Department File Number : | M202092169 |
Claim Number : | 1524580 |
Date Submitted : | 4/9/2020 |
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 | |||||
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 | Eliot | Smith | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 11 Stearn Mill Road | ||||
City | State | Zip Code | County | ||
Cape Neddick | MA | 03902 | Out of state | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HAZ1040025509-E | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME117521 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Osceola | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
POINCIANA MEDICAL CENTER | 23960111 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Critical Care Unit | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/8/2014 | 5/6/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Acute Pericarditis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Complaint alleges failure to diagnose and treat pericarditis and cardiac effusion resulting in the patient's death. | |||||
Diagnostic Code : | 420.99 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Provider's primary impression was hyperglycemia without ketosis and his secondary impression was abdominal pain and gastritis. | |||||
Principal Injury Giving Rise To The Claim | |||||
Chest pain, shortness of breath, abdominal pain and epigastric squeezing radiating to his left arm. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/24/2016 | 2016CA000475MP | ||||
County Suit Filed in | Date of Final Disposition | ||||
Osceola | 1/30/2020 | ||||
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 | |||||
Award for plaintiff. | |||||
Date of Payment | |||||
2/18/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $414,451 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $117,129 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $117,129 | ||||||||||||||||||||
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 | |||||||||||||||||||||
NA |
Updates | |
No updates found. |
Does Dr. ELIOT SMITH, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ELIOT SMITH, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).