Department File Number : | M201887127 |
Claim Number : | 817948-1 |
Date Submitted : | 11/26/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LONE STAR ALLIANCE, INC., A RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
46-3209483 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | D | King | ||
Street Address | |||||
901 south mopac Blvd V ste 400 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Chirag | Vijapura | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 500 Winderley Place, Ste 115 | ||||
City | State | Zip Code | County | ||
Maitland | FL | 32751 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
4-100142 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS13094 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Seminole | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL - ALTAMONTE | 120004 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/13/2017 | 12/29/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Alexis Miller, 22 presented to the hospital in labor. Patient also had complaints of chest pain and short of breath. She was 29 weeks pregnant at the time. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Insured physician was the attending emergency medical physician who attended to patient and her expectant child. Insured physician performed various tests to rule out cardiac event and PE for the mother. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
It was alleged the mother presented in fetal distress. It was alleged reporting physician failed to monitor fetus while in the emergency department which led to the fetal demise. The child was born stillborn. | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiffs alleged reporting physician failed to recognize signs of fetal distress and failed to consult with the on-call Ob team which could have assessed the fetus while in the ED. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 11/10/2018 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital Altamonte | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After arbitration is initiated or prior to suit being filed. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
11/6/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $375,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $54,014 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,400 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $375,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
none |
Updates | |
No updates found. |
Does Dr. CHIRAG VIJAPURA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CHIRAG VIJAPURA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).