Department File Number : | M201782830 |
Claim Number : | F14-0084-C-11 |
Date Submitted : | 8/15/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Dionysia | Lawson | |||
Street Address | |||||
560 Davis Street | |||||
City | State | Zip | |||
San Francisco | CA | 94111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(415) 735 - 2013 | (415) 735 - 2097 | dlawson@norcalmutual.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Elvis | Grandic | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2828 Seacrest Blvd | ||||
City | State | Zip Code | County | ||
Boynton Beach | FL | 33435 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG000648 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME102652 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Orthopaedic Surgery Associates | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/29/2011 | 1/22/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Total hip replacement | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Total hip replacement | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Excessive leg length discrepancy | |||||
Principal Injury Giving Rise To The Claim | |||||
Excessive leg length discrepancy | |||||
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 | ||||
11/6/2014 | 502014CA010366 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 6/12/2017 | ||||
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 not subject to Arbitration. | |||||
Date of Payment | |||||
6/12/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $46,531 | ||||||||||||||||||||
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 Risk Management and Insured |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201885150 |
Claim Number : | F16-0013-A-14 |
Date Submitted : | 4/24/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Richard | Petersen | |||
Street Address | |||||
4651 Salisbury Rd. #410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ELVIS | GRANDIC | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1401 NW 9th Ave | ||||
City | State | Zip Code | County | ||
Boca Raton | FL | 33486 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG000648 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME102652 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BETHESDA MEMORIAL HOSPITAL | 100002 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/9/2014 | 1/14/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The plaintiff was a 71 year old male with a history of neurological issues and bipolar disorder who underwent hip arthroplasty surgery performed by Dr. Elvis Grandic. The surgery was successful and no complications were noted or alleged in the lawsuit. Two days-post operation, while in the hospital, the patient fell while unnattended. The plaintiffs allege that Dr. Grandic failed to monitor the post-operative fall precautions at the hospital. A defense standard of care expert opined that this was not the standard of care practice for an operating surgeon to monitor post-operative fall protection. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The plaintiff was a 71 year old male with a history of neurological issues and bipolar disorder who underwent hip arthroplasty surgery performed by Dr. Elvis Grandic. The surgery was successful and no complications were noted or alleged in the lawsuit. Two days-post operation, while in the hospital, the patient fell while unnattended. The plaintiffs allege that Dr. Grandic failed to monitor the post-operative fall precautions at the hospital. A defense standard of care expert opined that this was not the standard of care practice for an operating surgeon to monitor post-operative fall protection. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The plaintiff was a 71 year old male with a history of neurological issues and bipolar disorder who underwent hip arthroplasty surgery performed by Dr. Elvis Grandic. The surgery was successful and no complications were noted or alleged in the lawsuit. Two days-post operation, while in the hospital, the patient fell while unnattended. The plaintiffs allege that Dr. Grandic failed to monitor the post-operative fall precautions at the hospital. A defense standard of care expert opined that this was not the standard of care practice for an operating surgeon to monitor post-operative fall protection. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/13/2016 | 50-2016-CA-005815 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 4/4/2018 | ||||
Other Defendants Involved in this Claim | |||||
Bethesda Hospital | |||||
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 | ||||
Other | Settled between parties | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
4/4/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
The facts of the case were discussed with the insured & risk management. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ELVIS GRANDIC, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ELVIS GRANDIC, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).