Department File Number : | M201987939 |
Claim Number : | FL0486 |
Date Submitted : | 2/15/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTHCARE UNDERWRITERS GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
74-3129288 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Yvette | de la Morena | |||
Street Address | |||||
1250 S. Pine Island Road Suite 300 | |||||
City | State | Zip | |||
Plantation | FL | 33324 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 923 - 1900 | ymorena@hugroups.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | David | Zeda | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1004 South Old Dixie Highway Suite 202 | ||||
City | State | Zip Code | County | ||
Jupiter | FL | 33458 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
506-000 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME88682 | Geriatrics - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
JUPITER MEDICAL CENTER | 100253 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/20/2016 | 11/23/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Treatment was sought for shortness of breath | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to diagnose and treat a pulmonary embolism. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Death of patient | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 1/31/2019 | ||||
Other Defendants Involved in this Claim | |||||
Jupiter Medical Center Southeastern Internal Medicine LLC | |||||
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 | |||||
1/31/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $40,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $52,600 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Discussed with insured. |
Updates | |
No updates found. |
Does Dr. DAVID ZEDA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DAVID ZEDA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).