Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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| Department File Number : | M201575663 |
| Claim Number : | 10-0303-A-08 |
| Date Submitted : | 9/17/2015 |
| 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 | Tamla | Lloyd | |||
| Street Address | |||||
| 4651 Salisbury Road, Suite 410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 296 - 2887 | 212 | (904) 296 - 1245 | tlloyd@fdinsurancecompany.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Hernando | Bernal | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 6101 Webb Rd., Suite 208 | ||||
| City | State | Zip Code | County | ||
| Tampa | FL | 33607 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 11008 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME22045 | Pulmonary Diseases - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Hillsborough | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Physician's Office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/11/2008 | 12/12/2010 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient initially visited the insured on November 11, 2008 for a consultation regarding a cough of sudden onset following a pneumonia vaccination. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| A CT x-ray was completed on November 14, 2008. A nodule was found on the pt's lung. Biopsies were also ordered which ruled out cancer. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| None was made. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Pt had surgery to remove nodule from lung, this was performed by another physician. Pt had a difficult recovery after surgery and ultimately had a portion of his lung and 3 ribs removed. Pt claims he nows has difficulty breathing. | |||||
| 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 | ||||
| 11/1/2011 | 11-13650 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 7/31/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Hernando Bernal, MD, PA | |||||
| 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 | |||||
| 7/31/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $49,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $61,948 | ||||||||||||||||||||
| 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 circumstances of this case were discussed with the insured and risk management was notified. Risk management discussed the case with the insured. | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 9/17/2015 4:06:37 PM | |||||||||
| Reason for Change: | The adjuster requested the changes be made. | |||||||||
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Does Dr. HERNANDO BERNAL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HERNANDO BERNAL, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).