Department File Number : | M202092861 |
Claim Number : | SGI-18-402426 |
Date Submitted : | 6/24/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HUDSON EXCESS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
45-5271776 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | alberto | alzate | |||
Street Address | |||||
55 Ovalo Ct | |||||
City | State | Zip | |||
Saint Agustine | FL | 32095 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 710 - 2580 | alzal@hotmail.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | alberto | I | alzate | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 922 E Call St | ||||
City | State | Zip Code | County | ||
Starke | FL | 32091 | Bradford | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HFF020877-1709 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME81335 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Bradford | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
SHANDS HOSPITAL | 100113 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/24/2017 | 11/20/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Group B meningitis.Sepsis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
no procedures. | |||||
Diagnostic Code : | B95.1 A40. | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
group B strep meningitis.meningitissepsis | |||||
Principal Injury Giving Rise To The Claim | |||||
group B meningitis | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/20/2018 | 04-2018-CA-0535 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Bradford | 4/21/2020 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
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 | |||||
5/29/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $400,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
CME in Sepsis and Meningitis in neonates and children.Medical documentation review. |
Updates | |
No updates found. |
Department File Number : | M202093057 |
Claim Number : | SGI-18-402426 |
Date Submitted : | 7/21/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
SCHUMACHER GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
72-138302 | |||||
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 | ALBERTO | I | ALZATE | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 922 E CALL ST. | ||||
City | State | Zip Code | County | ||
STARKE | FL | 32091 | Bradford | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
CMI AE 1791945 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME81335 | Family Physicians or General Practitioners - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Bradford | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | SHANDS STARKE REGIONAL MEDICAL CENTER | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
12/24/2017 | 8/6/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
GROUP B STREP MENINGITIS | |||||
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 PROPERLY DIAGNOSE AND TREAT | |||||
Principal Injury Giving Rise To The Claim | |||||
HYPOXIC BRAIN INJURY AND DEATH | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/21/2018 | 042018CA0535 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Bradford | 7/21/2020 | ||||
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 | |||||
5/29/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $400,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $43,501 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $9,796 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
Does Dr. ALBERTO I ALZATE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALBERTO I ALZATE, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).