Dr. CHARLES J LARSEN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. CHARLES J LARSEN, MD

87 B Conaskonk Circle

Indemnity Paid: $150,000.00

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	Maria			Gonzalez
Street Address
2801 SW 149th Avenue, Suite 200
City				State	Zip
Miramar				FL	33027
Phone	Ext	Fax	E-Mail Address
(954) 602 - 5834			mgonzalez@pronational.com

Insured Information

Type	First Name		MI	Last Name
Individual	Charles		J	Larsen
Insurer Type		Street Address of Practice
Licensed		87 B Conaskonk Circle
City		State	Zip Code	County
Royal Palm Beach		FL	33411	Palm Beach
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PNFL-1001619-00		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME27507		Internal Medicine - No Surgery		0

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Palm Beach
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
COLUMBIA HOSPITAL		100234
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
11/5/1998		11/15/1999

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Death
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
There was no operation performed
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose and treat TTP (Thrombotic Thrombocytopenia Purpura)
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
5/6/2000			CL00 4265 AO
County Suit Filed in			Date of Final Disposition
Palm Beach			4/30/2008
Other Defendants Involved in this Claim
Columbia Hospital Limited Partnership Milbauer, David David Milbauer, MDPA Ahr, David H Trauma Critical Care Surgeons, PA Jazarevic, Slobodan Slobodan Jazarevic, MDPA Wilhelm Larsen, MDPA Peterson, Laurie Laurie Peterson, DO, PA Millien, Garry D Joshua, Baskaran
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

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$150,000

Loss Adjust Expense Paid to Defense Counsel

$228,880

All Other Loss Adjustment Expense Paid

$106,543

Injured Person's Total Non-Economic Loss

$150,000

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insured discussed claim with insurance personnel and medical experts.

Updates

Date of Change:

8/6/2009 9:44:39 AM

Reason for Change:

Additional invoices paid after file closed.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	226682	228880
All Other Loss Adjustment Expense Paid	106519	106543

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Does Dr. CHARLES J LARSEN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. CHARLES J LARSEN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).