Dr. EVA J SALAMON, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. EVA J SALAMON, MD

500 E CENTRAL AVE

WINTER HAVEN, FL

33880

Polk

Court Case # 2011-CA-006192

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201886436
Claim Number :	FP4099403
Date Submitted :	9/13/2018

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Eva		J	Salamon
Insurer Type		Street Address of Practice
Licensed		500 E. Central Avenue
City		State	Zip Code	County
Winter Haven		FL	33880	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FP-CL100631		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME42780		Surgery - Obstetrics - Gynecology

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Polk
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
WINTER HAVEN HOSPITAL		100052
Location of Institutional Injury		Other Location of Institutional Injury
Labor and Delivery Room
Date of Occurrence		Date Reported to Insurer
11/16/2009		5/23/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Term pregnancy G3P2 mother in for labor check.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
L&D nurses found mother not in labor. Fetal monitor indicated fetus in good condition. Doctor notified.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Insured advised and directed patient to be discharged and follow up in office the next day.
Principal Injury Giving Rise To The Claim
Brachial plexus injury requiring surgical repair. Child has residual impairment of left arm.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/19/2011			2011-CA-006192
County Suit Filed in			Date of Final Disposition
Polk			8/24/2018
Other Defendants Involved in this Claim
Winter Haven Hospital Gatto, MD, Vincent
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			Court approval of settlement
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/24/2018

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

$2,194

All Other Loss Adjustment Expense Paid

$12,190

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

Updates

No updates found.

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Court Case # 2009-CA-001636

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201886845
Claim Number :	394-016439 D
Date Submitted :	10/25/2018

Insurer Information

Insurer Name				Coverage Type
LEXINGTON INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
25-1149494
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	carolyn		r	ewell
Street Address
17200 W 119th St
City				State	Zip
Olathe				KS	66061
Phone	Ext	Fax	E-Mail Address
(913) 495 - 4217			carolynranee.ewell@aig.com

Insured Information

Type	First Name		MI	Last Name
Individual	Eva			Salamon
Insurer Type		Street Address of Practice
Licensed		500 E Central Ave
City		State	Zip Code	County
Winter Haven		FL	33880	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
6795213		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME42780		Physicians or Surgeons

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Polk
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
WINTER HAVEN HOSPITAL		100052
Location of Institutional Injury		Other Location of Institutional Injury
Labor and Delivery Room
Date of Occurrence		Date Reported to Insurer
1/5/2004		11/3/2008

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Brain injury to infant allegedly due to birth complications
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Plaintiff's alleged failure to decrease Pitocin, overmedicating the patient, and timely delivery resulted in neurologically damage to theinfant
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Negligent labor/delivery management
Principal Injury Giving Rise To The Claim
Alleged negligent labor and delivery resulting in infant brain injury
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
5/9/2009			2009-CA-001636
County Suit Filed in			Date of Final Disposition
Polk			10/24/2018
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 not subject to Arbitration.
Date of Payment
10/24/2018

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

$109,755

All Other Loss Adjustment Expense Paid

$34,108

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

Updates

No updates found.

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Court Case # 2001 CA 001023

Indemnity Paid: $180,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200745941
Claim Number :	HM037619
Date Submitted :	6/18/2007

Insurer Information

Insurer Name				Coverage Type
AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA				Primary
Insurer FEIN		Professional License Number
23-0342560
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Carol		A	Lobacz
Street Address
352 WILDWOOD LANE EAST
City				State	Zip
DEERFIELD BEACH				FL	33442
Phone	Ext	Fax	E-Mail Address
(954) 421 - 1989		(312) 894 - 3680	carol.lobacz@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	EVA		J	SALAMON
Insurer Type		Street Address of Practice
Licensed		500 E CENTRAL AVE
City		State	Zip Code	County
WINTER HAVEN		FL	33880	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HPP 1066907346		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME42780		Surgery - Obstetrics - Gynecology

Medical Malpractice Closed Claims Report

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
WINTER HAVEN HOSPITAL		100052
Location of Institutional Injury		Other Location of Institutional Injury
Labor and Delivery Room
Date of Occurrence		Date Reported to Insurer
3/17/1999		4/27/2000

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
DELIVERY OF TERM PREGNANCY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
NORMAL SPONTANEOUS UNCOMPLICATED VAGINAL DELIVERY OF AN 8 LB 1OZ FEMALE.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
THERE WAS NO MISDIAGNOSIS MADE.
Principal Injury Giving Rise To The Claim
SHOULDER DYSTOCIA.VIDEO OF THE BIRTH WAS EXCULPATORY OF THE PHYSICIAN AS IT FAILED TO DEMONSTRATE A SHOULDER DYSTOCIA.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
3/15/2001			2001 CA 001023
County Suit Filed in			Date of Final Disposition
Polk			5/21/2007
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
5/14/2007

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$180,000

Loss Adjust Expense Paid to Defense Counsel

$70,440

All Other Loss Adjustment Expense Paid

$37,876

Injured Person's Total Non-Economic Loss

$180,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

INSURED DISCUSSED CASE WITH DEFENSE COUNSEL AND INSURANCE PERSONNEL.

Updates

No updates found.

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Frequently Asked Questions

Does Dr. EVA J SALAMON, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. EVA J SALAMON, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases