Department File Number : | M201575165 |
Claim Number : | 5145359 |
Date Submitted : | 8/11/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Susan | K | Spielman | ||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Fort Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0340 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Elliot | W | Cooperman | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 311 E Evans Street | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32804 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
749250 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME34891 | Surgery - Opthalmology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL - EAST ORLANDO | 100021 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/19/2010 | 4/24/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Macular hole | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Vitrectomy and air-fluid gas exchange | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Improper technique | |||||
Principal Injury Giving Rise To The Claim | |||||
Further reduction in vision | |||||
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 | ||||
1/4/2012 | 11-CA-17473-0 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 7/9/2015 | ||||
Other Defendants Involved in this Claim | |||||
Elliot W Cooperman MD PA | |||||
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 | |||||
7/8/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $74,156 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $37,010 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $195,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 1/28/2016 9:52:06 AM | |||||||||
Reason for Change: | ALE UPDATE 1/28/2016 | |||||||||
| ||||||||||
Date of Change: | 8/11/2016 12:04:18 PM | |||||||||
Reason for Change: | ALE UPDATED 8/11/2016 | |||||||||
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Department File Number : | M201576069 |
Claim Number : | 1018319-02 |
Date Submitted : | 10/13/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Susan | K | Spielman | ||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Fort Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0340 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ELLIOT | W | COOPERMAN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 311 E Evans Street | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32804 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
749250 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME34891 | Surgery - Opthalmology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
3/4/2010 | 3/19/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Blurry vision | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Diagnostic testing | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to note abnormality on MRI | |||||
Principal Injury Giving Rise To The Claim | |||||
Legally blind in right eye | |||||
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 | ||||
7/14/2014 | 2014 CA-018773-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 10/7/2015 | ||||
Other Defendants Involved in this Claim | |||||
Shapiro MD, Marc D Neuro Imaging Institute of Winter Park LTD Auerbach MD, David B Eye Physicians of Central Florida PLC Elliot W Cooperman MD PA Bascom Palmer Eye Institute Guy MD, John Lam MD, Byron Saraf-Lavi MD, Efrat Jackson Health Systems Hayt MD, Michael W Medical Scaning Consultants LLC Center for Diagnostic Imaging | |||||
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 | ||||
Other | Dismissal | ||||
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 | $28,909 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,999 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
Updates | |
No updates found. |
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Does Dr. ELLIOT W COOPERMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ELLIOT W COOPERMAN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).