Department File Number : | M201989234 |
Claim Number : | 229031 |
Date Submitted : | 1/28/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE INDEMNITY COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
63-0720042 | |||||
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 | BEVERLY | A | BELLE | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 8244 Grossomer Bay Drive | ||||
City | State | Zip Code | County | ||
Charlotte | NC | 28270 | Out of state | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP103721 | $250,000 | $500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME122795 | Surgery - Obstetrics - Gynecology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MEASE HOSITAL - COUNTRYSIDE | 110001 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/20/2016 | 5/9/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Termination of pregnancy, premature rupture of membranes | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Termination of pregnancy, premature rupture of membranes | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis made of actual condition | |||||
Principal Injury Giving Rise To The Claim | |||||
Brain hemorrhage resulting in cerebral palsy | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/10/2018 | 18-185084CI | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 9/3/2019 | ||||
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 | |||||
7/24/2019 |
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 | $24,614 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $9,353 | ||||||||||||||||||||
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 | |
No updates found. |
Does Dr. BEVERLY A BELLE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. BEVERLY A BELLE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).