Dr. ANDREW DERWIN, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. ANDREW DERWIN, MD

291 S Collier Blvd

Marco Island, FL

34145

Collier

Court Case #

Indemnity Paid: $50,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201680262
Claim Number :	HMA47285
Date Submitted :	11/10/2016

Insurer Information

Insurer Name				Coverage Type
CONTINENTAL CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
36-2114545
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Shauna			Jumper
Street Address
333 S Wabash Ave
City				State	Zip
Chicago				IL	60604
Phone	Ext	Fax	E-Mail Address
(312) 822 - 5419			Shauna.Jumper@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	ANDREW			DERWIN
Insurer Type		Street Address of Practice
Licensed		291 S Collier Blvd
City		State	Zip Code	County
Marco Island		FL	34145	Collier
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DLP 0035015243		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN10270		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	Collier
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Dental Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
3/11/2014		5/22/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient had tooth #29 extracted which allegedly resulted in diagnosis of osteomyelitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient needed to have dental work performed.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Insured extracted tooth #29.
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
			*NR
County Suit Filed in			Date of Final Disposition
*NR			11/7/2016
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 not subject to Arbitration.
Date of Payment
10/25/2016

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$50,000

Loss Adjust Expense Paid to Defense Counsel

$18,941

All Other Loss Adjustment Expense Paid

$4,550

Injured Person's Total Non-Economic Loss

Deductible

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

Investigate and identify risks and reduce the liability exposure.

Updates

No updates found.

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

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Frequently Asked Questions

Does Dr. ANDREW DERWIN, MD have any medical malpractice cases, lawsuits, or complaints?

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

Medical Malpractice Cases