Department File Number : | M201884979 |
Claim Number : | 1034669-01 |
Date Submitted : | 4/9/2018 |
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 | Joseph | T | Kerpsack | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1900 Don Wickhan Dr | ||||
City | State | Zip Code | County | ||
Clermont | FL | 34711 | Lake | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
744695 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME104125 | Surgery - Obstetrics - Gynecology |
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 | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
SOUTH LAKE HOSPITAL | 100051 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/21/2011 | 6/15/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
31 weeks pregnant; presented to hospital by ambulance with vaginal bleeding and clots | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Ultrasound, administered Betamethazone, transferred to another hospital for placenta previa | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to provide timely and appropriate care and treatment | |||||
Principal Injury Giving Rise To The Claim | |||||
Infant delivered via C-section; diagnosed with brain injury and developmental delays | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/27/2015 | 2015-CA-000588-O | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lake | 3/26/2018 | ||||
Other Defendants Involved in this Claim | |||||
Florida Women Care LLC dba Advanced Ob/Gyn of Lake County LL Orlando Health Inc dba Winnie Palmer Hospital for Women & Ba Alvarado MD, Manuel Leesburg Regional Medical Center Inc South Lake Hospital Inc Chait MD, Anita I Pena MD, Alejandro J Lundberg ARNP, Shawn | |||||
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 | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $28,975 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $8,257 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
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Does Dr. JOSEPH T KERPSACK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSEPH T KERPSACK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).