Medical Malpractice Cases In Sarasota County Florida

Dr. Brian A Schofield Medical Malpractice Lawsuits - Court Case # 2003 CA 4313NC

Indemnity Paid: $1,250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200537265
Claim Number :	A01-25292-01
Date Submitted :	10/12/2005

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	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Brian		A	Schofield
Insurer Type		Street Address of Practice
Licensed		4937 Clark Road
City		State	Zip Code	County
Sarasota		FL	34233	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
18245		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME68192		Surgery - Orthopedic		80154

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
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
6/19/2001		12/31/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Septic infection of wrist, resulting in osteomyelitis of bones in wrist.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to properly interpret lab studies.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose infectious process in wrist.
Principal Injury Giving Rise To The Claim
Surgical fusion of wrist.
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 Suit			Circuit Court Case Number
4/1/2003			2003 CA 4313NC
County Suit Filed in			Date of Final Disposition
Sarasota			9/15/2005
Other Defendants Involved in this Claim
Gulfcoast Orthopaedic Center
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
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/15/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$1,250,000

Loss Adjust Expense Paid to Defense Counsel

$17,983

All Other Loss Adjustment Expense Paid

$10,307

Injured Person's Total Non-Economic Loss

$743,608

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$91,392	$15,000
Wage Loss	$100,000	$300,000
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Scott A Tetreault Medical Malpractice Lawsuits - Court Case # 2004 CA 10891 NC

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200643117
Claim Number :	A04-30981-03
Date Submitted :	11/13/2006

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	Cheri		M	Montague
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Scott		A	Tetreault
Insurer Type		Street Address of Practice
Licensed		5969 Cattle Ridge Blvd.
City		State	Zip Code	County
Sarasota		FL	34232	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
64663		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65204		Oncology - no surgery		80259

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
COLUMBIA DOCTORS' HOSPITAL-SARASOTA		100166
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
2/12/2003		7/1/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sickle cell disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to treat acute chest syndrome.
Principal Injury Giving Rise To The Claim
Kidney damage and ophthalmologic disorder.
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 Suit			Circuit Court Case Number
11/23/2004			2004 CA 10891 NC
County Suit Filed in			Date of Final Disposition
Sarasota			10/25/2006
Other Defendants Involved in this Claim
Sarasota Doctor's Hospital Dudenhoeffer, M.D., Thomas K Erb, D.O., Donald
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
10/25/2006

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

$76,162

All Other Loss Adjustment Expense Paid

$57,659

Injured Person's Total Non-Economic Loss

$1,000,000

Deductible

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. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Thomas K Dudenhoeffer Medical Malpractice Lawsuits - Court Case # 2004 CA 10891 NC

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200744931
Claim Number :	30981-02
Date Submitted :	3/22/2007

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	Cheri		M	Montague
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Thomas		K	Dudenhoeffer
Insurer Type		Street Address of Practice
Licensed		7721 Holiday Drive
City		State	Zip Code	County
Sarasota		FL	34231	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
30170		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65379		Internal Medicine - No Surgery		80257

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
COLUMBIA DOCTORS' HOSPITAL-SARASOTA		100166
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
2/12/2003		7/6/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sickle cell disease crisis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose acute chest syndrome.
Principal Injury Giving Rise To The Claim
Kidney failure and neurologic damage.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
11/18/2004			2004 CA 10891 NC
County Suit Filed in			Date of Final Disposition
Sarasota			3/1/2007
Other Defendants Involved in this Claim
Columbia Doctor's Hospital-Sarasota Erb, D.O., Donald Tetreault, M.D., Scott
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
3/1/2007

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$1,000,000

Loss Adjust Expense Paid to Defense Counsel

$81,633

All Other Loss Adjustment Expense Paid

$74,472

Injured Person's Total Non-Economic Loss

$1,000,000

Deductible

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. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. James Eadens Medical Malpractice Lawsuits - Court Case # 2010CA004994NC

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201058861
Claim Number :	39497-02
Date Submitted :	10/20/2010

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	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	James			Eadens
Insurer Type		Street Address of Practice
Licensed		2001 Webber Street
City		State	Zip Code	County
Sarasota		FL	34231	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
79670		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME14383		Pathology - No Surgery		80266

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
SARASOTA MEMORIAL HOSPITAL		100087
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
11/14/2006		1/29/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe colitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to timely diagnose colon cancer, resulting in a one year delay with metastasis.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Colon cancer.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
5/17/2010			2010CA004994NC
County Suit Filed in			Date of Final Disposition
Sarasota			10/1/2010
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
10/1/2010

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

$17,160

All Other Loss Adjustment Expense Paid

$16,770

Injured Person's Total Non-Economic Loss

$1,000,000

Deductible

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. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Kevin L Boyer Medical Malpractice Lawsuits - Court Case # 2003 CA 2236NC

Indemnity Paid: $995,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200535176
Claim Number :	A02-27267-00
Date Submitted :	6/19/2006

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	Cheri		M	Montague
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Kevin		L	Boyer
Insurer Type		Street Address of Practice
Licensed		7252 Manatee Avenue W
City		State	Zip Code	County
Bradenton		FL	34209	Manatee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
37815		$1,500,000		$4,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME68033		Surgery - Neurology - Including Child		80152

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Manatee
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
7/25/2000		10/24/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
L5-S1 herniated disc and osteosarcoma of the left hip.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose osteosarcoma of the left hip.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
3/5/2003			2003 CA 2236NC
County Suit Filed in			Date of Final Disposition
Sarasota			5/26/2006
Other Defendants Involved in this Claim
Maklad, M.D., Nabil
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/26/2006

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$995,000

Loss Adjust Expense Paid to Defense Counsel

$91,035

All Other Loss Adjustment Expense Paid

$37,604

Injured Person's Total Non-Economic Loss

$995,000

Deductible

$50,000

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

Date of Change:

6/19/2006 10:11:54 AM

Reason for Change:

A payment of $495,000 was made on 4/14/2005 and balance of $500,000 was paid 5/26/2006.

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	16356	37604
Indemnity Paid	495000	995000
Cause of Injury	Alleged delay in diagnosis of sarcoma.	None.
Final Diagnosis	Claimant was diagnosed with herniated disk and underwent surgical treatment for it. He was subsequently diagnosed with a pelvic sarcoma.	L5-S1 herniated disc and osteosarcoma of the left hip.
Injured Person Address Street	4104 17th Avenue West	4104 17th Ave W
Payment Date	14-APR-05	26-MAY-06
Amount of Deductible Paid by Defendant	0	50000
Misdiagnosis	Claimant was treated for radiculopathy. It was claimed that there was a two month delay in the diagnosis of a sarcoma.	Alleged failure to diagnose osteosarcoma of the left hip.
Amount of Loss Adjustment Expense Paid to Defense Counsel	23255	91035
Insured Address Street	7252 Manatee Avenue W.	7252 Manatee Avenue W
Date of Final Disposition	14-APR-05	26-MAY-06
Injured Person Total Non-Economic Loss	495000	995000

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Dr. DAVID K ALDRICH Medical Malpractice Lawsuits - Court Case # 2003 CA-3609NC

Indemnity Paid: $888,208.00

Medical Malpractice Closed Claims Report

Department File Number :	M200744625
Claim Number :	119555
Date Submitted :	9/23/2008

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type		Entity Name
Entity		ProNational Insurance Company
Street Address
13919 Carrollwood Village Run
City				State	Zip
Tampa				FL	33618-2746
Phone	Ext	Fax	E-Mail Address
(813) 969 - 2010		(813) 969 - 2120	SNorris@ProAssurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	DAVID		K	ALDRICH
Insurer Type		Street Address of Practice
Licensed		436 Nokomis Avenue South
City		State	Zip Code	County
Venice		FL	34285	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MP38244		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME21203		Surgery - Thoracic		00000

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BON SECOURS-VENICE HOSPITAL		103004
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
11/5/2001		12/3/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Acute cholecystitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged injury to the common bile duct during laparoscopic cholecystectomy.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Following surgery, ERCP indicated a stricture of the common bile duct which required balloon dilatation and an internal biliary stent.
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 Suit			Circuit Court Case Number
3/19/2003			2003 CA-3609NC
County Suit Filed in			Date of Final Disposition
Sarasota			2/12/2007
Other Defendants Involved in this Claim
Surgical Associates of Venice
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court Decision			Other
Judgment for the plaintiff after appeal ...
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/16/2007

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$888,208

Loss Adjust Expense Paid to Defense Counsel

$80,578

All Other Loss Adjustment Expense Paid

$102,649

Injured Person's Total Non-Economic Loss

Deductible

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 has discussed case with insurance company personnel, medical experts and defense counsel.

Updates

Date of Change:

5/24/2007 3:39:46 PM

Reason for Change:

Update to reflect additional legal fees and expenses paid.

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	81166	81359
Amount of Loss Adjustment Expense Paid to Defense Counsel	80463	84922

Date of Change:

9/6/2007 3:51:38 PM

Reason for Change:

Update to reflect additional legal fees and expenses paid.

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	81359	81366
Amount of Loss Adjustment Expense Paid to Defense Counsel	84922	85324

Date of Change:

9/23/2008 3:41:02 PM

Reason for Change:

Report updated to reflect additional legal fees paid, and to reflect refund of costs.

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	81366	102649
Amount of Loss Adjustment Expense Paid to Defense Counsel	85324	80578

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Dr. Brian C James Medical Malpractice Lawsuits - Court Case # 2001-CA15226 NC

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200433508
Claim Number :	A01-24178-98
Date Submitted :	11/24/2004

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	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Brian		C	James
Insurer Type		Street Address of Practice
Licensed		3920 Bee Ridge Road, Bldg. E, Ste. F
City		State	Zip Code	County
Sarasota		FL	34233	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
16835		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME68542		Anesthesiology - Pain Management		80151

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
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
2/15/1998		6/12/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Administration of intrathecal narcotics.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
A granuloma developed at the tip of the spinal cord catheter used to administer intrathecal narcotics. It was alleged that there was a delay in diagnosing this despite several referrals to other specialists, including a neurosurgeon and a neurologist.
Principal Injury Giving Rise To The Claim
Lower spinal cord injury.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/29/2001			2001-CA15226 NC
County Suit Filed in			Date of Final Disposition
Sarasota			10/26/2004
Other Defendants Involved in this Claim
Shaver, M.D., Rodger W Radiology Regional Center, P.A.
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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/26/2004

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

$66,274

All Other Loss Adjustment Expense Paid

$26,729

Injured Person's Total Non-Economic Loss

$50,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$26,820	$600,000
Wage Loss	$0	$0
Other Expenses	$40,000	$100,000

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

The catheter manufacturer has now instituted a safety notice regarding this complication.

Updates

No updates found.

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Dr. Roland V Askins Medical Malpractice Lawsuits - Court Case # 2004-CA-2195NC

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200539004
Claim Number :	A02-26491-01
Date Submitted :	12/22/2005

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	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Roland		V	Askins
Insurer Type		Street Address of Practice
Licensed		4937 Clark Road
City		State	Zip Code	County
Sarasota		FL	34233	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
18063		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME67527		Surgery - Orthopedic		80154

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
WINTER PARK PAVILION		110026
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
12/3/2001		6/24/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for revision of previously performed total hip replacement due to loose right acetabular cup.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Replacement of acetabular cup.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Placement, inadvertently of a suture directly through the sciatic nerve, resulting in drop foot.
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 Suit			Circuit Court Case Number
4/8/2004			2004-CA-2195NC
County Suit Filed in			Date of Final Disposition
Sarasota			11/22/2005
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
11/22/2005

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

$19,433

All Other Loss Adjustment Expense Paid

$49,429

Injured Person's Total Non-Economic Loss

$750,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$116,658	$200,000
Wage Loss	$0	$733,342
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Richard B Malkin Medical Malpractice Lawsuits - Court Case # 2004-CA-5168NC

Indemnity Paid: $554,123.00

Medical Malpractice Closed Claims Report

Department File Number :	M200848201
Claim Number :	128812
Date Submitted :	8/20/2009

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type		Entity Name
Entity		ProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
City				State	Zip
Tampa				FL	33618-2746
Phone	Ext	Fax	E-Mail Address
(813) 969 - 2010		(813) 969 - 2120	SNorris@ProAssurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	Richard		B	Malkin
Insurer Type		Street Address of Practice
Licensed		1961 Floyd Street
City		State	Zip Code	County
Sarasota		FL	34239	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MP35839		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME23173		Surgery - Urological		00000

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
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
3/1/2002		2/16/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hematuria, recurrent malignant bladder tumor.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cystourethroscopy.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose bladder tumor.
Principal Injury Giving Rise To The Claim
Progression of cancer necessitating radical cystectomy.
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 Suit			Circuit Court Case Number
6/10/2004			2004-CA-5168NC
County Suit Filed in			Date of Final Disposition
Sarasota			6/8/2006
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court Decision			Other
Judgment for the plaintiff after appeal ...
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/3/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$554,123

Loss Adjust Expense Paid to Defense Counsel

$118,278

All Other Loss Adjustment Expense Paid

$45,265

Injured Person's Total Non-Economic Loss

$458,793

Deductible

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 has discussed case with insurance company personnel, medical experts and defense counsel.

Updates

Date of Change:

8/20/2009 9:42:00 AM

Reason for Change:

Report updated to reflect additional legal fees and expenses paid.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	107959	118278
All Other Loss Adjustment Expense Paid	47321	45265

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Dr. Chandana Bopitiya Medical Malpractice Lawsuits - Court Case # 2006CA1237NC

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200642647
Claim Number :	B05-33164-04
Date Submitted :	10/16/2006

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	Cheri		M	Montague
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Chandana			Bopitiya
Insurer Type		Street Address of Practice
Licensed		1287 U.S. Highway Bypass South
City		State	Zip Code	County
Venice		FL	34292	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
41199		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME26460		Cardiovascular Disease - No Surgery		80255

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BON SECOURS-VENICE HOSPITAL		100070
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
8/12/2004		9/29/2005

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Aortic dissection.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in treatment.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/23/2006			2006CA1237NC
County Suit Filed in			Date of Final Disposition
Sarasota			9/25/2006
Other Defendants Involved in this Claim
Abernathy, M.D., George T
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
9/25/2006

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

$4,098

All Other Loss Adjustment Expense Paid

$249

Injured Person's Total Non-Economic Loss

$500,000

Deductible

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. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Ricardo Yaryura Medical Malpractice Lawsuits - Court Case # 2006CA2786NC

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200744280
Claim Number :	237017A
Date Submitted :	2/2/2007

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	Josie			Maldonado
Street Address
13450 West Sunrise Blvd., Suite 160
City				State	Zip
Sunrise				FL	33323
Phone	Ext	Fax	E-Mail Address
(954) 858 - 0202		(954) 838 - 7480	JMaldonado@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Ricardo			Yaryura
Insurer Type		Street Address of Practice
Licensed		943 S. Beneva Road, #306
City		State	Zip Code	County
Sarasota		FL	34232	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
58096		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME73423		Pulmonary Diseases - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Telemetry Unit
Name of Institution		Code
SARASOTA MEMORIAL HOSPITAL		100087
Location of Institutional Injury		Other Location of Institutional Injury
Other		Telemetry Unit
Date of Occurrence		Date Reported to Insurer
11/26/2003		4/27/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Evaluation ofmitral valve regurgitation
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to appropriately manage anticoagulation medication post surgery
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Cardiac arrest causing anoxic brain injury leading to blindness and disability due to mismanagement of anticoagulation after cardiac surgery
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
3/28/2006			2006CA2786NC
County Suit Filed in			Date of Final Disposition
Sarasota			1/22/2007
Other Defendants Involved in this Claim
Beggs, M.D., Martin Graper, M.D., Peter Sarasota Cardio & Thorac Surg Associates, P.A. Sarasota Memorial 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
1/17/2007

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$500,000

Loss Adjust Expense Paid to Defense Counsel

$36,000

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$500,000

Deductible

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. Leonard Slazinski Medical Malpractice Lawsuits - Court Case # 2004-CA-7425 NC

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200536500
Claim Number :	A04-31157-00
Date Submitted :	9/2/2005

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	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Leonard			Slazinski
Insurer Type		Street Address of Practice
Licensed		1851 Arlington, Suite 204
City		State	Zip Code	County
Sarasota		FL	34239	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
4921		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME30860		Dermatology - No Surgery		80256

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
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
3/29/2000		8/4/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Basal cell carcinoma of left upper lip.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical removal of basal cell carcinoma.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to secure clear margins, i.e., failure to remove all cancerous cells.
Principal Injury Giving Rise To The Claim
Pt had to be referred to a Mohs surgeon for more extensive surgical excision of basal cell carcinoma, including removal & reconstructive surgery of corner of lip & upper lip.
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 Suit			Circuit Court Case Number
8/4/2004			2004-CA-7425 NC
County Suit Filed in			Date of Final Disposition
Sarasota			8/4/2005
Other Defendants Involved in this Claim

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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/4/2005

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

$9,290

All Other Loss Adjustment Expense Paid

$14,723

Injured Person's Total Non-Economic Loss

$500,000

Deductible

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. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. John P Fezza Medical Malpractice Lawsuits - Court Case # 02-17636-SC

Indemnity Paid: $475,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200432208
Claim Number :	01-0061
Date Submitted :	7/28/2004

Insurer Information

Insurer Name				Coverage Type
CLARENDON NATIONAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
52-0266645
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Nancy			Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
City				State	Zip
Houston				TX	77042-361
Phone	Ext	Fax	E-Mail Address
(713) 935 - 8868		(713) 461 - 8130	nancy_thomas@ajg.com

Insured Information

Type	First Name		MI	Last Name
Individual	John		P	Fezza
Insurer Type		Street Address of Practice
Licensed		2601 S. Tamiami Trail
City		State	Zip Code	County
Sarasota		FL	34239	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
CMP0011157		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME76288		Surgery - Opthalmology

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BON SECOURS-VENICE HOSPITAL		103004
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
4/1/2002		5/22/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Vision and eye problems post bilateral lower lid blepharoplasty
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to follow up on complaints post op of vison and eye problems, high ocular pressure, high blood pressure
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
Blindness in both eyes
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 Suit			Circuit Court Case Number
7/31/2003			02-17636-SC
County Suit Filed in			Date of Final Disposition
Sarasota			7/7/2004
Other Defendants Involved in this Claim
Laser & Surgical Services at Center for Sight, LLC Center for Sight, P.A. Surgery Center at St. Andrews, 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
3/15/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$475,000

Loss Adjust Expense Paid to Defense Counsel

$111,437

All Other Loss Adjustment Expense Paid

$15,779

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Unknown

Updates

No updates found.

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One or more fields in this claim have failed internal data validation testing.

Dr. FRANK J WIERICHS Medical Malpractice Lawsuits - Court Case # 2008 CA 015639 SC

Indemnity Paid: $475,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200955542
Claim Number :	154382
Date Submitted :	1/14/2010

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type		Entity Name
Entity		ProAssurance Casualty Company
Street Address
13919 Carrollwood Village Run
City				State	Zip
Tampa				FL	33618-2746
Phone	Ext	Fax	E-Mail Address
(813) 969 - 2010		(813) 969 - 2120	SNorris@ProAssurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	FRANK		J	WIERICHS
Insurer Type		Street Address of Practice
Licensed		420 Tamiami Trail South, Suite 302
City		State	Zip Code	County
Venice		FL	34285	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MP35663		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME19705		Neurology - Including Child - Minor Surgery		00000

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BON SECOURS-VENICE HOSPITAL		100070
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
12/7/2006		5/30/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Transient ischemic attack.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Treatment with medication for resolving stroke.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Death resulting from secondary stroke caused by large basilar clot resulting in death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/2/2008			2008 CA 015639 SC
County Suit Filed in			Date of Final Disposition
Sarasota			10/27/2009
Other Defendants Involved in this Claim
Frank J. Wierichs, Jr., M.D., 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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/28/2009

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$475,000

Loss Adjust Expense Paid to Defense Counsel

$14,649

All Other Loss Adjustment Expense Paid

$6,748

Injured Person's Total Non-Economic Loss

$475,000

Deductible

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 has discussed case with insurance company personnel, medical experts and defense counsel.

Updates

Date of Change:

1/14/2010 11:10:48 AM

Reason for Change:

Report updated to reflect additional legal fees and expenses paid.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	12619	14649
All Other Loss Adjustment Expense Paid	6427	6748

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Dr. BRIAN P LETTS Medical Malpractice Lawsuits - Court Case # 2009 CA 010030NC

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201058747
Claim Number :	FL-EPS-04
Date Submitted :	10/8/2010

Insurer Information

Insurer Name				Coverage Type
APPLIED MEDICO-LEGAL SOLUTIONS RISK RETENTION GROUP, INC.				Primary
Insurer FEIN		Professional License Number
81-0603029
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Barbara			Faulkner
Street Address
9229 LBJ Freeway
City				State	Zip
Dallas				TX	75234
Phone	Ext	Fax	E-Mail Address
(469) 330 - 6355		(972) 739 - 2631	bfaulkner@med-edge.com

Insured Information

Type	First Name		MI	Last Name
Individual	BRIAN		P	LETTS
Insurer Type		Street Address of Practice
Licensed		8390 ChampionsGate Blvd., Suite 306
City		State	Zip Code	County
Davenport		FL	33896	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
G-AMS-115097		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME54452		Emergency Medicine - No Major Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
SARASOTA MEMORIAL HOSPITAL		100087
Location of Institutional Injury		Other Location of Institutional Injury
Other		Emergency room
Date of Occurrence		Date Reported to Insurer
12/30/2007		12/3/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient expired the next day.Autopsy performed lists Cause of Death as myocardial infarction due to arteriosclerotic heart disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Chest X-ray was performed and read as normal.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient was diagnosed withthoracic pain and was discharged with meds and instruction too see general practitioner or return if symptoms worsen.
Principal Injury Giving Rise To The Claim
Patient presented to the Emergency Department complaining of cough, pain to upper back and left side.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
6/11/2009			2009 CA 010030NC
County Suit Filed in			Date of Final Disposition
Sarasota			10/7/2010
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
9/21/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$450,000

Loss Adjust Expense Paid to Defense Counsel

$70,149

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

$25,000

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

Review of Procedures.

Updates

No updates found.

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Dr. Michael Meriwether Medical Malpractice Lawsuits - Court Case # 2001-CA-7541-NC

Indemnity Paid: $425,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200642236
Claim Number :	215311
Date Submitted :	9/14/2006

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	Josie			Maldonado
Street Address
13450 West Sunrise Blvd., Suite 160
City				State	Zip
Sunrise				FL	33323
Phone	Ext	Fax	E-Mail Address
(954) 858 - 0202		(954) 838 - 7480	JMaldonado@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Michael			Meriwether
Insurer Type		Street Address of Practice
Licensed		4054 Sawyer Road
City		State	Zip Code	County
Sarasota		FL	34233	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
56739		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME43445		Neurology - Including Child - Minor Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Operating Room
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		Sarasota Doctors Hospital
Date of Occurrence		Date Reported to Insurer
6/9/1997		7/16/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Neck pain which radiated to the left arm and hand.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laser assisted cervical device associated with anterior cervical diskectomy.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged right & left sided neurological deficits.
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 Suit			Circuit Court Case Number
10/21/2001			2001-CA-7541-NC
County Suit Filed in			Date of Final Disposition
Sarasota			9/5/2006
Other Defendants Involved in this Claim
Clarus Medical Doctors Hospital of Sarasota
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
Award for defendant.
Date of Payment
8/29/2006

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

$237,400

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$325,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$100,000	$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.

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

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Dr. KATHLEEN WELCH-WILSON Medical Malpractice Lawsuits - Court Case # 2008 CA 2349 NC

Indemnity Paid: $421,755.00

Medical Malpractice Closed Claims Report

Department File Number :	M201056800
Claim Number :	0F2796
Date Submitted :	3/25/2010

Insurer Information

Insurer Name				Coverage Type
OCEANUS INSURANCE COMPANY, A RISK RETENTION GROUP				Excess
Insurer FEIN		Professional License Number
20-1066914
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Karen		M	Richards
Street Address
424 S, Woods Mill Road, Suite 340
City				State	Zip
Chesterfield				MO	63017
Phone	Ext	Fax	E-Mail Address
(314) 579 - 4204	n/a	(314) 579 - 4280	Karen.Richards@sedgwickcms.com

Insured Information

Type	First Name		MI	Last Name
Individual	KATHLEEN			WELCH-WILSON
Insurer Type		Street Address of Practice
Licensed		522 West Carlton St.
City		State	Zip Code	County
Wauchula		FL	33873	Hardee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
01-2005-001		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME47118		Emergency Medicine - No Major Surgery

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
Emergency Room
Name of Institution		Code
DESOTO MEMORIAL HOSPITAL		100175
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
5/1/2006		10/17/2007

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient went into respiratory distress shortly after having been diagnosed with a black widow spider bite; physician went in to immediately reassess and within one to two minutes she rapidly developed increased respiratory distress and became unconscious and stopped breathing.Although ACLS protocol being followed throughout the Code, she had recurrent malignant cardiac dysyrhythmias which resulted in a prolonged and difficult code and resuscitation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleges improperly performed resuscitation
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleges improperly performed resuscitation resulted in catastrophic brain damage.
Principal Injury Giving Rise To The Claim
Alleges failure to protect pltf's airway when she went into respiratory distress, failure to give appropriate anti-arrhythmic medication and improperly performed resuscitation
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/13/2008			2008 CA 2349 NC
County Suit Filed in			Date of Final Disposition
Sarasota			9/15/2009
Other Defendants Involved in this Claim
DeSoto Memorial 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
9/15/2009

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$421,755

Loss Adjust Expense Paid to Defense Counsel

$156,183

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

$500,000

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

Noe that I am aware of.

Updates

No updates found.

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Dr. Leonard Bernard Medical Malpractice Lawsuits - Court Case # 2006CA468NC

Indemnity Paid: $375,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200954658
Claim Number :	30136-01
Date Submitted :	8/25/2009

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	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Leonard			Bernard
Insurer Type		Street Address of Practice
Licensed		1261 S. Tamiami Trail
City		State	Zip Code	County
Sarasota		FL	34239	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
98009		$2,000,000		$5,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME64446		Anesthesiology		80151

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Cape Surgery Center
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
1/30/2004		2/2/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Benign lesion of chest.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical removal of lesion.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death due to reaction to anesthetic agents.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
1/30/2006			2006CA468NC
County Suit Filed in			Date of Final Disposition
Sarasota			8/3/2009
Other Defendants Involved in this Claim
Cape Surgical 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
8/3/2009

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

$34,771

All Other Loss Adjustment Expense Paid

$14,015

Injured Person's Total Non-Economic Loss

$375,000

Deductible

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

Settlement charged to CRNA.CRNA dismissed from her position.

Updates

No updates found.

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Dr. Joseph Noah Medical Malpractice Lawsuits - Court Case # 2010CA012128NC

Indemnity Paid: $291,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201471605
Claim Number :	FP4052301
Date Submitted :	8/14/2014

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
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Joseph			Noah
Insurer Type		Street Address of Practice
Licensed		836 Sunset Lake Boulevard, Suite A-205
City		State	Zip Code	County
Venice		FL	34292	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FP-CL099051		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME67457		Surgery - Orthopedic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
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
11/17/2009		8/9/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for post-bilateral knee arthroplasty exam at 35 days in complaint of leg swelling the previous day that was resolved on exam.Patient was examined; rehab course was reviewed and patient instructed to call or go to ER if complaints.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Course at rehab was reviewed; legs palpated, patient instructed if major complaints to call or go to ER.Swelling had subsided.Patient went to PCP on day 42 with complaints of shortness of breath and chest pain and was referred for follow up exam in several days to cardiologist.Later on the same day the paient deteriorated and was hospitalized from ER with pulmonary emboli and died the following day.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiff alleged failure to order Doppler study on 35th day visit.Distinguished experts strongly disputed indication for same.
Principal Injury Giving Rise To The Claim
Plaintiff died of pulmonary emboli on 43 post-operative day.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/13/2010			2010CA012128NC
County Suit Filed in			Date of Final Disposition
Sarasota			7/29/2014
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Disposed of by Court
Court Decision			Other
Judgment for the 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

$291,000

Loss Adjust Expense Paid to Defense Counsel

$68,746

All Other Loss Adjustment Expense Paid

$130,198

Injured Person's Total Non-Economic Loss

Deductible

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. Virind Gupta Medical Malpractice Lawsuits - Court Case # 2010CA000424NC

Indemnity Paid: $275,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201264333
Claim Number :	39006-01
Date Submitted :	7/13/2012

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	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Virind			Gupta
Insurer Type		Street Address of Practice
Licensed		4541 Bee Ridge Road
City		State	Zip Code	County
Sarasota		FL	34233	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
16514		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME57638		Family Physicians or General Practitioners - No Surgery		80239

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Sarasota
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
6/19/2005		7/28/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for chronic low back pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was treated conservatively with pain medication.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged inappropriate and excessive prescription pain medication.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
1/16/2010			2010CA000424NC
County Suit Filed in			Date of Final Disposition
Sarasota			6/22/2012
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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/22/2012

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$275,000

Loss Adjust Expense Paid to Defense Counsel

$70,624

All Other Loss Adjustment Expense Paid

$81,247

Injured Person's Total Non-Economic Loss

$275,000

Deductible

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. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Ronald J Heromin Medical Malpractice Lawsuits - Court Case # 2003-CA-18614 NC

Indemnity Paid: $275,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200640428
Claim Number :	125554
Date Submitted :	2/2/2007

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type		Entity Name
Entity		ProNational Insurance Company
Street Address
13919 Carrollwood Village Run
City				State	Zip
Tampa				FL	33618-2746
Phone	Ext	Fax	E-Mail Address
(813) 969 - 2010		(813) 969 - 2120	SNorris@ProAssurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	Ronald		J	Heromin
Insurer Type		Street Address of Practice
Licensed		779 Medical Drive, Suite 7
City		State	Zip Code	County
Englewood		FL	34223	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MP37957		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME47301		Surgery - Orthopedic		00000

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
ENGLEWOOD COMMUNITY HOSPITAL		110004
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
10/23/2001		9/15/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to Dr. Heromin with a two week history of hip, groin and interior thigh pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent in situ pinning of a right hip subcapital femoral neck fracture.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiffs allege Dr. Heromin misdiagnosed a hip fracture.
Principal Injury Giving Rise To The Claim
Plaintiffs allege Dr. Heromin's initial surgery was unnecessary which r esulted in 4 subsequent hip surgeries.
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 Suit			Circuit Court Case Number
1/7/2004			2003-CA-18614 NC
County Suit Filed in			Date of Final Disposition
Sarasota			4/20/2006
Other Defendants Involved in this Claim
Ronald J. Heromin, M.D., 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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/25/2006

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$275,000

Loss Adjust Expense Paid to Defense Counsel

$83,725

All Other Loss Adjustment Expense Paid

$49,602

Injured Person's Total Non-Economic Loss

Deductible

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 has discussed case with insurance company personnel, medical experts and defense counsel.

Updates

Date of Change:

2/2/2007 2:52:05 PM

Reason for Change:

Update to reflect additional expenses paid.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	78072	83725
All Other Loss Adjustment Expense Paid	42856	49602

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Dr. Brian Letts Medical Malpractice Lawsuits - Court Case # 2005CA686NC

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200640680
Claim Number :	609044
Date Submitted :	5/17/2006

Insurer Information

Insurer Name				Coverage Type
APPLIED MEDICO-LEGAL SOLUTIONS RISK RETENTION GROUP, INC.				Primary
Insurer FEIN		Professional License Number
81-0603029
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Rebecca		V	Gluff
Street Address
7369 Sheridan Street, Suite 301
City				State	Zip
Hollywood				FL	33024
Phone	Ext	Fax	E-Mail Address
(608) 879 - 2092		(608) 879 - 2746	Becky.Gluff@cambridge-na.com

Insured Information

Type	First Name		MI	Last Name
Individual	Brian			Letts
Insurer Type		Street Address of Practice
Licensed		8390 CHAMPIONS GATE BLVD STE 306
City		State	Zip Code	County
Davenport		FL	33837	Osceola
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
106265		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME54452		Emergency Medicine - No Major Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
COLUMBIA DOCTORS' HOSPITAL-SARASOTA		100166
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
12/13/2003		8/17/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Narcotic dependence; Hypoxic encephalopathy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Placement of Right Internal Jugular line
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose IJ line in pleural space
Principal Injury Giving Rise To The Claim
Cardiac/Respiratory arrest resulting in brain damage
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
1/24/2005			2005CA686NC
County Suit Filed in			Date of Final Disposition
Sarasota			4/13/2006
Other Defendants Involved in this Claim
Emergency Physician Specialists, 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
4/28/2006

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

$42,500

All Other Loss Adjustment Expense Paid

$15,439

Injured Person's Total Non-Economic Loss

$130,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$120,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

not applicable

Updates

No updates found.

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Dr. JAMES VILLOTTI Medical Malpractice Lawsuits - Court Case # 011600CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200325556
Claim Number :	17766-01
Date Submitted :	4/17/2007

Insurer Information

Insurer Name				Coverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATION				Primary
Insurer FEIN		Professional License Number
38-2102867
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christine			Sampson
Street Address
200 East Gaines Street
City				State	Zip
Tallahassee				FL	32399
Phone	Ext	Fax	E-Mail Address
(850) 413 - 5358		(850) 921 - 8243	Christine.Sampson@fldfs.com

Insured Information

Type	First Name		MI	Last Name
Individual	JAMES			VILLOTTI
Insurer Type		Street Address of Practice
Licensed		900 PINE STREET, SUITE 111
City		State	Zip Code	County
ENGLEWOOD		FL	34223	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
125356		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME38529		Family Physicians or General Practitioners - No Surgery		80420

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
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
2/1/1999		5/29/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
ELEVATED SED AND CREATININE LEVELS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
IT IS ALLEGED THAT THE INSUREDS FAILED TO APPRECIATE AN ELEVATED CREATININC AND ELEVATED SED RATE IN A 45 YEAR OLD FEMALE, RESULTING IN A DELAYED DIAGNOSIS OF LUPUS AND KIDNEY FAILURE.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
END STAGE RENAL FAILURE
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/21/2001			011600CA
County Suit Filed in			Date of Final Disposition
Sarasota			6/11/2003
Other Defendants Involved in this Claim
COKER, PA, JAMES
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

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$250,000

Deductible

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 CONSULTED WITH DEFENSE COUNSEL AND CLAIMS PERSONNEL REGARDING THIS MATTER.

Updates

Date of Change:

4/17/2007 3:41:56 PM

Reason for Change:

OIR updating Historical Closed Claim data.

Field Changed	Former Value	New Value
Injured Person Address County		Sarasota
County Injury Occurred In		Sarasota
Insured Last Name	VILLOTTI, MD	VILLOTTI
Insured License Number	ME00038529	ME38529
Portal User Name	plcr_migration_dccs plcr_migration_dccs	Christine Sampson

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Dr. Roger D Gordon Medical Malpractice Lawsuits - Court Case # 2001 CA 9906 NC

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200534810
Claim Number :	A01-23922-99
Date Submitted :	4/1/2005

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	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Roger		D	Gordon
Insurer Type		Street Address of Practice
Licensed		2221 59th Street West
City		State	Zip Code	County
Bradenton		FL	34209	Manatee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
8050		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME33812		Family Physicians or General Practitioners - No Surgery		80239

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
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
9/22/1999		4/10/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Colon cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to recommend colon cancer screening.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of cancer.
Principal Injury Giving Rise To The Claim
Colostomy, pain.
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 Suit			Circuit Court Case Number
7/6/2001			2001 CA 9906 NC
County Suit Filed in			Date of Final Disposition
Sarasota			3/8/2005
Other Defendants Involved in this Claim
Whitt, M.D., Gerald
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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/8/2005

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

$67,202

All Other Loss Adjustment Expense Paid

$33,927

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$120,000	$0
Wage Loss	$0	$0
Other Expenses	$310,000	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Dr. Gerald G Whitt Medical Malpractice Lawsuits - Court Case # 2001 CA 9906 NC

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200534811
Claim Number :	B01-23922-99
Date Submitted :	4/1/2005

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	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Gerald		G	Whitt
Insurer Type		Street Address of Practice
Licensed		5712 21st Avenue West
City		State	Zip Code	County
Bradenton		FL	34209	Manatee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
9872		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME30916		Surgery - Gynecology		80167

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
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
5/26/1999		7/12/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Colon cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to recommend colon cancer screening.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of cancer.
Principal Injury Giving Rise To The Claim
Colostomy, pain.
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 Suit			Circuit Court Case Number
10/17/2001			2001 CA 9906 NC
County Suit Filed in			Date of Final Disposition
Sarasota			3/8/2005
Other Defendants Involved in this Claim
Gordon, M.D., Roger D
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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/8/2005

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

$49,588

All Other Loss Adjustment Expense Paid

$20,768

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$120,000	$0
Wage Loss	$0	$0
Other Expenses	$310,000	$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.

This page is not displaying certain sensitive information.