Department File Number : | M201886575 |
Claim Number : | 1039723-01 |
Date Submitted : | 9/28/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Michael | H | McCormick | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 213 S Cove Terrace Dr | ||||
City | State | Zip Code | County | ||
Panama City | FL | 32401 | Bay | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
783204 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME51595 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Bay | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAY MEDICAL CENTER | 100026 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/11/2014 | 1/18/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Hip pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
surgery-right total hip arthroplasty | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
failed to protect an injured patient's right sciatic nerve | |||||
Principal Injury Giving Rise To The Claim | |||||
permanent right foot drop with loss of sensation and neurogenic pain | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/10/2017 | 17000507CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Bay | 9/27/2018 | ||||
Other Defendants Involved in this Claim | |||||
Michael H McCormick MD PA Coastal Orthopedics & Sports Medicine | |||||
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 | |||||
9/27/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,811 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,774 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
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Does Dr. MICHAEL H MCCORMICK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MICHAEL H MCCORMICK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).