Department File Number : | M202091527 |
Claim Number : | 0AB224261 |
Date Submitted : | 2/18/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HOMELAND INSURANCE COMPANY OF NEW YORK | Primary | ||||
Insurer FEIN | Professional License Number | ||||
52-1568827 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mike | Clark | |||
Street Address | |||||
199 Scott Swamp Road | |||||
City | State | Zip | |||
Farmington | CT | 06032 | |||
Phone | Ext | Fax | E-Mail Address | ||
(860) 321 - 2544 | (877) 256 - 5067 | mclark@onebeacon.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jeff | Mathew | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2544 Coco Palm Circle | ||||
City | State | Zip Code | County | ||
Wesley Chapel | FL | 33544 | Pasco | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY131917 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME126852 | Surgery - Vascular |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Pasco | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | emergency room | ||||
Date of Occurrence | Date Reported to Insurer | ||||
2/9/2017 | 4/3/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Severely compromised patient with multiple co-morbidities presented to hospital ER post cardiac catheterization done at a different medical facility with swelling in her groin due to a pseudoaneurysm | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
None. Patient was under the care of a different physician at another hospital and demanded to be treated by that physician. Hospital patient presented at was not equipped to perform any procedure that could treat her condition. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis made | |||||
Principal Injury Giving Rise To The Claim | |||||
Claim erroneously alleged that Dr. Mathew should have performed surgery to repair pseudoaneurysm despite the fact that he only performed consult and patient was not his. At the conclusion of Dr. Mathew¿s consult, patient was stable and set to be transferred to another hospital. Patient was ultimately transferred to another hospital where she later expired. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/26/2018 | 18-CA-002381 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pasco | 2/10/2020 | ||||
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 | |||||
2/12/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $20,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $90,940 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $553 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Not known at this time |
Updates | |
No updates found. |
Does Dr. JEFF MATHEW, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JEFF MATHEW, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).