Medical Malpractice Cases

Dr. SETH B FORMAN, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address
Dr. SETH B FORMAN, MD
4200 N. Armenia Ave. Ste. 1
US

Court Case # 16-CA-4151

Indemnity Paid: $28,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201987943
Claim Number : 54413
Date Submitted : 2/15/2019
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSethBForman
Insurer TypeStreet Address of Practice
Licensed4200 N. Armenia Ave. Ste. 1
CityStateZip CodeCounty
TampaFL33607Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1603032 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME96509Dermatology - Minor Surgery 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/22/20148/18/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Warts
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Application of cantharidin ointment
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly apply cantharidin ointment
Principal Injury Giving Rise To The Claim
Burns resulting in scarring
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/3/201616-CA-4151
County Suit Filed inDate of Final Disposition
Hillsborough2/5/2019
Other Defendants Involved in this Claim
Florida Dermatology & Skin Cancer Specialists
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/5/2019
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$28,500
Loss Adjust Expense Paid to Defense Counsel$56,145
All Other Loss Adjustment Expense Paid$40,553
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

Frequently Asked Questions

Does Dr. SETH B FORMAN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SETH B FORMAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

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