Department File Number : | M201472380 |
Claim Number : | 13-0108-A-08 |
Date Submitted : | 10/20/2014 |
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 | Linda | D | Collins | ||
Street Address | |||||
4651 Salisbury Road, Suite 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 296 - 2887 | 214 | (904) 296 - 1245 | lcollins@fldic.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Carl | Noback | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1564 Kingsley Avenue | ||||
City | State | Zip Code | County | ||
Orange Park | FL | 32073 | Clay | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MS000346 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME82169 | Anesthesiology - All Other |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Clay | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Sanctuary Surgical Centre | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/11/2008 | 5/6/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented to undergo a series of MUA's for back pain. After the first MUA, the patient complained of pain from the first procedure. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
MUA's, discectomy and discogram at the L4-L5 & L5-S1. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
None made. | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to properly assess and evaluate the patient's spinal health prior to theManipulation Under Anesthesia(MUA); alleged failure to obtain proper informed consent for the discectomy performed. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/29/2012 | 50-2011-CA-006918 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 3/31/2014 | ||||
Other Defendants Involved in this Claim | |||||
Morreale, D.C., Michael Dortman, D.C., David Frank, D.O., Chad Goldmintz, D.O., Kim Sanctuary Surgical Centre | |||||
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 | |||||
3/31/2014 |
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 | $45,684 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Circumstances of this case have been discussed with the insured and Risk Management was notifed. |
Updates | |
No updates found. |
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Does Dr. CARL NOBACK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CARL NOBACK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).