Dr. KING KIM, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. KING KIM, MD

1325 South Pine Street, Suite 102

Melbourne, FL

32901

Brevard

Court Case #

Indemnity Paid: $600,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201988884
Claim Number :	6031878
Date Submitted :	5/22/2019

Insurer Information

Insurer Name				Coverage Type
OMS NATIONAL INSURANCE COMPANY, RISK RETENTION GROUP				Primary
Insurer FEIN		Professional License Number
36-3571664
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Romelia			Alvarez
Street Address
425 N Martingale Road Suite 900
City				State	Zip
Schaumburg				IL	60173
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8823			Romelia.Alvarez@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	King			Kim
Insurer Type		Street Address of Practice
Licensed		1325 Pine St Ste 102
City		State	Zip Code	County
Melbourne		FL	32901	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
2000775		$2,000,000		$6,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN18228		Oral and Maxillofacial Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	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
Patients' Room
Date of Occurrence		Date Reported to Insurer
10/11/2016		10/25/2016

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Orbital blow out fracture with a loose bone fragment and a nondisplaced right side nasal bone fracture that was interfering with breathing after patient was hit by a tree branch.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Reconstruction of the right orbital floor fracture with implant and closed reduction of the right nasal fracture with stabilization under general anesthesia
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleges loss of vision in the right eye with eventual enucleation of the eye with placement of a scleral wrapped Medpor implant.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			5/13/2019
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/10/2019

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$600,000

Loss Adjust Expense Paid to Defense Counsel

$6,180

All Other Loss Adjustment Expense Paid

$2,465

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Documentation

Updates

No updates found.

Court Case #

Indemnity Paid: $17,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201576284
Claim Number :	6012126
Date Submitted :	11/10/2015

Insurer Information

Insurer Name				Coverage Type
OMS NATIONAL INSURANCE COMPANY, RISK RETENTION GROUP				Primary
Insurer FEIN		Professional License Number
36-3571664
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Janet		L	Meyer
Street Address
6133 North River Rd., Suite 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8823		(847) 653 - 8485	janet.meyer@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	King			Kim
Insurer Type		Street Address of Practice
Licensed		1325 South Pine Street, Suite 102
City		State	Zip Code	County
Melbourne		FL	32901	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
2000775		$2,000,000		$6,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN18228		Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

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
9/24/2013		12/10/2014

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to the insured complaining of pain at #30.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Following an exam & evaluation the insured followed the agreed treatment plan and extracted tooth #30. Then approximately 6 months later the patient presented with an abscess at #31. The insured subsequently extracted tooth #31.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged failure to diagnose osteomyelitis following extractions and the alleged improper performance of extractions.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			10/27/2015
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Settlement Reached Prior to Pre-Suit Period
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/6/2015

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$17,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Unknown

Updates

No updates found.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Frequently Asked Questions

Does Dr. KING KIM, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. KING KIM, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases