| Department File Number : | M201989601 |
| Claim Number : | 2016FL204 |
| Date Submitted : | 8/10/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 27-3867083 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jody | Schwahn | |||
| Street Address | |||||
| 611 Druid Road E, Suite 512 | |||||
| City | State | Zip | |||
| Clearwater | FL | 33756 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 581 - 6400 | 6400 | jschwahn@physicianscasualty.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | DAVID | HYLER | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1560 Kingsley Avenue, Suite 4 | ||||
| City | State | Zip Code | County | ||
| Orange Park | FL | 32073 | Clay | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PCX-2016-524 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME56732 | Surgery - Obstetrics - Gynecology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Clay | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/1/2014 | 12/13/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient was seen for pregnancy and oligomenorrhea, post partum pap smear and complaints of vaginal odor, discharge and intermittent bleeding. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Pap smear | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The allegations include failure to timely treat and manage the patient's cervical disease, failure to properly advise the patient for follow-up care of her cervical disease, and failure to properly and accurately perform additional testing for her cervical disease, including colposcopic examination and/or biopsies or LEEP or cone biopsy procedures. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 5/1/2017 | 05-2017-CA-025834 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Brevard | 8/6/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| Bio-Reference Laboratories Inc | |||||
| 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 | |||||
| 4/18/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $35,587 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,813 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $5,000 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201573412 |
| Claim Number : | 26648-1 |
| Date Submitted : | 2/9/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LANCET INDEMNITY RISK RETENTION GROUP INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 26-1479165 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Christopher | Teter | |||
| Street Address | |||||
| 2810 West St. Isabel Street Suite 100 | |||||
| City | State | Zip | |||
| Tampa | FL | 33602 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (813) 290 - 8282 | 265 | cteter@lancetindemnity.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | DAVID | HYLER | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1560 Kingsley Ave. Suite 4 | ||||
| City | State | Zip Code | County | ||
| Orange Park | FL | 32073 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| LR091010000586 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME56732 | Surgery - Obstetrics - Gynecology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Orange | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| ORANGE PARK MEDICAL CENTER | 100226 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Labor and Delivery Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/15/2012 | 2/11/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Pregnant patient sought treatment for a sickle cell crisis. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient was given pain medication and the pregnancy was monitored while patient was in sickle cell crisis. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Alleged failure to properly monitor the child | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged pain and suffering that resulted from a still born child. | |||||
| Severity Of Injury | |||||
| Emotional Only - Fright, no physical damage | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/2/2013 | 102013CA001884A001XX | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Orange | 2/9/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 1/16/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insurer is unaware of what steps have been taken. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. DAVID HYLER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DAVID HYLER, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).