| Department File Number : | M202093187 |
| Claim Number : | 138407 |
| Date Submitted : | 8/7/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| COVERYS SPECIALTY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 47-2600307 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | David | W | Lindquist | ||
| Street Address | |||||
| One Financial Center | |||||
| City | State | Zip | |||
| Boston | MA | 02111 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (617) 428 - 9838 | dlindquist@coverys.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | TIMOTHY | EVERETT | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 6017 Pine Ridge Road #274 | ||||
| City | State | Zip Code | County | ||
| Naples | FL | 34119 | Collier | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 006FL00002535 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME112097 | Physicians - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Collier | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Physician's office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/2/2017 | 10/11/2019 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Alleged negligence causing an active hypersensitivity reaction to a vitamin infusion resulting in ongoing headaches, short term memory loss, visual abnormalities and anxiety | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Allege negligence | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged negligence causing an active hypersensitivity reaction to a vitamin infusion resulting in ongoing headaches, short term memory loss, visual abnormalities and anxiety | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 6/22/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 6/22/2020 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $45,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $8,908 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Settled for $45,000.00 | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M202093185 |
| Claim Number : | 137680 |
| Date Submitted : | 8/7/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| COVERYS SPECIALTY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 47-2600307 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | David | W | Lindquist | ||
| Street Address | |||||
| One Financial Center | |||||
| City | State | Zip | |||
| Boston | MA | 02111 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (617) 428 - 9838 | dlindquist@coverys.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Timothy | M | Everett | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 3375 Pine Ridge Roard, Suite 204 | ||||
| City | State | Zip Code | County | ||
| Naples | FL | 34108 | Collier | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 006FL000025359 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME112097 | Physicians - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Collier | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Physician's office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/14/2017 | 9/18/2019 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Alleged failure to address patient's medical condition and to use appropriate office procedures in providing infusion care and treatment to patient resulting in death. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Failure to address condition | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged failure to address patient's medical condition and to use appropriate office procedures in providing infusion care and treatment to patient resulting in 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 | 7/9/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $25,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $8,165 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Settled claim for $25,000 | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M202093282 |
| Claim Number : | 138408 |
| Date Submitted : | 8/14/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| COVERYS SPECIALTY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 47-2600307 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | David | W | Lindquist | ||
| Street Address | |||||
| One Financial Center | |||||
| City | State | Zip | |||
| Boston | MA | 02111 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (617) 428 - 9838 | dlindquist@coverys.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Timothy | M | Everett | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 3375 Pine Ridge Roard, Suite 204 | ||||
| City | State | Zip Code | County | ||
| Naples | FL | 34108 | Collier | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 006FL000025359 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME112097 | General Preventative Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Collier | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Prison | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Clinic | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/1/2017 | 10/11/2019 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| vomiting, headache & a diagnosis of thrombocytopenia | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Vitamin infusion | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged failure to use standard of care practices for compounding & infusion her vitamin cocktail resulting in vomiting, headache & a diagnosis of thrombocytopenia | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 8/4/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $20,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $5,415 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Settled | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. TIMOTHY EVERETT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TIMOTHY EVERETT, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).