Department File Number : | M201783303 |
Claim Number : | F16-0034-14 |
Date Submitted : | 10/6/2017 |
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 | jason | haynie | |||
Street Address | |||||
4651 Salisbury Rd., Ste. 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(850) 556 - 3388 | jhaynie@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | MARITZA | DAY | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 601 7th Street S | ||||
City | State | Zip Code | County | ||
St Petersburg | FL | 33701 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG001388 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME98539 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAYFRONT MEDICAL CENTER | 100032 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/22/2014 | 2/2/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient developed an infection after she experienced a miscarriage resulting in a DVT/VTE causing her death. It is alleged that the insured failed to obtain studies and prescribe appropriate medicine to prevent DVT/VTE. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient developed an infection after she experienced a miscarriage resulting in a DVT/VTE causing her death. It is alleged that the insured failed to obtain studies and prescribe appropriate medicine to prevent DVT/VTE. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Patient developed an infection after she experienced a miscarriage resulting in a DVT/VTE causing her death. It is alleged that the insured failed to obtain studies and prescribe appropriate medicine to prevent DVT/VTE. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient developed an infection after she experienced a miscarriage resulting in a DVT/VTE causing her death. It is alleged that the insured failed to obtain studies and prescribe appropriate medicine to prevent DVT/VTE. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/30/2016 | 16-005159-CI | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 10/5/2017 | ||||
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 | |||||
8/18/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $240,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,747 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Discussed with Risk Management and Insured |
Updates | |
No updates found. |
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Does Dr. MARITZA DAY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARITZA DAY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).