Dr. DACELIN ST MARTIN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. DACELIN ST MARTIN, MD

P.O. Box 2066

Indemnity Paid: $1,000,000.00

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Mercedes			Pressley
Street Address
3535 Piedmont Road, NE
City				State	Zip
Atlanta				GA	30305
Phone	Ext	Fax	E-Mail Address
(404) 842 - 4882			mpressley@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	DACELIN			ST MARTIN
Insurer Type		Street Address of Practice
Licensed		P.O. Box 2066
City		State	Zip Code	County
Lecanto		FL	34460	Citrus
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1616042 10		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME90844		Pulmonary Diseases - No Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code
PEDIATRIC SURGERY CENTER - ODESSA		14960656
Location of Institutional Injury		Other Location of Institutional Injury
Other		Physician's office
Date of Occurrence		Date Reported to Insurer
12/21/2016		5/8/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tachycardia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient had heart rate of 211 at medical clinic. Was sent home and passed away the following day.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to perform an EKG and recommend patient to ER.
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
4/2/2018			2018-CA-000251
County Suit Filed in			Date of Final Disposition
Citrus			8/2/2019
Other Defendants Involved in this Claim
Quick Care Med, LLC Kurz, Dennis L
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

$1,000,000

Loss Adjust Expense Paid to Defense Counsel

$9,783

All Other Loss Adjustment Expense Paid

$1,490

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

Risk Management has counseled insured.

Does Dr. DACELIN ST MARTIN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DACELIN ST MARTIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases