| 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).