Department File Number : | M201886882 |
Claim Number : | LRRG-DP-15-387815 |
Date Submitted : | 10/31/2018 |
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 | 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 | DEREK | PAUL | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3735 11TH CIRCLE STE 101 | ||||
City | State | Zip Code | County | ||
VERO BEACH | FL | 32960 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
LR091210001753 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME68650 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
INDIAN RIVER MEMORIAL HOSPITAL | 100105 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/16/2014 | 12/7/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
CHRONIC GASTRITIS | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
LAP CHOLE | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
INJURY TO THE COMMON BILE DUCKT | |||||
Principal Injury Giving Rise To The Claim | |||||
HEPATOJEJEUNOSTOMY | |||||
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 | ||||
3/24/2016 | 362016CA000212 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Indian River | 10/31/2018 | ||||
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 | |||||
10/4/2018 |
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 | $38,566 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,198 | ||||||||||||||||||||
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. |
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201576031 |
Claim Number : | 74351/19139947 |
Date Submitted : | 10/8/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HUDSON SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
75-1637737 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sandra | Gish | |||
Street Address | |||||
851 Napa Valley Corporate Way, Suite N | |||||
City | State | Zip | |||
Napa | CA | 94558 | |||
Phone | Ext | Fax | E-Mail Address | ||
(707) 225 - 3339 | sgish@hudsoninsgroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Derek | Paul | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 777 37th Street | ||||
City | State | Zip Code | County | ||
Vero Beach | FL | 32960 | Indian River | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
4006594 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME68650 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Indian River | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
INDIAN RIVER MEMORIAL HOSPITAL | 100105 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/29/2008 | 5/11/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
DVT | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Prophylactic IVC filter placement prior to elective spine and hernia surgeries. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Non applicable | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleges patient developed blood clots following spine surgery | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/11/2009 | 312011CA002608 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Indian River | 9/11/2015 | ||||
Other Defendants Involved in this Claim | |||||
BENJAMIN, JOHNNY C Pro Sports & Spine Inc. Indian River Medical Center Mitchell, George Ramdev, Pranay Gardner, Jan | |||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $179,201 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $17,516 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $10,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Not Known |
Updates | |
No updates found. |
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Does Dr. DEREK PAUL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DEREK PAUL, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).