| Department File Number : | M201783495 |
| Claim Number : | 209371 |
| Date Submitted : | 9/26/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PROASSURANCE CASUALTY COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 38-2317569 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Denise | Stokes | |||
| Street Address | |||||
| 100 Brookwood Place | |||||
| City | State | Zip | |||
| Birmingham | AL | 35209 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (205) 802 - 4790 | (205) 802 - 4710 | claimscompliancereporting@proassurance.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Aneley | Hundae | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 3340 Tamiami Trail | ||||
| City | State | Zip Code | County | ||
| Port Charlotte | FL | 33952 | Charlotte | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP37946 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME106485 | Cardiovascular Disease - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Charlotte | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| FAWCETT MEMORIAL HOSPITAL | 100236 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/6/2015 | 1/4/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| left chest pain, back pain and jaw pain. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Cardiology consultation | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis | |||||
| Principal Injury Giving Rise To The Claim | |||||
| 71 YOM alleges delay in diagnosis and treatment of MI resulted in extensive myocardial damage and need for heart transplant. | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/29/2016 | 16001358CA | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Charlotte | 8/31/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Charlotte Heart and Vascular Institute PA Rivera, Juan I Millennium Physician Group, LLC Baldwin, Dianne M Fawcett Memorial Hospital | |||||
| 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 | ||||
| Summary judgment for the defendant. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $155,616 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $46,510 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Insured discussed case with defense counsel, insurance personnel, and medical experts. | |||||||||||||||||||||
| Updates | |||||||||||||||||||
| Date of Change: | 5/31/2018 4:10:42 PM | ||||||||||||||||||
| Reason for Change: | Updated ALAE information | ||||||||||||||||||
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| Date of Change: | 7/10/2018 1:41:01 PM | ||||||||||||||||||
| Reason for Change: | updated alae | ||||||||||||||||||
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| Date of Change: | 8/3/2018 2:53:01 PM | ||||||||||||||||||
| Reason for Change: | updated alae | ||||||||||||||||||
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| Date of Change: | 9/26/2018 1:05:36 PM | ||||||||||||||||||
| Reason for Change: | updated alae | ||||||||||||||||||
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Does Dr. ANELEY HUNDAE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANELEY HUNDAE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).