Department File Number : | M201988575 |
Claim Number : | 215502 |
Date Submitted : | 12/13/2019 |
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 | Lauren | Archer | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 439 - 7921 | larcher@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Asif | Kamal | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3005 CaringWay, Unit 2 | ||||
City | State | Zip Code | County | ||
Port Charlotte | FL | 33953 | Charlotte | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP39880 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME71572 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/31/2014 | 10/4/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
upper respiratory infection | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
he was prescribed a Z-pack and ProAir HFA aerosol and told to return in 10 days as needed. He did not return but did call for a refill on his cholesterol medication with no mention of further symptoms. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No description of any misdiagnosis made | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient was found dead approximately 1 month later with autopsy listing cause of death as bronchopneumonia. Toxicology post-death showed multiple drugs in his system. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/15/2017 | 17000810CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Charlotte | 9/30/2019 | ||||
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 | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
6/10/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $235,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $48,241 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $29,651 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $235,000 | ||||||||||||||||||||
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 | |
No updates found. |
Does Dr. ASIF KAMAL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ASIF KAMAL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).