Department File Number : | M201884883 |
Claim Number : | 16-005-AB-001049 |
Date Submitted : | 3/29/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE CASUALTY RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1994595 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Amber | Basra | |||
Street Address | |||||
8725 W. Higgins Rd., Ste. 810 | |||||
City | State | Zip | |||
Chicago | IL | 60631 | |||
Phone | Ext | Fax | E-Mail Address | ||
(773) 864 - 8291 | (773) 864 - 8281 | abasra@claritygrp.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kenneth | C | Sands | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 8725 N. Wickham Road | ||||
City | State | Zip Code | County | ||
Melbourne | FL | 32940 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
16-PA-005-AB | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME110558 | Surgery - Orthopedic |
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 | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
HEALTH FIRST HEALTH PLANS, INC. | 20950119 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/20/2015 | 5/17/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Revision of a prior left total hip arthroplasty due to severe hip and groin pain. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Surgery for revision of left hip arthroplasty. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis. | |||||
Principal Injury Giving Rise To The Claim | |||||
During surgery the physician compromised the acetabular wall, which resulted in the need for subsequent surgeries that caused additional pain and suffering, and a prolonged recovery period. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/8/2017 | 05-2017-CA-043478 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 2/8/2018 | ||||
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 | |||||
3/12/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $24,869 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. KENNETH C SANDS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KENNETH C SANDS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).