Dr. JOHN KALAM, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. JOHN KALAM, MD

10601 San Jose Blvd., Suite 15

Jacksonville , FL

32257

Duval

Court Case # 16-2003-CA-5772

Indemnity Paid: $15,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200433220
Claim Number :	19236-01
Date Submitted :	5/10/2007

Insurer Information

Insurer Name				Coverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATION				Primary
Insurer FEIN		Professional License Number
38-2102867
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christine			Sampson
Street Address
200 East Gaines Street
City				State	Zip
Tallahassee				FL	32399
Phone	Ext	Fax	E-Mail Address
(850) 413 - 5358		(850) 921 - 8243	Christine.Sampson@fldfs.com

Insured Information

Type	First Name		MI	Last Name
Individual	JOHN			KALAM
Insurer Type		Street Address of Practice
Licensed		10601 San Jose Blvd., Suite 15
City		State	Zip Code	County
Jacksonville		FL	32257	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
128186		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME64864		Family Physicians or General Practitioners - Minor Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Duval
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
12/14/2001		10/9/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient had chronic problems including hypertension, ulcers, depression and problems sleepng.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
It was alleged that the insured faild to communicate illnesses to another physician and the patient died post knee-replacement surgery performed by another physician.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/26/2003			16-2003-CA-5772
County Suit Filed in			Date of Final Disposition
Duval			10/25/2004
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
10/22/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$15,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

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

The insured consulted with Claims Personnel regarding this matter. $15,000.00 settlement was paid in full and final settlement of all claims on behalf of the insured.

Updates

Date of Change:

10/18/2005 1:45:21 PM

Reason for Change:

Minor chages needed to be made.

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	0	17870
Amount of Loss Adjustment Expense Paid to Defense Counsel	0	29915
Insured Address City	Jacksonville,	Jacksonville

Date of Change:

5/10/2007 11:31:05 AM

Reason for Change:

OIR updating Historical Closed Claim data.

Field Changed	Former Value	New Value
Portal User Name	Nancy Kirsch	Christine Sampson
All Other Loss Adjustment Expense Paid	17870	0
Amount of Loss Adjustment Expense Paid to Defense Counsel	29915	0

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Frequently Asked Questions

Does Dr. JOHN KALAM, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JOHN KALAM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).