Department File Number : | M201782807 |
Claim Number : | 1022109-01 |
Date Submitted : | 8/22/2018 |
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 | Joanna | R | Runkle | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 13695 US Higway 1 | ||||
City | State | Zip Code | County | ||
Sebastian | FL | 32958 | Indian River | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
762357 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME100734 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Indian River | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
SEBASTIAN RIVER MEDICAL CENTER | 100217 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/24/2014 | 11/3/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
GERD | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Upper GI endoscopy | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to evaluate cardiac risk factors prior to administration of anesthetic Propofol | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient coded and died | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/20/2015 | 2015 CA000222 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Indian River | 8/8/2017 | ||||
Other Defendants Involved in this Claim | |||||
Sebastian HMA Physician Management LLC Francisco Ruiz MD dba Coral Reef Gastroenterology Tee MD, Howard Sebastian River Anesthesology Associates PA Osmianski ARNP, CRNA, Rebecca Sebastian Hospital LLC dba Sebastian River Medical Center | |||||
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 | |||||
8/8/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $262,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $101,810 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $53,221 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $262,500 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | ||||||||||
Date of Change: | 1/31/2018 4:03:04 PM | |||||||||
Reason for Change: | ALE UPDATE 1/31/2018 | |||||||||
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Date of Change: | 8/22/2018 11:17:32 AM | |||||||||
Reason for Change: | ALE UPDATE | |||||||||
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Does Dr. JOANNA R RUNKLE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOANNA R RUNKLE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).