Dr. KARL HAGEN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. KARL HAGEN, MD

9460 Wickham Way

Indemnity Paid: $150,000.00

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	Steven		R	Carey
Street Address
4651 Salisbury Rd. Suite 410
City				State	Zip
Jacksonville				FL	32256
Phone	Ext	Fax	E-Mail Address
(904) 309 - 8127		(904) 309 - 8127	scarey@norcal-group.com

Insured Information

Type	First Name		MI	Last Name
Individual	KARL			HAGEN
Insurer Type		Street Address of Practice
Licensed		9460 Wickham Way
City		State	Zip Code	County
Orlando		FL	32836	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MS001161		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME78524		Surgery - General

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Lake
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
SOUTH MIAMI HOSPITAL		100154
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
5/8/2011		2/22/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of abdominal pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Physician performed an appendectomy.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
The patients right ureter was removed.
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
1/30/2013			2013-CA-000920-0
County Suit Filed in			Date of Final Disposition
Lake			11/14/2017
Other Defendants Involved in this Claim
South Lake Hospital Jorge Florin, M.D., P.A.
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
11/14/2017

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$150,000

Loss Adjust Expense Paid to Defense Counsel

$75,069

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Circumstances of the case have been discussed with Risk Management and the insured.

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Does Dr. KARL HAGEN, MD have any medical malpractice cases, lawsuits, or complaints?

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

Medical Malpractice Cases