Dr. STEPHEN M BORSTELMANN, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. STEPHEN M BORSTELMANN, MD

631 Palm Springs Drive, Suite 111

Altamonte Springs, FL

32701

Seminole

Court Case # 07-CA-3074

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200850383
Claim Number :	23315/24682
Date Submitted :	12/22/2008

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		(407) 370 - 2247	cwehner@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Stephen		M	Borstelmann
Insurer Type		Street Address of Practice
Licensed		631 Palm Springs Drive, Suite 111
City		State	Zip Code	County
Altamonte Springs		FL	32701	Seminole
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 0103694 06		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME80071		Radiology - Diagnostic - Minor Surgery		3509

Medical Malpractice Closed Claims Report

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
WINTER PARK PAVILION		110026
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
2/22/2004		1/30/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epigastric and left lower quadrant abdominal pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT of abdomen
Diagnostic Code :		231.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to note abnormality on abdomenal CT
Principal Injury Giving Rise To The Claim
Delay in diagnosis of adenocarcinoma
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
4/5/2007			07-CA-3074
County Suit Filed in			Date of Final Disposition
Orange			12/11/2008
Other Defendants Involved in this Claim
Florida Radiology Assoc. Winter Park Hospital
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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/11/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$1,000,000

Loss Adjust Expense Paid to Defense Counsel

$81,658

All Other Loss Adjustment Expense Paid

$68,857

Injured Person's Total Non-Economic Loss

$1,000,000

Deductible

$200,000

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$400,000
Wage Loss	$0	$500,000
Other Expenses	$0	$0

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

Risk management has counseled insured

Updates

Date of Change:

9/2/2008 3:58:44 PM

Reason for Change:

Report updated to reflect Court Document final disposition date of 08/08/08

Field Changed	Former Value	New Value
Date of Final Disposition	06-JUN-08	08-AUG-08

Date of Change:

12/22/2008 1:06:12 PM

Reason for Change:

Report updated to reflect Court Document final disposition date of 12/11/08

Field Changed	Former Value	New Value
Date of Final Disposition	08-AUG-08	11-DEC-08

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Frequently Asked Questions

Does Dr. STEPHEN M BORSTELMANN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. STEPHEN M BORSTELMANN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).