Medical Malpractice Cases

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201783637
Claim Number :	SM272558
Date Submitted :	11/14/2017

 

Insurer Information
Insurer Name				Coverage Type
EVANSTON INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
36-2950161
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	CRYSTAL		L	ALSTONBAYTON
Street Address
4600 COX ROAD
City				State	Zip
GLEN ALLEN				VA	23060
Phone	Ext	Fax	E-Mail Address
(804) 864 - 3731		(855) 662 - 7535	CALSTONBAYTON@MARKELCORP.COM

 

Insured Information
Type	First Name		MI	Last Name
Individual	FRANTZ			SIMEON
Insurer Type		Street Address of Practice
Licensed		4960 SW 72ND AVE; STE 400
City		State	Zip Code	County
MIAMI		FL	33155	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
SM897682		$1,000,000		$5,000,000
Profession or Business			Other Profession or Business
Other			MEDICAL DENTAL BEHAVIORAL SERVICES TO CORRECTIONAL FACILITY
License Number		Specialty Code & Classification		Certification Number
ACN323

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				M	Sarasota
City				State	Zip Code
Location where injury occured			Other location where injury occured
Other Location			SARASOTA COUNTY JAIL CELL
Name of Institution			Code
Location of Institutional Injury			Other Location of Institutional Injury
Other			INMATE CELL
Date of Occurrence			Date Reported to Insurer
4/17/2014			5/27/2014

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CLMT ALLEGES FAILURE TO TREAT BACK CONDITION RESULTING IN L2-3 LAMINECTOMY AND MICRODISKECTOMY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
DELAYED DIAGNOSIS S/P PERMANENT NEUROLOGICAL INJURIES INCLUDING BUT NOT LIMITED TO BLADDER DYSFUNCTION LOSS OF SENSATION IN HIS SADDLE AREA, INABILITY TO OBTAIN AN ERECTION SEVERE PAIN AND DIMINISHED STRENGTH AND MOTOR FUNCTION IN HIS LEGS
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
CLMT PRESENT TO JAIL WITH HISTORY OF STENOSIS AND DEGENERATIVE DISK DISEASE IN HIS LOWER BACK. WALKED WITH NO ASSISTANCE OTHER THAN KNEE BRACE. ALLEGES RE-INJ AROUND 04172014 AND CAME UNDER ARMOR'S CARE. ALLEGES SHOOTING PAINS IN LEGS AND REQ'D WHEELCHAIR D/T INABILITY TO WALK. ALLEGES PAIN PERSISTED AND HE WAS REFUSED REQUEST TO GO TO ER. ON 04112014 HE WAS PUT IN MEDICAL UNITY WITH FULL BRACE NOTING STRESS FRACTURE. RELEASED TO GEN POP ON 04142014. GIVEN LOWER BUNK ADVISED NO WEIGHT BEARING FOR 5-6 WEEKS. ALLEGES CONDITION WORSENED UPON RELEASE ON 04232014 HE WAS RELEASED FROM JAIL. HE CALLED 911, WAS TRANSPORTED FROM JAIL. REMAINED IN HOSPITAL UNTIL RELEASED ON 06012014. ALLEGES DUE TO DELAYED DIAGNOSIS, HE NOW HAS PERMANENT INJURY.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
2/17/2015			2015CA000872NC
County Suit Filed in			Date of Final Disposition
Sarasota			4/30/2016
Other Defendants Involved in this Claim
ENNIS, LAURA A ATKINSON, JAMES E BURK, LISA B CARSTENS, SONJA K
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/30/2016

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$1,000,000
Loss Adjust Expense Paid to Defense Counsel					$60,568
All Other Loss Adjustment Expense Paid					$49,328
Injured Person's Total Non-Economic Loss					$0
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
NONE

 

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201886680
Claim Number :	EMC-FL-15-325806-1
Date Submitted :	10/11/2018

 

Insurer Information
Insurer Name				Coverage Type
EmCare Holdings, Inc.				Primary
Insurer FEIN		Professional License Number
75-173235		SI
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kathy		A	Stockton
Street Address
1900 W. LOOP S., STE. 1500
City				State	Zip
Houston				TX	77027
Phone	Ext	Fax	E-Mail Address
(713) 935 - 2404		(713) 461 - 8130	kathy_stockton@westernlitigation.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	JAN			BROWN
Insurer Type		Street Address of Practice
Self-Insurer		8330 LAKEWOOD RANCH RD
City		State	Zip Code	County
BRADENTON		FL	34202	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HAZ1040025381-13		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME113488		Emergency Medicine - Including Major Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				F	Sarasota
City				State	Zip Code
Location where injury occured			Other location where injury occured
Other Hospital/Institution			DOCTORS HOSPITAL OF SARASOTA
Name of Institution			Code
N/A			000000
Location of Institutional Injury			Other Location of Institutional Injury
Other			ER
Date of Occurrence			Date Reported to Insurer
10/10/2013			12/18/2015

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CEREBRAL EMBOLUS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO TIMELY REQUEST CONSULT
Principal Injury Giving Rise To The Claim
WORSENING CONDITION
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
6/30/2016			2016-CA-003356
County Suit Filed in			Date of Final Disposition
Sarasota			9/20/2018
Other Defendants Involved in this Claim
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/20/2018

 

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					$0
All Other Loss Adjustment Expense Paid					$0
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN

 

Updates

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201677100
Claim Number :	286831
Date Submitted :	2/12/2016

 

Insurer Information
Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	AUDRA		M	FLOYD
Street Address
13450 WEST SUNRISE BLVD
City				State	Zip
SUNRISE				FL	33323
Phone	Ext	Fax	E-Mail Address
(877) 320 - 0748	3111	(866) 636 - 5421	afloyd@thedoctors.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Richard		W	Golub
Insurer Type		Street Address of Practice
Licensed		4800 Peregrine Point Circle West
City		State	Zip Code	County
Sarasota		FL	34231	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0058096		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME85935		Surgery - Colon and Rectal

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				M	Sarasota
City				State	Zip Code
Location where injury occured			Other location where injury occured
Hospital Inpatient Facility
Name of Institution			Code
N/A			000000
Location of Institutional Injury			Other Location of Institutional Injury
Operating Suite
Date of Occurrence			Date Reported to Insurer
8/11/2009			6/1/2011

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to ER with cholelithiasis and acute cholecystitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured performed cholecystectomy.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Bilateral below the knee amputations.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
1/6/2012			2011CA 8370NC
County Suit Filed in			Date of Final Disposition
Sarasota			2/8/2016
Other Defendants Involved in this Claim
EMCARE, Inc. Federer, MD, Debra H Letts, MD, Brian P McDowell, PA, Mitchell C Sarasota Doctors Hospital, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/8/2016

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$750,000
Loss Adjust Expense Paid to Defense Counsel					$152,000
All Other Loss Adjustment Expense Paid					$0
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown

 

Updates

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

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201678039
Claim Number :	EMC-AO-11XS-271398
Date Submitted :	4/26/2016

 

Insurer Information
Insurer Name				Coverage Type
EmCare Holdings, Inc.				Primary
Insurer FEIN		Professional License Number
75-173235		SI
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kathy		A	Stockton
Street Address
1900 W. LOOP S., STE. 1500
City				State	Zip
Houston				TX	77027
Phone	Ext	Fax	E-Mail Address
(713) 935 - 2404		(713) 461 - 8130	kathy_stockton@westernlitigation.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	MITCHELL			MCDOWELL
Insurer Type		Street Address of Practice
Self-Insurer		5731 BEE RIDGE ROAD
City		State	Zip Code	County
SARASOTA		FL	34233	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
EMC-2011-Excess		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Other			PHYSICIANS ASSISTANT
License Number		Specialty Code & Classification		Certification Number
PA9102385

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				M	Sarasota
City				State	Zip Code
Location where injury occured			Other location where injury occured
Other Hospital/Institution			DOCTORS HOSPITAL OF SARASOTA
Name of Institution			Code
N/A			000000
Location of Institutional Injury			Other Location of Institutional Injury
Other			ER
Date of Occurrence			Date Reported to Insurer
8/11/2009			8/19/2011

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
UPPER RIGHT QUADRANT PAIN
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER. US WAS POSITIVE FOR DILATED GALLBLADDER. GIVEN DILAUDID AND PATIENT IMPROVED. DISCHARGED
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
ACUTE CHOLECYSTITIS AND SEPSIS R/I BKA OF BOTH LEGS.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
5/19/2011			2011CA8370NC
County Suit Filed in			Date of Final Disposition
Sarasota			3/28/2016
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
2/9/2016

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$625,000
Loss Adjust Expense Paid to Defense Counsel					$0
All Other Loss Adjustment Expense Paid					$0
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN

 

Updates

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201885415
Claim Number :	332576
Date Submitted :	5/31/2018

 

Insurer Information
Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Donald		L	Erb
Insurer Type		Street Address of Practice
Licensed		650 Cattleridge Blvd. Suite 201
City		State	Zip Code	County
Sarasota		FL	34232	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0967036		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS7114		Anesthesiology - Pain Management

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				M	Sarasota
City				State	Zip Code
Location where injury occured			Other location where injury occured
Hospital Outpatient Facility
Name of Institution			Code
SARASOTA MEMORIAL HOSPITAL			100087
Location of Institutional Injury			Other Location of Institutional Injury
Operating Suite
Date of Occurrence			Date Reported to Insurer
5/9/2013			8/1/2015

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient sought treatment for chronic low back pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient underwent epidural steroid injections.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
It is alleged that the insured inappropriately and negligently performed epidural steroid injection resulting in neurologic deficits including paraplegia and paraparesia in this 60 year old male.
Principal Injury Giving Rise To The Claim
Neurologic deficits including alleged paraplegia and paraparesia.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
11/23/2015			2016CA6323
County Suit Filed in			Date of Final Disposition
Sarasota			5/2/2018
Other Defendants Involved in this Claim
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/2/2018

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$600,000
Loss Adjust Expense Paid to Defense Counsel					$4,817
All Other Loss Adjustment Expense Paid					$87,826
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

 

Updates

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201887062
Claim Number :	322338
Date Submitted :	11/18/2018

 

Insurer Information
Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Christopher		M	Donato
Insurer Type		Street Address of Practice
Licensed		2509 West Crest Avenue Suite 1
City		State	Zip Code	County
Tampa		FL	33614	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0948706		$2,000,000		$5,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN14844		Dental General Practice - NOC

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				M	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
7/18/2014			9/8/2014

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Need for restoration of dental implant for tooth #19.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Taking of impression to manufacture crown for dental implant.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was none.
Principal Injury Giving Rise To The Claim
32 year old patient with spina bifida, VP shunt and Crohn's Disease status post colectomy and colostomy required surgery to remove a hex driver that he swallowed after it was inadvertently dropped onto his tongue. The object became stuck at an area of a pre-existing stricture in the small bowel.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
10/5/2016			2016-CA-4893NC
County Suit Filed in			Date of Final Disposition
Sarasota			10/23/2018
Other Defendants Involved in this Claim
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/23/2018

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$575,000
Loss Adjust Expense Paid to Defense Counsel					$51,410
All Other Loss Adjustment Expense Paid					$18,455
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

 

Updates

No updates found.

 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201987778
Claim Number :	354384
Date Submitted :	2/3/2019

 

Insurer Information
Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Ryan		L	Baker
Insurer Type		Street Address of Practice
Licensed		943 South Beneva Road Suite 306
City		State	Zip Code	County
Sarasota		FL	34232	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0058096		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME113210		Family Physicians or General Practitioners - No Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				F	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
Patients' Room
Date of Occurrence			Date Reported to Insurer
7/24/2016			4/3/2017

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Acute anemia and aspiration pneumonia; ultimately a bleeding duodenal ulcer was discovered.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose and treat acute anemia and a bleeding duodenal ulcer and failure to timely order a GI consult.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
8/8/2017			2017CA003892NC
County Suit Filed in			Date of Final Disposition
Sarasota			1/16/2019
Other Defendants Involved in this Claim
Intercoastal Medical Group, Inc. Thomas, MD, Jessica M Baker, MD, Ryan L Sarasota Memorial Health Care System
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
1/16/2019

 

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					$21,461
All Other Loss Adjustment Expense Paid					$4,921
Injured Person's Total Non-Economic Loss					$500,000
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $100,733 $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.

 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201678760
Claim Number :	326221
Date Submitted :	6/17/2016

 

Insurer Information
Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	LEONIE		M	VAN PASSEL
Insurer Type		Street Address of Practice
Licensed		943 SOUTH BENEVA ROAD, SUITE 306
City		State	Zip Code	County
SARASOTA		FL	34239	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0058096		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME94413		Surgery - Neurology - Including Child

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				F	Sarasota
City				State	Zip Code
Location where injury occured			Other location where injury occured
Other Hospital/Institution			SARASOTA DOCTORS HOSPITAL
Name of Institution			Code
Location of Institutional Injury			Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence			Date Reported to Insurer
6/5/2014			1/16/2015

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
STROKE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED FAILURE TO ORDER AND ADMINISTER TPA.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
NEUROLOGICAL INJURIES.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
1/14/2016			2015CA002493NC
County Suit Filed in			Date of Final Disposition
Sarasota			5/18/2016
Other Defendants Involved in this Claim
CANTERO, JULIO SARASOTA DOCTORS HOSPITAL NEUROWORKS INTERCOASTAL MEDICAL GROUP
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment

 

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					$36,367
All Other Loss Adjustment Expense Paid					$13,066
Injured Person's Total Non-Economic Loss					$1,000,000
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $100,000 $4,000,000 Wage Loss $35,000 $75,000 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. Patient Safety referral is made if appropriate.

 

Updates

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

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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201885036
Claim Number :	356675
Date Submitted :	4/13/2018

 

Insurer Information
Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

 

Insured Information
Type	First Name		MI	Last Name
Individual	Thomas			Reed
Insurer Type		Street Address of Practice
Licensed		2001 Webber Street
City		State	Zip Code	County
Sarasota		FL	34239	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0948843		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME62026		Pathology - All Other

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Injured Person Information
First Name		MI	Last Name		Date of Birth
Street Address				Gender	County where Injury Occurred
				M	Sarasota
City				State	Zip Code
Location where injury occured			Other location where injury occured
Other Location			Sarapath Diagnostics
Name of Institution			Code
Location of Institutional Injury			Other Location of Institutional Injury
Other			Physician's Office
Date of Occurrence			Date Reported to Insurer
2/26/2015			6/1/2017

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Analysis of biopsy of lesion of the floor of the mouth, under the tongue, which the patient had postponed for over 2 years.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Pathology interpretation of lesion as benign.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Lesion of malignant.
Principal Injury Giving Rise To The Claim
Patient underwent chemotherapy but had recurrence with metastasis and died.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
9/5/2017			2017-CA-4409
County Suit Filed in			Date of Final Disposition
Sarasota			4/10/2018
Other Defendants Involved in this Claim
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/10/2018

 

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					$0
All Other Loss Adjustment Expense Paid					$4,638
Injured Person's Total Non-Economic Loss					$0
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

 

Updates

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