| Department File Number : | M201886161 |
| Claim Number : | 166717 |
| Date Submitted : | 8/15/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 94-2301054 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | McNab | |||
| Street Address | |||||
| 4651 Salisbury Road | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 439 - 0580 | dmcnab@norcal-group.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | STANLEY | SWEDA | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 204 SE Park Street | ||||
| City | State | Zip Code | County | ||
| Okeechobee | FL | 34972 | Okeechobee | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 724379N | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME45700 | Family Physicians or General Practitioners - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Okeechobee | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| DOCTORS OUTPATIENT SURGERY CENTER, LLC | 14960535 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | physician office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/5/2017 | 10/31/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient had a history of COPD. The patient presented with cough and shortness of breath | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| The patient presented with history of COPD. Her complaints consisted of cough and shortness of breath. After examination, the working diagnosis was COPD, smoker and pleurisy. The Estate on behalf of the deceased alleged a failure to timely diagnose and treat a pulmonary embolism. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| The patient was diagnosed with COPD, smoker and pleurisy. A subsequent CTA reflected a bilateral pulmonary embolism. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Death | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 8/3/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| After arbitration is initiated or prior to suit being filed. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 7/30/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $175,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $4,490 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $4,490 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insured met with defense counsel and claims specialist. | |||||||||||||||||||||
| 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. STANLEY SWEDA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. STANLEY SWEDA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).