Department File Number : | M202091382 |
Claim Number : | 366070 |
Date Submitted : | 2/7/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angela | LaFrance | |||
Street Address | |||||
12724 Gran Bay Pkwy., W., Suite 400 | |||||
City | State | Zip | |||
JACKSONVILLE | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3045 | alafrance@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | SYED | A | HASSAN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 5448 Tara Woods Drive South | ||||
City | State | Zip Code | County | ||
Jacksonville | FL | 32210 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0734400 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME73203 | Hospitalists |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Volusia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | Florida Hospital Deland | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/25/2016 | 2/9/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to the Emergency Department with complaints of abdominal pain and possible pneumonia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The insured evaluated the patient, coordinated her medical care, consultants and gave the appropriate orders. Once the patient was noted to be improving, the insured along with the other medical providers made the decision to transfer the patient to another hospital for further care. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to properly diagnose and treat the patient's medical condition and coordinate medical care, consultants and decisions. | |||||
Principal Injury Giving Rise To The Claim | |||||
Death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/7/2018 | 2018-11336-CIDL | ||||
County Suit Filed in | Date of Final Disposition | ||||
Volusia | 1/30/2020 | ||||
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 | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
1/22/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $48,165 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $22,990 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Does Dr. SYED A HASSAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SYED A HASSAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).