| Department File Number : | M201576316 |
| Claim Number : | 1018319-01 |
| Date Submitted : | 8/11/2016 |
| 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 | Susan | K | Spielman | ||
| Street Address | |||||
| 5814 Reed Road | |||||
| City | State | Zip | |||
| Fort Wayne | IN | 46835 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (260) 486 - 0340 | reportaclaim@medpro.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Michael | W | Hayt | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1295 Orange Ave | ||||
| City | State | Zip Code | County | ||
| Winter Park | FL | 32789 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 761076 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME80204 | Radiology - Diagnostic - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Orange | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | Center for Diatnostic Imaging | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/14/2011 | 3/22/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Blurry vision | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| MRI | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Failure to diagnose meningioma near the optic nerve | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Legally blind in right eye | |||||
| 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 | ||||
| 7/14/2014 | 2014 CA-018773 01 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 11/13/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Auerbach MD, David B Eye Physicians of Central Florioda PLC Shapiro MD, Marc D Neuro Skeletal Imaging Institute of Winter Park Cooperman MD, Elliot W Elliot W Cooperman MD PA Bascom Palmer Eye Institute Guy MD, John Lam MD, Byron Saraf-Lavi MD, Efrat Jackson Health Systems Medical Scanning Consultants LLC Center for Diagnostic Imaging | |||||
| 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 | |||||
| 10/28/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $43,753 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $13,364 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $100,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 1/27/2016 3:30:23 PM | |||||||||
| Reason for Change: | ALE UPDATE 1/27/2016 | |||||||||
| ||||||||||
| Date of Change: | 8/11/2016 10:15:28 AM | |||||||||
| Reason for Change: | ALE UPDATED 8/11/2016 | |||||||||
| ||||||||||
This page is not displaying certain sensitive information.
Does Dr. MICHAEL W HAYT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MICHAEL W HAYT, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).