Department File Number : | M201782801 |
Claim Number : | 1 |
Date Submitted : | 8/11/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Lopez, Fernando | Primary | ||||
Insurer FEIN | Professional License Number | ||||
00-0000000 | ME45835 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jennifer | Phillips | |||
Street Address | |||||
901 N. Lake Destiny Rd. Suite 450 | |||||
City | State | Zip | |||
Orlando | FL | 32804 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 423 - 9545 | jlphillips@growerketcham.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Fernando | Lopez | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 11399 Lake Underhill Rd | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32825 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
00000001 | $1 | $1 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME45835 | Surgery - Obstetrics - Gynecology |
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 | ||||
FLORIDA HOSPITAL (ORLANDO) | 100007 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/11/2011 | 10/11/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented for obstetrical care of second pregnancy in April 2011. Routine prenatal care found gestational diabetes and patient was referred to a maternal/fetal specialist to monitor that process. Practicioner delivered the patient's full-term infant by vaginal delivery on Oct. 11, 2011. Baby was later found to have brain injury. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Plaintiff claimed that pregnant patient's prenatal gestational diabetes was mismanaged and evaluated resulting in a complicated vaginal delivery of a full-term infant. During discovery information was developed to show that the patient did not follow her physicians' recommendations for management of her gestational diabetes nor for a recommended early induction of labor. Plaintiff also claimed that neonatal care of infant caused and/or contributed to brain injury. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Not applicable as to Dr. Lopez. | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff claimed that pregnant patient's prenatal gestational diabetes was mismanaged and evaluated resulting in a complicated vaginal delivery of a full-term infant involving shoulder dystocia and brain injury. During discovery significant issues developed concerning whether the baby's injuries were related to the prenatal, perinatal or post-natal period and/or whether baby had any injuries associated with a claimed prolonged shoulder dystocia. Plaintiff also claimed that neonatal care of infant caused and/or contributed to brain injury. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/1/2013 | 2013-CA-12022-O | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 8/11/2017 | ||||
Other Defendants Involved in this Claim | |||||
Bonet, Elizabeth Alana, Carlos HURTADO CASTRO, JULIE Otero, Lewis Bernstein, Hilton CHRISTENSEN, FRANKLYN Christensen Maternal and Fetal Medicine, PA Adventist Health System/Sunbelt, Inc. d/b/a Winter Park Hosp Adventist Health System/Sunbelt, Inc. d/b/a Florida Hospital Florida Hospital Medical Group, Inc. d/b/a Center for Neonat | |||||
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 | |||||
7/12/2017 |
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 | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
THIS WAS NOT AN INSURANCE PAYMENT. THIS WAS A PAYMENT MAKE BY A PHYSICIAN INDIVIDUALLY. THERE WAS NO ALLOCATION OF TYPES OF DAMAGES. ALSO THERE WAS NO POLICY LIMIT OR INSURANCE POLICY NUMBER. COULD ONLY COMPLETE THE FORM BY INSERTING 1 AS OPPOSED TO 0. SINCE THERE WAS NO INSURER, THE DATE LISTED AS NOTIFICATION TO THE INSURER WAS INPUT AS THE DATE OF INCIDENT OF THE BABY'S DELIVERY. |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201473089 |
Claim Number : | 29675-1 |
Date Submitted : | 12/31/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LANCET INDEMNITY RISK RETENTION GROUP INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
26-1479165 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Christopher | Teter | |||
Street Address | |||||
2810 West St. Isabel Street Suite 100 | |||||
City | State | Zip | |||
Tampa | FL | 33602 | |||
Phone | Ext | Fax | E-Mail Address | ||
(813) 290 - 8282 | 265 | cteter@lancetindemnity.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Fernando | Lopez | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 11399 LAKE UNDERHILL ROAD | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32825 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
Li091313002159 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME45835 | Surgery - Obstetrics - Gynecology |
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 | ||||
Other | Obstetrics & Gynecology Specialists of | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/16/2013 | 9/19/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient was pregnant and it resulted in a stillborn. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to remove claimant from blood pressure medication. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Stillborn infant. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/14/2014 | 2013 CA 15094 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 12/31/2014 | ||||
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 | |||||
8/25/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $60,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $57,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurer is unaware of what steps have been taken. |
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. FERNANDO LOPEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FERNANDO LOPEZ, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).