Department File Number : | M201575197 |
Claim Number : | 107-011796 |
Date Submitted : | 7/14/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-1149494 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kayla | Roberson | |||
Street Address | |||||
17200 W 119th St | |||||
City | State | Zip | |||
Olathe | KS | 66061 | |||
Phone | Ext | Fax | E-Mail Address | ||
(913) 495 - 6578 | Kayla.Roberson@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Paul | Toma | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3240 West Lake Mary Blvd #1300 | ||||
City | State | Zip Code | County | ||
Lake Mary | FL | 32746 | Seminole | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
063787378 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | Chiropractor | ||||
License Number | Specialty Code & Classification | Certification Number | |||
CH7869 |
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 | ||||
Other Location | Chiropractic Office | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Not known | ||||
Date of Occurrence | Date Reported to Insurer | ||||
3/25/2012 | 7/13/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
On May 1 2012 patient was examined in the Emergency Department of Florida Hospital where she was diagnosed with a large left chest mass measuring 11cm x 14cm x14cm. On May 2 2012 the mass was diagnosed as a Metastatic Primitive Neuorectodermal Tumor of the chest wall. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Between March 28 and April 25 2012 the patient was examined and treated multiple times. An X-Ray was ordered but the defendant failed to identify the large left pulmonary mass located in her chest. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to diagnose tumor resulting in delayed treatment and neurological injuries. | |||||
Principal Injury Giving Rise To The Claim | |||||
On March 28 2012 patient was presented to the Lake Mary Chiropractic Center with her chief complaint being a pain in the left neck and upper back. She noted that the pain was made worse with normal movements and was stopping her from playing sports. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 6/29/2015 | ||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $425,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
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. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. PAUL TOMA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PAUL TOMA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).