Department File Number : | M201884077 |
Claim Number : | 800575 |
Date Submitted : | 1/11/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LONE STAR ALLIANCE, INC., A RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
46-3209483 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | D | King | ||
Street Address | |||||
901 south mopac Blvd V ste 400 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | WEYLIN | SING | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 500 Winderley Place, Ste 115 | ||||
City | State | Zip Code | County | ||
Maitland | FL | 32751 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
4-100093 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS8721 | Emergency Medicine - No Major Surgery |
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 | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL-CELEBRATION HEALTH | 23960017 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/27/2015 | 6/27/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
6 year old child presented to Florida Hospital- Celebration with complaints of low grade fever, tachycardia, shortness of breath, chest pain and difficulty breathing | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Reporting physician was the attending emergency physician who examined child which included workup and ordered appropriate tests including EKG | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Child's condition rapidly deteriorated while in the emergency room. Efforts were made to transfer child to a higher care hospital. | |||||
Principal Injury Giving Rise To The Claim | |||||
Before the child could be transferred, the child coded and had to be resuscitated. The child was diagnosed with viral myocarditis | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/22/2016 | 2016-ca-010198 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 12/8/2017 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital Celebration | |||||
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 | |||||
12/17/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $48,655 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,434 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $500,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
none- sympathetic case involving death of a 6 year old child from an acute illness |
Updates | |
No updates found. |
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Does Dr. WEYLIN SING, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. WEYLIN SING, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).