Department File Number : | M201990750 |
Claim Number : | 65076 |
Date Submitted : | 12/2/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MAG MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1449198 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mercedes | Pressley | |||
Street Address | |||||
3535 Piedmont Road, NE | |||||
City | State | Zip | |||
Atlanta | GA | 30305 | |||
Phone | Ext | Fax | E-Mail Address | ||
(404) 842 - 4882 | MPressley@magmutual.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Robert | K | Myers | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 7505 Waters Ave. STE. C8 | ||||
City | State | Zip Code | County | ||
Savannah | GA | 31406 | Charlotte | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PSL 1204180 11 | $3,000,000 | $5,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME104740 | Additional Charges: Radiation Therapy - by insured physicians or surgeons involved with major surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Calhoun | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
CALHOUN LIBERTY HOSPITAL ASSOC. | 100112 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/18/2015 | 12/8/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Lower back pain and left extremity weakness. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Lumbar MRI | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to recognize a complication | |||||
Principal Injury Giving Rise To The Claim | |||||
Outcome: Major permanent injury. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/12/2017 | STCV1702013 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Charlotte | 11/6/2019 | ||||
Other Defendants Involved in this Claim | |||||
Candler Hospital, Inc Saint Joseph's Hospital, Inc. St. Joseph's/Candler Health System, Inc. SJC Medical Group, Inc. Savanah/Chatham Imaging, LLC Wynn, Melissa Raj, Brian Almeida, Joenie T | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/6/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $114,200 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $40,568 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Risk Management has counseled insured. |
Updates | |
No updates found. |
Does Dr. ROBERT K MYERS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROBERT K MYERS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).