| Department File Number : | M201676922 |
| Claim Number : | 0AB107563 |
| Date Submitted : | 1/26/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HOMELAND INSURANCE COMPANY OF NEW YORK | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 52-1568827 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Mike | Clark | |||
| Street Address | |||||
| 199 Scott Swamp Road | |||||
| City | State | Zip | |||
| Farmington | CT | 06032 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (860) 321 - 2544 | (877) 256 - 5067 | mclark@onebeaconpro.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | CORNELL | OVERBEEKE | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 155 Office Plaza Drive Suite A | ||||
| City | State | Zip Code | County | ||
| Tallahassee | FL | 32301 | Leon | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PHY054113 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME101983 | Radiology - therapeutic - no surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Pasco | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | location injury is not insured | ||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | location of injury is not insured | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/15/2012 | 10/22/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented to Paso Regional Medical Center ER with complaints of abdominal pain x 7 days. He further reported hematuria and vomiting. The patient was worked up for possible appendicitis; however, it is alleged that this was incorrect and that the patient suffered from inflammatory bowel disease | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Our insured teleradiologist interpreted the CT scan as indicative for appendicitis. The interpretation was read by a second radiologist who concurred with this finding | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| It was alleged that the patient was worked up and treated, including an appendectomy, for appendicitis when the correct diagnosis was inflammatory bowel disease. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| It was alleged that the patient was treated for appendicitis when the correct diagnosis was inflammatory bowel disease. Post-operatively the patient showed evidence of infection and ultimately was found unresponsive. The cause of death identified on autopsy was peritonitis secondary to ruptured appendix. The patient¿s death was 6 days after his initial presentation. Our insured had no involvement in the post-op care and was subsequently dismissed. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/1/2013 | 2013-CA-004349 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pasco | 1/6/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| After court verdict and prior to filing of notice of appeal. | |||||
| Final Method of Claim Disposition | |||||
| Disposed of by Court | |||||
| Court Decision | Other | ||||
| Summary judgment for the plaintiff. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $1,236,515 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| N/a for safety steps as the insured doctor was dismissed. In addition, there are/were additional defendants but we do not have any licensing information for them. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. CORNELL OVERBEEKE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CORNELL OVERBEEKE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).