| Department File Number : | M201574650 |
| Claim Number : | 13-0107-A-11 |
| Date Submitted : | 1/19/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| FD INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3704679 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Tamla | Lloyd | |||
| Street Address | |||||
| 4651 Salisbury Road, Suite 410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 296 - 2887 | 212 | (904) 296 - 1245 | tlloyd@fdinsurancecompany.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Anit | Garg | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2050 West Bay Dr. | ||||
| City | State | Zip Code | County | ||
| Largo | FL | 33770 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 11900 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME89231 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Pinellas | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| LARGO MEDICAL CENTER | 100248 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/22/2011 | 5/2/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Pt was admitted to ER Largo Medical Center (main campus location) with a subarachnoid hemorrhage on Jan 22, 2011. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| None shown | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| None made | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Pt coded and expired due to cerebral aneurysm. Insd allegedly fell below the standard of care in the treatment of the pt. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/23/2014 | 13-009064-CI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pinellas | 5/6/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Spinecare Associates, LLC, d/b/a Florida Spine Institute Garg Medical Center Inc. Dryas, John Kowalski, Robert Community Hospitalists of Pinellas, LLC Weot, Christine Rehab Physicians LLC Largo Medical Center Inc., d/b/a Largo Medical Center | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| 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? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $44,543 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstances of this case have been discussed with the insured. Risk management was notified.Risk management has discussed case with the insured. | |||||||||||||||||||||
| Updates | |||||||
| Date of Change: | 1/19/2016 3:26:38 PM | ||||||
| Reason for Change: | Updated LAE amount. | ||||||
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Does Dr. ANIT GARG, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANIT GARG, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).