Medical Malpractice Cases

Medical Malpractice Cases In Suwannee County Florida

Dr. JOEY T KENNEY Medical Malpractice Lawsuits - Court Case # 2017-CA-100

Indemnity Paid: $2,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884696
Claim Number : PHY-16-359767
Date Submitted : 3/19/2018
 
Insurer Information
 
Insurer Name Coverage Type
Team Health, Inc. Primary
Insurer FEIN Professional License Number
62-1562558  
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 JOEY T KENNEY
Insurer Type Street Address of Practice
Self-Insurer 1900 WINSTON RD.
City State Zip Code County
KNOXVILLE TN 37919 Out of state
Policy Number Per Claim Policy Limits Aggregate Policy Limits
ES1800 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME67656 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Columbia
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
SHANDS AT LAKE SHORE 100102
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
6/7/2015 2/3/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MRSA
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE
Principal Injury Giving Rise To The Claim
SYSTEMIC MRSA INFECTION R/I SEA, CORD COMPRESSION AND QUADRIPLEGIA
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/2/2017 2017-CA-100
County Suit Filed in Date of Final Disposition
Suwannee 3/19/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
3/1/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $2,000,000
Loss Adjust Expense Paid to Defense Counsel $40,291
All Other Loss Adjustment Expense Paid $31,131
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Romulo A Armas Medical Malpractice Lawsuits - Court Case # 6120-04-CA-008-000-1

Indemnity Paid: $850,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849832
Claim Number :18769
Date Submitted :8/12/2008
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRomuloAArmas
Insurer TypeStreet Address of Practice
LicensedPO Box 103578
CityStateZip CodeCounty
GainesvilleFL32610Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600094 03$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME22238Emergency Medicine - No Major Surgery73703

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSuwannee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SHANDS AT LIVE OAK (SUWANNEE)100146
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
5/19/200310/3/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dog bite wounds
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :429.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to prescribe first generation antibiotics
Principal Injury Giving Rise To The Claim
Bacterial endocarditis
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/7/20046120-04-CA-008-000-1
County Suit Filed inDate of Final Disposition
Suwannee6/10/2008
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Directed verdict for plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/3/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$850,000
Loss Adjust Expense Paid to Defense Counsel$145,725
All Other Loss Adjustment Expense Paid$127,407
Injured Person's Total Non-Economic Loss$850,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$238,966$0
Wage Loss$10,265$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:8/12/2008 11:27:07 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 06/10/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition02-JUN-0810-JUN-08

 

 

This page is not displaying certain sensitive information.

Dr. Charlotte Y Gerry Medical Malpractice Lawsuits - Court Case # 2017CA000185CAAXMX

Indemnity Paid: $150,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201987534
Claim Number : 1044459-01
Date Submitted : 1/8/2019
 
Insurer Information
 
Insurer Name Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA Primary
Insurer FEIN Professional License Number
59-1625412  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn   Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778   (260) 486 - 0782 Lynn.Louthan@MEDPRO.COM
 
Insured Information
 
Type First Name MI Last Name
Individual Charlotte Y Gerry
Insurer Type Street Address of Practice
Licensed 530 East Howard Street
City State Zip Code County
Live Oak FL 32064 Suwannee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL010290 $250,000 $750,000
Profession or Business Other Profession or Business
Dentistry  
License Number Specialty Code & Classification Certification Number
DN14223 Dentists - NOC classification.  

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 Suwannee
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
4/27/2016 6/2/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
dental issues
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
dental extractions and implants placed
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
failure of implants
Principal Injury Giving Rise To The Claim
re-do dental work, residual unremitting pain
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/6/2017 2017CA000185CAAXMX
County Suit Filed in Date of Final Disposition
Suwannee 1/7/2019
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
1/7/2019
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $150,000
Loss Adjust Expense Paid to Defense Counsel $26,269
All Other Loss Adjustment Expense Paid $8,379
Injured Person's Total Non-Economic Loss $101,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
No updates found.

 

Dr. Keith E Myers Medical Malpractice Lawsuits - Court Case # 612002-CA-002100001

Indemnity Paid: $20,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850396
Claim Number :16028
Date Submitted :8/12/2008
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKeithEMyers
Insurer TypeStreet Address of Practice
LicensedPO Box 103578
CityStateZip CodeCounty
GainesvilleFL32610Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600094 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME77625Internal Medicine - No Surgery1102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSuwannee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SHANDS AT LIVE OAK (SUWANNEE)100146
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/31/200012/14/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right index finger laceration
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Wound closure
Diagnostic Code :927.3
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat tendon laceration
Principal Injury Giving Rise To The Claim
Laceration of EDC tendon with scarring
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/14/2002612002-CA-002100001
County Suit Filed inDate of Final Disposition
Suwannee7/14/2008
Other Defendants Involved in this Claim
Shands Teaching Hospital & Clinics, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/27/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$20,000
Loss Adjust Expense Paid to Defense Counsel$35,731
All Other Loss Adjustment Expense Paid$18,109
Injured Person's Total Non-Economic Loss$20,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:8/12/2008 12:29:16 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 07/14/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition30-JUN-0814-JUL-08

 

 

This page is not displaying certain sensitive information.

Dr. Belanje S Hegde Medical Malpractice Lawsuits - Court Case # 61-2003-CA

Indemnity Paid: $2,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640771
Claim Number :16666
Date Submitted :5/24/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBelanjeSHegde
Insurer TypeStreet Address of Practice
Licensed7776 Evening Star Lane
CityStateZip CodeCounty
TallahasseeFL32312Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600450 00$2,000,000$6,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME23629Radiology - Diagnostic - No Surgery49509

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSuwannee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SHANDS AT LIVE OAK (SUWANNEE)100146
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
1/16/200111/25/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fractured ankle
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
X-ray
Diagnostic Code :928.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose fractured ankle
Principal Injury Giving Rise To The Claim
Fractured ankle
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/27/200361-2003-CA
County Suit Filed inDate of Final Disposition
Suwannee5/4/2006
Other Defendants Involved in this Claim
Ghafoor, MD, Nasrullah
Shands at Live Oak
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/11/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,500
Loss Adjust Expense Paid to Defense Counsel$23,444
All Other Loss Adjustment Expense Paid$2,027
Injured Person's Total Non-Economic Loss$2,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Scott B Samera Medical Malpractice Lawsuits - Court Case # 14-000185CA

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679592
Claim Number : 20046-01
Date Submitted : 9/1/2016
 
Insurer Information
 
Insurer Name Coverage Type
PODIATRY INSURANCE COMPANY OF AMERICA Primary
Insurer FEIN Professional License Number
58-1403235  
Insurer Contact Information
Type First Name MI Last Name
Individual Karen   Kessler
Street Address
3000 Meridian Blvd., Suite 400
City State Zip
Franklin TN 37067
Phone Ext Fax E-Mail Address
(615) 371 - 8776 2249   kkessler@picagroup.com
 
Insured Information
 
Type First Name MI Last Name
Individual Scott B Samera
Insurer Type Street Address of Practice
Licensed 404 NW Hall of Fame Dr.
City State Zip Code County
Lake City FL 32055 Suwannee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
1PD0046329 $250,000 $750,000
Profession or Business Other Profession or Business
Podiatric Physician  
License Number Specialty Code & Classification Certification Number
PO3510    

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 Suwannee
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
2/1/2012 10/23/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Diabetic neuropathy; Charcot foot
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Application of Jones compression dressing; CAM Walker dispensed; crutches dispensed
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Pltfs expert alleges that Dr. Samera failed to refer the patient to the appropriate specialist for a complete and comprehensive vascular status work up and evaluation in the presence of a diabetic neuropathy, peripheral vascular disease including absent pedal pulses, and Charcot foot.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/28/2014 14-000185CA
County Suit Filed in Date of Final Disposition
Suwannee 8/31/2016
Other Defendants Involved in this Claim
Scott B. Samera, DPM, P.A.
Bienvenido Samera, M.D., P.A.
Samera, M.D., Bienvenido
Branford Family Medical Center, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
Disposed of by Court
Court Decision Other
Other Dismissed w/prejudice
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $91,646
All Other Loss Adjustment Expense Paid $21,362
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None - Specialty code #80993
 
Updates
 
No updates found.

 

 

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

This page is not displaying certain sensitive information.

Dr. Bienvenido M Samera Medical Malpractice Lawsuits - Court Case # 14-000185-CA

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679664
Claim Number : 46370
Date Submitted : 9/9/2016
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Bienvenido M Samera
Insurer Type Street Address of Practice
Licensed 303 Suwannee Ave.
City State Zip Code County
Branford FL 32008 Suwannee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600556 11 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME28682 Family Physicians or General Practitioners - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Suwannee
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
Patients' Room  
Date of Occurrence Date Reported to Insurer
2/2/2012 10/10/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Peripheral vascular disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to note absent pedal pulses
Principal Injury Giving Rise To The Claim
Right leg below the knee amputation
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/18/2014 14-000185-CA
County Suit Filed in Date of Final Disposition
Suwannee 8/9/2016
Other Defendants Involved in this Claim
Samora, DPM, Scott
Branford Medical Center, 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
No Payment Made
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? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $62,344
All Other Loss Adjustment Expense Paid $13,632
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $40,000 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. VERNON P MONTOYA Medical Malpractice Lawsuits - Court Case # 3:15-CV-00649-MMH-JR

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782486
Claim Number : FL0482
Date Submitted : 7/5/2017
 
Insurer Information
 
Insurer Name Coverage Type
HEALTHCARE UNDERWRITERS GROUP, INC. Primary
Insurer FEIN Professional License Number
74-3129288  
Insurer Contact Information
Type First Name MI Last Name
Individual Yvette   de la Morena
Street Address
1250 S. Pine Island Road Suite 300
City State Zip
Plantation FL 33324
Phone Ext Fax E-Mail Address
(954) 923 - 1900     ymorena@hugroups.com
 
Insured Information
 
Type First Name MI Last Name
Individual VERNON P MONTOYA
Insurer Type Street Address of Practice
Licensed 289 SW Stonegate Terrace, Suite 103
City State Zip Code County
Lake City FL 32024 Columbia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
196-000 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME61981 Hematology - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Suwannee
City State Zip Code
     
Location where injury occured Other location where injury occured
Prison  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other Prison
Date of Occurrence Date Reported to Insurer
6/1/2015 10/11/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Treatment was sought for Hep C.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged no treatment was given
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Alleged no treatment for Hep C. given during incarceration.
Severity Of Injury
Emotional Only - Fright, no physical damage

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/26/2016 3:15-CV-00649-MMH-JR
County Suit Filed in Date of Final Disposition
Suwannee 6/28/2017
Other Defendants Involved in this Claim
Corizon Health Corp
Marceus, Dr.
Jones, Sec, FL Dept of Corr, Julie
Le, Chuong
Cabrero Muniz, Dr.
Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
No Payment Made
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? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $8,375
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
Discussed with insured.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

View All Medical Malpractice Cases In Suwannee County Florida
Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade Desoto Dixie Duval Escambia Flagler Franklin Gadsden Hamilton Hardee Hendry Hernando Highlands Hillsborough Indian River Jackson Lake Lee Leon Levy Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Out of state Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Volusia Walton