PLCR

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M202196772
Claim Number : 139873
Date Submitted : 1/5/2022
 
Insurer Information
 
Insurer Name Coverage Type
ISMIE INDEMNITY COMPANY Primary
Insurer FEIN Professional License Number
36-4296612  
Insurer Contact Information
Type First Name MI Last Name
Individual VERONICA A SCHRAMM
Street Address
20 N MICHIGAN AVE
City State Zip
CHICAGO IL 60602
Phone Ext Fax E-Mail Address
(312) 580 - 2407   (312) 782 - 2023 RONNISCHRAMM@ISMIE.COM
 
Insured Information
 
Type First Name MI Last Name
Individual Osmany   DeAngelo
Insurer Type Street Address of Practice
Licensed 7887 N Kendall Drive, Suite 130
City State Zip Code County
Miami FL 33156 Dade
Policy Number Per Claim Policy Limits Aggregate Policy Limits
77350 $250,000 $750,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS9245 Radiology - interventional  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Dade
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
LARKIN COMMUNITY HOSPITAL 100181
Location of Institutional Injury Other Location of Institutional Injury
Other Radiology Department
Date of Occurrence Date Reported to Insurer
12/24/2018 2/2/2021
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Occlusion of the right carotid artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Interpretation of post TPA CT Angiogram
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to fully describe findings and recommend additional treatments or transfer
Principal Injury Giving Rise To The Claim
Carotid artery occlusion and death
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Legal Information
 
Date of Suit Circuit Court Case Number
  *NR
County Suit Filed in Date of Final Disposition
*NR 8/17/2021
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
8/31/2021
 
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 $14,689
All Other Loss Adjustment Expense Paid $7,500
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None Necessary
 
Updates
 
No updates found.

 

 

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

This page is not displaying certain sensitive information.