Dr. SHIRLEY J HOM, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SHIRLEY J HOM, MD

4215 Edgewater Dr.

Indemnity Paid: $0.00

Insurer Information

Insurer Name				Coverage Type
GRANITE STATE INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
02-0140690
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	Shirley		J	Hom
Insurer Type		Street Address of Practice
Licensed		4215 Edgewater Dr.
City		State	Zip Code	County
Orlando		FL	32804	Orange
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
2423469		$500,000		$1,000,000
Profession or Business			Other Profession or Business
Physician Assistant
License Number		Specialty Code & Classification		Certification Number
PA9102291		Physical Medicine and Rehabilitation

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
Hospital Outpatient Facility
Name of Institution		Code
SOUTH COUNTY OUTPATIENT SURGERY CENTER		14960594
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
7/22/2003		2/14/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Plaintiff alleged negligence during an abdominal hysterectomy performed by an MD defendant. The insured was fist assistant for the surgery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Unavailable
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Unavailable
Principal Injury Giving Rise To The Claim
Plaintiff alleged negligence during an abdominal hysterectomy performed by an MD defendant. The insured was fist assistant for the surgery.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			6/29/2016
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
No Payment Made
Court Decision			Other
Judgment for the plaintiff.
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

$22,030

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. SHIRLEY J HOM, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SHIRLEY J HOM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases