Medical Malpractice Cases

Dr. TERRY D KOUBEK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address
Dr. TERRY D KOUBEK, MD
410 Monaco Drive
US

Court Case # 05CA01-1696

Indemnity Paid: $75,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747899
Claim Number :21481
Date Submitted :2/25/2008
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTerryDKoubek
Insurer TypeStreet Address of Practice
Licensed410 Monaco Drive
CityStateZip CodeCounty
IndialanticFL32903Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601656 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME43982Radiology - interventional5501

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MBrevard
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HOLMES REGIONAL-PALM BAY CAMPUS120007
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
11/8/20001/26/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Posterior/anterior and lateral chest x-rays
Diagnostic Code :231.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose lung cancer
Principal Injury Giving Rise To The Claim
Lung cancer
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/3/200505CA01-1696
County Suit Filed inDate of Final Disposition
Brevard1/16/2008
Other Defendants Involved in this Claim
Parker, MD, John J
Benveniste, MD, Joel S
Wagner, MD, Donald C
Lai, MD, Ming T
Medical Associates of Brevard
Brevard Emergency Services
Radiology Associates of Brevard
Holmes Regional Medical Center
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
12/5/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$75,000
Loss Adjust Expense Paid to Defense Counsel$38,432
All Other Loss Adjustment Expense Paid$28,208
Injured Person's Total Non-Economic Loss$75,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$6,148$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
 
 
Date of Change:2/25/2008 3:32:00 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 01/16/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition16-NOV-0716-JAN-08

 

 

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Frequently Asked Questions

Does Dr. TERRY D KOUBEK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. TERRY D KOUBEK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

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