Department File Number : | M201676875 |
Claim Number : | EMC-FL-13-206509 |
Date Submitted : | 1/20/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EmCare Holdings, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
75-173235 | SI | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
9821 Katy Freeway | |||||
City | State | Zip | |||
Houston | TX | 77024 | |||
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 | DENNIS | SOLOMON | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 9330 STATE ROAD 54 | ||||
City | State | Zip Code | County | ||
NEW PORT RICHEY | FL | 34655 | Pasco | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HAZ1040025381-11 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS6125 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pasco | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MEDICAL CENTER OF TRINITY WEST PASCO CAMPUS | 23960110 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/28/2011 | 5/10/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
HEADACHE | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PRESENTED TO ER, TREATED AND RELEASED | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
NO MISDIAGNOSIS | |||||
Principal Injury Giving Rise To The Claim | |||||
TIA | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/31/2013 | 2013LA005238CAAYLOS | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pasco | 1/20/2016 | ||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
12/29/2015 |
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 | $42,710 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,068 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
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Department File Number : | M201780868 |
Claim Number : | 2013536829 |
Date Submitted : | 1/16/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
OCEANUS INSURANCE COMPANY, A RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1066914 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kerry-Anne | Roper | |||
Street Address | |||||
4600 Sheridan Street, Suite 200 | |||||
City | State | Zip | |||
Hollywood | FL | 33021 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 518 - 8008 | Kerry-Anne.Roper@sedgwickcms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DENNIS | SOLOMON | |||
Insurer Type | Street Address of Practice | ||||
Licensed | SR 54 | ||||
City | State | Zip Code | County | ||
ODESSA | FL | 34655 | Pasco | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
01-2005-001 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS6125 | Emergency Medicine - Including Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Duval | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
TOWN & COUNTRY HOSPITAL | 100255 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/7/2012 | 3/1/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
LARGE LEFT EFFUSION AND SMALL ANTERIOR PNEUMOTHORAX SUGGESTIVE OF PNEUMONIA. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
CT ANGIO FOR PULMONARY EMBOLISM AND A PORTABLE CHEST X-RAY. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILURE TO ORDER APPROPRIATE TEST. | |||||
Principal Injury Giving Rise To The Claim | |||||
RESPIRATORY FAILURE, LEFT PLEURAL EFFUSION, PARAPNEUMONIA, ARTIFICIAL KIDNEY UNIT. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/19/2013 | 13-CA-009729 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 3/16/2016 | ||||
Other Defendants Involved in this Claim | |||||
GIRALDO, HERNAN D MCDONALD, ALISON RODRIGUEZ, RAFAEL | |||||
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 | ||||
Judgment for the plaintiff. | |||||
Arbitration | |||||
Award for plaintiff. | |||||
Date of Payment | |||||
3/17/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $70,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $41,122 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
TIMELY EXAMINE PATIENT AND RECOMMEND A PLAN OF TREATMENT; TIMELY USE DIAGNOSTIC PROCEDURES TO ASCERTAIN MEDICAL CONDITION. |
Updates | |
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Does Dr. DENNIS SOLOMON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DENNIS SOLOMON, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).