Dr. MICHAEL COUSSA, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. MICHAEL COUSSA, MD

416 RACCOON STREET

Indemnity Paid: $90,000.00

Insurer Information

Insurer Name				Coverage Type
The Schumacher Group				Primary
Insurer FEIN		Professional License Number
72-1383025
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kathy		A	Stockton
Street Address
9821 Katy Freeway
City				State	Zip
Houston				TX	77024
Phone	Ext	Fax	E-Mail Address
(713) 935 - 2404		(713) 461 - 8130	kathy_stockton@westernlitigation.com

Insured Information

Type	First Name		MI	Last Name
Individual	MICHAEL			COUSSA
Insurer Type		Street Address of Practice
Self-Insurer		416 RACCOON STREET
City		State	Zip Code	County
LAKE MARY		FL	32746	Seminole
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
CMI AE 1101 046		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME100728		Emergency Medicine - No Major Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Seminole
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
CENTRAL FLORIDA REGIONAL HOSPITAL (SANFORD)		100161
Location of Institutional Injury		Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
4/5/2011		8/30/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PRESENTED FOR LABIAL PAIN/ABSCESS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ABSCESS WAS EXCISED AND MEDICATIONS WERE PRESCRIBED.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
ALLEGED FAILURE TO PROPERLY TREAT AND ADMIT PATIENT WITH ABNORMAL VALUES RESULTING IN SEPTIC SHOCK AND DEATH
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
12/9/2011			2011 CA 004988
County Suit Filed in			Date of Final Disposition
Seminole			4/18/2013
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
2/21/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$90,000

Loss Adjust Expense Paid to Defense Counsel

$26,582

All Other Loss Adjustment Expense Paid

$2,100

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. MICHAEL COUSSA, MD have any medical malpractice cases, lawsuits, or complaints?

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