Medical Malpractice Cases

Medical Malpractice Cases In Polk County Florida

Dr. Ernesto J Perez Medical Malpractice Lawsuits - Court Case # 2004-CA-000139

Indemnity Paid: $3,334,728.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642110
Claim Number :125676
Date Submitted :8/17/2009
 
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
IndividualErnestoJPerez
Insurer TypeStreet Address of Practice
Licensed1450 6TH ST NE
CityStateZip CodeCounty
WINTER HAVENFL33881-2525Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP39846$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55358Internal Medicine - No Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WINTER HAVEN HOSPITAL100052
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
5/15/20039/12/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Radiating chest pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EKG, lab testss and cardiac enzymes performed which resulted in request for cardiology consult.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Patient suffered an acute MI due to hypertensive cardiovascular disease and expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/4/20042004-CA-000139
County Suit Filed inDate of Final Disposition
Polk8/21/2006
Other Defendants Involved in this Claim
Winter Haven Hospital, Inc. d/b/a Winter Haven Hospital
Ernesto J. Perez, M.D., L.L.C.
Hetherington, Judith
Star-Med Staffing Services, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/31/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$3,334,728
Loss Adjust Expense Paid to Defense Counsel$204,479
All Other Loss Adjustment Expense Paid$288,448
Injured Person's Total Non-Economic Loss$3,334,728
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$1,092$0
Wage Loss$0$282,392
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company persoonnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:11/13/2007 9:17:28 AM
Reason for Change:Report updated to reflect indemnity payment following appeal, and to reflect additional costs and legal fees paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid149876265118
Indemnity Paid03334728
Injured Person Total Non-Economic Loss03334728
Settlement Reached01
Amount of Loss Adjustment Expense Paid to Defense Counsel119808198455
Legal System StageAfter court verdict and prior to filing of notice of appeal.After appeal.
 
Date of Change:11/18/2008 2:33:08 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid265118300305
Amount of Loss Adjustment Expense Paid to Defense Counsel198455204479
 
Date of Change:8/17/2009 3:42:44 PM
Reason for Change:Report updated to reflect refund of expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid300305288448

 

 

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Dr. JENNIFER FYNN Medical Malpractice Lawsuits - Court Case # 53-2007-CA-002842

Indemnity Paid: $2,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952594
Claim Number :PMG-06-AO-56866
Date Submitted :2/17/2009
 
Insurer Information
 
Insurer NameCoverage Type
HUDSON SPECIALTY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
75-1637737 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJENNIFER FYNN
Insurer TypeStreet Address of Practice
Licensed215 INVERNESS WAY
CityStateZip CodeCounty
WINTER PARKFL33881Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HCP4001905$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME91920Neonatal/Perinatal Medicine 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WINTER HAVEN-REGENCY120010
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
11/30/200612/15/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
VOLVULUS IN NEWBORN
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED FAILURE TO DIAGNOSE VOLVULUS AND ALLEGED DELAY IN TRANSFER
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
DELAY IN TRANSFER AND DELAY IN DIAGNOSIS
Principal Injury Giving Rise To The Claim
MASSIVE BOWEL INFARCTION
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
6/5/200753-2007-CA-002842
County Suit Filed inDate of Final Disposition
Polk2/16/2009
Other Defendants Involved in this Claim
WINTER HAVEN HOSPITAL
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
6/12/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,000,000
Loss Adjust Expense Paid to Defense Counsel$176,206
All Other Loss Adjustment Expense Paid$108,783
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN.
 
Updates
 
No updates found.

 

 

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Dr. Jack B Thigpen Medical Malpractice Lawsuits - Court Case # 2004CA-003718

Indemnity Paid: $1,500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200643106
Claim Number :WC/3784-03
Date Submitted :11/10/2006
 
Insurer Information
 
Insurer NameCoverage Type
Watson Clinic LLPPrimary
Insurer FEINProfessional License Number
59-0704934SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDee Owens
Street Address
1600 Lakeland Hills Blvd.
CityStateZip
LakelandFL33805
PhoneExtFaxE-Mail Address
(863) 680 - 7620 (863) 616 - 2430dowens@watsonclinic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJackBThigpen
Insurer TypeStreet Address of Practice
Self-Insurer1600 Lakeland Hills Blvd.
CityStateZip CodeCounty
LakelandFL33805Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
39269999$2,000,000*NR
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME26600Surgery - General26540

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
8/5/200310/21/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sepsis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Hemorrhoidectomy under general anesthesia
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and provide timely and adequate treatment for severe, fulminant, overwhelming sepsis.
Principal Injury Giving Rise To The Claim
Death due to severe, fulminant, overwhelming sepsis.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/1/20042004CA-003718
County Suit Filed inDate of Final Disposition
Polk1/9/2006
Other Defendants Involved in this Claim
Randall, Judith L
Watson Clinic LLP
Lakeland 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/11/2006
 
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$179,084
All Other Loss Adjustment Expense Paid$102,891
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
Expert reviews called this sepsis a "perfect storm," a similar constellations of events is highly unlikely.
 
Updates
 
No updates found.

 

 

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

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Dr. JEFFREY M BARRETT Medical Malpractice Lawsuits - Court Case # 2004CA-853

Indemnity Paid: $1,150,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848442
Claim Number :60504
Date Submitted :2/4/2008
 
Insurer Information
 
Insurer NameCoverage Type
TIG INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
94-1517098 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualYolanda Burke
Street Address
851 Napa Valley Corp Way Suite N
CityStateZip
NapaCA94558
PhoneExtFaxE-Mail Address
(707) 225 - 3331 (707) 224 - 6858yburke@hudsoninsgroup.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJEFFREYMBARRETT
Insurer TypeStreet Address of Practice
Licensed1600 Lakeland Hills Blvd
CityStateZip CodeCounty
LakelandFL33805Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
39269999$2,000,000*NR
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME48947Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
11/23/200110/15/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Labor
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prolongs contraction
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Birth Injury
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/20/20042004CA-853
County Suit Filed inDate of Final Disposition
Polk1/14/2008
Other Defendants Involved in this Claim
Watson Clinic
Mammel, James B
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/26/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,150,000
Loss Adjust Expense Paid to Defense Counsel$4,852,411
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
unknown at this time
 
Updates
 
No updates found.

 

 

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

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Dr. Jeffrey Barrett Medical Malpractice Lawsuits - Court Case # 2004CA-853-0000-00

Indemnity Paid: $1,150,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849282
Claim Number :60504
Date Submitted :4/18/2008
 
Insurer Information
 
Insurer NameCoverage Type
Watson Clinic LLPPrimary
Insurer FEINProfessional License Number
59-0704934SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDee Owens
Street Address
1600 Lakeland Hills Blvd.
CityStateZip
LakelandFL33805
PhoneExtFaxE-Mail Address
(863) 680 - 7620 (863) 616 - 2430dowens@watsonclinic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJeffrey Barrett
Insurer TypeStreet Address of Practice
Self-Insurer1600 Lakeland Hills Blvd.
CityStateZip CodeCounty
LakelandFL33805Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HCF39269999$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME48947Surgery - Obstetrics 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
11/24/200110/6/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient in full term pregnancy presented in labor
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Emergency C-section
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis was actually made.
Principal Injury Giving Rise To The Claim
Hospital staff failed to monitor patient's labor closely to recognize fetal distress and subsequently the deliveringobstetrician performed an emergency C-section.Newborn suffered severe complications and permanent impairment.
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
2/20/20042004CA-853-0000-00
County Suit Filed inDate of Final Disposition
Polk7/26/2007
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
7/26/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,150,000
Loss Adjust Expense Paid to Defense Counsel$108,116
All Other Loss Adjustment Expense Paid$37,246
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
Review labor & delivery protocols
 
Updates
 
No updates found.

 

 

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Dr. David Speyerer Medical Malpractice Lawsuits - Court Case # 53-2004-CA-001521

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640878
Claim Number :B03033790
Date Submitted :6/2/2006
 
Insurer Information
 
Insurer NameCoverage Type
TIG INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
94-1517098 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualFinch Carolyn
Street Address
125 S. Wacker Drive, Suite 700
CityStateZip
ChicagoIL60606
PhoneExtFaxE-Mail Address
(312) 267 - 6056 (312) 606 - 9181Carolyn_Finch@tigspecialty.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDavid Speyerer
Insurer TypeStreet Address of Practice
Licensed635 First Street North
CityStateZip CodeCounty
Winter HavenFL33881Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HCF38839904$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME54224Physicians or Surgeons - major surgery.NOC classification. 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WINTER HAVEN HOSPITAL100052
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/13/20028/23/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Symptomatic Goiter
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total thyroidectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Vocal cord paralysis which has led to loss of pulmonary function and inability to speak.Plaintiff also complains of frequent aspiration and coughing.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/27/200453-2004-CA-001521
County Suit Filed inDate of Final Disposition
Polk5/18/2006
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
OtherDismissal as a result of settlement
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/17/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$16,873
All Other Loss Adjustment Expense Paid$17,705
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$63,000$614,376
Wage Loss$157,616$914,035
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Identify recurrent laryngeal nerves when performing thyroidectomies
 
Updates
 
No updates found.

 

 

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

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Dr. James B Mammel Medical Malpractice Lawsuits - Court Case # 53-2002CA-1248

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534176
Claim Number :B01124785
Date Submitted :2/4/2005
 
Insurer Information
 
Insurer NameCoverage Type
TIG INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
94-1517098 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathleenLMentel
Street Address
125 S. Wacker Drive, Suite 700
CityStateZip
ChicagoIL60606
PhoneExtFaxE-Mail Address
(312) 267 - 6045 (312) 596 - 0230lori_mentel@tigspecialty.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJamesBMammel
Insurer TypeStreet Address of Practice
Licensed1600 Lakeland Hills Blvd.
CityStateZip CodeCounty
LakelandFL33805Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
38853618$1,000,000$6,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME56295Surgery - Obstetrics - GynecologyAM3131531

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
OtherLabor & Delivery Department - outpatient
Date of OccurrenceDate Reported to Insurer
10/29/199910/30/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ptnt seen @ 28 weeks gestation after falling a week earlier. She complained of vaginal pain, discharge & lack of fetal movement. She was treated for yeast infection. Later that evening, she presented to L&D w/compaints of disccomfort. RN examined her and placed her on fetal monitor, which showed good fetal heart rate activity and no obvious contractions. After being called by RN w/ assessment, physician reviewed monitor from call room. Since this was consistent with earlier visit, MD discharged ptnt to home. In early hours of next morning, ptnt discovered a double footling breech presentation and premature child was delivered at home by EMS. Infant suffered hypoxia resulting in cerebral palsy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to conduct an adequate assessment of patient's pregnancy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Infant suffered hypoxia resulting in cerebral palsy.
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
6/5/200253-2002CA-1248
County Suit Filed inDate of Final Disposition
Polk8/16/2004
Other Defendants Involved in this Claim
Lakeland Reg'l Med.Ctr.
Watson Clinic
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
OtherCase dismissed pursuant to settlement agreement.
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/20/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$104,247
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$33,048,834
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$146,000$3,000,000
Wage Loss$0$3,000,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Physician reviewed strips and treated patient based on reasonable data known at that time.
 
Updates
 
 
Date of Change:2/4/2005 10:23:40 AM
Reason for Change:Policy limits were entered incorrectly on the original submission. Correct policy limits ($1mil/$6mil) are noted on this submission.
 
Field ChangedFormer ValueNew Value
Per Claim Policy Limits1000000001000000

 

 

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

This page is not displaying certain sensitive information.

Dr. Adamantia A Mammas Medical Malpractice Lawsuits - Court Case # 53-2003CA-001451

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537717
Claim Number :393-004031-60
Date Submitted :10/25/2005
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeEntity Name
EntityAIG Domestic Claims
Street Address
8144 Walnut Hill Lane
CityStateZip
DallasTX75231
PhoneExtFaxE-Mail Address
(214) 932 - 2219 (214) 932 - 2210yolanda.reyes@aig.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAdamantiaAMammas
Insurer TypeStreet Address of Practice
Licensed3133 Timucus Circle
CityStateZip CodeCounty
OrlandoFL32837Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6332760$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55533Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
OtherEmergency Room
Date of OccurrenceDate Reported to Insurer
10/26/200111/20/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Acute febrile illness, upper respiratory infection, reactive airway disease,rule out bacteremia, meningitis, pneumonia and febrile seizures. She was discharged with lower extremity paralysis bilaterally.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Spinal tap.
Diagnostic Code :001
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Hematoma at T12-L1.
Principal Injury Giving Rise To The Claim
Lower extremity paralysis bilaterally.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/20/200153-2003CA-001451
County Suit Filed inDate of Final Disposition
Polk9/27/2004
Other Defendants Involved in this Claim
Lakeland 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/27/2004
 
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$22,938
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$1,000,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Settlement.
 
Updates
 
No updates found.

 

 

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Dr. MARTHA I LIMA Medical Malpractice Lawsuits - Court Case # 53-2011-CA-00536

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161794
Claim Number :35497
Date Submitted :10/5/2011
 
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
IndividualMARTHAILIMA
Insurer TypeStreet Address of Practice
LicensedPO Box 90609
CityStateZip CodeCounty
LakelandFL33804Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602675 03$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME50785Radiology - Diagnostic - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
WINTER HAVEN HOSPITAL100052
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/8/200810/20/2010
 
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
Annual screening mammogram
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of breast cancer
Principal Injury Giving Rise To The Claim
Metastasis to brain, liver, and bones
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/24/201153-2011-CA-00536
County Suit Filed inDate of Final Disposition
Polk9/15/2011
Other Defendants Involved in this Claim
Henricks, MD, Bret
Radiology & Imaging Specialists of Lakeland
Winter Haven Hospital
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/15/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$20,678
All Other Loss Adjustment Expense Paid$3,765
Injured Person's Total Non-Economic Loss$0
Deductible$100,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$71,351$0
Wage Loss$0$725,000
Other Expenses$20,000$710,000
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. MATTHEW SCHILLINGER Medical Malpractice Lawsuits - Court Case # 53-20-11CA-001130

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264277
Claim Number :EMC-09XS-FL-115220
Date Submitted :7/10/2012
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMATTHEW SCHILLINGER
Insurer TypeStreet Address of Practice
Self-Insurer1401 LAKE LUCERNE WAY
CityStateZip CodeCounty
BRANDONFL33511Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2009-Excess$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS9191Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LAKE WALES MEDICAL CENTER100099
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
9/11/20087/17/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PRESENTED WITH HEADACHE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT SCAN AND PHYSICAL EXAM
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
PATIENT WAS DISCHARGED HOME
Principal Injury Giving Rise To The Claim
HYDROCEPHALUS
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/18/201053-20-11CA-001130
County Suit Filed inDate of Final Disposition
Polk6/22/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/11/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$39,037
All Other Loss Adjustment Expense Paid$3,500
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. MARGARET KEELER Medical Malpractice Lawsuits - Court Case # 53-2011-CA-000944-00

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265348
Claim Number :EMC-FL-10XS-191574
Date Submitted :11/12/2012
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARGARET KEELER
Insurer TypeStreet Address of Practice
Self-Insurer3667 ASHLANG DRIVE
CityStateZip CodeCounty
LAKELANDFL33803Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2010-Excess$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME58990Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
10/1/200911/18/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PRESENTED AFTER FALL ON BACK, PAIN IN NECK AND SHOULDERS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
LABS AND X-RAYS WERE TAKEN.CT OF HEAD WAS NEGATIVE.PATIENT WAS ADMITTED
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
EPIDURAL BLEED RESULTING IN SURGERY AND PARALYSIS
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/23/201153-2011-CA-000944-00
County Suit Filed inDate of Final Disposition
Polk9/25/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
9/25/2012
 
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$34,154
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Obinna U Nwobi Medical Malpractice Lawsuits - Court Case # 2011CA-006072-0000-0

Indemnity Paid: $975,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265133
Claim Number :WC/8081-12
Date Submitted :10/16/2012
 
Insurer Information
 
Insurer NameCoverage Type
Watson Clinic LLPPrimary
Insurer FEINProfessional License Number
59-0704934SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDee Owens
Street Address
1600 Lakeland Hills Blvd.
CityStateZip
LakelandFL33805
PhoneExtFaxE-Mail Address
(863) 680 - 7620 (863) 616 - 2430dowens@watsonclinic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualObinnaUNwobi
Insurer TypeStreet Address of Practice
Self-Insurer1600 Lakeland Hills Blvd
CityStateZip CodeCounty
LakelandFL33805Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PH1002069$2,000,000$18,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME106633Surgery - Vascular 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityWatson Clinic Heart & Vascular Institute
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/19/20106/7/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Occlusive vascular disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Angioplasty and stenting.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Not applicable - the complaication was recognized immedaitely.No misdiagnosis was made in this case
Principal Injury Giving Rise To The Claim
Patient underwent angioplasty and stenting for occlusive vascular disease.During the procedure, the patient experienced a perforation of the left iliac artery at the site of the stenotic lesion.The perforation was promptly and appropriately treated with a covered stent.Weeks later, the patient was subsequently admitted to the hospital for an infected pseudoaneurysm at the access site in the common femoral artery for the angioplasty and stenting procedure.Patient discharged to skilled nursing faciltiy status post repair of infected pseudoaneurysm.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/9/20112011CA-006072-0000-0
County Suit Filed inDate of Final Disposition
Polk6/20/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/20/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$975,000
Loss Adjust Expense Paid to Defense Counsel$21,605
All Other Loss Adjustment Expense Paid$3,532
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
Patient experienced known complications of the procedure, which was recognized and treated.Additional complications related to patient co-morbidities.Reviewed patient selection criteria.However, patient had no contraindications.Remind physicians to exercise caution with patient selection.
 
Updates
 
No updates found.

 

 

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Dr. Vincent W Gatto Medical Malpractice Lawsuits - Court Case # 2003-CA-573

Indemnity Paid: $975,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534286
Claim Number :16380
Date Submitted :11/9/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualVincentWGatto
Insurer TypeStreet Address of Practice
Licensed500 E. Central Avenue
CityStateZip CodeCounty
Winter HavenFL33880Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600278 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME43937Surgery - Obstetrics - Gynecology2301

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WINTER HAVEN HOSPITAL100052
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
6/1/19999/27/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cerebral palsy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
C-section
Diagnostic Code :DC799.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged performance of an unnecessary cesarean section
Principal Injury Giving Rise To The Claim
Cerebral palsy
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/6/20032003-CA-573
County Suit Filed inDate of Final Disposition
Polk7/5/2005
Other Defendants Involved in this Claim
Bond & Steele Clinic, P.A.
Winter Haven Hospital, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/24/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$975,000
Loss Adjust Expense Paid to Defense Counsel$62,780
All Other Loss Adjustment Expense Paid$89,280
Injured Person's Total Non-Economic Loss$975,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$400,000$10,000,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
 
Date of Change:11/8/2005 12:11:01 PM
Reason for Change:Corrected final disposition date
 
Field ChangedFormer ValueNew Value
Date of Final Disposition23-DEC-0405-JUL-05
 
Date of Change:11/9/2005 9:43:23 AM
Reason for Change:Corrected various fields pursuant to State audit
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel10700062780
Defendant Entity NameWinter Haven Hospital, Inc.
No Other Defendants10
Payment Date23-DEC-0424-JAN-05
Defendant Entity NameBond & Steele Clinic, P.A.
All Other Loss Adjustment Expense Paid3800089280
Date Suit Filed25-APR-0306-FEB-03

 

 

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Dr. RONG HO Medical Malpractice Lawsuits - Court Case # 08-CA-8636

Indemnity Paid: $975,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953292
Claim Number :25688/27317
Date Submitted :6/19/2009
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRONG HO
Insurer TypeStreet Address of Practice
Licensed2668 Wyndsor Oaks Way
CityStateZip CodeCounty
Winter HavenFL33884Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 0104771 09$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME23639Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
HEART OF FLORIDA REGIONAL MEDICAL CENTER100137
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/3/20076/6/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Intra-abdominal bleeding resulting in hemorrhagic shock
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT of the abdomen/pelvis
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose internal bleeding
Principal Injury Giving Rise To The Claim
Neurological brain injury
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/15/200808-CA-8636
County Suit Filed inDate of Final Disposition
Polk6/12/2009
Other Defendants Involved in this Claim
Heart of Florida Regional Medical Center
Boyer, MD, Michael
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
3/30/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$975,000
Loss Adjust Expense Paid to Defense Counsel$15,748
All Other Loss Adjustment Expense Paid$8,695
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$1,266,170$23,207,052
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:6/19/2009 11:00:39 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 06/12/09
 
Field ChangedFormer ValueNew Value
Date of Final Disposition30-MAR-0912-JUN-09

 

 

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Dr. Kortney D Hightower Medical Malpractice Lawsuits - Court Case # 2010CA-000472-0000-L

Indemnity Paid: $900,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056560
Claim Number :WC/7498-09
Date Submitted :2/22/2010
 
Insurer Information
 
Insurer NameCoverage Type
Watson Clinic LLPPrimary
Insurer FEINProfessional License Number
59-0704934SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDee Owens
Street Address
1600 Lakeland Hills Blvd.
CityStateZip
LakelandFL33805
PhoneExtFaxE-Mail Address
(863) 680 - 7620 (863) 616 - 2430dowens@watsonclinic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKortneyDHightower
Insurer TypeStreet Address of Practice
Self-Insurer1033 N. Parkway Frontage Rd
CityStateZip CodeCounty
LakelandFL33803Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
YD009900g$2,000,000*NR
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME95249Dermatology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
12/18/20076/30/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with skin lesion to biopsy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
56-yr old patient underwent biopsy of abnormal skin lesion in 2007 that was lost to followup and never received pathology results.Patient later returned for preop clearance for metastatic malignant melanoma diagnosed by outside ENT.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Not applicable.No misdiagnosis was made.
Principal Injury Giving Rise To The Claim
Malignant melanoma lost to followup.
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
1/15/20102010CA-000472-0000-L
County Suit Filed inDate of Final Disposition
Polk2/4/2010
Other Defendants Involved in this Claim
Watson Clinic LLP
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
2/8/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$900,000
Loss Adjust Expense Paid to Defense Counsel$5,873
All Other Loss Adjustment Expense Paid$5,539
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
Revised results tracking process to require outside audit of completed follow-up.Anticipate implementation of electronic tracking with upgrade of electronic medical record in June 2010.
 
Updates
 
No updates found.

 

 

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

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Dr. Robert K Lerner Medical Malpractice Lawsuits - Court Case # 53-2005CA-0023200000

Indemnity Paid: $825,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642134
Claim Number :18567
Date Submitted :11/7/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertKLerner
Insurer TypeStreet Address of Practice
Licensed500 East Central Avenue
CityStateZip CodeCounty
Winter HavenFL33880Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600278 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME48218Surgery - Orthopedic3901

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WINTER HAVEN HOSPITAL100052
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/10/20039/16/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fracture of femoral neck
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Resection of proximal femur and implant of endoprosthetic replacement
Diagnostic Code :415.10
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to order precautionary medications upon discharge for prevention of DVT
Principal Injury Giving Rise To The Claim
Pulmonary embolism
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/4/200553-2005CA-0023200000
County Suit Filed inDate of Final Disposition
Polk10/13/2006
Other Defendants Involved in this Claim
Bond Clinic
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/6/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$825,000
Loss Adjust Expense Paid to Defense Counsel$55,144
All Other Loss Adjustment Expense Paid$21,389
Injured Person's Total Non-Economic Loss$825,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:11/7/2006 2:57:37 PM
Reason for Change:Report updated to reflect Court document final disposition date of 10/13/06.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition22-AUG-0613-OCT-06

 

 

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Dr. Eric Lindenblad Medical Malpractice Lawsuits - Court Case # 53-2005 CA 000204-00

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746019
Claim Number :EMC-AO-04-34467
Date Submitted :6/25/2007
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEric Lindenblad
Insurer TypeStreet Address of Practice
Licensed5333 Bloomfield Blvd.
CityStateZip CodeCounty
LakelandFL33810Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-2$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME43429Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
8/7/20029/13/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
INTRACRANIAL HEMORRAHGE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED FAILURE TO DIAGNOSE
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
DIAGNOSED WITH EXACERBATION OF HEAD AND NECK PAIN
Principal Injury Giving Rise To The Claim
EMERGENCY SURGERY TO EVACUATE HEMATOMA, STROKE
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/12/200553-2005 CA 000204-00
County Suit Filed inDate of Final Disposition
Polk6/21/2007
Other Defendants Involved in this Claim
Lakeland 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/29/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$800,000
Loss Adjust Expense Paid to Defense Counsel$111,257
All Other Loss Adjustment Expense Paid$79,830
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
unknown
 
Updates
 
No updates found.

 

 

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Dr. Nathan Hill Medical Malpractice Lawsuits - Court Case # 53-2004CA-00601-0000

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536311
Claim Number :B03038085
Date Submitted :8/9/2005
 
Insurer Information
 
Insurer NameCoverage Type
NORTHBRIDGE INDEMNITY INSURANCE CORPORATIONPrimary
Insurer FEINProfessional License Number
AA1560210 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKatie Finch
Street Address
125 S. Wacker Drive
CityStateZip
ChicagoIL60606
PhoneExtFaxE-Mail Address
(312) 267 - 6050 (312) 606 - 9181Kathryn_Finch@TIGSpecialty.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNathan Hill
Insurer TypeStreet Address of Practice
Licensed3000 Hunters Creek Blvd.
CityStateZip CodeCounty
OrlandoFL32837Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HCF38856318$1,000,000$6,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75569Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityClinic
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/24/200210/22/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Plaintiff suffered a complex right ankle fracture.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured physician treated fracture with an open reduction internal fixation with hardware.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis.
Principal Injury Giving Rise To The Claim
Plaintiff alleges that due to subsequent infection at site of surgical wound, right leg had to be amputated below the knee.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/6/200453-2004CA-00601-0000
County Suit Filed inDate of Final Disposition
Polk6/5/2005
Other Defendants Involved in this Claim
Watson Clinic
Goldman, Corey
Amedisys
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/21/2005
 
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$18,231
All Other Loss Adjustment Expense Paid$9,910
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$1,080,000
Wage Loss$0$155,459
Other Expenses$0$228,700
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Cultural drainage from surgical wounds.
 
Updates
 
No updates found.

 

 

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Dr. David Loewy Medical Malpractice Lawsuits - Court Case # 53-2004CA-00543

Indemnity Paid: $700,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534821
Claim Number :101518
Date Submitted :4/4/2005
 
Insurer Information
 
Insurer NameCoverage Type
OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.)Primary
Insurer FEINProfessional License Number
94-3047990 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMARITZA MORENO
Street Address
2828 CORAL WAY, SUITE 307
CityStateZip
MIAMIFL33145
PhoneExtFaxE-Mail Address
(305) 447 - 4513 (305) 447 - 4514MMORENO@MRCG.ORG
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDavid Loewy
Insurer TypeStreet Address of Practice
Licensed407 Avenue K Southeast
CityStateZip CodeCounty
Winter HavenFL33880Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
OMC0009101$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME46492Ophthalmology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
2/5/20027/10/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Proliferative diabetic retinopathy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose and treat proliferative diabetic retinopathy
Principal Injury Giving Rise To The Claim
Loss of vision in right eye.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/2/200453-2004CA-00543
County Suit Filed inDate of Final Disposition
Polk12/31/2004
Other Defendants Involved in this Claim
Lowey, David M
Brinton, Thomas W
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$700,000
Loss Adjust Expense Paid to Defense Counsel$76,742
All Other Loss Adjustment Expense Paid$4,314
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
Case discussed with insurance company personnel and medical experts.
 
Updates
 
No updates found.

 

 

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Dr. Ali Shariati Medical Malpractice Lawsuits - Court Case # 2014CA-000342-0000-0

Indemnity Paid: $700,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471045
Claim Number :WC/8340-13
Date Submitted :6/16/2014
 
Insurer Information
 
Insurer NameCoverage Type
Watson Clinic LLPPrimary
Insurer FEINProfessional License Number
59-0704934SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDee Owens
Street Address
1600 Lakeland Hills Blvd.
CityStateZip
LakelandFL33805
PhoneExtFaxE-Mail Address
(863) 680 - 7620 (863) 616 - 2430dowens@watsonclinic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAli Shariati
Insurer TypeStreet Address of Practice
Self-Insurer1600 Lakeland Hills Blvd
CityStateZip CodeCounty
LakelandFL33805Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PH1303749$2,000,000$18,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME79102Radiology - Diagnostic - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityRadiology
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
11/11/201012/23/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was evaluated for "pain in the tail bone."He was eventually diagnosed with recurrent rectal cancer with metastases to the lung.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT scan of the pelvis was read for an outside group.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Not applicable.This case involved a missed diagnosis.
Principal Injury Giving Rise To The Claim
Subject physician read a single CT pelvis ordered by an outside medical grou for evaluation of "pain in the tail bone."
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
1/28/20142014CA-000342-0000-0
County Suit Filed inDate of Final Disposition
Polk5/19/2014
Other Defendants Involved in this Claim
Clark & Daughtrey Medical Group
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/19/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$700,000
Loss Adjust Expense Paid to Defense Counsel$15,351
All Other Loss Adjustment Expense Paid$5,079
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
Increased peer review frequency in Radiology.
 
Updates
 
No updates found.

 

 

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Dr. BARRY CAREY Medical Malpractice Lawsuits - Court Case # 09 CA 11115

Indemnity Paid: $625,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160963
Claim Number :EMC-FL-09-85372
Date Submitted :7/8/2011
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathy Stockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 722 - 1603kathy_stockton@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBARRY CAREY
Insurer TypeStreet Address of Practice
Licensed3243 HIGHLANDS LAKEVIEW CIRCLE
CityStateZip CodeCounty
LAKELANDFL33813Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-7$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME83767Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
7/28/20073/2/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PATIENT PRESENTED FOR PAIN IN KNEE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PATIENT WAS EXAMINED IN THE ER AND TREATED FOR GOUT LIKE PAIN IN RIGHT KNEE.HE WAS PRESCRIBED TORADOL AND MORPHINE AND THEN DISCHARGED AND TOLD TO FOLLOW UP WITH PCP.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
GOUT.
Principal Injury Giving Rise To The Claim
SEPTIC KNEE RESULTING IN BELOW THE KNEE AMPUTATION.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/9/200909 CA 11115
County Suit Filed inDate of Final Disposition
Polk6/26/2011
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
3/24/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$625,000
Loss Adjust Expense Paid to Defense Counsel$42,810
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN.
 
Updates
 
 
Date of Change:7/8/2011 4:28:07 PM
Reason for Change:Additional payment under another claim file, EMC-AO-09-108832
 
Field ChangedFormer ValueNew Value
Indemnity Paid250000625000

 

 

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Dr. John D Young Medical Malpractice Lawsuits - Court Case # 53-2006-CA-001479-00

Indemnity Paid: $600,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848249
Claim Number :SGI-05LC-69980
Date Submitted :1/16/2008
 
Insurer Information
 
Insurer NameCoverage Type
CITADEL INSURANCE, RISK RETENTION GROUPPrimary
Insurer FEINProfessional License Number
20-8474742 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohnDYoung
Insurer TypeStreet Address of Practice
Licensed9990 East Gulf Street
CityStateZip CodeCounty
SeminoleFL33776Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMI AE 0731 001$100,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67443Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BARTOW MEMORIAL HOSPITAL100121
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/13/200311/29/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
NECROTIZING FASCIITIS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED FAILURE TO IMPLEMENT ANTIBIOTICS, FAILURE TO OBTAIN CONSULT
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
DIAGNOSED WITH NEUROPATHY AND DERMATITIS
Principal Injury Giving Rise To The Claim
DEATH DUE TO SEPSIS
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/10/200653-2006-CA-001479-00
County Suit Filed inDate of Final Disposition
Polk1/15/2008
Other Defendants Involved in this Claim
BARTOW MEMORIAL HOSPITAL
ADRIANO, M.D., RUBEN
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
9/19/2007
 
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$23,589
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN.TESTS WERE OBTAINED AND IT WAS SUGGESTED THAT PATIENT BE ADMITTED, HOWEVER, PATIENT DECLINED.
 
Updates
 
No updates found.

 

 

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Dr. Lynn E Harman Medical Malpractice Lawsuits - Court Case # 53-2004CA-00543

Indemnity Paid: $575,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536403
Claim Number :101510
Date Submitted :8/22/2005
 
Insurer Information
 
Insurer NameCoverage Type
OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.)Primary
Insurer FEINProfessional License Number
94-3047990 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMARITZA MORENO
Street Address
2828 CORAL WAY, SUITE 307
CityStateZip
MIAMIFL33145
PhoneExtFaxE-Mail Address
(305) 447 - 4513 (305) 447 - 4514MMORENO@MRCG.ORG
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLynnEHarman
Insurer TypeStreet Address of Practice
Licensed3326 Songbird Lane
CityStateZip CodeCounty
LakelandFL33811Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
OMC0009191$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71433Surgery - OpthalmologyME71433

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
2/5/20027/10/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient first seen by insured on 2/5/02.She was under the care of other specialists following cataract surgery on both eyes.She was a very poorly controlled diabetic for 12 years.She had an appointment with another ophthalmologist on 2/5/02 for decreased vision and pain in her right eye.The specialist asked insured to evaluate patient since insured is glaucoma specialist.Insured treated the patient with drops and an anterior chamber paracentesis; however the right eye pressure remained extremely high and the patietn was nauseous and vomited due to the pain.Patient was completely blind in right eye and legally blind in left eye when she was first seen on 2/5/02.Insured told patient to return in one week for YAG laser as insured could not get a clear view of the retina in the left eye because of posterior capsular opacity and iris synechiae (adhesions).Insured wanted to refer patient to retinal specialist but knew she would not be seen until the adhesions were broken with dilating drops for a few days and after YAG laser was done.Patient did not return to see insured until 4/11/02 when she was still totally blind in the right eye and her vision had improved slightly in the left eye with the dilation.YAG laser was performed on 4/11/02 and patient was referred to retinal specialist.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient saw retinal specialist on 4/11/02 for evaluation.On 4/22/02 he attempted to perform a pars plana vitrectomy with membrane peeling, repair of retinal detachment, endo laser photocoagulation and silicone oil tamponade on the left eye.Unfortunately a massive hemorrhage resulted in the left eye which rendered the patient totally blind in the left eye.The retinal specialist tried a further procedure on 5/20/02 but the patient's vision could not be restored.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient claimed that insured should have referred patient to retinal specialist on 2/5/02 even though there was not a good view of the retina.Patient claimed that the two-month interval led to deterioration in patient's vision.Two experts reviewed case and were of the opinion insured met the standard of care and did not cause or contribute to patient's outcome.Due to tremendous potential sympathy plaintiff may have elicited settlement was pursued.
Principal Injury Giving Rise To The Claim
Loss of vision.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/2/200453-2004CA-00543
County Suit Filed inDate of Final Disposition
Polk8/1/2005
Other Defendants Involved in this Claim
Lowey, David M
Brinton, Thomas W
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$575,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Case discussed with insurance company personnel and medical experts.
 
Updates
 
No updates found.

 

 

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Dr. William Goellner Medical Malpractice Lawsuits - Court Case # 53-2005CA-3373

Indemnity Paid: $539,439.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851777
Claim Number :EMC-AO-05-36694
Date Submitted :12/16/2008
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWilliam Goellner
Insurer TypeStreet Address of Practice
Licensed66 Camelot Ridge Dr.
CityStateZip CodeCounty
BrandonFL33511Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-3$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME30269Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LAKELAND REGIONAL MEDICAL CENTER100157
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
9/15/20031/24/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sepsis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to communicate the seriousness of patient's condition to patient; allowed discharge
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Treatment related
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/9/200553-2005CA-3373
County Suit Filed inDate of Final Disposition
Polk12/15/2008
Other Defendants Involved in this Claim
Lakeland 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
2/7/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$539,439
Loss Adjust Expense Paid to Defense Counsel$323,689
All Other Loss Adjustment Expense Paid$88,145
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Ayanna N Rolette Medical Malpractice Lawsuits - Court Case # 53-2004-CA-001250

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535000
Claim Number :A02-26290-02
Date Submitted :4/21/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAyannaNRolette
Insurer TypeStreet Address of Practice
Licensed2929 Lakeland Hills Blvd.
CityStateZip CodeCounty
LakelandFL33805Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
45647$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME68081Pediatrics - No Surgery80267

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/29/20025/30/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Treatment rendered for suspected pharyngitis; patient died next day from diabetic ketoacidosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Office examination.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize/prevent impending diabetic crisis.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/30/200453-2004-CA-001250
County Suit Filed inDate of Final Disposition
Polk3/29/2005
Other Defendants Involved in this Claim
Lakeside Pediatrics, 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
3/29/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$41,368
All Other Loss Adjustment Expense Paid$41,084
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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