Dr. MARK SOMBAT, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. MARK SOMBAT, MD

13054 Millstone Drive

Indemnity Paid: $125,000.00

Insurer Information

Insurer Name				Coverage Type
CONTINENTAL CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
36-2114545
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Nancy		J	Thomas
Street Address
9821 Katy Freeway
City				State	Zip
Houston				TX	77024
Phone	Ext	Fax	E-Mail Address
(713) 935 - 8868		(713) 461 - 8130	nancy_thomas@ajg.com

Insured Information

Type	First Name		MI	Last Name
Individual	Mark			Sombat
Insurer Type		Street Address of Practice
Licensed		13054 Millstone Drive
City		State	Zip Code	County
Chardon		OH	44024	Out of state
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HAZ1040025381-7		$250,000		$750,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS8810		Emergency Medicine - No Major Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
MUNROE REGIONAL MEDICAL CENTER		100062
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
8/20/2008		9/2/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tumor
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delay in treatment
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Delay in treatment
Principal Injury Giving Rise To The Claim
Plaintiff alleging peripheral vision loss, depth perception loss
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
12/28/2009			2009 CA006486 A
County Suit Filed in			Date of Final Disposition
Marion			11/29/2010
Other Defendants Involved in this Claim
Disclafani, M.D., Antonio Munroe Regional Medical Center
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/7/2010

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$125,000

Loss Adjust Expense Paid to Defense Counsel

$6,753

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

Unknown

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Does Dr. MARK SOMBAT, MD have any medical malpractice cases, lawsuits, or complaints?

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