Department File Number : | M201473035 |
Claim Number : | 59138301 |
Date Submitted : | 12/19/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Becky | Sanders | |||
Street Address | |||||
361 E. Hillsboro Blvd. | |||||
City | State | Zip | |||
Deerfield Beach | FL | 33441 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 788 - 5610 | (954) 788 - 5367 | bsanders@picinsurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kaneez | Agha | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 199 S. Wickham Road | ||||
City | State | Zip Code | County | ||
Melbourne | FL | 32904 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
132097 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME70871 | Pediatrics - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Brevard | ||||
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 | ||||
4/9/2005 | 7/16/2007 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient was seen after experiencing seizures. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient was seen in ER for seizures. An Abnormal EKG was not reported to the physicians showing a prolonged QT wave. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Neurological source for the seizure was treated without consideration of a cardiac source. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient died 9 months after she first experienced a seizure from a heart arrhythmia. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/18/2007 | 052007CA67896 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 11/21/2014 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After court verdict and prior to filing of notice of appeal. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/17/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $3,000,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $204,149 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $124,929 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $3,000,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
not applicable. |
Updates | |
No updates found. |
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Does Dr. KANEEZ AGHA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KANEEZ AGHA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).