| Department File Number : | M201680273 |
| Claim Number : | PLFHMGO081935 |
| Date Submitted : | 11/10/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Florida Physicians Medical Group | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-3214635 | 800014080 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Matthew | Evans | |||
| Street Address | |||||
| 900 Hope Way | |||||
| City | State | Zip | |||
| Altamonte Springs | FL | 32712 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (407) 357 - 2272 | matt.evans@ahss.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Eric | Trumble | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 2600 Westhall Lane | ||||
| City | State | Zip Code | County | ||
| Maitland | FL | 32751 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 8258 -2014 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME73934 | Surgery - Neurology - Including Child | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Orange | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| FLORIDA HOSPITAL (ORLANDO) | 100007 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/30/2013 | 3/20/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Vomiting and headaches X 3-days upon presentation to ED | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| CT of the brain which demonstrated patient's right distal VP shunt tube tip had been pulled out of its correct location in the right atrium, and the tip was instead now in the right subclavian vein. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Involved was 1) the alleged collective negligent failure to have appropriately and timely monitored and assessed the patient in the face of diagnosed VP shunt malfunction and, 2) intervened and treated his deteriorating condition in a timely manner; which resulted in cardio-respiratory arrest secondary to increased intracranial pressure and his ultimate demise. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 10/26/2015 | 2015-CA-9047-O | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Orange | 10/10/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Florida Hospital Orlando | |||||
| 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 | |||||
| 10/10/2016 | |||||
| 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 | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| n/a | |||||||||||||||||||||
| 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.
| Department File Number : | M201782043 |
| Claim Number : | PLFHOR083310 |
| Date Submitted : | 5/8/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Florida Physicians Medical Group | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-3214635 | 800014080 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Matthew | Evans | |||
| Street Address | |||||
| 900 Hope Way | |||||
| City | State | Zip | |||
| Altamonte Springs | FL | 32712 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (407) 357 - 2272 | matt.evans@ahss.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Eric | Trumble | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 2600 WESTHALL LN | ||||
| City | State | Zip Code | County | ||
| MAITLAND | FL | 32751 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 8258 -2015 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME73934 | Surgery - Neurology - Including Child | ||||
| 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 Inpatient Facility | |||||
| Name of Institution | Code | ||||
| FLORIDA HOSPITAL (ORLANDO) | 100007 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/16/2015 | 7/8/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Chiari malformation. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Chiari malformation decompression procedure. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Involved was the alleged negligent failure of the physician to have responded to the patient's postoperative neurosurgical cerebral spinal fluid leak and deteriorating medical condition in a timely manner, which may have been compounded by the improper placement of an external ventricular drain during a craniotomy; which resulted in patient's coma and severe neurological impairment. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 2/20/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Florida Hospital Orlando | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 2/20/2017 | |||||
| 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 | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| n/a | |||||||||||||||||||||
| 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.
| Department File Number : | M201989823 |
| Claim Number : | PLFHMGO087241 |
| Date Submitted : | 8/28/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Florida Physicians Medical Group | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-3214635 | 800014080 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Linda | Boelke | |||
| Street Address | |||||
| 900 Hope Way | |||||
| City | State | Zip | |||
| Altamonte Springs | FL | 32714 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (407) 357 - 1313 | linda.boelke@ahss.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Eric | Trumble | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 2913 CULLEN LAKE SHORE DRIVE | ||||
| City | State | Zip Code | County | ||
| BELLE ISLE | FL | 32812 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 8258 - 2016 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME73934 | Surgery - Neurology - Including Child | ||||
| 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 Inpatient Facility | |||||
| Name of Institution | Code | ||||
| FLORIDA HOSPITAL (ORLANDO) | 100007 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/28/2014 | 5/25/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Idiopathic intrachranial hypertension. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Right frontal ventriculoperitoneal shunt placement. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Involved was the alleged negligent placement of the patient's right frontal ventriculoperitoneal shunt, which resulted in her alleged permanent neurological injuries. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 11/15/2016 | 1016-CA-009544 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Orange | 8/19/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| AdventHealth Medical Group | |||||
| 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 | |||||
| 8/19/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $175,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. ERIC TRUMBLE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ERIC TRUMBLE, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).