Dr. ANDREA LARSON, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. ANDREA LARSON, MD

560 Village Blvd. Suite 250

Indemnity Paid: $7,500.00

Insurer Information

Insurer Name				Coverage Type
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA				Primary
Insurer FEIN		Professional License Number
25-0687550
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Shabbir			Bengali
Street Address
101 Hudson Street, 28th Floor
City				State	Zip
Jersey City				NJ	07302
Phone	Ext	Fax	E-Mail Address
(201) 631 - 7762		(201) 631 - 5057	Shabbir.Bengali@aig.com

Insured Information

Type	First Name		MI	Last Name
Individual	Andrea			Larson
Insurer Type		Street Address of Practice
Licensed		560 Village Blvd. Suite 250
City		State	Zip Code	County
West Palm Beach		FL	33409	Palm Beach
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
1939493		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Licensed Practical Nurse
License Number		Specialty Code & Classification		Certification Number
PN1093351		Physicians or Surgeons

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		Visiting Nurse Corp. of So. Fl.
Date of Occurrence		Date Reported to Insurer
10/14/1996		10/2/1997

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Flu Shot
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Flu shot provided
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Previous Medical Records
Principal Injury Giving Rise To The Claim
Alleged Brachial Plexitis
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
4/7/1998			98-3128
County Suit Filed in			Date of Final Disposition
Brevard			10/4/2001
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
Judgment notwithstanding the verdict for plaintiff.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/4/2001

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$7,500

Loss Adjust Expense Paid to Defense Counsel

$56,308

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

unknown

Updates

Date of Change:

11/1/2005 11:11:09 AM

Reason for Change:

Mispelled words, words to close together.

Field Changed	Former Value	New Value
Severity of Injury	Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.	Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.
Misdiagnosis	Previoud Medical Records	Previous Medical Records
Principal Injury	AllegedBrachial Plexitis	Alleged Brachial Plexitis

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Does Dr. ANDREA LARSON, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. ANDREA LARSON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).