Department File Number : | M201472965 |
Claim Number : | 027-095478 |
Date Submitted : | 12/16/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Excess | ||||
Insurer FEIN | Professional License Number | ||||
25-1149494 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Cyndie | Fernandez | |||
Street Address | |||||
3650 Brookside Parkway | |||||
City | State | Zip | |||
Alpharetta | GA | 30023 | |||
Phone | Ext | Fax | E-Mail Address | ||
(678) 240 - 1613 | (877) 846 - 1491 | cyndie.fernandez@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JILL | CHUDZINSKI | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 311 9th Street North Suite 308 | ||||
City | State | Zip Code | County | ||
Naples | FL | 34102 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1094134 | $2,000,000 | $4,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Registered Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
RN9263978 | General Preventative Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Collier | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
NAPLES DAY SURGERY NORTH | 122 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/5/2007 | 6/9/2009 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Alleged failure to diagnose & report symptoms of the patient's neurological decline resulting in further neurological injuries. Failure to treat neurovascular condition. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to diagnose & report symptoms of the patient's neurological decline resulting in further neurological injuries. Failure to treat neurovascular condition. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to diagnose & report symptoms of the patient's neurological decline resulting in further neurological injuries. Failure to treat neurovascular condition. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/9/2009 | 09-8856-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Collier | 12/10/2014 | ||||
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 | ||||
Judgment for the plaintiff. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
12/21/2012 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $4,824 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $684,292 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Better access patients. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. JILL CHUDZINSKI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JILL CHUDZINSKI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).