Department File Number : | M201886874 |
Claim Number : | 1822018 |
Date Submitted : | 10/29/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CONTINENTAL CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2114545 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Shari | Deans | |||
Street Address | |||||
615 Crescent Executive Court, Suite 212 | |||||
City | State | Zip | |||
Lake Mary | FL | 32746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(321) 972 - 0121 | (321) 972 - 0122 | sharideans@hamlinandburton.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | David | Treloar | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 18530 SW 39th Street | ||||
City | State | Zip Code | County | ||
Miramar | FL | 33029 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HAZ1040025509-G | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME91045 | Pediatrics - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
ALL CHILDREN'S HOSPITAL | 100250 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Emergency Room | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/5/2016 | 1/3/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Compartment syndrome | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Failure to diagnose and treat patient for Compartment syndrome | |||||
Diagnostic Code : | 958.90 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Placed patient in splint and instructed to follow up with Orthopedics | |||||
Principal Injury Giving Rise To The Claim | |||||
Playing football and felt muscle pull in his right leg. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/11/2018 | ||||
Other Defendants Involved in this Claim | |||||
Sellers, James Orbezo, Aned Bartow Regional Medical Center John Hopkins All Children's Hospital | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Award for plaintiff. | |||||
Date of Payment | |||||
8/28/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $170,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $16,411 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $362 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $170,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
NA |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Department File Number : | M201988101 |
Claim Number : | PHY-16-334413 |
Date Submitted : | 3/8/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
TEAM HEALTH, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
62-1562558 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DAVID | J | TRELOAR | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 11190 HEALTHPARK BVD. | ||||
City | State | Zip Code | County | ||
NAPLES | FL | 34110 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
ES1800 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME91045 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Collier | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | NCH NORTH NAPLES HOSPITAL | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/9/2016 | 6/10/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
TESTICULAR TORSION | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
SEEN IN ER | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ALLEGED DELAY IN TREATMENT | |||||
Principal Injury Giving Rise To The Claim | |||||
LOSS OF RIGHT TESTICLE | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 12/5/2018 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
10/15/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $16,942 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,343 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
Does Dr. DAVID TRELOAR, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DAVID TRELOAR, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).