Dr. JEFFREY D BAUMANN, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. JEFFREY D BAUMANN, MD

12 South Park Ave

Apopka, FL

32703

Orange

Court Case # 12-CA-2746

Indemnity Paid: $475,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201367631
Claim Number :	5149108-01
Date Submitted :	9/23/2013

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Susan		K	Spielman
Street Address
5814 Reed Road
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jeffrey		D	Baumann
Insurer Type		Street Address of Practice
Licensed		12 South Park Ave
City		State	Zip Code	County
Apopka		FL	32703	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
716981		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME45010		Surgery - Opthalmology

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Lake
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

Date of Occurrence		Date Reported to Insurer
10/8/2008		4/10/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Nevus right eye
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Exam
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose ocular melanoma
Principal Injury Giving Rise To The Claim
Metastasis resulting in death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/13/2012			12-CA-2746
County Suit Filed in			Date of Final Disposition
Lake			6/17/2013
Other Defendants Involved in this Claim
Mid-Florida Eye Center 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
6/17/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$475,000

Loss Adjust Expense Paid to Defense Counsel

$3,621

All Other Loss Adjustment Expense Paid

$1,015

Injured Person's Total Non-Economic Loss

$400,000

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

N/A

Updates

Date of Change:

9/23/2013 3:45:38 PM

Reason for Change:

Update ALE

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	2011	3621
All Other Loss Adjustment Expense Paid	775	1015

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Court Case # 12-CA-2746

Indemnity Paid: $475,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201367632
Claim Number :	5149108-01
Date Submitted :	1/27/2014

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Susan		K	Spielman
Street Address
5814 Reed Road
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jeffrey		D	Baumann
Insurer Type		Street Address of Practice
Licensed		12 South Park Ave
City		State	Zip Code	County
Apopka		FL	32703	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
716981		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME45010		Surgery - Opthalmology

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Lake
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

Date of Occurrence		Date Reported to Insurer
10/8/2008		4/10/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Nevus right eye
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Exam
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose ocular melanoma
Principal Injury Giving Rise To The Claim
Metastasis resulting in death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/13/2012			12-CA-2746
County Suit Filed in			Date of Final Disposition
Lake			6/17/2013
Other Defendants Involved in this Claim
Mid-Florida Eye Center 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
6/17/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$475,000

Loss Adjust Expense Paid to Defense Counsel

$5,274

All Other Loss Adjustment Expense Paid

$1,612

Injured Person's Total Non-Economic Loss

$400,000

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

N/A

Updates

Date of Change:

1/27/2014 4:16:52 PM

Reason for Change:

ALE UPDATE

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	2011	5274
All Other Loss Adjustment Expense Paid	775	1612

This page is not displaying certain sensitive information.

Court Case # 2015-CA-000401

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201678871
Claim Number :	1015306-01
Date Submitted :	2/20/2017

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Lynn			Louthan
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0778			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jeffrey		D	Baumann
Insurer Type		Street Address of Practice
Licensed		12 South Park Avenue
City		State	Zip Code	County
Apopka		FL	32703	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
716981		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME45010		Surgery - Opthalmology

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
			F	Lake
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Mid Florida Eye Center Surgery Center
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/11/2012		8/5/2013

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Visual issues; cataracts
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cataract surgery
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to properly treat post op infection
Principal Injury Giving Rise To The Claim
Loss of vision
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
3/9/2015			2015-CA-000401
County Suit Filed in			Date of Final Disposition
Lake			6/21/2016
Other Defendants Involved in this Claim
Mid-Florida Eye Center 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
No Payment Made
Court Decision			Other
Other			Dismissal
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$27,929

All Other Loss Adjustment Expense Paid

$16,178

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

Date of Change:

8/1/2016 2:37:04 PM

Reason for Change:

Numbers transposed in Claim ID #/ should be 1015306-01

Field Changed	Former Value	New Value
Claim Number	1013506-01	1015306-01

Date of Change:

8/11/2016 9:46:29 AM

Reason for Change:

ALE UPDATED 8/11/2016

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	17310	23431
All Other Loss Adjustment Expense Paid	4343	7122

Date of Change:

2/20/2017 1:32:16 PM

Reason for Change:

ALE UPDATE 2/20/17

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	23431	27929
All Other Loss Adjustment Expense Paid	7122	16178

This page is not displaying certain sensitive information.

Frequently Asked Questions

Does Dr. JEFFREY D BAUMANN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JEFFREY D BAUMANN, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases