Department File Number : | M201781270 |
Claim Number : | 107-008398 |
Date Submitted : | 2/22/2017 |
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 | carolyn | r | ewell | ||
Street Address | |||||
17200 W 119th St | |||||
City | State | Zip | |||
Olathe | KS | 66061 | |||
Phone | Ext | Fax | E-Mail Address | ||
(913) 495 - 4217 | carolynranee.ewell@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | SANDRA | L | CAULFIELD | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 912 N.W. 3rd Ave | ||||
City | State | Zip Code | County | ||
Cape Coral | FL | 33993 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
9547441 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Physician Assistant | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PA3196 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/3/2010 | 1/13/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PATIENT SUFFERED A STROKE AND LOST VISION IN HIS RIGHT EYE. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PATIENT PRESENTED IMA WITH SIGNS AND SYMPTOMS OF STROKE OR HEART ATTACK. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILEDF TO PROPERLY TREAT PATIENT CARDIOVASCULAR DISEASE. | |||||
Principal Injury Giving Rise To The Claim | |||||
69-YEAR-OLD MALE ALLEGES DELAY IN DIAGNOSING AND TREATING STROKE R/I VISION LOSS IN ONE 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 | ||||
6/20/2012 | 12-CA-001812 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 2/22/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within 90 days of suit being filed. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Summary judgment for the defendant. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $130,230 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $18,619 | ||||||||||||||||||||
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. |
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Does Dr. SANDRA L CAULFIELD, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SANDRA L CAULFIELD, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).