola 6/12/2015
Other Defendants Involved in this Claim
Osceola Regional Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/9/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $20,000
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $250,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. SEAN M O'NEILL Medical Malpractice Lawsuits - Court Case # 2017CP000173

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201887375
Claim Number : 163248
Date Submitted : 12/20/2018
 
Insurer Information
 
Insurer Name Coverage Type
NORCAL MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
94-2301054  
Insurer Contact Information
Type First Name MI Last Name
Individual Richard   Petersen
Street Address
4651 Salisbury Rd. #410
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
(904) 309 - 8142   (904) 394 - 7134 rpetersen@norcal-group.com
 
Insured Information
 
Type First Name MI Last Name
Individual SEAN M O'NEILL
Insurer Type Street Address of Practice
Licensed 20 W Kaley Street
City State Zip Code County
Orlando FL 32806 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
721286N $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME117285 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
  F Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Location Radiology
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
12/17/2016 5/12/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tubo-ovarian abscess
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
On 12/17/16, the patient presented to the ER with pressure and pain in the right lower quadrant, radiating to the right back with nausea and vomiting. A CT scan was ordered and interpreted by radiologist as showing no acute abnormality seen and negative for pelvic mass abscess. Subsequent to the CT scan, on 12/18/16, a pelvic ultrasound was performed and interpreted by Dr. O'Neil that identified a questionable 3 cm cystic structure within the ovary which was not visualized on prior CT. The patient was discharged from the Hospital with prescriptions for pain and nausea medication and instructions to follow up with her primary physician if symptoms persist. On or about 12/28/16, the patient was taken to the ER with abdominal pain. She was taken to the OR where it was discovered that she had a ruptured tubo-ovarian abscess. Plaintiff alleged that Dr. O'Neil should have ordered an additional MRI. A defense standard of care expert opined that there was no reason to rule out an abscess because the lesion on the ultrasound demonstrated all characteristics consistent with a cyst; it was not consistent with an abscess.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Tubo-ovarian abscess
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/24/2017 2017CP000173
County Suit Filed in Date of Final Disposition
Osceola 9/4/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Settled between parties
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/4/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $21,737
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Facts of the case were discussed with insured and risk management.
 
Updates
 
No updates found.

 

Dr. SCOTT J SCHOEDLER Medical Malpractice Lawsuits - Court Case # 2017CP000173

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201887376
Claim Number : 163246
Date Submitted : 12/20/2018
 
Insurer Information
 
Insurer Name Coverage Type
NORCAL MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
94-2301054  
Insurer Contact Information
Type First Name MI Last Name
Individual Richard   Petersen
Street Address
4651 Salisbury Rd. #410
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
(904) 309 - 8142   (904) 394 - 7134 rpetersen@norcal-group.com
 
Insured Information
 
Type First Name MI Last Name
Individual SCOTT J SCHOEDLER
Insurer Type Street Address of Practice
Licensed 20 W Kaley Street
City State Zip Code County
Orlando FL 32806 Orange
Policy Number Per Claim Policy Limits Aggregate Policy Limits
721286N $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME70135 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
  F Orange
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Location Radiology
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
12/17/2016 5/12/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tubo-ovarian abscess
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
On 12/17/16, the patient to the ER with pressure and pain in the right lower quadrant, radiating to the right back with nausea and vomiting. A CT scan was ordered and interpreted by Dr. Scott Schoedler, radiologist, as showing no acute abnormality seen and negative for pelvic mass abscess. Subsequent to the CT scan, on 12/18/16, a pelvic ultrasound was performed and interpreted by a separate radiologist that identified a questionable 3 cm cystic structure within the ovary which was not visualized on prior CT. The patient was discharged from the Hospital with prescriptions for pain and nausea medication and instructions to follow up with her primary physician if symptoms persist. On or about 12/28/16, the patient was taken to the ER with abdominal pain. She was taken to the OR where it was discovered that she had a ruptured tubo-ovarian abscess. Plaintiff alleged mis-interpretation of a CT Scan of the abdomen and pelvis without contrast taken 12/17/16. However, a defense standard of care expert opined that the right adnexa and ovary were appropriately touching and between other pelvic structures. He further found that the right and left ovaries are often different sizes. He also commented that ovaries have a very highly variable appearance they occur in a crowded space with borders often touching neighboring structures and that there was no cyst, mass or inflammation on the adjacent fat visualized in the CT. The interpretation of the imaging was appropriate and that the imaging was the best that could be obtained given the patient's body habitus (5'5" 300lbs). Finally, the patient did not follow up with her primary physician and presented to the ER 10 days later.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Tubo-ovarian abscess
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/24/2017 2017CP000173
County Suit Filed in Date of Final Disposition
Osceola 9/4/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Settled between parties
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/4/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $19,612
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Facts of the case were discussed with insured and risk management.
 
Updates
 
No updates found.

 

Dr. Omar A Fadhli Medical Malpractice Lawsuits - Court Case # 492018 CA001163MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201887172
Claim Number : 367651
Date Submitted : 12/3/2018
 
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 Omar A Fadhli
Insurer Type Street Address of Practice
Licensed 1162 Cypress Glen Circle
City State Zip Code County
Kissimmee FL 34741 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0965183 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME77191 Otology - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's office
Date of Occurrence Date Reported to Insurer
9/8/2016 3/22/2018
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of chronic tongue ulcerations, she was diagnosed with malignant neoplasm of the tongue.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
There was none.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was none.
Principal Injury Giving Rise To The Claim
Alleged delay in diagnosing tongue cancer.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/13/2018 492018 CA001163MP
County Suit Filed in Date of Final Disposition
Osceola 11/6/2018
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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/6/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $10,485
All Other Loss Adjustment Expense Paid $2,146
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

Dr. Robert F Lemert Medical Malpractice Lawsuits - Court Case # 2016-CA-001864-MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782412
Claim Number : 340142
Date Submitted : 6/22/2017
 
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 Robert F Lemert
Insurer Type Street Address of Practice
Licensed 410 Celebration Place, Suite 208
City State Zip Code County
Celebration FL 34747 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0912948 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME79509 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
  M Osceola
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
FLORIDA HOSPITAL-CELEBRATION HEALTH 23960017
Location of Institutional Injury Other Location of Institutional Injury
Labor and Delivery Room  
Date of Occurrence Date Reported to Insurer
1/20/2014 3/9/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented at 36 weeks gestation to deliver her baby.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vaginal delivery of 36 week old infant.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Brachial plexus injury.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/23/2016 2016-CA-001864-MP
County Suit Filed in Date of Final Disposition
Osceola 6/14/2016
Other Defendants Involved in this Claim
Celebration Obstetrics and Gynecology Associates, 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
6/14/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $31,132
All Other Loss Adjustment Expense Paid $11,537
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. JOHN T LITTELL Medical Malpractice Lawsuits - Court Case # 2016-CA-003136-MP

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782821
Claim Number : 157703
Date Submitted : 8/14/2017
 
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 Dionysia   Lawson
Street Address
560 Davis Street
City State Zip
San Francisco CA 94111
Phone Ext Fax E-Mail Address
(415) 735 - 2013   (415) 735 - 2097 dlawson@norcalmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual JOHN T LITTELL
Insurer Type Street Address of Practice
Licensed 300 Park Place Blvd
City State Zip Code County
Kissimmee FL 34741 Osceola
Policy Number Per Claim Policy Limits Aggregate Policy Limits
11212 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME76131 Family Physicians or General Practitioners - 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 Osceola
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 physician's office
Date of Occurrence Date Reported to Insurer
9/6/2013 7/25/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Elevated PSA levels
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
no procedure
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to monitor and treat elevated PSA levels
Principal Injury Giving Rise To The Claim
Prostate cancer that metastasized to patient's spine
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/5/2017 2016-CA-003136-MP
County Suit Filed in Date of Final Disposition
Osceola 6/26/2017
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/26/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $18,002
All Other Loss Adjustment Expense Paid $1,393
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
Circumstances of case were discussed with insured and risk management was notified
 
Updates
 
No updates found.

 

 

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