Department File Number : | M201987776 |
Claim Number : | FL-2014-2-14-13 |
Date Submitted : | 2/1/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-3867083 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jody | Schwahn | |||
Street Address | |||||
510 Druid Road, Suite D | |||||
City | State | Zip | |||
Clearwater | FL | 33756 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 581 - 6400 | jschwahn@physicianscasualty.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | GHULAM | KHAN | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 11701-32 San Jose Boulevard | ||||
City | State | Zip Code | County | ||
Jacksonville | FL | 32223 | Duval | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PCX-2014-688 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME77915 | Surgery - Obstetrics - Gynecology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Duval | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Patient's Home | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
2/22/2013 | 8/6/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Pregnancy and delivery | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
C-section delivery of a healthy baby boy | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Five days after the patient and his mother were release from the hospital and while feeding the patient in bed, the patient's mother suffered a diabetic crisis and suffocated the patient from which he passed. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/3/2014 | 16-2014-CA-008605 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 2/1/2019 | ||||
Other Defendants Involved in this Claim | |||||
Morgan, Katherine Miller, Robert North Florida Diabetes and Endocrine Segal, Scott Florida Women Care LLC | |||||
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 | |||||
10/18/2018 |
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 | $24,890 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $14,375 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Updates | |
No updates found. |
Does Dr. GHULAM KHAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GHULAM KHAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).