Department File Number : | M202092178 |
Claim Number : | HMB05798 |
Date Submitted : | 4/7/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
23-0342560 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jennifer | Massey | |||
Street Address | |||||
P.O Box 1212 | |||||
City | State | Zip | |||
Belleview | FL | 34421 | |||
Phone | Ext | Fax | E-Mail Address | ||
(352) 454 - 5009 | jennmassey.rn@hotmail.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jennifer | Massey | |||
Insurer Type | Street Address of Practice | ||||
Licensed | P.O Box 1212 | ||||
City | State | Zip Code | County | ||
Belleview | FL | 34421 | Marion | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0298861958 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Registered Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
RN9257967 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Marion | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Summerfield, Florida | ||||
Name of Institution | Code | ||||
LEESBURG REGIONAL MEDICAL CENTER | 100084 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Patient cardiorespiratory arrest on road | ||||
Date of Occurrence | Date Reported to Insurer | ||||
8/5/2018 | 4/1/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Asthma | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged improper weaning process by physician. | |||||
Diagnostic Code : | J45.909 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis is known. | |||||
Principal Injury Giving Rise To The Claim | |||||
The injuries are unknown. The causes of death was status asthmaticus and asthma. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/17/2019 | 19CA0623 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Marion | 2/25/2020 | ||||
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 | ||||
Other | Voluntary dismissal with prejudiced. | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
3/3/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $500,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $500,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
All cases to be discussed with supervising providers within a sufficient amount of time given the patient presenting compalints. |
Updates | |
No updates found. |
Does Dr. JENNIFER MASSEY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JENNIFER MASSEY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).