Dr. LUIZ KUNTZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. LUIZ KUNTZ, MD

301 HEALTH PARK BLVD. #326

Indemnity Paid: $150,000.00

Insurer Information

Insurer Name				Coverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATION				Primary
Insurer FEIN		Professional License Number
38-2102867
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christine			Sampson
Street Address
200 East Gaines Street
City				State	Zip
Tallahassee				FL	32399
Phone	Ext	Fax	E-Mail Address
(850) 413 - 5358		(850) 921 - 8243	Christine.Sampson@fldfs.com

Insured Information

Type	First Name		MI	Last Name
Individual	LUIZ			KUNTZ
Insurer Type		Street Address of Practice
Licensed		301 HEALTH PARK BLVD. #326
City		State	Zip Code	County
ST. AUGUSTINE		FL	32086	St. Johns
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
126104		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME21798		Cardiovascular Disease - Minor Surgery		80281

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	St. Johns
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
FLAGLER HOSPITAL		100090
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
5/15/1997		8/23/1999

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SUBSEQUENT SURGERY TO REMOVE A PORTION OF THE GUIDE WIRE THAT EMBEDDED IN HER HEART.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
THE PLAINTIFF ALLEGED THAT INSURED FAILED TO INSPECT A GUIDEWIRE AFTER INSERTION OF PICC LINE RESULTING IN SUBSEQUENT SURGERY TO REMOVE A PORTION OF THE GUIDE WIRE THAT EMBEDDED IN HER HEART.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
PORTION OF GUIDEWIRE EMBEDDED IN PATIENTS HEART.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
1/19/2000			CA992262
County Suit Filed in			Date of Final Disposition
St. Johns			2/26/2001
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

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

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$150,000

Deductible

Injured Person's Total Economic Loss

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

INSURED CONSULTED WITH DEFENSE COUNSEL AND CLAIMS PERSONNEL REGARDING THIS MATTER.

Updates

Date of Change:

2/19/2007 3:58:47 PM

Reason for Change:

OIR updating Historical Closed Claim data.

Field Changed	Former Value	New Value
Injured Person Address County		St. Johns
County Injury Occurred In		St. Johns
Insured Last Name	KUNTZ, MD	KUNTZ
Insured License Number	ME0021798	ME21798
Portal User Name	plcr_migration_dccs plcr_migration_dccs	Christine Sampson

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Does Dr. LUIZ KUNTZ, MD have any medical malpractice cases, lawsuits, or complaints?

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