| Department File Number : | M201781747 |
| Claim Number : | F13-0255-12 |
| Date Submitted : | 4/7/2017 |
| 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 | jason | haynie | |||
| Street Address | |||||
| 4651 Salisbury Rd., Ste. 410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 296 - 2887 | jhaynie@norcal-group.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Christopher | Bald | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2120 SW 22nd Pl | ||||
| City | State | Zip Code | County | ||
| Ocala | FL | 34471 | Marion | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| CM01000193 | $500,000 | $1,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME30504 | Surgery - Otorhinolaryngology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Marion | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | Post-op waiting room | ||||
| Name of Institution | Code | ||||
| SURGERY CENTER OF OCALA | 241 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Post-op waiting room | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/7/2012 | 8/15/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient underwent non-complicated tonsil and adnoid removal, discharged home by anesthesia and nursing, went into cardiac arrest at home 4 hours later and expired. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Tonsilectomy, adnoidectomy | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Improper post-op discharge | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Cardiac arrest | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/3/2014 | 42-2014-CA-001985 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Marion | 9/27/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Bartrug, Louis Jacobs, Leigh Herrera, Jose Surgery Center of Ocala | |||||
| 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 | |||||
| 9/21/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $300,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $198,918 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Discussed with Insured and Risk Management | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 4/7/2017 1:00:57 PM | |||||||||
| Reason for Change: | Did not include settlement | |||||||||
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. CHRISTOPHER BALD, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CHRISTOPHER BALD, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).