| Department File Number : | M201885215 |
| Claim Number : | 1623208 |
| Date Submitted : | 4/30/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HALLMARK SPECIALTY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 74-2378996 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Pamela | M | Burke | ||
| Street Address | |||||
| 615 Crescent Executive Court, Suite 212 | |||||
| City | State | Zip | |||
| Lake Mary | FL | 32746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (828) 255 - 5171 | (321) 972 - 0122 | pamelaburke@hamlinandburton.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Andre | Benson | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 7720 Washington Street | ||||
| City | State | Zip Code | County | ||
| Port Richey | FL | 34668 | Pasco | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FLM900192 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME23061 | Physicians - No Surgery. NOC classification. | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Hernando | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | Patient's home | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/18/2014 | 3/24/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Opiate abuse and dependence | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Insured took history and physical and prescribed outpatient treatment. A 5 day protocol with Methadone dosing each day was implemented. The day after her final dose, the patient died at home. The Medical Examiner listed Methadone toxicity as the cause of death. | |||||
| Diagnostic Code : | 965.02 | ||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Increasing dosages of Methadone during treatment. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient's death from Methadone toxicity. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 7/22/2016 | 2016-CA-915 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hernando | 4/27/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Operation Par, 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 | |||||
| 4/27/2018 | |||||
| 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 | $85,868 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $10,637 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $150,000 | ||||||||||||||||||||
| Deductible | $2,500 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Consideration of less aggressive Methadone treatment. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. ANDRE BENSON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANDRE BENSON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).