| Department File Number : | M201574801 |
| Claim Number : | 13-0239-A-10 |
| Date Submitted : | 1/19/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| FD INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3704679 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Tamla | Lloyd | |||
| Street Address | |||||
| 4651 Salisbury Road, Suite 410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 296 - 2887 | 212 | (904) 296 - 1245 | tlloyd@fdinsurancecompany.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Joshua | Kouri | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 3319 State Road 7, Suite 313 | ||||
| City | State | Zip Code | County | ||
| Wellington | FL | 33449 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MG000177 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME87558 | Surgery - Neurology - Including Child | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| JFK MEDICAL CENTER | 100080 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/1/2010 | 11/15/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| On 6/23/10, pt was presented to the emergency department at JFK Medical Center with back pain for over one year with a recent fall in the shower causing an increase in pain. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| On 6/30/10, the insd performed a transthoracic approach, a left T-10 and T-11 partial corpectomies, diskectomies arthodesis and instrumentation and posterior T-9 through T-12 laminectomy and posterolateral arthodesis. On 7/5/10, the insd performed exploratory surgery. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| None made | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Permanent paralysis. Alleged failure to timely act on a residual compression from an epidural hematoma. | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 5/12/2014 | 2014-CA-005399AI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 5/13/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Palm Beach Neurosurgery, LLC JFK Medical Center Limited Partnership d/b/a JFK Medical Ctr | |||||
| 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 | |||||
| 5/13/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $212,500 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $56,477 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstances of this case have been discussed with the insured and risk management was notified. Risk management has discussed case with the insured. | |||||||||||||||||||||
| Updates | |||||||
| Date of Change: | 1/19/2016 3:40:12 PM | ||||||
| Reason for Change: | Additional LAE payments made. | ||||||
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| Department File Number : | M201782035 |
| Claim Number : | 1527346 |
| Date Submitted : | 7/10/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HALLMARK SPECIALTY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 74-2378996 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Pamela | M | Burke | ||
| Street Address | |||||
| 615 Crescent Executive Court, Suite 212 | |||||
| City | State | Zip | |||
| Lake Mary | FL | 32746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (828) 255 - 5171 | (321) 972 - 0122 | pamelaburke@hamlinandburton.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Joshua | Kouri | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 5503 South Congress Avenue, Suite 204 | ||||
| City | State | Zip Code | County | ||
| Atlantis | FL | 33462 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FLM900187 | $100,000 | $300,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME87558 | Surgery - Neurology - Including Child | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| JFK MEDICAL CENTER | 100080 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/18/2012 | 9/8/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Spinal stenosis at multiple levels (C3-7) and disc protrusion at C6-7 | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| C3-7 anterior cervical partial corpectomy and discectomy surgery with fusion & instrumentation (first surgery);C2-T1 laminectomy, posterolateral arthrodesis with instrumentation, and bilateral foraminotomies (second surgery) | |||||
| Diagnostic Code : | 731.1; 723 | ||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| None ¿ criticism involved surgical technique | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Failure to fuse, displacement of surgically placed screws and possible loosening of the screws; Injury is pain and weakness of right arm and numbness | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/29/2016 | 502016CA000969XXXXMB | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 4/20/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Palm Beach Neurosurgery, LLC JFK 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 | |||||
| 5/2/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $24,874 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $10,767 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $100,000 | ||||||||||||||||||||
| Deductible | $7,500 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| No safety management steps taken. Issue was a post-operative complication with a dispute on technique. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. JOSHUA KOURI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSHUA KOURI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).